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FY2017 Annual Report · Precipio
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10-K 1 tv489111_10k.htm FORM 10-K  

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
WASHINGTON, D.C. 20549 

FORM 10-K 

(Mark One) 

⌧ 

" 

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 
EXCHANGE ACT OF 1934 
For the fiscal year ended December 31, 2017 

OR 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 
EXCHANGE ACT OF 1934 
For the transition period from _____ to _____ 

Commission File Number: 001-36439 

PRECIPIO, INC. 

(Exact name of registrant as specified in its charter) 

Delaware 
(State or other jurisdiction of 
incorporation or organization) 

4 Science Park, New Haven, CT 
(Address of principal executive offices) 

91-1789357 
(I.R.S. Employer 
Identification No.) 

06511 
(Zip Code) 

(203) 787-7888 
(Registrant’s telephone number, including area code) 
Securities registered pursuant to Section 12(b) of the Act: 

Title of Each Class 
Common Stock, par value $0.01 per share 

   Name of Each Exchange On Which Registered 

NASDAQ Capital Market 

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

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
     
  
  
  
  
  
  
  
  
  
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 Exchange 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  and  posted  on  its 
corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 
405  of  Regulation  S-T  (§232.405  of  this  chapter)  during  the  preceding  12  months  (or  for  such  shorter 
period that the registrant was required to submit and post such files). 

Yes  ⌧     No # 

Indicate by check mark 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 Form10-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 
Emerging growth 
company 

  # 
  # 
  #  (Do not check if a smaller reporting company)  Smaller reporting company   ⌧ 

Accelerated filer 

  # 

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   ⌧ 

The aggregate market value of the voting and non-voting common equity held by non-affiliates of 
the  registrant  based  on  the  last  reported  closing  price  per  share  of  Common  Stock  as  reported  on  the 
Nasdaq Capital Market on the last business day of the registrant’s most recently completed second quarter 
was approximately $49.6 million. 

As of March 31, 2018, the number of shares of common stock outstanding was 19,668,572. 

  
  
  
  
  
  
  
    
  
  
  
  
  
  
  
  
PRECIPIO, INC.  
Annual Report on Form 10-K 
For the Year Ended December 31, 2017 

INDEX 

PART I.      

Item 1.    Business  
Item 1A.   Risk Factors  
Item 1B.   Unresolved Staff Comments  
Properties  
Item 2.   
Item 3.   Legal Proceedings  
Item 4.   Mine Safety Disclosures  

PART 
II. 

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer 
Item 5.   
Purchases of Equity Securities  
Item 6.    Selected Consolidated Financial Data  

Item 7.    

Management’s Discussion and Analysis of Financial Condition and Results of 
Operations  

Item 7A.    Quantitative and Qualitative Disclosures About Market Price  

Item 8.    Financial Statements and Supplementary Data  

  Report of Independent Registered Public Accounting Firm  
  Consolidated Balance Sheets as of December 31, 2017 and 2016  
Consolidated Statements of Operations for the Years Ended December 31, 2017 and 
2016  
Consolidated Statements of Stockholders’ Equity (Deficit) for the Years Ended 
December 31, 2017 and 2016  
Consolidated Statements of Cash Flows for the Years Ended December 31, 2017 and 
2016  
Notes to the Consolidated Financial Statements for the Years Ended December 31, 
2017 and 2016  
Changes in and Disagreements with Accountants on Accounting and Financial 
Disclosures  

Item 9.    

Item 9A.   Controls and Procedures  
Item 9B.    Other Information  
PART 
III. 
Item 10.    Directors, Executive Officers and Corporate Governance  
Item 11.   Executive Compensation  

Item 12.   

Security Ownership of Certain Beneficial Owners and Management and Related 
Stockholder Matters  

Item 13.   Certain Relationships and Related Transactions, and Director Independence  
Item 14.   Principal Accounting Fees and Services  
PART 
IV. 
Item 15.   Exhibits, Financial Statement Schedules  
Item 16.   Form 10-K Summary  

Signatures  

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2 

  
  
PART I.  
FORWARD-LOOKING STATEMENTS 

This Annual Report on Form 10-K (this “Annual Report”), including Management’s Discussion & 
Analysis of Financial Condition and Results of Operations, contains forward-looking statements within the 
meaning of the Private Securities Litigation Reform Act of 1995, which statements involve substantial risks 
and  uncertainties.  These  statements  are  based  on  management’s  current  views,  assumptions  or  beliefs  of 
future  events  and  financial  performance  and  are  subject  to  uncertainty  and  changes  in  circumstances. 
Readers of this report should understand that these statements are not guarantees of performance or results. 
Many  factors  could  affect  our  actual  financial  results  and  cause  them  to  vary  materially  from  the 
expectations  contained  in  the  forward-looking  statements.  These  factors  include,  among  other  things:  our 
expected  revenue,  income  (loss),  receivables,  operating  expenses,  supplier  pricing,  availability  and  prices 
of  raw  materials,  insurance  reimbursements,  product  pricing,  foreign  currency  exchange  rates,  sources  of 
funding  operations  and  acquisitions,  our  ability  to  raise  funds,  sufficiency  of  available  liquidity,  future 
interest  costs,  future  economic  circumstances,  business  strategy,  industry  conditions  and  key  trends,  our 
ability to execute our operating plans, the success of our cost savings initiatives, competitive environment 
and related market conditions, expected financial and other benefits from our organizational restructuring 
activities,  actions  of  governments  and  regulatory  factors  affecting  our  business,  projections  of  future 
earnings, revenues, synergies, accretion or other financial items, any statements of the plans, strategies and 
objectives of management for future operations, retaining key employees and other risks as described in our 
reports filed with the Securities and Exchange Commission (the “SEC”). In some cases these statements are 
identifiable through the use of words such as “anticipate,” “believe,” “estimate,” “expect,” “intend,” “plan,” 
“project,”  “target,”  “can,”  “could,”  “may,”  “should,”  “will,”  “would”  or  the  negative  of  such  terms  and 
other similar expressions. 

You are cautioned not to place undue reliance on these forward-looking statements. The forward-
looking  statements  we  make  are  not  guarantees  of  future  performance  and  are  subject  to  various 
assumptions, risks and other factors that could cause actual results to differ materially from those suggested 
by  these  forward-looking  statements.  Actual  results  may  differ  materially  from  those  suggested  by  these 
forward-looking statements for a number of reasons, including those described in Item 1A, “Risk Factors,” 
and other factors identified by cautionary language used elsewhere in this Annual Report. 

We expressly disclaim any obligation to update or revise any forward-looking statements, whether 

as a result of new information, future events or otherwise, except as required by law. 

The following discussion should be read together with our financial statements and related notes 
contained  in  this  Annual  Report.  Results  for  the  year  ended  December  31,  2017  are  not  necessarily 
indicative of results that may be attained in the future. 

3 

  
   
  
  
  
  
  
  
  
Item 1. Our Business 

Business Description 

Precipio,  Inc.,  and  Subsidiary,  (“we”,  “us”,  “our”,  the  “Company”  or  “Precipio”)  is  a  cancer 
diagnostics  company  providing  diagnostic  products  and  services  to  the  oncology  market.  We  have 
developed  a  platform  designed  to  eradicate  misdiagnoses  by  harnessing  the  intellect,  expertise  and 
technology  developed  within  academic  institutions  and  delivering  quality  diagnostic  information  to 
physicians and their patients worldwide. We operate a cancer diagnostic laboratory located in New Haven, 
Connecticut and have partnered with the Yale School of Medicine to capture the expertise, experience and 
technologies developed within academia so that we can provide a better standard of cancer diagnostics and 
solve the problem of cancer misdiagnosis. We also operate a research and development facility in Omaha, 
Nebraska  which  will  focus  on  the  further  development  of  ICE-COLD-PCR,  or  ICP,  the  patented 
technology  described  further  below,  which  was  exclusively  licensed  by  us  from  Dana-Farber  Cancer 
Institute, Inc., or Dana-Farber, at Harvard University. The research and development center will focus on 
the development of this technology, which we believe will enable us to commercialize other technologies 
developed  by  our  current  and  future  academic  partners.  Our  platform  connects  patients,  physicians  and 
diagnostic  experts  residing  within  academic  institutions.  Launched  in  2017,  the  platform  facilitates  the 
following relationships: 

• 

• 

Patients:  patients  may  search  for  physicians  in  their  area  and  consult  directly  with  academic 
experts  that  are  on  the  platform.  Patients  may  also  have  access  to  new  academic  discoveries  as 
they become commercially available. 

Physicians: able to connect with academic experts to seek consultations on behalf of their patients 
and  provide  consultations  for  patients  in  their  area  seeking  medical  expertise  in  that  physician’s 
relevant  specialty.  Physicians  will  also  have  access  to  new  diagnostic  solutions  to  help  improve 
diagnostic accuracy. 

•  Academic Experts: able to make themselves available for patients or physicians seeking access to 
their  expertise.  Additionally,  these  experts  have  a  platform  available  to  commercialize  their 
research discoveries. 

We intend to continue updating our platform to allow for patient-to-patient communications and 
allow individuals to share stories and provide support for one another, to allow physicians to consult with 
their  peers  to  discuss  and  share  challenges  and  solutions,  and  to  allow  academic  experts  to  interact  with 
others in academia on the platform to discuss their research and cross-collaborate. 

ICP  was  developed  at  Harvard  University  and  is  licensed  exclusively  by  us  from  Dana-Farber. 
This technology enables the detection of genetic mutations in liquid biopsies such as blood samples. The 
field of liquid biopsies is a rapidly growing market aimed at overcoming the challenge of obtaining genetic 
information related to disease progression and changes from sources other than a tumor biopsy. 

Gene sequencing is performed on tissue biopsies taken surgically from the tumor site in order to 
identify potential therapies that will be more effective in treating the patient. Surgical procedures involving 
tissue biopsies have several limitations including: 

•  Cost: surgical procedures are usually performed in a costly hospital environment, which typically 
involves  hospitalization  and  recovery  time.  For  example,  according  to  a  recent  study,  the  mean 
cost of lung biopsies is greater than $14,000. 

• 

Surgical access: various tumor sites are not always accessible (e.g. brain tumors), in which cases 

  
   
  
  
  
 
  
 
  
 
  
  
  
  
 
  
 
no biopsy is available for diagnosis. 

•  Risk: patient health may not permit undergoing an invasive surgery; therefore a biopsy cannot be 

obtained at all. 

• 

Time: the process of scheduling and coordinating a surgical procedure often takes time, delaying 
the start of patient treatment. 

4 

  
 
  
 
  
  
Additionally, there are several tumor-related limitations that provide a challenge to obtaining such 

genetic information from a tumor, such as: 

•  Heterogeneous nature: a tissue sample from one area of the tumor may not properly represent the 
tumor’s entire genetic composition; thus, the diagnostic results from a tumor may be incomplete or 
non-representative. 

•  Metastases:  in  order  to  accurately  test  a  patient  with  a  metastatic  disease,  an  individual  biopsy 
sample should ideally be taken from each individual site (if known and accessible). These biopsies 
are very difficult to obtain, therefore physicians often rely on biopsies taken only from the primary 
tumor site. 

The advent of technologies enabling liquid biopsies as an alternative to tumor biopsy and analysis 
are based on the fact that tumors (both primary and metastatic) shed cells and fragments of DNA into the 
blood  stream.  These  blood  samples  are  called  “liquid  biopsies”  that  contain  circulating  tumor  DNA,  or 
ctDNA,  which  hold  the  same  genetic  information  found  in  the  tumor(s),  which  is  the  target  of  genetic 
analyses.  However,  since  the  quantity  of  tumor  DNA  is  very  small  in  proportion  to  the  “normal”  (or 
“healthy”) DNA within the blood stream, there is a need to identify and separate the tumor DNA from the 
normal DNA. 

ICP  is  an  enrichment  technology  that  enables  the  laboratory  to  focus  its  analysis  on  the  tumor 
DNA by enriching, and thereby “multiplying” the presence of tumor DNA, while maintaining normal DNA 
levels.  Once  the  enrichment  process  has  been  completed,  laboratory  genetic  testing  equipment  is  able  to 
identify genetic abnormalities presented in the ctDNA and an analysis can be conducted at a higher level of 
sensitivity  to  enable  the  detection  of  genetic  abnormalities.  The  ICP  technology  is  encapsulated  into  a 
chemical that is provided in the form of a kit and sold to other laboratories who wish to conduct these tests 
in-house. The chemical within the kit is added to the specimen preparation process, enriching the sample 
for the tumor DNA so that the analysis will detect those genetic abnormalities. 

Industry Problem 

There is currently a significant problem with unpublicized rates of misdiagnosis across numerous 
disease states (particularly in cancer) due to an inefficient and commoditized industry. We believe that the 
diagnostic  industry  focuses  primarily  on  competitive  pricing  and  test  turnaround  times  at  the  expense  of 
quality  and  accuracy.  Increasingly  complex  disease  states  are  met  with  eroding  specialization  rather  than 
increased expertise. According to a study conducted by the National Coalition of Health, this results in an 
industry  with  cancer  misdiagnosis  rates  up  to  28%,  which  is  failing  to  meet  the  needs  of  physicians, 
patients and the healthcare system as a whole. New technologies offer improved accuracy; however, many 
are  either  inaccessible  or  are  not  economically  practical  for  clinical  use.  Despite  much  publicity  of  the 
industry transitioning from fee-per-service to value-based payments, this transition has not yet occurred in 
diagnostics. When a patient is misdiagnosed, physicians end up administrating incorrect treatments, often 
creating  adverse  effects  rather  than  improving  outcomes.  Insurance  Providers,  Medicare  and  Medicaid 
waste  valuable  dollars  on  the  application  of  incorrect  treatments  and  can  incur  substantial  downstream 
costs. Most importantly however, patients pay the ultimate price of misdiagnosis with increased morbidity 
and  mortality.  According  to  a  report  by  Pinnacle  Health,  the  estimated  cost  of  misdiagnosis  within  the 
healthcare system is $5 billion annually. We believe that the academic path of specialization produces the 
critical  expertise  necessary  to  correctly  diagnose  disease  and  that  academic  institutions  have  an  unlocked 
potential to address this problem. Our solution is to create an exclusive platform that harnesses academic 
expertise  and  proprietary  technologies  to  deliver  the  highest  standard  of  diagnostic  accuracy  and  patient 
care.  Physicians,  hospitals,  payers  and,  most  importantly,  patients  all  benefit  from  more  accurate 
diagnostics. 

  
   
  
 
  
 
  
  
  
  
  
Market 

As  a  services  and  technology  commercialization  company,  we  currently  participate  in  two 
segments within the U.S. domestic oncology diagnostics market. The first is the clinical pathology services 
market,  which  is  estimated  to  be  a  $22  billion  annual  market  and  growing  at  an  average  8%  compound 
annual growth rate. The second segment is the liquid biopsy reagents/kits market. According to the Piper 
Jaffray  report  from  September  2015,  the  domestic  oncology  liquid  biopsy  market  estimate  is  over  $28 
billion per year and includes screening, therapy selection, treatment monitoring and recurrence. The current 
market size for colon, lung and melanoma is 428,000 new cases per year and over 2.5 million people living 
with  cancer,  creating  a  potential  market  opportunity  of  $8.2  billion.  We  believe  additional  opportunities 
exist in clinical trials searching for low cost and high quality solutions for patient selection and treatment 
monitoring. 

5 

  
  
  
  
Our Solution 

Our Platform 

Our  platform  is  designed  to  provide  physicians  and  their  patients  access  to  necessary  academic 
expertise and technology in order to better provide diagnoses. To our knowledge, we are the only company 
focused  on  addressing  the  issue  of  diagnostic  accuracy  with  an  innovative,  robust  and  scalable  business 
model by: 

•  Providing  physicians  and  their  patients  access  to  world-class  academic  experts  and 

technologies. 

•  Leveraging  the  largest  network  of  academic  experts  by  adding  numerous  leading 

academic institutions to our platform. 

•  Allowing payers to benefit from quality-based outcomes to their patients and increase the 

likelihood of cost savings. 

•  Enabling  cross-collaboration  between  physicians  and  academic  institutions  to  advance 

research and discovery. 

Our exclusive agreement with the Department of Pathology at Yale University, or the Pathology 
Services Agreement, is part of a unique platform that to our knowledge is not offered by other commercial 
laboratories.  Our  customers  are  oncologists  who  biopsy  their  patients  in  order  to  confirm  or  rule  out  the 
presence  of  cancer.  After  our  customers  send  the  samples  to  us,  we  conduct  all  the  technical  tests  at  our 
New  Haven  facility.  We  then  transmit  the  test  results  to  the  pathologists  at  Yale  who  have  access  to  our 
laboratory  information  system  from  their  respective  offices,  enabling  them  to  review  and  render  their 
diagnostic  interpretation  of  the  test  results  for  reporting.  In  partnership  with  Yale,  we  have  developed  a 
proprietary algorithm that is applied to each sample submitted to us for testing, resulting in our ability to 
render  a  more  precise  and  accurate  diagnosis.  The  final  results  are  prepared  by  Yale  pathologists  and 
integrated  into  the  final  report  by  us,  and  are  then  delivered  electronically  through  our  portal  to  the 
referring  clinician.  The  patient’s  insurance  is  billed  for  the  services;  we  are  paid  for  the  technical  work 
done at our laboratory; and Yale pathologists are paid by us for their diagnostic interpretation. 

In March 2017, we renewed the Pathology Services Agreement for an additional five-year term, 
effective  as  of  June  2016,  through  June  2021.  Under  the  Pathology  Services  Agreement,  the  Yale 
Department  of  Pathology  may  not  provide  the  hematopathology  services  to  any  other  commercial  entity 
that  is  our  competitor.  The  Pathology  Services  Agreement  allows  for  termination  by  either  party  (i)  for 
uncured breach by the other party, (ii) if either party has its respective license suspended or revoked, (iii) if 
the  insurance  coverage  of  either  party  is  canceled  or  modified,  (iv)  if  we  fail  to  maintain  or  meet  the 
requirements  of  Medicare  conditions  of  participation,  or  (v)  if  we  declare  bankruptcy.  The  Pathology 
Services  Agreement  also  provides  that  if  the  performance  by  either  party  (i)  jeopardizes  the  licensure  or 
accreditation  of  Yale  or  any  Yale  physician,  (ii)  jeopardizes  either  party’s  participation  in  Medicare, 
Medicaid  or  other  federal,  state  or  commercial  reimbursement  programs,  (iii)  violates  any  statute, 
ordinance  or  otherwise  is  deemed  illegal,  (iv)  is  deemed  unethical  by  any  recognized  body,  agency  or 
association in the medical or laboratory fields, or (v) causes a substantial threat to Yale’s tax-exempt status, 
then either party may initiate negotiations to amend the Pathology Services Agreement and the Agreement 
will terminate if a mutually agreed amendment is not executed by the parties within 30 days. 

ICE-COLD-PCR  

ICP technology was developed at Dana-Farber and is licensed by us. ICP is a unique, proprietary, 
patented  specimen  enrichment  technology  that  increases  the  sensitivity  of  molecular  based  tests  from 
approximately 90-95% to 99.99%. Traditional molecular testing is done on tumor biopsies. These tests are 
typically  conducted  at  disease  onset,  when  the  patient  undergoes  a  biopsy.  In  the  typical  course  of 

  
   
  
  
  
 
 
 
 
  
  
  
  
treatment,  a  patient  is  rarely  re-biopsied,  and  therefore,  genetic  information  is  based  solely  on  the  initial 
biopsy.  Tumors  are  known  to  shed  cells  into  the  patient’s  blood  stream  where  they  circulate  alongside 
normal cells; however, existing testing methodologies are not sufficiently sensitive to differentiate between 
tumor and normal cells. The increased sensitivity provided by ICP allows for testing of genetic mutations 
that  occur  within  tumors  to  be  conducted  on  peripheral  blood  samples,  termed  liquid  biopsies.  This 
technical capability enables physicians to test for genetic mutations through a simple blood test rather than 
an  invasive  biopsy  extracted  from  the  actual  tumor.  The  results  of  such  tests  can  be  used  for  diagnosis, 
prognosis  and  therapeutic  decisions.  The  technology  is  encapsulated  within  a  chemical  (reagent)  used 
during  the  specimen  preparation  process,  which  enriches  (amplifies)  the  tumor  DNA  detected  within  the 
blood  sample  while  suppressing  the  normal  DNA.  In  addition  to  offering  this  technology  as  a  clinical 
service, we are developing panels that will be sold as reagent kits to other laboratories to enable this testing 
in their facilities, thereby improving their test sensitivity and more accurate diagnoses via liquid biopsies. 
The  business  model  of  selling  reagents  to  other  laboratories  expands  the  reach  and  impact  of  our 
technology while eliminating the reimbursement risks from running the tests in-house. 

6 

  
  
  
We  license  the  ICP  technology  from  Dana-Farber  through  a  license  agreement,  (the  “License 
Agreement”).  The  License  Agreement  grants  us  an  exclusive  license  to  the  ICP  technology,  subject  to  a 
non-exclusive license granted to the U.S. government, in the areas of mutation detection using Sanger (di-
deoxy) sequencing and mitochondrial DNA analysis for all research, diagnostic, prognostic and therapeutic 
uses in humans, animals, viruses, bacteria, fungi, plants or fossilized material. The License Agreement also 
grants us a non-exclusive license in the areas of mutation detection using DHPLC, surveyor-endonuclease-
based  mutation  detection  and  second  generation  sequencing  techniques.  We  paid  Dana-Farber  an  initial 
license fee and are required to make milestone payments with respect to the first five licensed products or 
services  we  develop  using  the  licensed  technology,  as  well  as  royalties  ranging  from  high  single  to  low 
double  digits  on  net  sales  of  licensed  products  and  services  for  sales  made  by  us  and  sales  made  to  any 
distributors. The License Agreement remains in effect until we cease to sell licensed products or services 
under said agreement. Dana-Farber has the right to immediately terminate the License Agreement if (i) we 
cease  to  carry  on  our  business  with  respect  to  licensed  products  and  services,  (ii)  we  fail  to  make  any 
payments under the License Agreement (subject to a cure period), (iii) we fail to comply with due diligence 
obligations  under  the  License  Agreement  (subject  to  a  cure  period),  (iv)  we  default  in  our  obligations  to 
procure and maintain insurance as required by the License Agreement, (v) any of our officers is convicted 
of  a  felony  relating  to  the  manufacture,  use,  sale  or  importation  of  licensed  products  under  the  License 
Agreement, (vi) we materially breach any provision of the License Agreement (subject to a cure period), or 
(vii) we or Dana-Farber become insolvent. We may terminate the License Agreement for convenience upon 
180 days’ prior written notice. 

Reimbursement 

As cancer is more likely to be developed later in life, the largest insurance provider is Medicare, 
which constitutes approximately 50% of our patients’ cases. Non-Medicare patients are typically insured by 
private insurance companies who provide patient coverage and pay for patients’ health-related costs. These 
private insurance companies will often adjust their rates according to the insurance rates annually published 
by  the  Center  for  Medicare  and  Medicaid  Services,  or  CMS.  We,  and  other  providers,  typically  bill 
according to the codes relevant to the tests we conduct. 

Our Products 

Our initial product offering consists of clinical diagnostic services harnessing the expertise of the 

Yale School of Medicine and the commercialization and application of ICP. Our clinical diagnostic 
services focus on the diagnosis of different hematopoietic or blood-related cancers and the delivery of an 
accurate diagnosis to oncologists, with demonstrated superior results through an exclusive partnership with 
Yale. We intend to enter into additional partnerships with premiere academic institutions during 2018 that 
will further broaden and strengthen our academic expert network. Our cutting-edge liquid biopsy 
technology, ICP, enables detection of abnormalities in blood samples down to as low as .01%. Our 
customers are oncologists, hospitals, reference laboratories, and pharma and biotech companies. This low-
cost technology enables our customers to conduct tests in-house using existing mutation detection 
platforms. We believe we are the only current and economically viable option for liquid biopsy applications 
and plan to cross-market technologies (such as ICP) and other services on our platform. 

We built and obtained CLIA certification to operate our New Haven laboratory. The laboratory is 
approximately  3,000  square  feet  and  has  several  sub-departments  such  as  flow  cytometry,  immune-
histochemistry,  cytogenetics,  and  molecular  testing.  The  laboratory  is  currently  operated  by  five  lab 
technicians and is supervised by a laboratory manager and a medical director. Our laboratory is inspected 
every  two  years  by  a  Connecticut  state-appointed  inspector,  and  once  approved,  we  are  issued  a  CLIA-
certificate.  Furthermore,  the  laboratory  supervisor  and  medical  director  must  conduct  a  self-inspection 
every two years (rotating with the state inspection) and must submit those results to the state department of 

  
  
  
  
  
  
  
health. 
http://www.precipiodx.com/accreditations.html 

Current 

active 

laboratory 

certifications 

can 

be 

found 

on 

The  laboratory  operations  are  governed  by  Standard  Operating  Procedure  manuals,  or  SOPs, 
which  detail  each  aspect  of  the  laboratory  environment  including  the  work  flow,  quality  control, 
maintenance, and safety. These SOPs are reviewed and approved annually and signed off by the laboratory 
manager and medical director. 

Our Strategy 

Our objective is to eradicate the problem of misdiagnosis by harnessing the intellect, expertise and 
technology  developed  within  academic  institutions  and  to  deliver  quality  diagnostic  information  to 
physicians and their patients worldwide. To achieve this objective, our strategy is to focus our efforts on the 
following areas: 

•  Clinical pathology services – we intend to continue building our platform by increasing 
the  number  of  academic  experts  available  on  our  platform  and  partnering  with  other 
academic institutions, allowing us to expand our portfolio of services to cover additional 
types of cancer. 

• 

Ice-Cold PCR – we believe we can commercialize and develop new applications for our 
ICP technology, including: 

o  Developing  specific  application  panels  for  patient  monitoring  for  treatment 

resistance and disease recurrence; 

o  Building focused diagnostic and screening panels for initial disease identification; 

7 

  
  
  
  
 
  
 
  
 
 
  
  
o  Leveraging our platform customers to generate demand for repeat, localized, in-

house liquid biopsy testing; and 

o  Applying  ICP  technology  to  other  markets,  such  as  pre-natal  and  companion 

diagnostics. 

•  New  product  pipeline  through  outsourced  research  and  development  –  we  plan  on 
utilizing  our  partnerships  with  academic  institutions  to  gain  access  to  newly-developed 
technologies.  We  also  believe  there  is  an  opportunity  to  partner  with  biotechnology 
companies to introduce their products into the U.S. market through our platform. 

•  Academic  partnerships  –  we  intend  to  leverage  the  intellectual  expertise  and 
technologies developed within academic institutions. We believe we have validated this 
model through our partnership with the Yale School of Medicine and are currently in the 
process of adding new academic partners. 

Competition 

Our principal competition in clinical pathology services comes largely from two groups. The first 
group  consists  of  companies  that  specialize  in  oncology  and  offer  directly  competing  services  to  our 
diagnostic services. These companies provide a high level of service focused on oncology and offer their 
services  to  oncologists  and  pathology  departments  within  hospitals.  Competitors  in  this  group  include 
Genoptix, GenPath Diagnostics and Miraca Life Sciences. The second group consists of large commercial 
companies  that  offer  a  wide  variety  of  laboratory  tests  ranging  from  simple  chemistry  tests  to  complex 
genetic  testing.  Competitors  in  this  group  include  LabCorp  and  Quest  Diagnostics.  We  believe  that 
companies  in  this  industry  primarily  compete  on  price  and  rapid  delivery  of  results.  We  have  chosen  to 
focus on the increased quality and accuracy of the results we provide. Within the liquid biopsy market, our 
competitors include Guardant Health and Trovagene, Inc. 

Competitive Advantage 

We capitalize on the intellectual expertise and technologies developed by experts within academic 
institutions. While several industry papers report a case misdiagnosis rate as high as 28%, we believe that 
leveraging academic expertise can significantly reduce this rate. In an initial data set of over 100 clinical 
cases  received  and  processed  by  us  and  with  a  diagnosis  rendered  by  Yale  pathologists,  we  believe  less 
than  1%  have  resulted  in  misdiagnosis.  The  diagnostic  report  provided  by  us  was  then  requested  by  a 
patient  or  the  patient’s  physician  for  a  second  opinion  to  be  conducted  by  another  laboratory.  In  these 
instances, less than 1% were in disagreement with our report’s original diagnosis. Though less than 5% of 
all cancer patients are treated in academic centers that benefit from this specialized expertise, the majority 
of  patients  are  diagnosed  by  commercial  reference  laboratories.  These  commercial  laboratories  and 
diagnostic companies have broad access to and serve over 95% of all cancer patients; however, their lack of 
specialized  expertise  results  in  significantly  higher  misdiagnosis  rates.  Academic  institutions  also  invest 
heavily  in  the  development  of  new  technologies,  most  of  which  is  used  internally  and  does  not  benefit 
outside  or  commercial  lab  patients.  Our  platform  provides  all  patients  with  access  to  these  innovative 
technologies developed by Yale and any other academic institutions we engage with in the future. 

Government Regulation 

The healthcare industry is subject to extensive regulation by a number of governmental entities at 
the  federal,  state  and  local  level.  Laws  and  regulations  in  the  healthcare  industry  are  extremely  complex 
and,  in  many  instances,  the  industry  does  not  have  the  benefit  of  significant  regulatory  or  judicial 
interpretation. Our business is impacted not only by those laws and regulations that are directly applicable 
to us but also by certain laws and regulations that are applicable to our payors, vendors and referral sources. 

  
   
 
 
  
 
  
 
  
  
  
  
  
  
While  our  management  believes  we  are  in  compliance  with  all  of  the  existing  laws  and  regulations 
applicable  to  us,  such  laws  and  regulations  are  subject  to  rapid  change  and  often  are  uncertain  in  their 
application and enforcement. Further, to the extent we engage in new business initiatives, we must continue 
to evaluate whether new laws and regulations are applicable to us. There can be no assurance that we will 
not  be  subject  to  scrutiny  or  challenge  under  one  or  more  of  these  laws  or  that  any  enforcement  actions 
would  not  be  successful.  Any  such  challenge,  whether  or  not  successful,  could  have  a  material  adverse 
effect upon our business and consolidated financial statements. 

Among the various federal and state laws and regulations that may govern or impact our current 

and planned operations are the following: 

8 

  
  
  
  
Medicare and Medicaid Reimbursement 

Many  of  the  services  that  we  provide  are  reimbursed  by  Medicare  and  state  Medicaid  programs 

and are therefore subject to extensive government regulation. 

Medicare  is  a  federally  funded  program  that  provides  health  insurance  coverage  for  qualified 
persons age 65 or older, some disabled persons, and persons with end-stage renal disease and persons with 
Lou Gehrig’s disease. Medicaid programs are jointly funded by the federal and state governments and are 
administered by states under approved plans. 

Medicaid  provides  medical  benefits  to  eligible  people  with  limited  income  and  resources  and 
people with disabilities, among others. Although the federal government establishes general guidelines for 
the Medicaid program, each state sets its own guidelines regarding eligibility and covered services. Some 
individuals,  known  as  “dual  eligibles”,  may  be  eligible  for  benefits  under  both  Medicare  and  a  state 
Medicaid  program.  Reimbursement  under  the  Medicare  and  Medicaid  programs  is  contingent  on  the 
satisfaction  of  numerous  rules  and  regulations,  including  those  requiring  certification  and/or  licensure. 
Congress  often  enacts  legislation  that  affects  the  reimbursement  rates  under  government  healthcare 
programs. 

Approximately 36% of  our  revenue  for  the year  ended  December 31,  2017 was  derived  directly 
from Medicare, Medicaid or other government-sponsored healthcare programs. Also, we indirectly provide 
services  to  beneficiaries  of  Medicare,  Medicaid  and  other  government-sponsored  healthcare  programs 
through  managed  care  entities.  Should  there  be  material  changes  to  federal  or  state  reimbursement 
methodologies,  regulations  or  policies,  our  direct  reimbursements  from  government-sponsored  healthcare 
programs, as well as service fees that relate indirectly to such reimbursements, could be adversely affected. 

Healthcare Reform 

In  recent  years,  federal  and  state  governments  have  considered  and  enacted  policy  changes 
designed  to  reform  the  healthcare  industry.  The  most  prominent  of  these  healthcare  reform  efforts,  the 
Affordable Care Act, has resulted in sweeping changes to the U.S. system for the delivery and financing of 
health  care.  As  currently  structured,  the  Affordable  Care  Act  increases  the  number  of  persons  covered 
under  government  programs  and  private  insurance;  furnishes  economic  incentives  for  measurable 
improvements in health care quality outcomes; promotes a more integrated health care delivery system and 
the creation of new health care delivery. 

Employees  

As of December 31, 2017, Precipio employed thirty-one (31) people on a full-time basis and two 
(2) people on a part-time basis. Of the total, five (5) were in Executive Management, thirteen (13) were in 
laboratory  operations,  three  (3)  were  in  Sales  and  Marketing,  two  (2)  were  in  Customer  Service  and 
Support,  five  (5)  were  in  Research  &  Development,  four  (4)  were  in  Accounting,  Finance  and 
Reimbursement and one (1) was in Management Information Services. 

Research and Development Expenses 

For  the  years  ended  December  31,  2017  and  2016,  we  recorded  $0.5  million  and  $0.0  million, 
respectively,  of  research  and  development  expenses.  More  information  regarding  our  research  and 
development  activities  can  be  found  in  the  section  entitled  “Management’s  Discussion  and  Analysis  of 
Financial Condition and Results of Operations” under Item 7 of this Annual Report. 

Compliance with Environmental Laws 

  
   
  
  
  
  
  
  
  
  
  
  
  
We believe we are in compliance with current environmental protection requirements that apply to 

us or our business. Costs attributable to environmental compliance are not currently material. 

Our  internet  address  is  www.precipiodx.com.  We  attempt  to  have  a  variety  of  information 
available for customers, development partners and investors. Our goal is to maintain the Investor Relations 
website  as  a  portal  through  which  investors  can  easily  navigate  to  find  pertinent  information  about  us, 
including: 

9 

  
  
  
  
  
•  Our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, 
and any amendments to those reports, as soon as reasonably practicable after we electronically file 
that material with or furnish it to the Securities and Exchange Commission (“SEC”); 
Information on our business strategies, financial results, and key performance indicators; 

• 
•  Press releases on quarterly earnings, product and service announcements, legal developments, and 

international news. 

Merger Transaction 

On June 29, 2017, Precipio (then known as “Transgenomic, Inc.”, or “Transgenomic”), completed 
a reverse merger (the “Merger”) with Precipio Diagnostics, LLC, a privately held Delaware limited liability 
company (“Precipio Diagnostics”) in accordance with the terms of the Agreement and Plan of Merger (the 
“Merger Agreement”), dated October 12, 2016, as amended on February 2, 2017 and June 29, 2017, by and 
among  Transgenomic,  Precipio  Diagnostics  and  New  Haven  Labs  Inc.  (“Merger  Sub”)  a  wholly-owned 
subsidiary of Transgenomic. Pursuant to the Merger Agreement, Merger Sub merged with and into Precipio 
Diagnostics, with Precipio Diagnostics surviving the Merger as a wholly-owned subsidiary of the combined 
company  (See  Note  3  -  Reverse  Merger).  In  connection  with  the  Merger,  we  changed  our  name  from 
Transgenomic,  Inc.  to  Precipio,  Inc.,  relisted  our  common  stock  under  Precipio,  Inc.  on  the  National 
Association  of  Securities  Dealers  Automated  Quotations  (“NASDAQ”),  and  effected  a  1-for-30  reverse 
stock split of our common stock. Upon the consummation of the Merger, the historical financial statements 
of  Precipio  Diagnostics  become  the  Precipio’s  historical  financial  statements.  Accordingly,  the  historical 
financial statements of Precipio Diagnostics are included in the comparative prior periods. As a result of the 
Merger, historical preferred stock, common stock, restricted units, warrants and additional paid-in capital, 
including share and per share amounts, have been retroactively adjusted to reflect the equity structure of the 
combined company, including the effect of the Merger exchange ratio. Pursuant to the Merger Agreement, 
each outstanding unit of Precipio Diagnostics was exchanged for 10.2502 pre-reverse stock split shares of 
Company Common Stock. 

10 

  
   
 
 
 
  
  
  
  
  
Item 1A. Risk Factors 

The following risks and uncertainties, together with all other information in this Annual Report on 
Form  10-K,  including  our  consolidated  financial  statements  and  related  notes,  should  be  considered 
carefully. Any of the risk factors we describe below could adversely affect our business, financial condition 
or results of operations, and could cause the market price of our common stock to fluctuate or decline. 

Risks Related to Our Business and Strategy 

There is substantial doubt about our ability to continue as a going concern.  

Our  independent  registered  public  accounting  firm  has  issued  an  opinion  on  our  consolidated 
financial statements included in this Annual Report on Form 10-K that states that the consolidated financial 
statements  were  prepared  assuming  we  will  continue  as  a  going  concern.  Our  consolidated  financial 
statements  have  been  prepared  using  accounting  principles  generally  accepted  in  the  United  States  of 
America  applicable  for  a  going  concern,  which  assume  that  we  will  realize  our  assets  and  discharge  our 
liabilities in the ordinary course of business. We have incurred substantial operating losses and have used 
cash in our operating activities for the past few years. For the year ended December 31, 2017, we had a net 
loss of $20.7 million, negative working capital of $8.3 million and net cash used in operating activities of 
$6.7 million. We are not current in making payments to all lenders and vendors. Our consolidated financial 
statements  do  not  include  any  adjustments  to  the  amounts  and  classification  of  assets  and  liabilities  that 
may  be  necessary  should  we  be  unable  to  continue  as  a  going  concern.  We  also  cannot  be  certain  that 
additional  financing,  if  needed,  will  be  available  on  acceptable  terms,  or  at  all,  and  our  failure  to  raise 
capital  when  needed  could  limit  our  ability  to  continue  our  operations.  There  remains  substantial  doubt 
about the Company’s ability to continue as a going concern. 

To date, we have experienced negative cash flow from development of our diagnostic technology, 
as well as from the costs associated with establishing a laboratory and building a sales force to market our 
products and services. We expect to incur substantial net losses for the foreseeable future to further develop 
and commercialize our diagnostic technology. We also expect that our selling, general and administrative 
expenses will continue to increase due to the additional costs associated with market development activities 
and  expanding  our  staff  to  sell  and  support  our  products.  Our  ability  to  achieve  or,  if  achieved,  sustain 
profitability  is  based  on  numerous  factors,  many  of  which  are  beyond  our  control,  including  the  market 
acceptance of our products, competitive product development and our market penetration and margins. We 
may never be able to generate sufficient revenue to achieve or, if achieved, sustain profitability. 

Because  of  the  numerous  risks  and  uncertainties  associated  with  further  development  and 
commercialization of our diagnostic technology and any future tests, we are unable to predict the extent of 
any  future  losses  or  when  we  will  become  profitable,  if  ever. We  may  never  become  profitable  and  you 
may never receive a return on an investment in our securities. An investor in our securities must carefully 
the  development  and 
consider 
commercialization  of  tests  in  the  medical  diagnostic  industry. We  may  never  successfully  commercialize 
our diagnostic technology or any future tests, and our business may fail. 

the  substantial  challenges,  risks  and  uncertainties 

inherent 

in 

We will need to raise substantial additional capital to commercialize our diagnostic technology, and our 
failure  to  obtain  funding  when  needed  may  force  us  to  delay,  reduce  or  eliminate  our  product 
development programs or collaboration efforts or force us to restrict or cease operations. 

As  of  December  31,  2017,  we  had  cash  of  less  than  $0.5  million  and  our  working  capital  was 
approximately negative $8.3 million. Due to our recurring losses from operations and the expectation that 
we will continue to incur losses in the future, we will be required to raise additional capital to complete the 
development  and  commercialization  of  our  current  product  candidates  and  to  pay  off  our  obligations. To 

  
   
  
  
  
  
  
  
  
  
date,  to  fund  our  operations  and  develop  and  commercialize  our  products,  we  have  relied  primarily  on 
equity and debt financings. When we seek additional capital, we may seek to sell additional equity and/or 
debt  securities  or  to  obtain  a  credit  facility,  which  we  may  not  be  able  to  do  on  favorable  terms,  or  at 
all. Our  ability  to  obtain  additional  financing  will  be  subject  to  a  number  of  factors,  including  market 
conditions,  our  operating  performance  and  investor  sentiment. If  we  are  unable  to  raise  additional  capital 
when  required  or  on  acceptable  terms,  we  may  have  to  significantly  delay,  scale  back  or  discontinue  the 
development  and/or  commercialization  of  one  or  more  of  our  product  candidates,  restrict  or  cease  our 
operations or obtain funds by entering into agreements on unattractive terms. Due to the timing of the filing 
of our Quarterly Report on Form 10-Q for the quarter ended June 30, 2017, we will not be eligible to file a 
new Form S-3 registration statement until September 1, 2018. Our existing Form S-3 registration statement 
expired in February 2018. This may have an adverse impact on our ability to raise additional capital. 

11 

  
  
  
We have incurred losses since our inception and expect to incur losses for the foreseeable future. 

We  have  historically  operated  at  a  loss  and  have  not  consistently  generated  sufficient  cash  from 
operating  activities  to  cover  our  operating  and  other  cash  expenses.  We  have  been  able  to  historically 
finance  our  operating  losses  through  borrowings  or  from  the  issuance  of  additional  equity.  For  the  year 
ended December 31, 2017, we had a net loss of $20.7 million, negative working capital of $8.3 million and 
net cash used in operating activities of $6.7 million. Our ability to continue as a going concern is dependent 
upon a combination of completing our planned development of the ICP technology, generating additional 
revenue,  improving  cash  collections,  and,  if  needed,  raising  additional  necessary  financing  to  meet  our 
obligations and pay our liabilities arising from normal business operations as they come due. The outcome 
of these matters cannot be predicted with any certainty at this time and raises substantial doubt that we will 
be able to continue as a going concern. 

We  are  continuing  to  integrate  legacy  internal  controls  over  financial  reporting  into  our  financial 
reporting framework.  

Such changes have  resulted,  and  may  continue  to  result  in  changes  in  our  internal  control  over 
financial  reporting  results  that  materially  affect  our internal control over financial reporting.   We  continue 
to integrate the business processes and information systems in effect prior to the reverse merger, including 
internal controls.  If we cannot provide reliable financial reports or detect and prevent fraud, our business 
and  operating  results  could  be  harmed,  investors  could  lose  confidence  in  our  reporting  financial 
information, and the trading price of our common stock could drop significantly. 

We have been, and may continue to be, subject to costly litigation. 

We  have  been,  and  may  continue  to  be,  subject  to  legal  proceedings.  Due  to  the  nature  of  our 
business,  we  may  be  subject  to  a  variety  of  regulatory  investigations,  claims,  lawsuits  and  other 
proceedings  in  the  ordinary  course  of  our  business.  The  results  of  these  legal  proceedings  cannot  be 
predicted with certainty due to the uncertainty inherent in litigation, including the effects of discovery of 
new  evidence  or  advancement  of  new  legal  theories,  the  difficulty  of  predicting  decisions  of  judges  and 
juries  and  the  possibility  that  decisions  may  be  reversed  on  appeal.  Such  litigation  has  been,  and  in  the 
future could be, costly, time-consuming and distracting to management, result in a diversion of resources 
and could materially adversely affect our business, financial condition and operating results. 

The commercial success of our product candidates will depend upon the degree of market acceptance of 
these products among physicians, patients, health care payors and the medical community and on our 
ability to successfully market our product candidates. 

Our products may never gain significant acceptance in the marketplace and, therefore, may never 
generate substantial revenue or profits for us. Our ability to achieve commercial market acceptance for our 
existing and future products will depend on several factors, including: 

• 

• 
• 

our  ability  to  convince  the  medical  community  of  the  clinical  utility  of  our  products  and  their 
potential advantages over existing diagnostics technology; 
the willingness of physicians and patients to utilize our products; and 
the  agreement  by  commercial  third-party  payors  and  government  payors  to  reimburse  our 
products, the scope and amount of which will affect patients’ willingness or ability to pay for our 
products and will likely heavily influence physicians’ decisions to recommend our products. 

In  addition,  physicians  may  rely  on  guidelines  issued  by  industry  groups,  such  as  the  National 
Comprehensive Cancer Network, medical societies, such as the College of American Pathologists, or CAP, 
or other key oncology-related organizations before utilizing any diagnostic test. Although we have a study 

  
   
  
  
  
  
  
  
  
 
 
 
  
underway  to  demonstrate  the  clinical  utility  of  our  existing  products,  none  of  our  products  are,  and  may 
never be, listed in any such guidelines. 

We  believe  that  publications  of  scientific  and  medical  results  in  peer-reviewed  journals  and 
presentations  at  leading  conferences  are  critical  to  the  broad  adoption  of  our  products.  Publication  in 
leading  medical  journals  is  subject  to  a  peer-review  process,  and  peer  reviewers  may  not  consider  the 
results of studies involving our products sufficiently novel or worthy of publication. The failure to be listed 
in  physician  guidelines  or  to  be  published  in  peer-reviewed  journals  could  limit  the  adoption  of  our 
products.  Failure  to  achieve  widespread  market  acceptance  of  our  products  would  materially  harm  our 
business, financial condition, and results of operations. 

12 

  
  
  
  
If we cannot compete successfully with our competitors, including new entrants in the market, we may 
be unable to increase or sustain our revenue or achieve and sustain profitability. 

The medical diagnostic industry is intensely competitive and characterized by rapid technological 
progress. We  face  significant  competition  from  competitors  ranging  in  size  from  diversified  global 
companies with significant research and development resources to small, specialized firms whose narrower 
product  lines  may  allow  them  to  be  more  effective  in  deploying  related  PCR  technology  in  the  genetic 
diagnostic  industry.  Our  closest  competitors  fall  largely  into  two  groups,  consisting  of  companies  that 
specialize  in  oncology  and  offer  directly  competing  services  to  our  diagnostic  services,  offering  their 
services to oncologists and pathology departments within hospitals, as well as large commercial companies 
that  offer  a  wide  variety  of  laboratory  tests  that  range  from  simple  chemistry  tests  to  complex  genetic 
testing. The technologies associated with the molecular diagnostics industry are evolving rapidly and there 
is  intense  competition  within  such  industry. Certain  molecular  diagnostics  companies  have  established 
technologies that may be competitive to our product candidates and any future tests that we develop. Some 
of  these  tests  may  use  different  approaches  or  means  to  obtain  diagnostic  results,  which  could  be  more 
effective  or  less  expensive  than  our  tests  for  similar  indications. Moreover,  these  and  other  future 
competitors  have  or  may  have  considerably  greater  resources  than  we  do  in  terms  of  technology,  sales, 
marketing,  commercialization  and  capital  resources. These  competitors  may  have  substantial  advantages 
over  us  in  terms  of  research  and  development  expertise,  experience  in  clinical  studies,  experience  in 
regulatory issues, brand name exposure and expertise in sales and marketing as well as in operating central 
laboratory  services. Many  of  these  organizations  have  financial,  marketing  and  human  resources  greater 
than ours; therefore, there can be no assurance that we can successfully compete with present or potential 
competitors  or  that  such  competition  will  not  have  a  materially  adverse  effect  on  our  business,  financial 
position or results of operations. 

In July 2017, we commenced a study to demonstrate the impact of academic pathology expertise 
on diagnostic accuracy. There is no assurance that this study, or other studies or trials we may conduct, will 
demonstrate  favorable  results.  If  the  results  of  this  study,  or  other  studies  or  trials  we  may  conduct, 
demonstrate unfavorable or inconclusive results, customers may choose our competitors’ products over our 
products and our commercial opportunities may be reduced or eliminated. 

We believe that many of our competitors spend significantly more on research and development-
related  activities  than  we  do. Our  competitors  may  discover  new  diagnostic  tools  or  develop  existing 
technologies to compete with our diagnostic technology. Our commercial opportunities will be reduced or 
eliminated if these competing products are more effective, are more convenient or are less expensive than 
our product candidates. 

We may not be able to develop new products or enhance the capabilities of our systems to keep pace with 
rapidly changing technology and customer requirements, which could have a material adverse effect on 
our business and operating results. 

Our  success  depends  on  our  ability  to  develop  new  products  and  applications  for  our  diagnostic 
technology  in  existing  and  new  markets,  while  improving  the  performance  and  cost-effectiveness  of  our 
systems.  New  technologies,  techniques  or  products  could  emerge  that  might  offer  better  combinations  of 
price and performance than our current or future products and systems. Existing or future markets for our 
products,  as  well  as  potential  markets  for  our  diagnostic  product  candidates,  are  characterized  by  rapid 
technological change and innovation. It is critical to our success that we anticipate changes in technology 
and customer requirements and successfully introduce new, enhanced and competitive technologies to meet 
our  customers’  and  prospective  customers’  needs  on  a  timely  and  cost-effective  basis.  At  the  same  time, 
however,  we  must  carefully  manage  the  introduction  of  new  products.  If  customers  believe  that  such 
products will offer enhanced features or be sold for a more attractive price, they may delay purchases until 
such  products  are  available.  We  may  also  have  excess  or  obsolete  inventory  of  older  products  as  we 

  
   
  
  
  
  
  
transition to new products and our experience in managing product transitions is very limited. If we do not 
successfully  innovate  and  introduce  new  technology  into  our  product  lines  or  effectively  manage  the 
transitions to new product offerings, our revenues and results of operations will be adversely impacted. 

Competitors  may  respond  more  quickly  and  effectively  than  we  do  to  new  or  changing 
opportunities, technologies, standards or customer requirements. We anticipate that we will face increased 
competition in the future as existing companies and competitors develop new or improved products and as 
new companies enter the market with new technologies. 

We  currently  depend  on  the  services  of  pathologists  at  a  single  academic  partner  and  the  loss  of  the 
services  of  these  pathologists  would  adversely  impact  our  ability  to  develop,  commercialize  and  deliver 
our products. 

We  currently  depend  on  the  services  of  pathologists  at  a  single  academic  partner  to  review  and 
render their diagnostic interpretation of our test results and to prepare the final diagnostic results that we 
integrate into our final report for our customers. Although we are in the process of adding new academic 
partners, it would be difficult to replace the services provided by the pathologists at our current partner if 
their  services  became  unavailable  to  us  for  any  reason  prior  to  adding  other  academic  partners.  If  this 
academic  partner  does  not  successfully  carry  out  its  contractual  duties  or  obligations  and  meet  expected 
deadlines; if this partner needs to be replaced, or if the quality or accuracy of the services provided by the 
pathologists at this partner were compromised for any reason, we would likely not be able to provide our 
services in a manner expected by our customers, and our financial results and the commercial prospects for 
our  products  could  be  harmed.  The  loss  of  the  services  of  these  pathologists  would  severely  harm  our 
ability  to  develop,  commercialize  and  deliver  our  products,  and  our  business,  financial  condition  and 
operating results would be materially adversely affected. 

We may experience temporary disruptions and delays in processing biological samples at our facilities. 

We may experience delays in processing biological samples caused by software and other errors. 
Any  delay  in  processing  samples  could  have  an  adverse  effect  on  our  business,  financial  condition  and 
results of operations. 

13 

  
  
  
  
  
  
  
  
We  depend  upon  a  limited  number  of  key  personnel,  and  if  we  are  not  able  to  retain  them  or  recruit 
additional qualified personnel, the commercialization of our product candidates and any future tests that 
we develop could be delayed or negatively impacted. 

Our  success  is  largely  dependent  upon  the  continued  contributions  of  our  officers  and 
employees. Our success also depends in part on our ability to attract and retain highly qualified scientific, 
commercial and administrative personnel. In order to pursue our test development and commercialization 
strategies, we will need to attract and hire additional personnel with specialized experience in a number of 
disciplines,  including  assay  development,  laboratory  and  clinical  operations,  sales  and  marketing,  billing 
and reimbursement. There is intense competition for personnel in the fields in which we operate. If we are 
unable to attract new employees and retain existing employees, the development and commercialization of 
our  product  candidates  and  any  future  tests  could  be  delayed  or  negatively  impacted.  If  any  of  them 
becomes  unable  or  unwilling  to  continue  in  their  respective  positions,  and  we  are  unable  to  find  suitable 
replacements, our business and financial results could be materially negatively affected. 

We will need to increase the size of our organization, and we may experience difficulties in managing 
growth. 

We  are  a  small  company  with  31  full-time  employees  as  of  December 31,  2017. Future  growth 
will impose significant added responsibilities on members of management, including the need to identify, 
attract, retain, motivate and integrate highly skilled personnel. We may increase the number of employees 
in the future depending on the progress of our development of diagnostic technology. Our future financial 
performance  and  our  ability  to  commercialize  our  product  candidates  and  to  compete  effectively  will 
depend, in part, on our ability to manage any future growth effectively. To that end, we must be able to: 

integrate additional management, administrative, manufacturing and regulatory personnel; 

• 
•  maintain sufficient administrative, accounting and management information systems and controls; 

and 
hire and train additional qualified personnel. 

• 

 We may not be able to accomplish these tasks, and our failure to accomplish any of them could 

harm our financial results. 

We currently have limited experience in marketing products. If we are unable to establish marketing and 
sales capabilities and retain the proper talent to execute on our sales and marketing strategy, we may not 
be able to generate product revenue. 

We  have  developed  limited  experience  in  marketing  our  products  and  services. We  intend  to 
continue  to  develop  our  in-house  marketing  organization  and  sales  force,  which  will  require  significant 
capital  expenditures,  management  resources  and  time.  We  will  have  to  compete  with  other  diagnostic 
companies to recruit, hire, train and retain marketing and sales personnel. 

If we are unable to further grow our internal sales, marketing and distribution capabilities, we may 
pursue  collaborative  arrangements  regarding  the  sales  and  marketing  of  our  product  candidates  or  future 
products, however, we may not be able to establish or maintain such collaborative arrangements, or if we 
are able to do so, they may not have effective sales forces. Any revenue we receive will depend upon the 
efforts  of  such  third  parties,  which  may  not  be  successful. We  may  have  little  or  no  control  over  the 
marketing and sales efforts of such third parties and our revenue from product sales may be lower than if 
we had commercialized our product candidates ourselves. We also face competition in our search for third 
parties to assist us with the sales and marketing efforts of our product candidates. 

We may not realize the anticipated benefits of our merger with Precipio Diagnostics. 

  
   
  
  
  
  
 
 
 
  
  
  
  
  
In  June  2017,  we  completed  our  merger  with  Transgenomic.  Integrating  the  operations  of  the 
businesses  of  Transgenomic  successfully  or  otherwise  realizing  any  of  the  anticipated  benefits  of  the 
merger  with  Precipio,  including  anticipated  cost  savings  and  additional  revenue  opportunities,  involves  a 
number of potential challenges. The failure to meet these integration challenges could seriously harm our 
results of operations and the market price of our common stock may decline as a result. 

Realizing  the  benefits  of  the  merger  will  depend  in  part  on  the  integration  of  information 
technology, operations and personnel. These integration activities are complex and time-consuming and we 
may encounter unexpected difficulties or incur unexpected costs, including: 

• 

• 
• 

• 

our  inability  to  achieve  the  cost  savings  and  operating  synergies  anticipated  in  the  merger, 
including  synergies  relating  to  increased  purchasing  efficiencies  and  a  reduction  in  costs 
associated with the merger; 
diversion of management attention from ongoing business concerns to integration matters; 
difficulties in consolidating and rationalizing information technology platforms and administrative 
infrastructures; 
complexities associated with managing the geographic separation of the combined businesses and 
consolidating  multiple  physical  locations  where  management  may  determine  consolidation  is 
desirable; 

14 

  
  
  
 
 
 
 
  
  
  
• 

• 

• 

difficulties in integrating personnel from different corporate cultures while maintaining focus on 
providing consistent, high quality customer service; 
challenges in demonstrating to our customers that the merger will not result in adverse changes in 
customer service standards or business focus; and 
possible cash flow interruption or loss of revenue as a result of change of ownership transitional 
matters. 

We  may  not  successfully  integrate  the  operations  of  the  businesses  in  a  timely  manner  and  may 
not  realize  the  anticipated  net  reductions  in  costs  and  expenses  and  other  benefits  and  synergies  of  the 
merger  with  Precipio  Diagnostics  to  the  extent,  or  in  the  timeframe,  anticipated.  In  addition  to  the 
integration risks discussed above, our ability to realize these net reductions in costs and expenses and other 
benefits  and  synergies  could  be  adversely  impacted  by  practical  or  legal  constraints  on  our  ability  to 
combine operations. 

Cybersecurity risks could compromise our information and expose us to liability, which may harm our 
ability to operate effectively and may cause our business and reputation to suffer. 

Cybersecurity refers to the combination of technologies, processes and procedures established to 
protect information technology systems and data from unauthorized access, attack, or damage. We rely on 
our  information  systems  to  provide  security  for  processing,  transmission  and  storage  of  confidential 
information about our patients, customers and personnel, such as names, addresses and other individually 
identifiable information protected by HIPAA and other privacy laws. Cyber-attacks are increasingly more 
common,  including  in the  health  care  industry.  The  regulatory  environment  surrounding  information 
security  and  privacy  is  increasingly  demanding,  with  the  frequent  imposition  of  new  and  changing 
requirements. Compliance with changes in privacy and information security laws and with rapidly evolving 
industry  standards may  result  in  our  incurring  significant  expense  due  to  increased  investment  in 
technology and the development of new operational processes. 

We  have  not  experienced  any  known  attacks  on  our  information  technology  systems  that 
compromised  any  confidential  information.  We  maintain  our  information  technology  systems  with 
safeguard  protection  against  cyber-attacks  including  passive  intrusion  protection,  firewalls  and  virus 
detection software. However, these safeguards do not ensure that a significant cyber-attack could not occur. 
Although we have taken steps to protect the security of our information systems and the data maintained in 
those systems, it is possible that our safety and security measures will not prevent the systems’ improper 
functioning or damage or the improper access or disclosure of personally identifiable information such as in 
the event of cyber-attacks. 

Security breaches, including physical or electronic break-ins, computer viruses, attacks by hackers 
and  similar  breaches  can  create  system  disruptions  or  shutdowns  or  the  unauthorized  disclosure  of 
confidential  information.  If  personal  information  or  protected  health  information  is  improperly  accessed, 
tampered  with  or  disclosed  as  a  result  of  a  security  breach,  we  may  incur  significant  costs  to  notify  and 
mitigate potential harm to the affected individuals, and we may be subject to sanctions and civil or criminal 
penalties if we are found to be in violation of the privacy or security rules under HIPAA or other similar 
federal  or  state  laws  protecting  confidential  personal  information.  In  addition,  a  security  breach  of  our 
information systems could damage our reputation, subject us to liability claims or regulatory penalties for 
compromised  personal  information  and  could  have  a  material  adverse  effect  on  our  business,  financial 
condition and results of operations. 

Our ability to use net operating loss carryforwards to offset future taxable income for U.S. federal tax 
purposes is subject to limitation and risk that could further limit our ability to utilize our net operating 
losses. 

  
   
 
 
 
  
  
  
  
  
  
  
Under  U.S.  federal  income  tax  law,  a  corporation’s  ability  to  utilize  its  net  operating  losses,  or 
NOLs, to offset future taxable income may be significantly limited if it experiences an “ownership change” 
as defined in Section 382 of the Internal Revenue Code, as amended. In general, an ownership change will 
occur if there is a cumulative change in a corporation’s ownership by “5-percent shareholders” that exceeds 
50 percentage points over a rolling three-year period. A corporation that experiences an ownership change 
will generally be subject to an annual limitation on the use of its pre-ownership change NOLs equal to the 
value of the corporation immediately before the ownership change, multiplied by the long-term tax-exempt 
rate (subject to certain adjustments). The annual limitation for a taxable year generally is increased by the 
amount of any “recognized built-in gains” for such year and the amount of any unused annual limitation in 
a prior year. On December 22, 2017, a law commonly known as the Tax Cuts and Jobs Act, or the TCJ Act, 
was  enacted  in  the  United  States.  Certain  provisions  of  the  TCJ  Act  impact  the  ability  to  utilize  NOLs 
generated in 2018 and forward; any limitation to our annual use of NOLs could require us to pay a greater 
amount of U.S. federal (and in some cases, state) income taxes, which could reduce our after-tax income 
from operations for future taxable years and adversely impact our financial condition. 

15 

  
  
  
Reimbursement and Regulatory Risks Relating to Our Business 

Governmental payers and health care plans have taken steps to control costs. 

Medicare, Medicaid and private insurers have increased their efforts to control the costs of health 
care services, including clinical testing services. They may reduce fee schedules or limit/exclude coverage 
for  certain  types  of  tests  that  we  perform.  Medicaid  reimbursement  varies  by  state  and  is  subject  to 
administrative and billing requirements and budget pressures. We expect efforts to reduce reimbursements, 
impose more stringent cost controls and reduce utilization of testing services will continue. These efforts, 
including changes in laws or regulations, may have a material adverse impact on our business. 

Changes in payer mix could have a material adverse impact on our net sales and profitability. 

Testing  services  are  billed  to  physicians,  patients,  government  payers  such  as  Medicare,  and 
insurance  companies.  Tests  may  be  billed  to  different  payers  depending  on  a  particular  patient’s  medical 
insurance  coverage.  Government  payers  have  increased  their  efforts  to  control  the  cost,  utilization  and 
delivery of health care services as well as reimbursement for laboratory testing services. Further reductions 
of reimbursement for Medicare and Medicaid services or changes in policy regarding coverage of tests or 
other  requirements  for  payment,  such  as  prior  authorization  or  a  physician  or  qualified  practitioner’s 
signature  on  test  requisitions,  may  be  implemented  from  time  to  time.  Reimbursement  for  the  laboratory 
services component of our business is also subject to statutory and regulatory reduction. Reductions in the 
reimbursement rates and changes in payment policies of other third party payers may occur as well. Such 
changes  in  the  past  have  resulted  in  reduced  payments  as  well  as  added  costs  and  have  decreased  test 
utilization for the clinical laboratory industry by adding more complex new regulatory and administrative 
requirements. As a result, increases in the percentage of services billed to government payers could have an 
adverse impact on our net sales. 

Our laboratories require ongoing CLIA certification. 

The Clinical Laboratory Improvement Amendments of 1988, or CLIA, extended federal oversight 
to  virtually  all  clinical  laboratories  by  requiring  that  they  be  certified  by  the  federal  government  or  by  a 
federally-approved  accreditation  agency.  The  CLIA  requires  that  all  clinical  laboratories  meet  quality 
assurance, quality control and personnel standards. Laboratories must also undergo proficiency testing and 
are subject to inspections. 

The sanctions for failure to comply with the CLIA requirements include suspension, revocation or 
limitation  of  a  laboratory’s  CLIA  certificate,  which  is  necessary  to  conduct  business,  cancellation  or 
suspension  of  the  laboratory’s  approval  to  receive  Medicare  and/or  Medicaid  reimbursement,  as  well  as 
significant fines and/or criminal penalties. The loss or suspension of a CLIA certification, imposition of a 
fine  or  other  penalties,  or  future  changes  in  the  CLIA  law  or  regulations  (or  interpretation  of  the  law  or 
regulations) could have a material adverse effect on us. 

We  believe  that  we  are  in  compliance  with  all  applicable  laboratory  requirements,  but  no 

assurances can be given that our laboratories will pass all future certification inspections. 

Failure to comply with HIPAA could be costly. 

The  Health  Insurance  Portability  and  Accountability  Act,  or  HIPAA,  and  associated  regulations 
protect the privacy and security of certain patient health information and establish standards for electronic 
health  care  transactions  in  the  United  States.  These  privacy  regulations  establish  federal  standards 
regarding the uses and disclosures of protected health information. Our laboratories are subject to HIPAA 
and its associated regulations. If we fail to comply with these laws and regulations we could suffer civil and 

  
   
  
  
  
  
  
  
  
  
  
  
criminal penalties, fines, exclusion from participation in governmental health care programs and the loss of 
various licenses, certificates and authorizations necessary to operate our patient testing business. We could 
also incur liabilities from third party claims. 

Our  failure  to  comply  with  any  applicable  government  laws  and  regulations  or  otherwise  respond  to 
claims  relating  to  improper  handling,  storage  or  disposal  of  hazardous  chemicals  that  we  use  may 
adversely affect our results of operations. 

Our  research  and  development  [and  manufacturing]  activities  involve  the  controlled  use  of 
hazardous  materials  and  chemicals.  We  are  subject  to  federal,  state,  local  and  international  laws  and 
regulations governing the use, storage, handling and disposal of hazardous materials and waste products. If 
we  fail  to  comply  with  applicable  laws  or  regulations,  we  could  be  required  to  pay  penalties  or  be  held 
liable  for  any  damages  that  result  and  this  liability  could  exceed  our  financial  resources.  We  cannot  be 
certain that accidental contamination or injury will not occur. Any such accident could damage our research 
and manufacturing facilities and operations, resulting in delays and increased costs. 

16 

  
  
  
  
  
We  may  become  subject  to  the  Anti-Kickback  Statute,  Stark  Law,  False  Claims  Act,  Civil  Monetary 
Penalties  Law  and  may  be  subject  to  analogous  provisions  of  applicable  state  laws  and  could  face 
substantial penalties if we fail to comply with such laws. 

There  are  several  federal  laws  addressing  fraud  and  abuse  that  apply  to  businesses  that  receive 
reimbursement from a federal health care program. There are also a number of similar state laws covering 
fraud and abuse with respect to, for example, private payors, self-pay and insurance. Currently, we receive 
a substantial percentage of our revenue from private payors and from Medicare. Accordingly, our business 
is  subject  to  federal  fraud  and  abuse  laws,  such  as  the  Anti-Kickback  Statute,  the  Stark  Law,  the  False 
Claims Act, the Civil Monetary Penalties Law and other similar laws. Moreover, we are already subject to 
similar  state  laws.  We  believe  we  have  operated,  and  intend  to  continue  to  operate,  our  business  in 
compliance with these laws. However, these laws are subject to modification and changes in interpretation, 
and  are  enforced  by  authorities  vested  with  broad  discretion.  Federal  and  state  enforcement  entities  have 
significantly increased their scrutiny of healthcare companies and providers which has led to investigations, 
prosecutions, convictions and large settlements. We continually monitor developments in this area. If these 
laws are interpreted in a manner contrary to our interpretation or are reinterpreted or amended, or if new 
legislation is enacted with respect to healthcare fraud and abuse, illegal remuneration, or similar issues, we 
may be required to restructure our affected operations to maintain compliance with applicable law. There 
can be no assurances that any such restructuring will be possible or, if possible, would not have a material 
adverse effect on our results of operations, financial position, or cash flows. 

Anti-Kickback Statute 

A  federal  law  commonly  referred  to  as  the  “Anti-Kickback  Statute”  prohibits  the  knowing  and 
willful offer, payment, solicitation or receipt of remuneration, directly or indirectly, in return for the referral 
of  patients  or  arranging  for  the  referral  of  patients,  or  in  return  for  the  recommendation,  arrangement, 
purchase, lease or order of items or services that are covered, in whole or in part, by a federal healthcare 
program such as Medicare or Medicaid. The term “remuneration” has been broadly interpreted to include 
anything of value such as gifts, discounts, rebates, waiver of payments or providing anything at less than its 
fair  market  value.  The  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and 
Education Reconciliation Act, or the PPACA, amended the intent requirement of the Anti-Kickback Statute 
such  that  a  person  or  entity  can  be  found  guilty  of  violating  the  statute  without  actual  knowledge  of  the 
statute or specific intent to violate the statute. Further, the PPACA now provides that claims submitted in 
violation of the Anti-Kickback Statute constitute false or fraudulent claims for purposes of the federal False 
Claims  Act,  or  FCA,  including  the  failure  to  timely  return  an  overpayment.  Many  states  have  adopted 
similar prohibitions against kickbacks and other practices that are intended to influence the purchase, lease 
or  ordering  of  healthcare  items  and  services  reimbursed  by  a  governmental  health  program  or  state 
Medicaid program. Some of these state prohibitions apply to remuneration for referrals of healthcare items 
or services reimbursed by any third-party payor, including commercial payors and self-pay patients. 

Stark Law 

Section 1877 of the Social Security Act, or the Stark Law, prohibits a physician from referring a 
patient to an entity for certain “designated health services” reimbursable by Medicare if the physician (or 
close family members) has a financial relationship with that entity, including an ownership or investment 
interest, a loan or debt relationship or a compensation relationship, unless an exception to the Stark Law is 
fully  satisfied.  The  designated  health  services  covered  by  the  law  include,  among  others,  laboratory  and 
imaging  services.  Some  states  have  self-referral  laws  similar  to  the  Stark  Law  for  Medicaid  claims  and 
commercial claims. 

Violation of the Stark Law may result in prohibition of payment for services rendered, a refund of 
any  Medicare  payments  for  services  that  resulted  from  an  unlawful  referral,  $15,000  civil  monetary 

  
   
  
  
  
  
  
  
penalties  for  specified  infractions,  criminal  penalties,  and  potential  exclusion  from  participation  in 
government healthcare programs, and potential false claims liability. The repayment provisions in the Stark 
Law are not dependent on the parties having an improper intent; rather, the Stark Law is a strict liability 
statute and any violation is subject to repayment of all amounts arising out of tainted referrals. If physician 
self-referral  laws  are  interpreted  differently  or  if  other  legislative  restrictions  are  issued,  we  could  incur 
significant sanctions and loss of revenues, or we could have to change our arrangements and operations in a 
way that could have a material adverse effect on our business, prospects, damage to our reputation, results 
of operations and financial condition. 

False Claims Act 

The FCA prohibits providers from, among other things, (1) knowingly presenting or causing to be 
presented, claims for payments from the Medicare, Medicaid or other federal healthcare programs that are 
false or fraudulent; (2) knowingly making, using or causing to be made or used, a false record or statement 
to  get  a  false  or  fraudulent  claim  paid  or  approved  by  the  federal  government;  or  (3) knowingly  making, 
using or causing to be made or used, a false record or statement to avoid, decrease or conceal an obligation 
to pay money to the federal government. The “qui tam” or “whistleblower” provisions of the FCA allow 
private individuals to bring actions under the FCA on behalf of the government. These private parties are 
entitled  to  share  in  any  amounts  recovered  by  the  government,  and,  as  a  result,  the  number  of 
“whistleblower” lawsuits that have been filed against providers has increased significantly in recent years. 
Defendants  found  to  be  liable  under  the  FCA  may  be  required  to  pay  three  times  the  actual  damages 
sustained  by  the  government,  plus  civil  penalties  ranging  between  $5,500  and  $11,000  for  each  separate 
false claim. 

17 

  
  
  
  
  
There are many potential bases for liability under the FCA. The government has used the FCA to 
prosecute  Medicare  and  other  government  healthcare  program  fraud  such  as  coding  errors,  billing  for 
services not provided, and providing care that is not medically necessary or that is substandard in quality. 
The  PPACA  also  provides  that  claims  submitted  in  connection  with  patient  referrals  that  result  from 
violations of the Anti-Kickback Statute constitute false claims for the purpose of the FCA, and some courts 
have  held  that  a  violation  of  the  Stark  law  can  result  in  FCA  liability,  as  well.  In  addition,  a  number  of 
states have adopted their own false claims and whistleblower provisions whereby a private party may file a 
civil lawsuit in state court. We are required to provide information to our employees and certain contractors 
about state and federal false claims laws and whistleblower provisions and protections. 

Civil Monetary Penalties Law 

The  Civil  Monetary  Penalties  Law  prohibits,  among  other  things,  the  offering  or  giving  of 
remuneration  to  a  Medicare  or  Medicaid  beneficiary  that  the  person  or  entity  knows  or  should  know  is 
likely  to  influence  the  beneficiary’s  selection  of  a  particular  provider  or  supplier  of  items  or  services 
reimbursable  by  a  federal  or  state  healthcare  program.  This  broad  provision  applies  to  many  kinds  of 
inducements or benefits provided to patients, including complimentary items, services or transportation that 
are  of  more  than  a  nominal  value.  This  law  could  affect  how  we  have  to  structure  our  operations  and 
activities. 

Intellectual Property Risks Related to Our Business 

We cannot be certain that measures taken to protect our intellectual property will be effective. 

We  rely  upon  trade  secrets,  copyright  and  trademark  laws,  non-disclosure  agreements  and  other 
contractual confidentiality provisions to protect our confidential and proprietary information that we are not 
seeking  patent  protection  for  various  reasons.  Such  measures,  however,  may  not  provide  adequate 
protection for our trade secrets or other proprietary information. If such measures do not protect our rights, 
third parties could use our technology and our ability to compete in the market would be reduced. 

We depend on certain technologies that are licensed to us. We do not control these technologies and any 
loss of our rights to them could prevent us from selling some of our products. 

We have entered into license agreements with third parties for certain licensed technologies that 
are, or may become, relevant to the products we market, or plan to market, including our license agreement 
with Dana-Farber Cancer Institute, Inc., pursuant to which we license our ICE-COLD-PCR technology. In 
addition,  we  may  in  the  future  elect  to  license  third  party  intellectual  property  to  further  our  business 
objectives  and/or  as  needed  for  freedom  to  operate  for  our  products.  We  do  not  and  will  not  own  the 
patents,  patent  applications  or  other  intellectual  property  rights  that  are  the  subject  of  these  licenses.  Our 
rights  to  use  these  technologies  and  employ  the  inventions  claimed  in  the  licensed  patents,  patent 
applications  and  other  intellectual  property  rights  are  or  will  be  subject  to  the  continuation  of  and 
compliance with the terms of those licenses. 

We might not be able to obtain licenses to technology or other intellectual property rights that we 
require.  Even  if  such  licenses  are  obtainable,  they  may  not  be  available  at  a  reasonable  cost  or  multiple 
licenses may be needed for the same product (e.g., stacked royalties). We could therefore incur substantial 
costs related to royalty payments for licenses obtained from third parties, which could negatively affect our 
gross  margins.  Further,  we  could  encounter  delays  in  product  introductions,  or  interruptions  in  product 
sales, as we develop alternative methods or products. 

In some cases, we do not or may not control the prosecution, maintenance, or filing of the patents 
or patent applications to which we hold licenses, or the enforcement of these patents against third parties. 

  
   
  
  
  
  
  
  
  
  
  
As a result, we cannot be certain that drafting or prosecution of the licensed patents and patent applications 
by the licensors have been or will be conducted in compliance with applicable laws and regulations or will 
result in valid and enforceable patents and other intellectual property rights. 

Third parties may assert ownership or commercial rights to inventions we develop. 

Third  parties  may  in  the  future  make  claims  challenging  the  inventorship  or  ownership  of  our 
intellectual  property.  For  example,  third  parties  that  have  been  introduced  to  or  have  benefited  from  our 
inventions  may  attempt  to  replicate  or  reverse  engineer  our  products  and  circumvent  ownership  of  our 
inventions. In addition, we may face claims that our agreements with employees, contractors, or consultants 
obligating them to assign intellectual property to us are ineffective, or in conflict with prior or competing 
contractual  obligations  of  assignment,  which  could  result  in  ownership  disputes  regarding  intellectual 
property we have developed or will develop and interfere with our ability to capture the commercial value 
of  such  inventions.  Litigation  may  be  necessary  to  resolve  an  ownership  dispute,  and  if  we  are  not 
successful, we may be precluded from using certain intellectual property, or may lose our exclusive rights 
in that intellectual property. Either outcome could have an adverse impact on our business. 

18 

  
  
  
  
  
Third  parties  may  assert  that  our  employees  or  consultants  have  wrongfully  used  or  disclosed 
confidential information or misappropriated trade secrets. 

Although  we  try  to  ensure  that  our  employees  and  consultants  do  not  use  the  proprietary 
information  or  know-how  of  others  in  their  work  for  us,  we  may  be  subject  to  claims  that  we  or  our 
employees,  consultants  or  independent  contractors  have  inadvertently  or  otherwise  used  or  disclosed 
intellectual property, including trade secrets or other proprietary information, of a former employer or other 
third parties. Litigation may be necessary to defend against these claims. If we fail in defending any such 
claims,  in  addition  to  paying  monetary  damages,  we  may  lose  valuable  intellectual  property  rights  or 
personnel. Even if we are successful in defending against such claims, litigation could result in substantial 
costs and be a distraction to management and other employees. 

The  testing,  manufacturing  and  marketing  of  medical  diagnostic  devices  entails  an  inherent  risk  of 
product liability and personal injury claims. 

To date, we have experienced no product liability or personal injury claims, but any such claims 
arising in the future could have a material adverse effect on our business, financial condition and results of 
operations. Potential  product  liability  or  personal  injury  claims  may  exceed  the  amount  of  our  insurance 
coverage or may be excluded from coverage under the terms of our policy or limited by other claims under 
our umbrella insurance policy. Additionally, our existing insurance may not be renewed by us at a cost and 
level of coverage comparable to that presently in effect, if at all. In the event that we are held liable for a 
claim against which we are not insured or for damages exceeding the limits of our insurance coverage, such 
claim could have a material adverse effect on our cash flow and thus potentially a materially adverse effect 
on our business, financial condition and results of operations. 

All of our diagnostic technology development and our clinical services are performed at two laboratories, 
and in the event either or both of these facilities were to be affected by a termination of the lease or a 
man-made or natural disaster, our operations could be severely impaired. 

We are performing all of our diagnostic services in our CLIA laboratory located in New Haven, 
Connecticut  and  our  research  and  development  operations  are  based  in  our  facility  in  Omaha, 
Nebraska. Despite  precautions  taken  by  us,  any  future  natural  or  man-made  disaster  at  these  laboratories, 
such as a fire, earthquake or terrorist activity, could cause substantial delays in our operations, damage or 
destroy our equipment and testing samples or cause us to incur additional expenses. 

In  addition,  we  are  leasing  the  facilities  where  our  laboratories  operate. We  are  currently  in 
compliance with all and any lease obligations, but should the leases terminate for any reason, or if at any 
time  either  of  the  laboratories  is  moved  due  to  conditions  outside  our  control,  it  could  cause  substantial 
delay in our diagnostics operations, damage or destroy our equipment and biological samples or cause us to 
incur additional expenses. In the event of an extended shutdown of either laboratory, we may be unable to 
perform  our  services  in  a  timely  manner  or  at  all  and  therefore  would  be  unable  to  operate  in  a 
commercially competitive manner. This could harm our operating results and financial condition. 

Further,  if  we  have  to  use  a  substitute  laboratory  while  our  facilities  were  shut  down,  we  could 
only use another facility with established state licensure and accreditation under CLIA. We may not be able 
to find another CLIA-certified facility and comply with applicable procedures, or find any such laboratory 
that would be willing to perform the tests for us on commercially reasonable terms. Additionally, any new 
laboratory  opened  by  us  would  be  subject  to  certification  under  CLIA  and  licensure  by  various  states, 
which would take a significant amount of time and result in delays in our ability to continue our operations. 

Risks Related to Our Common Stock 

  
   
  
  
  
  
  
  
  
  
  
The price of our common stock may fluctuate significantly, which could negatively affect us and holders 
of our common stock.  

There has been, and continues to be, a limited public market for our common stock, and an active 
trading market for our common stock has not and may never develop or, if developed, be sustained. The 
trading  price  of  our  common  stock  may  be  highly  volatile  and  could  be  subject  to  wide  fluctuations  in 
response to various factors, some of which are beyond our control. These factors include: 

These factors include: 

• 

actual or anticipated fluctuations in our financial condition and operating results: 

19 

  
  
  
 
  
  
  
• 
• 
• 

• 

• 
• 
• 

• 
• 

• 

• 
• 
• 

actual or anticipated changes in our growth rate relative to our competitors; 
competition from existing products or new products that may emerge; 
announcements  by  us,  our  academic  institution  partners,  or  our  competitors  of  significant 
acquisitions, strategic partnerships, joint ventures, collaborations, or capital commitments; 
failure to meet or exceed financial estimates and projections of the investment community or that 
we  provide  to  the  public  and  the  revision  of  any  financial  estimates  and  projections  that  we 
provide to the public; 
issuance of new or updated research or reports by securities analysts; 
fluctuations in the valuation of companies perceived by investors to be comparable to us; 
share  price  and  volume  fluctuations  attributable  to  inconsistent  trading  volume  levels  of  our 
shares; 
additions, transitions or departures of key management or scientific personnel; 
disputes or other developments related to proprietary rights, including patents, litigation matters, 
and our ability to obtain patent protection for our technologies; 
changes  to  reimbursement  levels  by  commercial  third-party  payors  and  government  payors, 
including Medicare, and any announcements relating to reimbursement levels; 
announcement or expectation of additional debt or equity financing efforts; 
sales of our common stock by us, our insiders, or our other stockholders; and 
general economic and market conditions 

These  and  other  market  and  industry  factors  may  cause  the  market  price  and  demand  for  our 
common stock to fluctuate substantially, regardless of our actual operating performance, which may limit 
or prevent investors from readily selling their shares of our common stock and may otherwise negatively 
affect the liquidity of our common stock. In addition, the stock market in general has experienced price and 
volume  fluctuations  that  have  often  been  unrelated  or  disproportionate  to  the  operating  performance  of 
these companies. In the past, when the market price of a stock has been volatile, holders of that stock have 
instituted  securities  class  action  litigation  against  the  company  that  issued  the  stock.  If  any  of  our 
stockholders  brought  a  lawsuit  against  us,  we  could  incur  substantial  costs  defending  the  lawsuit.  Such  a 
lawsuit could also divert the time and attention of our management. 

The price of our stock may be vulnerable to manipulation. 

We believe our common stock has been the subject of significant short selling by certain market 
participants. Short sales are transactions in which a market participant sells a security that it does not own. 
To complete the transaction, the market participant must borrow the security to make delivery to the buyer. 
The market participant is then obligated to replace the security borrowed by purchasing the security at the 
market price at the time of required replacement. If the price at the time of replacement is lower than the 
price at which the security was originally sold by the market participant, then the market participant will 
realize a gain on the transaction. Thus, it is in the market participant’s interest for the market price of the 
underlying security to decline as much as possible during the period prior to the time of replacement. 

Because our unrestricted public float has been small relative to other issuers, previous short selling 
efforts have impacted, and may in the future continue to impact, the value of our stock in an extreme and 
volatile  manner  to  our  detriment  and  the  detriment  of  our  shareholders.  Efforts  by  certain  market 
participants to manipulate the price of our common stock for their personal financial gain may cause our 
stockholders to lose a portion of their investment, may make it more difficult for us to raise equity capital 
when  needed  without  significantly  diluting  existing  stockholders,  and  may  reduce  demand  from  new 
investors to purchase shares of our stock. 

If we cannot continue to satisfy Nasdaq listing maintenance requirements and other rules, our securities 
may be delisted, which could negatively impact the price of our securities. 

  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
Although our common stock is listed on the Nasdaq Capital Market, we may be unable to continue 
to  satisfy  the  listing  maintenance  requirements  and  rules.  If  we  are  unable  to  satisfy  The  Nasdaq  Stock 
Market, or Nasdaq, criteria for maintaining our listing, our securities could be subject to delisting. 

On March 26, 2018, we received a letter from Nasdaq notifying us that for the past 30 consecutive 
business days, the closing bid price per share of our common stock was below the $1.00 minimum bid price 
requirement  for  continued  listing  on  the  Nasdaq  Capital  Market,  as  required  by  Nasdaq  Listing  Rule 
5550(a)(2), or the Bid Price Rule. As a result, we were notified by Nasdaq that we are not in compliance 
with  the  Bid  Price  Rule.  Nasdaq  has  provided  u  with  180  calendar  days,  or  until  September  24,  2018,  to 
regain compliance with the Bid Price Rule. 

20 

  
  
  
  
To  regain  compliance  with  the  Bid  Price  Rule,  the  closing  bid  price  of  our  common  stock  must 
meet or exceed $1.00 per share for a minimum of ten consecutive business days during the 180 day grace 
period. If our common stock does not regain compliance with the Bid Price Rule during this grace period, 
we will be eligible for an additional grace period of 180 calendar days provided that we satisfy Nasdaq’s 
continued listing requirement for market value of publicly held shares and all other initial listing standards 
for  listing  on  The  Nasdaq  Capital  Market,  other  than  the  minimum  bid  price  requirement,  and  provide 
written  notice  to  Nasdaq  of  our  intention  to  cure  the  delinquency  during  the  second  grace  period.  If  we 
meet these requirements, Nasdaq will inform us that we have been granted an additional 180 calendar days. 
However, if it appears to Nasdaq that we will not be able to cure the deficiency, or if we are otherwise not 
eligible, Nasdaq will provide notice that our securities will be subject to delisting. 

We  are  presently  evaluating  various  courses  of  action  to  regain  compliance  with  the  Bid  Price 

Rule. However, there can be no assurance that we will be able to regain compliance. 

If Nasdaq delists our securities, we could face significant consequences, including: 

• 

• 

• 

• 

• 

• 

a limited availability for market quotations for our securities; 

reduced liquidity with respect to our securities; 

a determination that our common stock is a “penny stock,” which will require brokers trading in 
our common stock to adhere to more stringent rules and possibly result in reduced trading; 

activity in the secondary trading market for our common stock; 

limited amount of news and analyst coverage; and 

a decreased ability to issue additional securities or obtain additional financing in the future. 

In addition, we would no longer be subject to Nasdaq rules, including rules requiring us to have a 

certain number of independent directors and to meet other corporate governance standards. 

Increased costs associated with corporate governance compliance may significantly impact our results of 
operations. 

As  a  public  company,  we  incur  significant  legal,  accounting,  and  other  expenses  due  to  our 
compliance  with  regulations  and  disclosure  obligations  applicable  to  us,  including  compliance  with  the 
Sarbanes-Oxley  Act  of  2002,  or  the  Sarbanes-Oxley  Act,  as  well  as  rules  implemented  by  the  SEC,  and 
Nasdaq.  The  SEC  and  other  regulators  have  continued  to  adopt  new  rules  and  regulations  and  make 
additional changes to existing regulations that require our compliance. In July 2010, the Dodd-Frank Wall 
Street  Reform  and  Consumer  Protection  Act,  or  the  Dodd-Frank  Act,  was  enacted.  There  are  significant 
corporate  governance  and  executive  compensation  related  provisions  in  the  Dodd-Frank  Act  that  have 
required the SEC to adopt additional rules and regulations in these areas. Stockholder activism, the current 
political  environment,  and  the  current  high  level  of  government  intervention  and  regulatory  reform  may 
lead  to  substantial  new  regulations  and  disclosure  obligations,  which  may  lead  to  additional  compliance 
costs and impact, in ways we cannot currently anticipate, the manner in which we operate our business. Our 
management  and  other  personnel  devote  a  substantial  amount  of  time  to  these  compliance  programs  and 
monitoring of public company reporting obligations, and as a result of the new corporate governance and 
executive  compensation  related  rules,  regulations,  and  guidelines  prompted  by  the  Dodd-Frank  Act,  and 
further  regulations  and  disclosure  obligations  expected  in  the  future,  we  will  likely  need  to  devote 
additional time and costs to comply with such compliance programs and rules. These rules and regulations 

  
   
  
  
  
 
  
 
  
 
  
 
  
 
  
 
  
  
  
will cause us to incur significant legal and financial compliance costs and will make some activities more 
time-consuming and costly. 

The  Sarbanes-Oxley  Act  requires  that  we  maintain  effective  disclosure  controls  and  procedures 
and  internal  control  over  financial  reporting.  We  are  continuing  to  develop  and  refine  our  disclosure 
controls and other procedures that are designed to ensure that information required to be disclosed by us in 
the  reports  that  we  file  with  the  SEC  is  recorded,  processed,  summarized,  and  reported  within  the  time 
periods specified in SEC rules and forms, and that information required to be disclosed in reports under the 
Exchange  Act  is  accumulated  and  communicated  to  our  principal  executive  and  financial  officers.  Our 
current  controls  and  any  new  controls  that  we  develop  may  become  inadequate,  and  weaknesses  in  our 
internal control over financial reporting may be discovered in the future. Any failure to develop or maintain 
effective  controls  could  adversely  affect  the  results  of  periodic  management  evaluations  and  annual 
independent registered public accounting firm attestation reports regarding the effectiveness of our internal 
control over financial reporting, which we may be required to include in our periodic reports that we file 
with the SEC under Section 404 of the Sarbanes-Oxley Act, and could harm our operating results, cause us 
to fail to meet our reporting obligations, or result in a restatement of our prior period financial statements. 
If we are not able to demonstrate compliance with the Sarbanes-Oxley Act, that our internal control over 
financial reporting is perceived as inadequate, or that we are unable to produce timely or accurate financial 
statements,  investors  may  lose  confidence  in  our  operating  results,  and  the  price  of  our  common  stock 
could decline. 

21 

  
  
  
  
We  are  required  to  comply  with  certain  of  the  SEC  rules  that  implement  Section 404  of  the 
Sarbanes-Oxley Act, which requires management to certify financial and other information in our quarterly 
and  annual  reports  and  provide  an  annual  management  report  on  the  effectiveness  of  our  internal  control 
over financial reporting. This assessment needs to include the disclosure of any material weaknesses in our 
internal control over financial reporting identified by our management or our independent registered public 
accounting firm. During the evaluation and testing process, if we identify one or more material weaknesses 
in our internal control over financial reporting or if we are unable to complete our evaluation, testing, and 
any  required  remediation  in  a  timely  fashion,  we  will  be  unable  to  assert  that  our  internal  control  over 
financial reporting is effective. 

These developments could make it more difficult for us to retain qualified members of our Board 
of  Directors,  or  qualified  executive  officers.  We  are  presently  evaluating  and  monitoring  regulatory 
developments and cannot estimate the timing or magnitude of additional costs we may incur as a result. To 
the extent these costs are significant, our general and administrative expenses are likely to increase. 

We have not paid dividends on our common stock in the past and do not expect to pay dividends on our 
common stock for the foreseeable future.  Any return on investment may be limited to the value of our 
common stock. 

No  cash  dividends  have  been  paid  on  our  common  stock.   We  expect  that  any  income  received 
from  operations  will  be  devoted  to  our  future  operations  and  growth.   We  do  not  expect  to  pay  cash 
dividends  on  our  common  stock  in  the  near  future.   Payment  of  dividends  would  depend  upon  our 
profitability at the time, cash available for those dividends, and other factors as our board of directors may 
consider relevant.  If we do not pay dividends, our common stock may be less valuable because a return on 
an  investor’s  investment  will  only  occur  if  our  stock  price  appreciates.   Investors  in  our  common  stock 
should not rely on an investment in our company if they require dividend income. 

If securities or industry analysts do not publish research or reports about our business, or if they change 
their recommendations regarding our stock adversely, our stock price and trading volume could decline. 

The  trading  market  for  our  common  stock  relies  in  part  on  the  research  and  reports  that  equity 
research  analysts  publish  about  us  and  our  business.  We  do  not  control  these  analysts.  The  price  of  our 
common  stock  could  decline  if  one  or  more  equity  research  analysts  downgrade  our  common  stock  or  if 
they issue other unfavorable commentary or cease publishing reports about us or our business: 

Item 1B. Unresolved Staff Comments 

None. 

Item 2. Properties 

We currently lease approximately 7,630 square feet of laboratory and office space in New Haven, 
Connecticut,  which  we  occupy  under  a  lease  expiring  in  December  2021.  We  also  lease  approximately 
5,300 square feet of laboratory space in Omaha, Nebraska, which we occupy under a lease expiring in May 
2022. We believe that these facilities are adequate to meet our current and planned needs. We believe that 
if  additional  space  is  needed  in  the  future,  we  could  find  alternate  space  at  competitive  market  rates  as 
needed. 

Item 3. Legal Proceedings 

The  healthcare  industry  is  subject  to  numerous  laws  and  regulations  of  federal,  state  and  local 
governments.  These  laws  and  regulations  include,  but  are  not  limited  to,  matters  such  as  licensure, 

  
   
  
  
  
  
  
  
  
  
  
  
  
accreditation, government healthcare program participation requirement, reimbursement for patient services 
and  Medicare  and  Medicaid  fraud  and  abuse.  Government  activity  has  increased  with  respect  to 
investigations and allegations concerning possible violations of fraud and abuse statutes and regulations by 
healthcare providers. 

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Violations  of  these  laws  and  regulations  could  result  in  expulsion  from  government  healthcare 
programs together with the imposition of significant fines and penalties, as well as significant repayments 
for patient services previously billed. Management believes that the Company is in compliance with fraud 
and  abuse  regulations,  as  well  as  other  applicable  government  laws  and  regulations.  While  no  material 
regulatory inquiries have been made, compliance with such laws and regulations can be subject to future 
government review and interpretation, as well as regulatory actions unknown or unasserted at this time. 

The  outcome  of  legal  proceedings  and  claims  brought  against  us  are  subject  to  significant 
uncertainty. Therefore, although management considers the likelihood of such an outcome to be remote, if 
one  or  more  of  these  legal  matters  were  resolved  against  us  in  the  same  reporting  period  for  amounts  in 
excess  of  management’s  expectations,  our  financial  statements  for  such  reporting  period  could  be 
materially adversely affected. In general, the resolution of a legal matter could prevent us from offering our 
services or products to others, could be material to our financial condition or cash flows, or both, or could 
otherwise adversely affect our operating results. 

The Company is delinquent on the payment of outstanding accounts payable for certain vendors 

and suppliers who have taken or have threatened to take legal action to collect such outstanding amounts. 

On  February  25,  2016,  the  Board  of  Regents  of  the  University  of  Nebraska  (“UNMC”)  filed  a 
lawsuit against Transgenomic in the District Court of Douglas County, Nebraska, for breach of contract and 
seeking  recovery  of  $0.7  million  owed  by  us  to  UNMC.  A  $0.4  million  liability  was  recorded  and  is 
reflected in accrued expenses at December 31, 2016. We and UNMC entered into a settlement agreement 
dated February 6, 2017, which included, among other things, a mutual general release of claims, and our 
agreement to pay $0.4 million to UNMC in installments over a period of time. On September 8, 2017, we 
and UNMC entered into a First Amendment to the Settlement Agreement with quarterly payments in the 
amount  of  $25,000  due  commencing  on  September  15,  2017  and  ending  on  June  15,  2020  and  a  final 
payment  of  $100,000  due  on  or  before  September  15,  2020.  We  made  settlement  payments  totaling  of 
$50,000 during 2017 and a $0.3 million liability has been recorded and is reflected in accounts payable at 
December 31, 2017. 

On April 13, 2016, Fox Chase Cancer Center (“Fox Chase”) filed a lawsuit against us in the Court 
of Common Pleas of Philadelphia County, First Judicial District of Pennsylvania Civil Trial Division (the 
“Court  of  Common  Pleas”),  alleging,  among  other  things,  breach  of  contract,  tortious  interference  with 
present and prospective contractual relations, unjust enrichment, fraudulent conversion and conspiracy and 
seeking  punitive  damages  in  addition  to  damages  and  other  relief.  This  lawsuit  relates  to  a  license 
agreement  Transgenomic  entered  into  with  Fox  Chase  in  August  2000,  as  amended  (the  “License 
Agreement”), as well as the assignment of certain of Transgenomic's rights under the License Agreement to 
Integrated DNA Technologies, Inc. (“IDT”) pursuant to the Surveyor Kit Patent, Technology and Inventory 
Purchase  Agreement  Transgenomic  entered  into  with  IDT  effective  as  of  July  1,  2014  (the  “IDT 
Agreement”).  Pursuant  to  the  terms  of  the  IDT  Agreement,  Transgenomic  agreed  to  indemnify  IDT  with 
respect  to  certain  of  the  claims  asserted  in  the  Fox  Chase  proceeding.  On  July  8,  2016,  the  Court  of 
Common  Pleas  sustained  Transgenomic’s  preliminary  objections  to  several  of  Fox  Chase’s  claims  and 
dismissed  the  claims  for  tortious  interference,  fraudulent  conversion,  conspiracy,  punitive  damages  and 
attorney’s  fees.   Accordingly,  the  case  was  narrowed  so  that  only  certain  contract  claims  and  an  unjust 
enrichment claim remained pending against Transgenomic. 

During  June  2017,  prior  to  the  Merger,  Transgenomic  entered  into  a  settlement  agreement  with 
Fox  Chase  (the  “Agreement”) to  pay  $175,000  in  three  installments.   In  August  2017  we  made  two 
payments, each in the amount of $60,000 and on October 3, 2017, we made a third and final payment in the 
amount  of  $55,000. The  three  payments  total $175,000  which  resolved  all  outstanding  claims  in  the 
litigation  brought  in  April  2016  by  Fox  Chase  against  Transgenomic  in  the  Court  of  Common  Pleas  of 
Philadelphia County (the “Action”). As of April 13, 2018, the case remains pending with the Court as Fox 

  
   
  
  
  
  
  
Chase  has  not caused  the  Action  to  be  formally  dismissed  with  prejudice  as  it  is  obligated  per  the 
agreement. Also, on July 13, 2017 we entered into an agreement with its co-Defendant, IDT, regarding our 
indemnity obligations to IDT for legal fees and expenses incurred in the Action pursuant to the terms of the 
IDT Agreement in the amount of $139,000. During 2017, we made total payments to IDT in the amount of 
$139,000 satisfying the agreement. As of December 31, 2017 there are no outstanding amounts owed by us 
and  we  have  no  liabilities  recorded  within  the  accompanying  consolidated  balance  sheets  related  to  this 
matter. 

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On June 23, 2016, the Icahn School of Medicine at Mount Sinai (“Mount Sinai”) filed a lawsuit 
against  Transgenomic  in  the  Supreme  Court  of  the  State  of  New  York,  County  of  New  York,  alleging, 
among  other  things,  breach  of  contract  and,  alternatively,  unjust  enrichment  and  quantum  merit,  and 
seeking  recovery  of  $0.7  million  owed  by  us  to  Mount  Sinai  for  services  rendered.  We  and  Mount  Sinai 
entered into a settlement agreement dated October 27, 2016, which included, among other things, a mutual 
general  release  of  claims,  and  our  agreement  to  pay  approximately  $0.7  million  to  Mount  Sinai  in 
installments over a period of time. Effective as of October 31, 2017, we and Mount Sinai agreed to enter 
into a new settlement agreement to restructure these liabilities into a secured, long-term debt obligation of 
$0.5  million  which  includes  accrued  interest  at  10%  with  monthly  principal  and  interest  payments  of 
$9,472  beginning  in  July  2018  and  continuing  over  48  months  and  to  issue  warrants  in  the  amount  of 
24,900  shares,  that  are  exercisable  for  shares  of  our  common  stock,  on  a  1-for-1  basis,  with  an  exercise 
price of $7.50 per share, exercisable on the date of issuance with a term of 5 years. We do not plan to apply 
to  list  the  warrants  on  the  NASDAQ  Capital  Market,  any  other  national  securities  exchange  or  any  other 
nationally  recognized  trading  system.  A  $0.5  million  liability  has  been  recorded  and  is  reflected  in  long-
term debt at December 31, 2017. 

On December 19, 2016, Todd Smith (“Smith”) filed a lawsuit against us in the District Court of 
Douglas County Nebraska, alleging breach of contract and seeking recovery of $2.2 million owed by us to 
Smith  for  costs  and  damages  arising  from  a  breach  of  our  obligations  pursuant  to  a  lease  agreement 
between  the  parties.  On  April  7,  2017,  we  entered  into  a  settlement  agreement  with  Smith  related  to  the 
early  termination  of  our  lease  for  a  facility  in  Omaha,  Nebraska.  The  agreement  included,  among  other 
things, a mutual general release of claims, and our agreement to pay approximately $0.6 million to Smith in 
installments through October 2018. During the year ended December 31, 2017, we made payments totaling 
$0.4 million and a $0.2 million liability has been recorded and is reflected in accounts payable at December 
31, 2017. 

On February 21, 2017, XIFIN, Inc. (“XIFIN”) filed a lawsuit against us in the District Court for 
the  Southern  District  of  California  alleging  breach  of  written  contract  and  seeking  recovery  of 
approximately  $0.27  million  owed  by  us  to  XIFIN  for  damages  arising  from  a  breach  of  our  obligations 
pursuant  to  a  Systems  Services  Agreement  between  us  and  XIFIN,  dated  as  of  February  22,  2013,  as 
amended and restated on September 1, 2014. On April 5, 2017, the court clerk entered default against the 
Company. On May 5, 2017, XIFIN filed an application for entry of default judgment against us. During the 
year  ended  December  31,  2017,  we  made  payments  totaling  $0.1  million  and  a  $0.2  million  liability  has 
been recorded and is reflected in accounts payable at December 31, 2017. 

CPA  Global  provides  us  with  certain  patent  management  services.  On  February  6,  2017,  CPA 
Global claimed that we owe approximately $0.2 million for certain patent maintenance services rendered. 
CPA  Global  has  not  filed  claims  against  us  in  connection  with  this  allegation.  During  the  year  ended 
December 31, 2017, we made payments of less than $0.1 million and a liability of approximately less than 
$0.1 million has been recorded and is reflected in accounts payable at December 31, 2017. 

On March 9, 2016, counsel for Edge BioSystems, Inc. (“EdgeBio”) sent a demand letter on behalf 
of EdgeBio to us in connection with the terms of an Asset Purchase Agreement dated September 8, 2015 
(the  “EdgeBio  Agreement”).  EdgeBio  alleges,  among  other  things,  that  certain  customers  of  EdgeBio 
erroneously  remitted  payments  to  us,  that  such  payments  should  have  been  paid  to  EdgeBio  and  that  we 
failed to remit these funds to EdgeBio in violation of the terms of the EdgeBio Agreement. On September 
13, 2016, we received a demand for payment letter from EdgeBio’s counsel alleging that the balance due to 
EdgeBio  is  approximately  $0.1  million.  On  September  19,  2017  a  summary  of  action  from  the  Judicial 
District  of  New  Haven,  CT  for  a  judgement  of  $113,000  was  issued.  We  and  Edge-Bio  reached  an 
agreement on payment and we paid $63,000 on December 21, 2017 with another $63,000 due within 180 
days from the initial payment. A liability of approximately $0.1 million has been recorded and is reflected 
in accounts payable at December 31, 2017. 

  
   
  
  
  
  
On February 17, 2017, Jesse Campbell (“Campbell”) filed a lawsuit individually and on behalf of 
others  similarly  situated  against  us  in  the  District  Court  for  the  District  of  Nebraska  alleging  we  had  a 
materially incomplete and misleading proxy relating to a potential merger and that the merger agreement’s 
deal  protection  provisions  deter  superior  offers.   As  a  result,  Campbell  alleges  that  we  have  violated 
Sections 14(a) and 20(a) of the Exchange Act and Rule 14a-9 promulgated thereafter.  Although we intend 
to  defend  the  lawsuit,  there  can  be  no  assurance  regarding  the  ultimate  outcome  of  this  case.  Given  the 
uncertainty of litigation, the legal standards that must be met for, among other things, class certification and 
success on the merits, we are unable to estimate the amount of loss, or range of possible loss, at this time 
that  may  result  from  this  action.  In  the  event  that  a  settlement  is  reached  related  to  these  matters,  the 
amount  of  such  settlement  may  be  material  to  our  results  of  operations  and  financial  condition  and  may 
have a material adverse impact on our liquidity. 

24 

  
  
  
  
On  February  20,  2018,  Crede  Capital  Group  LLC  (“Crede”)  filed  a  lawsuit  against  us  in  the 
Supreme Court of the State of New York for Summary Judgment in Lieu of Complaint requiring us to pay 
cash  owed  to  Crede.  Crede  claims  that  we  breached  a  Securities  Purchase  Agreement  and  Warrant  that 
Crede  entered  into  in  connection  with  an  investment  in  Transgenomic  and  that  pursuant  to  those 
agreements,  we  owed  Crede  the  sum  of  $2,205,008.  In  addition  to  the  aforementioned  sum,  Crede  also 
demanded that we pay an additional sum of $3,737.32 per day between the date of the summons and the 
date  that  judgment  is  entered,  plus  interest.  As  previously  disclosed  by  us,  Crede  had  sent  us  a  letter 
claiming  that  we  owed  Crede  $1.8  million.  On  March 12,  2018,  we  entered  into  a  settlement  agreement 
with  Crede  pursuant  to  which  we  agreed  to  pay  Crede  a  total  sum  of  $1.925  million  over  a  period  of  16 
months payable in cash, or at the Company’s discretion in stock, in accordance with terms contained in the 
settlement  agreement.  In  accordance  with  the  terms  of  the  settlement  agreement  and  in  addition  to  the 
agreement  to  pay,  we  have  also  executed  and  delivered  to  Crede  an  affidavit  of  confession  of  judgment. 
Liabilities  totaling  approximately  $1.9  million  have  been  recorded  with  $1.1  million  reflected  in  other 
current liabilities and $0.8 million reflected in common stock warrant liability at December 31, 2017. On 
March 19, 2018 we made the first scheduled payment of $175,000 to Crede. 

On March 21, 2018, Bio-Rad Laboratories filed a lawsuit against us in the Superior Court Judicial 
Branch of the State of Connecticut for Summary Judgment in Lieu of Complaint requiring us to pay cash 
owed to Bio-Rad in the amount of $49,000. We are currently in discussions with Bio-Rad to reach payment 
conditions.  A  liability  of  less  than  $0.1  million  has  been  recorded  in  accounts  payable  at  December  31, 
2017. 

Item 4. Mine Safety Disclosures 

Not Applicable. 

PART II 

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases 
of Equity Securities 

Market  Information.  Since  June  30,  2017,  the  trading  date  following  the  consummation  of  the 

Merger, our common stock has traded on the Nasdaq Capital Market under the symbol “PRPO.” 

Prior  to  the  Merger,  our  common  stock  was  traded  on  the  Nasdaq  Capital  Market  under  the 
symbol  “TBIO.”  Our  common  stock  was  suspended  from  trading  on  the  Nasdaq  Capital  Market  on 
February 17, 2017 and on February 22, 2017, our shares began trading on the OTCQB exchange under the 
ticker “TBIO” and remained on the QTCQB exchange until the date of the Merger. In connection with the 
merger, our common stock commenced trading on the Nasdaq Capital Market under the symbol “PRPO.” 

The following table sets forth the high and low closing prices for our common stock during each 
of  the  quarters  of  2017  and  2016.  The  over-the-counter  market  quotations  reflect  inter-dealer  prices, 
without  retail  mark-up,  mark-down  or  commission  and  may  not  necessarily  represent  actual  transactions. 
The per share prices reflect a 1-for-30 reverse stock split effected on June 13, 2017. 

25 

  
   
  
  
  
  
  
  
  
  
  
  
  
Quarter Ended March 31, 2018 
First Quarter 
Year Ended December 31, 2017 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 
Year Ended December 31, 2016 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

   High 

Low 

  $ 

  $ 
  $ 
  $ 
  $ 

  $ 
  $ 
  $ 
  $ 

1.30     $ 

0.48   

33.60     $ 
16.86     $ 
20.10     $ 
2.23     $ 

32.41     $ 
21.92     $ 
17.36     $ 
11.04     $ 

7.80   
4.90   
1.80   
1.08   

16.20   
15.00   
8.37   
4.75   

Performance  Graph.    We  are  a  smaller  reporting  company,  as  defined  by  Rule  12b-2  of  the 

Exchange Act, and are not required to provide the information required under this item. 

Holders.    At  March  31,  2018,  there  were  19,668,572  shares  of  our  common  stock  outstanding 

and approximately 81 holders of record. 

Dividends.   No cash dividends have been paid on our common stock. We expect that any income 
received from operations will be devoted to our future operations and growth. We do not expect to pay cash 
dividends  on  our  common  stock  in  the  near  future. Payment  of  dividends  would  depend  upon  our 
profitability at the time, cash available for those dividends, and other factors as our board of directors may 
consider relevant. If we do not pay dividends, our common stock may be less valuable because a return on 
an  investor’s  investment  will  only  occur  if  our  stock  price  appreciates. Investors  in  our  common  stock 
should not rely on an investment in our company if they require dividend income. 

Issuer  Purchases  of  Equity  Securities.   We  made  no  purchases  of  our  common  stock  during  the 

year ended December 31, 2017. Therefore, tabular disclosure is not presented. 

Item 6. Selected Financial Data 

We are a smaller reporting company, as defined by Rule 12b-2 of the Securities Exchange Act of 

1934, as amended, and are not required to provide the information required under this item. 

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations 

Forward-Looking Information 

This  Annual  Report  on  Form  10-K,  including  this  Management’s  Discussion and  Analysis, 
contains  forward-looking  statements.  These  statements  are  based  on  management’s  current  views, 
assumptions  or  beliefs  of  future  events  and  financial  performance  and  are  subject  to  uncertainty  and 
changes in circumstances. Readers of this report should understand that these statements are not guarantees 
of  performance  or  results.  Many  factors  could  affect  our  actual  financial  results  and  cause  them  to  vary 
materially from the expectations contained in the forward-looking statements. These factors include, among 
other  things:  our  expected  revenue,  income  (loss),  receivables,  operating  expenses,  supplier  pricing, 
availability  and  prices  of  raw  materials,  insurance  reimbursements,  product  pricing,  sources  of  funding 
operations  and  acquisitions,  our  ability  to  raise  funds,  sufficiency  of  available  liquidity,  future  interest 
costs,  future  economic  circumstances,  business  strategy,  industry  conditions,  our  ability  to  execute  our 
operating  plans,  the  success  of  our  cost  savings  initiatives,  competitive  environment  and  related  market 
conditions, expected financial and other benefits from our organizational restructuring activities, actions of 

  
   
  
    
  
    
        
    
    
        
    
    
        
    
  
  
  
  
  
  
  
  
  
governments  and  regulatory  factors  affecting  our  business,  retaining  key  employees  and  other  risks  as 
described  in  our  reports  filed  with  the  Securities  and  Exchange  Commission.  In  some  cases  these 
statements are identifiable through the use of words such as “anticipate,” “believe,” “estimate,” “expect,” 
“intend,”  “plan,”  “project,”  “target,”  “can,”  “could,”  “may,”  “should,”  “will,”  “would”  or  the  negative 
versions of these terms and other similar expressions. 

26 

  
  
  
You are cautioned not to place undue reliance on these forward-looking statements. The forward-
looking  statements  we  make  are  not  guarantees  of  future  performance  and  are  subject  to  various 
assumptions, risks and other factors that could cause actual results to differ materially from those suggested 
by  these  forward-looking  statements.  Actual  results  may  differ  materially  from  those  suggested  by  the 
forward-looking statements that we make for a number of reasons, including those described in Part I, Item 
1A, “Risk Factors,” of this Annual Report on Form 10-K. 

We expressly disclaim any obligation to update or revise any forward-looking statements, whether 

as a result of new information, future events or otherwise, except as required by law. 

Merger 

On  June 29,  2017,  or  the  “Closing  Date”,  the  Company  (then  known  as  Transgenomic,  Inc.,  or 
Transgenomic),  completed  a  reverse  merger,  or  the  Merger,  with  Precipio  Diagnostics,  LLC,  a  privately 
held  Delaware  limited  liability  company,  or  Precipio  Diagnostics,  in  accordance  with  the  terms  of  the 
Agreement  and  Plan  of  Merger,  or  the  Merger  Agreement,  dated  October 12,  2016,  as  amended  on 
February 2, 2017 and June 29, 2017, by and among Transgenomic, Precipio Diagnostics and New Haven 
Labs Inc., or Merger Sub, a wholly-owned subsidiary of Transgenomic. Pursuant to the Merger Agreement, 
Merger Sub merged with and into Precipio Diagnostics, with Precipio Diagnostics surviving the Merger as 
a wholly-owned subsidiary of the merged company. In connection with the Merger, the Company changed 
its name from Transgenomic, Inc. to Precipio, Inc. and effected a 1-for-30 reverse stock split of its common 
stock.  Upon  the  consummation  of  the  Merger,  the  historical  financial  statements  of  Precipio  Diagnostics 
become  the  Company's  historical  financial  statements.  Accordingly,  the  historical  financial  statements  of 
Precipio Diagnostics are included in the comparative prior periods. 

Overview 

Precipio,  Inc.,  and  Subsidiary,  (“we”,  “us”,  “our”,  the  “Company”  or  “Precipio”)  is  a  cancer 
diagnostics company providing diagnostic products and services to the oncology market. We have built and 
continue  to  develop  a  platform  designed  to  eradicate  the  problem  of  misdiagnosis  by  harnessing  the 
intellect, expertise and technology developed within academic institutions and delivering quality diagnostic 
information to physicians and their patients worldwide. We operate a cancer diagnostic laboratory located 
in New Haven, Connecticut and have partnered with the Yale School of Medicine to capture the expertise, 
experience and technologies developed within academia so that we can provide a better standard of cancer 
diagnostics  and  solve  the  growing  problem  of  cancer  misdiagnosis.  We  also  operate  a  research  and 
development facility in Omaha, Nebraska which will focus on further development of ICE-COLD-PCR, or 
ICP,  the  patented  technology  which  was  exclusively  licensed  by  us  from  Dana-Farber  Cancer  Institute, 
Inc.,  or  Dana-Farber,  at  Harvard  University.  The  research  and  development  center  will  focus  on  the 
development  of  this  technology,  which  we  believe  will  enable  us  to  commercialize  other  technologies 
developed  by  our  current  and  future  academic  partners.  Our  platform  connects  patients,  physicians  and 
diagnostic  experts  residing  within  academic  institutions.  Launched  in  2017,  the  platform  facilitates  the 
following relationships: 

• 

• 

Patients:  patients  may  search  for  physicians  in  their  area  and  consult  directly  with  academic 
experts  that  are  on  the  platform.  Patients  may  also  have  access  to  new  academic  discoveries  as 
they become commercially available. 

Physicians: physicians can connect with academic experts to seek consultations on behalf of their 
patients and may also provide consultations for patients in their area seeking medical expertise in 
that physician’s relevant specialty. Physicians will also have access to new diagnostic solutions to 
help improve diagnostic accuracy. 

  
   
  
  
  
  
  
  
 
  
 
  
•  Academic Experts: academic experts on the platform can make themselves available for patients 
or  physicians  seeking  access  to  their  expertise.  Additionally,  these  experts  have  a  platform 
available to commercialize their research discoveries. 

27 

 
  
  
  
We intend to continue updating our platform to allow for patient-to-patient communications and 
allow individuals to share stories and provide support for one another, to allow physicians to consult with 
their  peers  to  discuss  and  share  challenges  and  solutions,  and  to  allow  academic  experts  to  interact  with 
others in academia on the platform to discuss their research and cross-collaborate. 

ICP  was  developed  at  Harvard  and  is  licensed  exclusively  by  us  from  Dana-Farber.  The 
technology enables the detection of genetic mutations in liquid biopsies, such as blood samples. The field 
of  liquid  biopsies  is  a  rapidly  growing  market,  aimed  at  solving  the  challenge  of  obtaining  genetic 
information on disease progression and changes from sources other than a tumor biopsy. 

Gene sequencing is performed on tissue biopsies taken surgically from the tumor site in order to 
identify potential therapies that will be more effective in treating the patient. There are several limitations 
to this process. First, surgical procedures have several limitations, including: 

•  Cost:  surgical  procedures  are  usually  performed  in  a  costly  hospital  environment.  For  example, 
according  to  a  recent  study  the  mean  cost  of  lung  biopsies  is  greater  than  $14,000;  surgery  also 
involves hospitalization and recovery time. 

• 

Surgical access: various tumor sites are not always accessible (e.g. brain tumors), in which cases 
no biopsy is available for diagnosis. 

•  Risk: patient health may not permit undergoing an invasive surgery; therefore a biopsy cannot be 

obtained at all. 

• 

Time: the process of scheduling and coordinating a surgical procedure often takes time, delaying 
the start of patient treatment. 

Second,  there  are  several  tumor-related  limitations  that  provide  a  challenge  to  obtaining  such 
genetic information from a tumor: 

• 

Tumors are heterogeneous by nature: a tissue sample from one area of the tumor may not properly 
represent the tumor’s entire genetic composition; thus, the diagnostic results from a tumor may be 
incomplete and non-representative. 

•  Metastases:  in  order  to  accurately  test  a  patient  with  metastatic  disease,  ideally  an  individual 
biopsy sample should be taken from each site (if those sites are even known). These biopsies are 
very difficult to obtain; therefore physicians often rely on biopsies taken from the primary tumor 
site. 

The advent of technologies enabling liquid biopsies as an alternative to tumor biopsy and analysis 
is  based  on  the  fact  that  tumors  (both  primary  and  metastatic)  shed  cells  and  fragments  of  DNA  into  the 
blood  stream.  These  blood  samples  are  called  “liquid  biopsies”  that  contain  circulating  tumor  DNA,  or 
ctDNA, which hold the same genetic information found in the tumor(s). That tumor DNA is the target of 
genetic analysis. However, since the quantity of tumor DNA is very small in proportion to the “normal” (or 
“healthy”) DNA within the blood stream, there is a need to identify and separate the tumor DNA from the 
normal DNA. 

ICP  is  an  enrichment  technology  that  enables  the  laboratory  to  focus  its  analysis  on  the  tumor 
DNA by enriching, and thereby “multiplying” the presence of, tumor DNA, while maintaining the normal 
DNA  at  its  same  level.  Once  the  enrichment  process  has  been  completed,  the  laboratory  genetic  testing 
equipment  is  able  to  identify  genetic  abnormalities  presented  in  the  ctDNA,  and  an  analysis  can  be 
conducted  at  a  higher  level  of  sensitivity,  to  enable  the  detection  of  such  genetic  abnormalities.  The 

  
  
  
  
  
 
  
 
  
 
  
 
  
  
 
  
 
  
  
technology  is  encapsulated  into  a  chemical  that  is  provided  in  the  form  of  a  kit  and  sold  to  other 
laboratories who wish to conduct these tests in-house. The chemical within the kit is added to the specimen 
preparation process, enriching the sample for the tumor DNA so that the analysis will detect those genetic 
abnormalities. 

The following discussion should be read together with our financial statements and related notes 
contained  in  this  Annual  Report.  Results  for  the  year  ended  December  31,  2017  are  not  necessarily 
indicative of results that may be attained in the future. 

28 

  
  
  
  
Recent Developments 

During  the  first  quarter  of  2018,  we  continued  to  further  demonstrate  the  power  of  our  value 
proposition. In a study conducted with Yale, preliminary results showed a 4-fold superiority in arriving at 
accurate  diagnostic  results,  compared  with  the  diagnoses  conducted  by  outside  pathology  laboratories. 
Additionally,  we  partnered  with  the  molecular  laboratory  at  the  University  of  Pennsylvania  to  conduct  a 
parallel  study  to  demonstrate  the  efficacy  of  IV-Cell,  a  proprietary  reagent  developed  and  patented  by 
Precipio. 

As  part  of  our  ongoing  work  to  further  develop  our  product  line,  we  launched  several  new 
products and product-improvements related to our proprietary liquid biopsy technology, ICE-COLD PCR 
(ICP). Among them, we launched our first lung cancer treatment resistance panel, both as a kit, and in our 
laboratory. Additionally, we integrated a unique technology called High-Resolution Melt (HRM) into our 
ICP kits, enabling a quick and cost-effective screen for the presence of mutations. HRM-enabled ICP kits 
further improve ICP’s value proposition by both rapidly improving the potential turnaround time for testing 
results, as well as substantially reducing the costs of testing. 

These  efforts  drove  further  expansion  on  the  commercial  side  of  the  business.  During  the  first 
quarter  we  established  distribution  partnerships  with  key  local  players  in  the  Japanese,  Brazilian,  and 
Indian markets. We believe these markets provide a tremendous opportunity for Precipio to expand into the 
international  markets  where  many  patients  pay  out-of-pocket  for  their  healthcare  costs,  thus  rendering  an 
effective,  low-cost  technology  for  the  monitoring  of  the  tumor  genetics.  Additionally,  we  hired  an 
experienced VP of Sales to lead the domestic pathology sales team, and over the next several quarters we 
plan to double our sales force to expand into other regions in the US. 

From a corporate and financial perspective, this quarter saw us settle our final outstanding creditor 
claims  that  carried  over  from  the  Transgenomic  merger  in  mid-2017.  We  settled  our  claims  with  Crede 
Capital, which joins other creditors who will be receiving payments over time, to enable us to manage cash 
outlays while growing our business. 

On  March  26,  2018,  we  received  written  notice  (or  the  Notice)  from  The  Nasdaq  Stock  Market 
LLC (or the Nasdaq) indicating that we are not in compliance with the minimum bid price requirement for 
continued listing on the Nasdaq Capital Market. The Notice has no immediate effect on the listing of our 
common  stock,  and  our  common  stock  will  continue  to  trade  on  the  Nasdaq  Capital  Market  under  the 
symbol “PRPO” at this time.  In accordance with Nasdaq Listing rules, we have a period of 180 calendar 
days, or until September 24, 2018 to regain compliance. To regain compliance, the closing bid price of our 
common stock must meet or exceed $1.00 per share for at least ten consecutive business days during this 
180 calendar day period.   (See Note 15 - Subsequent Events for additional information.) 

Going Concern 

The  consolidated  financial  statements  have  been  prepared  using  accounting  principles  generally 
accepted in the United States of America (“GAAP”) applicable for a going concern, which assume that the 
Company  will  realize  its  assets  and  discharge  its  liabilities  in  the  ordinary  course  of  business.  The 
Company has incurred substantial operating losses and has used cash in its operating activities for the past 
several years. As of December 31, 2017, the Company had a net loss of $20.7 million, negative working 
capital of $8.3 million and net cash used in operating activities of $6.7 million. The Company’s ability to 
continue  as  a  going  concern  is  dependent  upon  a  combination  of  achieving  its  business  plan,  including 
generating  additional  revenue,  and  raising  additional  financing  to  meet  its  debt  obligations  and  paying 
liabilities arising from normal business operations when they come due. 

  
   
  
  
  
  
  
  
  
  
To meet its current and future obligations the Company has taken the following steps to capitalize 

the business and successfully achieve its business plan: 

•  On  January  8,  2018,  the  Company  received  gross  proceeds  of  $400,000  when  it  entered  into  an 
agreement with the Connecticut Department of Economic and Community Development by which 
the  Company  received  a  grant  of  $100,000  and  a  loan  of  $300,000  with  a  payment  term  of  ten 
years. 

29 

  
 
  
  
  
•  On February 8, 2018 the Company entered into an equity purchase agreement for the purchase of 
up to $8,000,000 of shares of the Company’s common stock from time to time, at the Company’s 
option. The initial sale of 721,153 shares of the Company’s common stock resulted in net proceeds 
to the Company of approximately $709,000. 

•  On February 20, 2018 Crede Capital Group LLC (“Crede”) filed a lawsuit against the Company 
claiming  that  the  Company  owed  Crede  $2.2  million.  On  March  12,  2018,  the  Company  settled 
with Crede for approximately $1.9 million and the settlement allows the Company to pay the $1.9 
million over a sixteen month payment plan concluding in May 2019. 

•  On March 21, 2018, the Company entered into an agreement with investors of Series B and Series 
C Preferred shares and warrants to convert their respective holdings into shares of the Company’s 
common  stock.   Pursuant  to  the  agreement,  to  incent  such  investors,  the  Company  agreed  to  a 
conversion  price  for  such  preferred  stock  and  an  exercise  price  of  $0.75  per  share  of  common 
stock  for  such  warrants  and  each  investor  agreed  to  convert  its  outstanding  shares  and  exercise 
certain  amounts  of  warrants.  As  a  result  of  this  initiative  the  Company  has  substantially 
restructured its equity structure, eliminating all but 47 shares of preferred stock and has removed a 
significant impediment for the Company to grow its business, and as necessary, continue to raise 
capital  with  more  attractive  terms.  As  of  April  13,  2018,  these  transactions  have  resulted  in  net 
cash proceeds to the Company of $0.2 million. 

Notwithstanding  the  aforementioned  circumstances,  there  remains  substantial  doubt  about  the 
Company’s ability to continue as a going concern. There can be no assurance that the Company will be able 
to  successfully  achieve  its  initiatives  summarized  above  in  order  to  continue  as  a  going  concern.  The 
accompanying  financial  statements  have  been  prepared  assuming  the  Company  will  continue  as  a  going 
concern and do not include any adjustments that might result should the Company be unable to continue as 
a going concern as a result of the outcome of this uncertainty. 

Results of Operations for the Years Ended December 31, 2017 and 2016 

Net Sales. Net sales were as follows: 

Service revenue, net 
Clinical research grants 
Other 
Net Sales 

Dollars in Thousands 

   Twelve Months Ended     
December 31, 

Change 

2017 

2016 

$ 

     % 

  $ 

1,392     $ 
278       
53       
1,723       

1,723     $ 
—       
—       
1,723       

(331 )     
278       
53       
—       

(19 %) 
—   
—   
—   

Net sales were flat for the year ended December 31, 2017 as compared to the same period in 2016. 
As  a  result  of  the  Merger,  clinical  research  grants  and  other  revenue  increased  by  approximately  $0.3 
million in 2017 as compared to 2016. Clinical research grants are federal or state grants awarded to us to 
fund  salaries,  fringe  benefits,  and  the  purchase  of  supplies  and  equipment  for  specific  research  and 
development projects. This increase was off-set by a decrease in net service revenue. Net service revenue 
decreased  as  a  result  of  a  decrease  in  patient  diagnostic  service  revenue  due  to  a  decrease  in  cases 
processed  during  the  year  ended  December  31,  2017  as  compared  to  the  same  period  in  2016.  We 
processed 788 cases during the year ended December 31, 2017 as compared to 1,221 cases during the same 
period in 2016, or a 35% decrease in cases. The decrease in volume is the result of turnover of key sales 
personnel.  The  decrease  in  patient  diagnostic  service  revenues  was  partially  off-set  by  an  increase  in 
contract diagnostic service revenue resulting from the Merger. 

  
   
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
    
  
  
  
    
    
  
    
    
    
  
  
Cost of Sales. Cost of sales includes material and supply costs for the patient tests performed and 
other direct costs (primarily personnel costs and rent) associated with the operations of our laboratory and 
the  costs  of  projects  related  to  clinical  research  grants  (personnel  costs  and  operating  supplies).  Cost  of 
sales increased by $0.4 million for the year ended December 31, 2017 as compared to the same period in 
2016.  The  increase  is  due  to  increased  expenses  as  a  result  of  the  Merger  in  2017  and  increased 
professional fees involved with the processing of patient tests during the year ended December 31, 2017. 

30 

  
  
  
Gross Profit. Gross profit and gross margins were as follows: 

Gross Profit 

Dollars in Thousands 

   Twelve Months Ended     
December 31, 

Margin % 

2017 

2016 

2017 

2016 

  $ 

292     $ 

753       

17 %     

44 % 

Gross margin was 17% of total net sales, for the year ended December 31, 2017, compared to 44% 
of total net sales for the same period in 2016. The gross profit decreased by $0.5 million during the year 
ended  December  31,  2017  as  compared  to  the  same  period  in  2016  and  was  due  to  the  increased  cost  of 
diagnostic services discussed above. 

Operating  Expenses.  Operating  expenses  primarily  consist  of  personnel  costs,  professional  fees, 
travel  costs,  facility  costs  and  depreciation  and  amortization.  Our  operating  expenses  increased  by  $13.3 
million  to  $15.8  million  for  the  year  ended  December 31,  2017  as  compared  to  the  same  period  in  2016. 
The  increase  in  operating  expenses  reflects  the  increase  in  professional  fees  attributed  to  legal  expenses 
related to the Merger and increased compensation and other costs associated with the increased headcount 
and  additional  facility  resulting  from  the  Merger.  Additional  increases  in  our  general  and  administrative 
expenses  resulted  from  increased  amortization  related  to  acquired  intangibles  from  the  Merger  and 
expenses related to operating as a public company which did not exist in 2016. The increase during the year 
ended  December  31,  2017  also  included  a  $9.3  million  impairment  of  goodwill  charge  resulting  from 
impairment testing of goodwill during 2017. 

Other Income (Expense). Other expense for the year ended December 31, 2017 and 2016 includes 
interest  expense  of  approximately  $2.3  million  and  $0.5  million,  respectively.  The  increase  in  interest 
expense  in  the  current  year  is  due  to  $1.9  million  of  debt  discounts  and  debt  issuance  costs  that  were 
amortized  to  interest  expense  during  2017  related  to  our  convertible  bridge  notes  which  were  paid  or 
converted to common stock during the third quarter. 

Also included in other income (expense) for the year ended December 31, 2017 are the following 

items, each of which had no related income or expense for the year ended December 31, 2016: 

•  Expense  of  $0.2  million  associated  with  the  change  in  fair  value  of  the  common  stock 

warrant liability, 

•  Expense  of  $1.4  million  in  losses  on  extinguishment  of  debt  and  induced  conversion  of 
convertible bridge notes primarily related to the conversion and payment of our convertible 
bridge notes during the third quarter 2017, 

• 

Income of $2.1 million in net gain on settlement and restructuring of liability which includes 
$0.9 million in gains on settlements of certain vendor liabilities and a gain of $1.2 million 
from troubled debt restructurings, 

•  Expense  of  $0.6  million  which  resulted  from  recording  a  loss  on  settlement  of  equity 

instruments, and 

•  Expense of $2.7 million for advisory fees related to the Merger. 

Liquidity and Capital Resources 

  
   
  
  
  
  
  
  
  
  
  
    
  
  
  
    
    
     
  
   
  
  
  
  
 
  
 
  
 
  
 
  
 
  
  
The  consolidated  financial  statements  have  been  prepared  using  accounting  principles  generally 
accepted in the United States of America (“GAAP”) applicable for a going concern, which assume that we 
will  realize  our  assets  and  discharge  our  liabilities  in  the  ordinary  course  of  business.  We  have  incurred 
substantial operating losses and have used cash in our operating activities for the past several years. For the 
year  ended  December  31,  2017,  we  had  a  net  loss  of  $20.7  million  and  negative  working  capital  of  $8.3 
million.  Our  ability  to  continue  as  a  going  concern  is  dependent  upon  a  combination  of  achieving  our 
business  plan,  including  generating  additional  revenue,  and  raising  additional  financing  to  meet  our  debt 
obligations and paying liabilities arising from normal business operations when they come due. 

To  meet  our  current  and  future  obligations  we  have  taken  the  following  steps  to  capitalize  the 

business and successfully achieve our business plan: 

•  On January 8, 2018, the Company received gross proceeds of $400,000 when it entered into 
an agreement with the Connecticut Department of Economic and Community Development 
by which the Company received a grant of $100,000 and a loan of $300,000 with a payment 
term of ten years. 

•  On  February  8,  2018  the  Company  entered  into  an  equity  purchase  agreement  for  the 
purchase of up to $8,000,000 of shares of the Company’s common stock from time to time, 
at the Company’s option. The initial sale of 721,153 shares of the Company’s common stock 
resulted in net proceeds to the Company of approximately $709,000. 

31 

  
 
 
  
  
  
•  On  March  12,  2018,  the  Company  settled  an  outstanding  liability  of  approximately  $1.9 
million  with  Crede  Capital  Group  LLC  (“Crede”).  The  settlement  allows  the  Company  to 
pay the $1.9 million over an agreed to sixteen month payment plan concluding in May 2019. 
•  On March 21, 2018, the Company entered into an agreement with investors of Series B and 
Series C Preferred shares and warrants to convert their respective holdings into shares of the 
Company’s  common  stock.   Pursuant  to  the  agreement,  to  incent  such  investors,  the 
Company  agreed  to  a  conversion  price  for  such  preferred  stock  and  an  exercise  price  of 
$0.75 per share of common stock for such warrants and each investor agreed to convert its 
outstanding shares and exercise certain amounts of warrants.  As a result of this initiative the 
Company has substantially restructured its equity structure, eliminating all but 47 shares of 
preferred  stock  and  has  removed  a  significant  impediment  for  the  Company  to  grow  its 
business, and as necessary, continue to raise capital with more attractive terms.  As of April 
13,  2018,  these  transactions  have  resulted  in  net  cash  proceeds  to  the  Company  of  $0.2 
million. 

Our working capital positions at December 31, 2017 and 2016 were as follows: 

Dollars in Thousands 
2016 

     Change 

2017 

Current assets (including cash of $421 and $51, respectively) 
Current liabilities 
Working capital 

  $ 

  $ 

1,742     $ 
10,036       
(8,294 )   $ 

552     $ 
3,012       
(2,460 )   $ 

1,190   
7,024   
(5,834 ) 

We  completed  the  Merger  on  June  29,  2017  and  in  connection  with  the  Merger  we  raised 
approximately  $1.2  million  in  gross  proceeds.  During  the  third  quarter  we  completed  an  underwritten 
public  offering  with  net  proceeds  of  approximately  $5.0  million  and  during  the  fourth  quarter  we  raised 
additional funds from the sale of our Series C Preferred Stock and warrants to purchase our common stock. 
Net  proceeds  from  this  offering  were  approximately  $2.4  million.  These  proceeds  were  used  to  fund  our 
operating  expenses  and  for  payments  on  our  debt  and  other  liabilities.  Also,  during  the  fourth  quarter  of 
2017,  we  entered  into  Settlement  Agreements  with  certain  Creditors  pursuant  to  which  we  reduced  our 
liabilities by $1.2 million, we restructured the payment schedule of approximately $3.2 million in liabilities 
so that they will be paid over a forty-eight month period with equal monthly installments beginning in July 
2018, and we reached agreements whereby $1.9 million of liabilities will be canceled in February 2018 in 
exchange for 1,814,754 shares of the Company’s common stock. 

Notwithstanding  the  aforementioned  circumstances,  there  remains  substantial  doubt  about  our 
ability  to  continue  as  a  going  concern.  There  can  be  no  assurance  that  we  will  be  able  to  successfully 
achieve  our  initiatives  summarized  above  in  order  to  continue  as  a  going  concern.  The  accompanying 
financial statements have been prepared assuming we will continue as a going concern and do not include 
any  adjustments  that  might  result  should  we  be  unable  to  continue  as  a  going  concern  as  a  result  of  the 
outcome of this uncertainty. 

Analysis of Cash Flows - Years Ended December 31, 2017 and 2016 

Net Change in Cash. Cash increased by $0.4 million during the year ended December 30, 2017, 

compared to a decrease of $0.2 million during the year ended December 31, 2016. 

32 

  
   
 
 
  
  
  
  
  
  
  
    
  
    
  
  
  
  
  
  
  
Cash  Flows  Used  in  Operating  Activities.  The  cash  flows  used  in  operating  activities  of  $6.7 
million  during  the  year  ended  December 31,  2017  included  a  net  loss  of  $20.7  million,  a  decrease  in 
accounts  payable  and  accrued  expenses  and  other  liabilities  of  $0.5  million,  an  increase  in  accounts 
receivable of $0.5 million and an increase in other assets of $0.1 million. These were partially offset non-
cash adjustments of $15.1 million. The cash flows used in operating activities in the year ended December 
31, 2016 included the net loss of $2.2 million and an increase in accounts receivable of $0.3 million. These 
were  partially  offset  by  an  increase  in  accounts  payable,  accrued  expenses  and  other  liabilities  of  $1.0 
million and non-cash adjustments of $0.6 million. 

Cash  Flows  Used  In  Investing  Activities.  Cash  flows  used  in  investing  activities  were  less  than 
$0.1 million and zero for the years ended December 31, 2017 and 2016, respectively. The cash used of less 
than $0.1 million for the year ended December 31, 2017 included purchases of property and equipment of 
$0.1 million partially offset by cash acquired as part of the Merger. 

Cash Flows Provided by Financing Activities. Cash flows provided by financing activities totaled 
$7.1  million  for  the  year  ended  December  31,  2017,  which  included  proceeds  of  $0.3  million  from  the 
issuance of senior notes, approximately $1.3 million from the issuance of convertible notes, less than $0.1 
million from the exercise of warrants and $7.8 million from the issuance of preferred stock. These proceeds 
were  partially  offset  by  payments  on  our  long-term  debt  of  $0.8  million,  payments  on  our  convertible 
bridge notes of $1.5 million, and payments of capital lease obligations and deferred financing costs of $0.1 
million.  Cash  flows  provided  by  financing  activities  during  the  year  ended  December  31,  2016  included 
proceeds  of  $1.0  million  from  the  issuance  of  convertible  notes  and  other  debt  partially  offset  by  $0.2 
million of payments on our debt, capital lease obligations and for deferred financing costs. 

Off-Balance Sheet Arrangements 

At  each  of  December 31,  2017  and  December 31,  2016,  we  did  not  have  any  off-balance  sheet 
arrangements that have or are reasonably likely to have a current or future effect on our financial condition, 
changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or 
capital resources. 

Contractual Obligations and Commitments 

At December 31, 2017, our contractual obligations and other commitments were as follows: 

Long term debt(1) 
Interest(1) 
Capital lease obligations(2) 
Operating lease obligations(3)      
Purchase obligations(4) 

   2018       2019       2020       2021       2022       Total    
404     $  3,416   
808     $ 
  $ 
21   
3       
163   
33       
817   
203       
664   
138       
431     $  5,081   

23       
208       
99       
  $  1,051     $  1,275     $  1,185     $  1,139     $ 

1        —       
4       
13       
10       

587     $ 
10       
50       
195       
209       

809     $ 
7       
53       
198       
208       

808     $ 

(1) See Note 6 - "Long-Term Debt" to our accompanying consolidated financial statements. 
(2)  See  Note  9  -  "Commitments  and  Contingencies"  to  our  accompanying  consolidated  financial 
statements. 
(3) These amounts represent non-cancellable operating leases for operating facilities 
(4) These amounts represent purchase commitments, including all open purchase orders 

We  have  entered  into  certain  operating  leases  and  purchase  commitments  as  part  of  our  normal 
course  of  business.  See  the  accompanying  consolidated  financial  statements  and  Note  9  -  “Commitments 

  
   
  
  
  
  
  
  
  
  
    
    
    
  
  
  
and Contingencies” in the Notes to consolidated financial statements for additional information regarding 
our contractual obligations and commitments. 

33 

  
  
  
Critical Accounting Policies and Estimates 

The  following  discussion  and  analysis  of  financial  condition  and  results  of  operations  are  based 
upon  the  Company’s  consolidated  financial  statements,  which  have  been  prepared  in  conformity  with 
accounting  principles  generally  accepted  in  the  United  States  of  America.  The  Company’s  significant 
accounting policies are more fully described in Note 2 of the notes to Consolidated Financial Statements. 
Certain  accounting  estimates  are  particularly  important  to  the  understanding  of  the  Company’s  financial 
position  and  results  of  operations  and  require  the  application  of  significant  judgment  by  the  Company’s 
management  and  can  be  materially  affected  by  changes  from  period  to  period  in  economic  factors  or 
conditions that are outside the control of management. The Company’s management uses its judgment to 
determine the appropriate assumptions to be used in the determination of certain estimates. Those estimates 
are  based  on  historical  operations,  future  business  plans  and  projected  financial  results,  the  terms  of 
existing  contracts,  the  observance  of  trends  in  the  industry,  information  provided  by  customers  and 
information available from other outside sources, as appropriate. The following discusses the Company’s 
critical accounting policies and estimates: 

Revenue Recognition 

Revenues  for  the  year  ended  December  31,  2017  are  comprised  of  service  revenues  from 
diagnostic  testing;  clinical  research  grants  from  state  and  federal  research  programs;  and  other  revenues 
from the Company’s ICP technology and bio-pharma projects encompassing genetic diagnostics. 

Service  revenues  are  comprised  of  patient  diagnostic  services  for  cancer  as  well  as  contract 
diagnostic  services  for  pharmacogenomics  trials.  Service  revenue  is  recognized  upon  completion  of  the 
testing process and when the diagnostic result is delivered to the ordering physician and/or customer. Net 
patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors 
and  others  for  services  rendered,  including  retroactive  adjustment  under  reimbursement  agreements  with 
third-party  payors.  Revenue  under  third-party  payor  agreements  is  subject  to  audit  and  retroactive 
adjustment.  Provisions  for  third-party  payor  settlements  are  provided  in  the  period  in  which  the  related 
services are rendered and adjusted in the future periods, as final settlements are determined. 

Revenue  from  clinical  research  grant  is  recognized  over  time  as  the  service  is  being 
performed using  a  proportional  performance  method.  The  Company  uses  an  "efforts  based"  method  of 
assessing performance. If the arrangement requires the performance of a specified number of similar acts 
(i.e. test), then revenue is recognized in equal amounts as each act is completed.  

Other  revenues  are  comprised  of  the  Company’s  ICP  technology  kits  sales  to  bio-pharma 

customers and contracted project based technology evaluations. 

For  the  year  ended  December  31,  2017,  Service  revenue  represented  81%  of  our  consolidated 
revenues,  the  revenue  attributable  to  clinical  grants  represented  16%  and  other  revenues  represented  3%. 
For the year ended December 31, 2016, Service revenue represented 100% of our consolidated revenues. 

Allowance for Contractual Discounts 

We  are  reimbursed  by  payors  for  services  we  provide.  Payments  for  services  covered  by  payors 
average  less  than  billed  charges.  We  monitor  revenue  and  receivables  from  payors  record  an  estimated 
contractual  allowance  for  certain  revenue  and  receivable  balances  as  of  the  revenue  recognition  date  to 
properly account for anticipated differences between amounts estimated in our billing system and amounts 
ultimately reimbursed by payors. Accordingly, the total revenue and receivables reported in our financial 
statements are recorded at the amounts expected to be received from these payors. For service revenue, the 
contractual  allowance  is  estimated  based  on  several  criteria,  including  unbilled  claims,  historical  trends 

  
   
  
  
  
  
  
  
  
  
  
based on actual claims paid, current contract and reimbursement terms and changes in customer base and 
payor/product mix. The billing functions for the remaining portion of our revenue are contracted and fixed 
fees for specific services and are recorded without an allowance for contractual discounts. 

Allowance for Doubtful Accounts 

The allowance for doubtful accounts is based on estimates of losses related to receivable balances. 
The  risk  of  collection  varies  based  upon  the  service,  the  payor  (commercial  health  insurance  and 
government)  and  the  patient’s  ability  to  pay  the  amounts  not  reimbursed  by  the  payor.  We  estimate  the 
allowance  for  doubtful  accounts  based  upon  several  factors  including  the  age  of  the  outstanding 
receivables, the historical experience of collections, adjusting for current economic conditions and, in some 
cases, evaluating specific customer accounts  for the ability to pay. Collection agencies are employed and 
legal  action  is  taken  when  we  determine  that  taking  collection  actions  is  reasonable  relative  to  the 
probability  of  receiving  payment  on  amounts  owed.  Management  judgment  is  used  to  assess  the 
collectability of accounts and the ability of our customers to pay. Judgment is also used to assess trends in 
collections and the effects of systems and business process changes on our expected collection rates. We 
review  the  estimation  process  quarterly  and  make  changes  to  the  estimates  as  necessary.  When  it  is 
determined  that  a  customer  account  is  uncollectible,  that  balance  is  written  off  against  the  existing 
allowance. 

34 

  
  
  
  
  
Accounts Receivable 

Accounts  Receivable  results  from  diagnostic  services  provided  to  self-pay  and  insured  patients, 
project  based  testing  services  and  clinical  research.   The  services  provide  by  the  Company  are  generally 
due within 30 days from the invoice date.  Accounts receivable are reduced by an allowance for doubtful 
accounts.  In  evaluating  the  collectability  of  accounts  receivable,  the  Company  analyzes  and  identifies 
trends for each of its sources of revenue to estimate the appropriate allowance for doubtful accounts. For 
receivables  associated  with  self-pay  patients,  including  patients  with  insurance  and  a  deductible  and 
copayment, the Company records an allowance for doubtful accounts in the period of services on the basis 
of  past  experience  of  patients  unable  or  unwilling  to  pay  for  service  fee  for  which  they  are  financially 
responsible.  For  receivables  associated  with  services  provided  to  patients  with  third-party  coverage,  the 
Company  analyzes  contractually  due  amounts  and  provides  an  allowance,  if  necessary.  The  difference 
between  the  standard  rates  and  the  amounts  actually  collected  after  all  reasonable  collection  efforts  have 
been  exhausted  is  charged  against  the  allowance  for  doubtful  accounts.  Service  revenues  account  for  all 
reported accounts receivable as of December 31, 2017 and 2016. 

Stock-Based Compensation 

Stock-based compensation cost is measured at the grant date, based on the estimated fair value of 
the award, and is recognized as expense over the grantee’s requisite vesting period on a straight-line basis. 
For the purpose of valuing stock options granted to our employees, directors and officers, we use the Black-
Scholes option pricing model. We granted options to purchase an aggregate of 232,332 and zero shares of 
common stock during the years ended December 31, 2017 and 2016, respectively. To determine the risk-
free  interest  rate,  we  utilized  the  U.S.  Treasury  yield  curve  in  effect  at  the  time  of  the  grant  with  a  term 
consistent with the expected term of our awards. The expected term of the options granted is in accordance 
with  Staff  Accounting  Bulletins  107  and  110,  and  is  based  on  the  average  between  vesting  terms  and 
contractual terms. The expected dividend yield reflects our current and expected future policy for dividends 
on  our  common  stock.  The  expected  stock  price  volatility  for  our  stock  options  was  calculated  by 
examining the trading history for our common stock. We will continue to analyze the expected stock price 
volatility and expected term assumptions and will adjust our Black-Scholes option pricing assumptions as 
appropriate 

Impairment of Long-Lived Assets and Goodwill 

We assess the recoverability of our long-lived assets, which include property and equipment and 
definite-lived  intangible  assets,  whenever  significant  events  or  changes  in  circumstances  indicate 
impairment may have occurred. If indicators of impairment exist, projected future undiscounted cash flows 
associated  with  the  asset  are  compared  to  our  carrying  amount  to  determine  whether  the  asset’s  value  is 
recoverable. Any resulting impairment is recorded as a reduction in the carrying value of the related asset 
in excess of fair value and a charge to operating results. For the year ended December 31, 2016, there was 
no Long-Lived Assets recorded. We did not recognize any impairment charges related to long-lived assets 
for the years ending December 31, 2017 and 2016. 

Goodwill is not amortized, but is assessed for impairment on an annual basis or more frequently if 
impairment  indicators  exist.  We  have  the  option  to  perform  a  qualitative  assessment  of  goodwill  to 
determine whether it is more likely than not that the fair value of its reporting unit is less than its carrying 
amount, including goodwill and other intangible assets. If we were to conclude that this is the case, then we 
must perform a goodwill impairment test by comparing the fair value of the reporting unit to its carrying 
value.  An  impairment  charge  is  recorded  to  the  extent  the  reporting  unit’s  carrying  value  exceeds  its  fair 
value,  with  the  impairment  loss  recognized  not  to  exceed  the  total  amount  of  goodwill  allocated  to  that 
reporting unit. For the year ended December 31, 2017 goodwill impairment charges were $9.3 million. 

  
   
  
  
  
  
  
  
  
35 

  
  
Recently Issued Accounting Pronouncements 

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards 
Update  (“ASU”)  2014-09,  Revenue  from  Contracts  with  Customers  and  has  subsequently  issued 
supplemental  and/or  clarifying ASUs  (collectively  “ASC  606”).  ASC  606  outlines  a  five-step  framework 
that  intends  to  clarify  the  principles  for  recognizing  revenue  and  eliminate  industry-specific  guidance.  In 
addition,  ASC  606  revises  current  disclosure  requirements  in  an  effort  to  help  financial  statement  users 
better understand the nature, amount, timing, and uncertainty of revenue that is recognized. ASC 606 may 
be applied either retrospectively to each prior reporting period presented or use the modified retrospective 
transition method with the cumulative effect of initial adoption recognized at the date of initial application. 
Assessment  of  the  new  guidance  is  not  anticipated  to  result  in  an  opening  balance  sheet  adjustment.  The 
Company  will  adopt  the  guidance  in  ASU  2017-09  as  of  January  1,  2018  and  apply  the  modified 
retrospective approach. The Company evaluated the impact of the adoption of this new revenue recognition 
standard  utilizing  the  five-step  framework  of  ASC  606  for  all  services,  that  include  laboratory  testing 
services  provided  to  patients  and  customer  related  laboratory  service  contracts  encompassing  biomarker 
testing services and clinical projects. The Company concluded that control of the laboratory testing services 
is transferred to the customer at a point in time. As such, the Company shall continue to recognize revenue 
for laboratory testing services at a point in time based on the delivery method (web-portal access or fax) for 
patient’s  laboratory  report,  per  the  contract. The  Company  also  evaluated  customer  related  biomarker 
testing  and  clinical  project  services.  The  Company  analyzed  it’s  “effort  based”  method  of  assessing 
performance and concluded that it can reasonable measure progress towards satisfaction of the performance 
obligation based upon the delivery of results. The Company concludes an adjustment will not be required 
and  a  change  to  its  current  revenue  recognition  process  and  policy  to  adopt  the  new  standard  is  not 
necessary. 

In  February  2016,  the  FASB  issued  ASU  No.  2016-02,  Leases.  The  new  standard  amends  the 
recognition of lease assets and lease liabilities by lessees for those leases currently classified as operating 
leases  and  amends  disclosure  requirements  associated  with  leasing  arrangements.  The  new  standard  is 
effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2018. 
Early adoption is permitted. The new standard must be adopted using a modified retrospective transition, 
and provides for certain practical expedients. Transition will require application of the new guidance at the 
beginning  of  the  earliest  comparative  period  presented.  We  are  currently  assessing  the  impact  that  the 
adoption of this ASU will have on our consolidated financial statements. 

In January 2017, FASB issued ASU No. 2017-04, Intangibles — Goodwill and Other (Topic 350): 
Simplifying the Test for Goodwill Impairment, which removes Step 2 from the goodwill impairment test. It 
is effective for annual and interim periods beginning after December 15, 2019. Early adoption is permitted 
for interim or annual goodwill impairment test performed with a measurement date after January 1, 2017. 
The Company has adopted this standard and, as discussed above, performed impairment testing of goodwill 
during the year ended December 31, 2017 which resulted in the Company recording a goodwill impairment 
charge of $9.3 million. 

In  July  2017,  FASB  issued  ASU  No.  2017-11,  Earning  Per  Share  (Topic  260),  Distinguishing 
Liabilities  from  Equity  (Topic  480)  and  Derivatives  and  Hedging  (Topic  815),  which  was  issued  in  two 
parts,  Part  I,  Accounting  for  Certain  Financial  Instruments  with  Down  Round  Features  and  Part  II, 
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  ASC  No.  2017-11  addresses  the  classification  analysis  of  certain  equity-linked  financial 
instruments (or embedded features) with down round features. When determining whether certain financial 
instruments  should  be  classified  as  liabilities  or  equity  instruments,  a  down  round  feature  no  longer 
precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. 
The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, 

  
   
  
  
  
  
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. For 
freestanding  equity  classified  financial  instruments,  the  amendments  require  entities  that  present  earnings 
per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is 
triggered.  That  effect  is  treated  as  a  dividend  and  as  a  reduction  of  income  available  to  common 
shareholders  in  basic  EPS.  The  amendments  in  Part  II  of  ASU  2017-11  recharacterize  the  indefinite 
deferral of certain provisions of Topic 480 that now are presented as pending content in the codification, to 
a scope exception. Part II amendments do not have an accounting effect. The ASU 2017-11 is effective for 
annual  and  interim  periods  beginning  after  December  15,  2018,  with  early  adoption  permitted.  The 
Company has early adopted this standard as of January 1, 2017 with the only impact being that the warrants 
with down round provisions are classified within equity. 

36 

  
  
  
Impact of Inflation 

We do not believe that price inflation or deflation had a material adverse effect on our financial 

condition or results of operations during the periods presented. 

37 

  
   
  
  
  
  
Item 7A. Quantitative and Qualitative Disclosure about Market Risk 

We are a smaller reporting company, as defined by Rule 12b-2 of the Securities Exchange Act of 

1934, as amended, and are not required to provide the information required under this item. 

38 

  
   
  
  
  
  
Item 8. Financial Statements and Supplementary Data 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

To the Stockholders and Board of Directors of 
Precipio, Inc. 

Opinion on the Financial Statements 

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Precipio,  Inc.  (the  “Company”)  as  of 
December  31,  2017  and  2016,  the  related  consolidated  statements  of  operations,  stockholders’  equity 
(deficit) and cash flows for each of the two years in the period ended December 31, 2017, and the related 
notes (collectively referred to as the “financial statements”). In our opinion, the financial statements present 
fairly, in all material respects, the financial position of the Company as of December 31, 2017 and 2016, 
and the results of its operations and its cash flows for each of the two years in the period ended December 
31, 2017, in conformity with accounting principles generally accepted in the United States of America. 

Explanatory Paragraph – Going Concern 

The accompanying consolidated financial statements have been prepared assuming that the Company will 
continue  as  a  going  concern.  As  more  fully  described  in  Note  1,  the  Company  has  a  significant  working 
capital deficiency, has incurred significant losses and needs to raise additional funds to meet its obligations 
and sustain its operations. These conditions raise substantial doubt about the Company's ability to continue 
as  a  going  concern.  Management's  plans  in  regard  to  these  matters  are  also  described  in  Note  1.  The 
consolidated financial statements do not include any adjustments that might result from the outcome of this 
uncertainty. 

Basis for Opinion 

These  financial  statements  are  the  responsibility  of  the  Company's  management.  Our  responsibility  is  to 
express an opinion on the Company's 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 audits to obtain reasonable assurance about whether the financial statements are free 
of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we 
engaged  to  perform,  an  audit  of  its  internal  control  over  financial  reporting.  As  part  of  our  audits  we  are 
required to obtain an understanding of internal control over financial reporting but not for the purpose of 
expressing  an  opinion  on  the  effectiveness  of  the  Company's  internal  control  over  financial  reporting. 
Accordingly, we express no such opinion. 

39 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
Our  audits  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  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 
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 financial statements. 
We believe that our audits provide a reasonable basis for our opinion. 

/s/ Marcum LLP 

Marcum LLP 

We have served as the Company’s auditor since 2016. 

Hartford, 
April 13, 2018 

40 

CT 

  
  
  
  
  
  
  
  
  
  
PRECIPIO, INC. AND SUBSIDIARY 
CONSOLIDATED BALANCE SHEETS 
December 31, 2017 and 2016 
(Dollars in thousands, except share data) 

ASSETS 

2017 

2016 

CURRENT ASSETS: 

Cash 
Accounts receivable, net 
Inventories 
Other current assets 

Total current assets 

PROPERTY AND EQUIPMENT, NET 

OTHER ASSETS: 
Goodwill 
Intangibles, net 
Other assets 

Total assets 

LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT) 

CURRENT LIABILITIES: 

Current maturities of long-term debt 
Convertible bridge notes, less debt discounts and debt issuance costs 
Accounts payable 
Current maturities of capital leases 
Accrued expenses 
Deferred revenue 
Other current liabilities 

Total current liabilities 
LONG TERM LIABILITIES: 

Long-term debt, less current maturities and discounts 
Common stock warrant liability 
Capital leases, less current maturities 
Deferred tax liability 
Other long-term liabilities 
Total liabilities 

STOCKHOLDERS’ EQUITY (DEFICIT): 

Preferred stock - $0.01 par value, 15,000,000 and 1,294,434 shares 
authorized at December 31, 2017 and December 31, 2016, respectively, 
4,935 and 780,105 shares issued and outstanding at December 31, 2017 
and December 31, 2016, respectively 
Common stock, $0.01 par value, 150,000,000 and 1,806,850 shares 
authorized at December 31, 2017 and December 31, 2016, respectively, 
10,196,620 and 449,175 shares issued and outstanding at December 31, 
2017 and December 31, 2016, respectively 
Additional paid-in capital 
Accumulated deficit 

Total stockholders’ equity (deficit) 

  $ 

  $ 

  $ 

421     $ 
730       
161       
430       
1,742       

353       

4,685       
20,458       
22       
27,260     $ 

587     $ 
—       
5,103       
50       
1,248       
66       
2,982       
10,036       

2,829       
841       
113       
349       
67       
14,235       

51   
388   
100   
13   
552   

280   

—   
—   
10   
842   

395   
695   
1,084   
46   
700   
92   
—   
3,012   

4,127   
—   
163   
—   
—   
7,302   

—       

8   

102       
44,465       
(31,542 )     
13,025       
27,260     $ 

4   
4,376   
(10,848 ) 
(6,460 ) 
842   

  $ 

  
  
  
  
  
    
  
    
        
    
    
        
    
    
    
    
    
  
    
        
    
    
  
    
        
    
    
        
    
    
    
    
    
        
    
    
        
    
    
    
    
    
    
    
    
    
        
    
    
    
    
    
    
    
    
        
    
    
    
    
    
    
  
See notes to consolidated financial statements. 

41 

  
  
  
  
PRECIPIO, INC. AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF OPERATIONS 
For the Years Ended December 31, 2017 and 2016 
(Dollars in thousands, except per share data) 

SALES 

Service revenue, net 
Clinical research grants 
Other 
Revenue, net of contractual allowances and adjustments 
less allowance for doubtful accounts 
Net sales 
COST OF SALES 
Service revenues 
Clinical research grants 
Total cost of sales 

Gross profit 

OPERATING EXPENSES: 
Operating expenses 
Impairment of goodwill 

TOTAL OPERATING EXPENSES 
OPERATING LOSS 
OTHER INCOME (EXPENSE): 

Interest expense, net 
Warrant revaluation 
Loss on extinguishment of debt and induced conversion of convertible 
bridge notes 
Gain on settlement of liability, net 
Gain on troubled debt restructuring 
Loss on settlement of equity instruments 
Merger advisory fees 
Other, net 

LOSS BEFORE INCOME TAXES 
INCOME TAX EXPENSE 
NET LOSS 

  $ 

2017 

2016 

1,702     $ 
278       
53       
2,033       
(310 )     
1,723       

1,317       
114       
1,431       
292       

2,101   
—   
—   
2,101   
(378 ) 
1,723   

970   
—   
970   
753   

6,488       
9,315       
15,803       
(15,511 )     

2,465   
—   
2,465   
(1,712 ) 

(2,324 )     
(226 )     

(518 ) 
—   

(1,391 )     
877       
1,181       
(624 )     
(2,676 )     
—       
(5,183 )     
(20,694 )     
—       
(20,694 )     

—   
—   
—   
—   
—   
3   
(515 ) 
(2,227 ) 
—   
(2,227 ) 

DEEMED DIVIDENDS ON ISSUANCE OR EXCHANGE OF PREFERRED 
UNITS 
PREFERRED DIVIDENDS 
TOTAL DIVIDENDS 
NET LOSS AVAILABLE TO COMMON STOCKHOLDERS 

BASIC AND DILUTED LOSS PER COMMON SHARE 
BASIC AND DILUTED WEIGHTED-AVERAGE SHARES OF 
COMMON STOCK OUTSTANDING 

(12,431 )     
(84 )     
(12,515 )     
(33,209 )   $ 

(1,422 ) 
(433 ) 
(1,855 ) 
(4,082 ) 

(7.16 )   $ 

(9.44 ) 

  $ 

  $ 

     4,639,226       

432,582   

See notes to consolidated financial statements. 

  
   
  
  
  
    
  
    
        
    
    
    
    
    
    
    
        
    
    
    
    
    
    
        
    
    
    
    
    
    
        
    
    
    
    
    
    
    
    
    
  
    
    
    
    
  
    
        
    
    
    
    
  
    
        
    
  
42 

  
  
PRECIPIO, INC. AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT) 
For the Years Ended December 31, 2017 and 2016 
(Dollars in thousands) 

Preferred Stock 

Common Stock 

Balance, January 1, 2016 

Net loss 
Preferred dividends 
Deemed dividends on exchange 
of  preferred 
Exchange of preferred for notes and 
warrants 
Non-cash stock-based compensation 
and vesting of restricted units 

Balance, December 31, 2016 

Net loss 
Conversion of warrants into 
preferred stock 
Conversion of warrants into 
common stock 
Conversion of preferred stock into 
common stock 
Conversion of Senior and Junior 
debt into preferred stock and 
common stock 
Conversion of bridge notes into 
common stock 
Issuance of common stock for 
consulting services in connection 
with the merger 
Shares issued in connection with 
business combination 
Issuance of preferred stock 
Issuance of warrants in conjunction 
with issuance of side agreement 
Issuance of warrants in connection 
with restructuring of liability 
Issuance of warrants in connection 
with note default 
Beneficial conversion feature on 
issuance of bridge notes 
Non-cash stock-based compensation 
and vesting of restricted units 

Balance, December 31, 2017 

Outstanding 
Shares 
     1,263,429     $ 
—       
—       

Par 
Value 

Outstanding 
Shares 

13       
—       
—       

422,803     $ 
—       
—       

Par 
Value      
4     $ 
—       
—       

Additional 
Paid-in  
Capital      
4,652     $ 
—       
—       

Accumulated 
Deficit 

     Total 

(6,766 )   $ 
(2,227 )     
(433 )     

(2,097 ) 
(2,227 ) 
(433 ) 

—       

—       

—       

—       

1,422       

(1,422 )     

—   

(483,324 )     

(5 )     

—       

—       

(1,710 )     

—       

(1,715 ) 

—       
780,105       
—       

—       
8       
—       

26,372       
449,175       
—       

—       
4       
—       

12       
4,376       
—       

12   
—       
(10,848 )     
(6,460 ) 
(20,694 )      (20,694 ) 

8,542       

—       

—       

—       

25       

—       

—        1,958,166       

20       

(20 )     

     (2,527,879 )     

(25 )      4,217,408       

42       

(17 )     

—       

—       

—       

25   

—   

—   

802,920       

8        1,414,700       

14       

4,749       

—       

4,771   

—       

—       

515,638       

6       

2,732       

—       

2,738   

—       

—       

321,821       

3       

2,186       

—       

2,189   

802,925       
138,322       

8        1,255,119       
—       
1       

12       
—       

20,078       
7,783       

—        20,098   
7,784   
—       

—       

—       

—       

—       

487       

—       

487   

—       

—       

—       

—       

159       

—       

159   

—       

—       

—       

—       

15       

—       

15   

—       

—       

—       

—       

1,856       

—       

1,856   

—       
4,935     $ 

—       
64,593       
—        10,196,620     $ 

1       
102     $ 

56       
44,465     $ 

—       

57   
(31,542 )   $  13,025   

See notes to consolidated financial statements. 

43 

  
   
  
  
  
    
      
      
      
  
  
  
    
    
    
  
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
  
  
  
PRECIPIO, INC. AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
For the Years Ended December 31, 2017 and 2016 
(Dollars in thousands) 

CASH FLOWS FROM OPERATING ACTIVITIES: 

Net loss 

Adjustments to reconcile net loss to net cash flows used in operating 
activities: 

2017 

2016 

  $ 

(20,694 )   $ 

(2,227 ) 

Depreciation and amortization 
Amortization of deferred financing costs and debt discount 
Loss on extinguishment of debt and induced conversion of 
convertible bridge notes 
Gain on settlement of liability, net 
Gain on settlement of troubled debt 
Loss on settlement of equity instrument 
Stock-based compensation and change in liability of stock 
appreciation rights 
Merger advisory fees 
Impairment of goodwill 
Provision for losses on doubtful accounts 
Capitalized PIK interest on convertible bridge notes 
Warrant revaluation 

Changes in operating assets and liabilities: 

Accounts receivable 
Inventories 
Other assets 
Accounts payable 
Accrued expenses and other liabilities 
Net cash used in operating activities 
CASH FLOWS FROM INVESTING ACTIVITIES: 

Cash acquired in business combination 
Purchase of property and equipment 

Net cash used in investing activities 
CASH FLOWS FROM FINANCING ACTIVITIES: 
Principal payments on capital lease obligations 
Issuance of preferred stock 
Payment of debt issuance costs 
Proceeds from exercise of warrants 
Proceeds from long-term debt 
Proceeds from convertible bridge notes 
Principal payments on convertible bridge notes 
Principal payments on long-term debt 

Net cash flows provided by financing activities 

NET CHANGE IN CASH 
CASH AT BEGINNING OF PERIOD 
CASH AT END OF PERIOD 

743       
1,898       

1,391       
(877 )     
(1,181 )     
624       

49       
2,676       
9,315       
310       
—       
226       

(495 )     
(46 )     
(99 )     
500       
(1,030 )     
(6,690 )     

101       
(143 )     
(42 )     

(46 )     
7,784       
(25 )     
25       
315       
1,365       
(1,500 )     
(816 )     
7,102       
370       
51       
421     $ 

112   
33   

—   
—   
—   
—   

12   
—   
—   
378   
85   
—   

(310 ) 
(17 ) 
(8 ) 
344   
639   
(959 ) 

—   
—   
—   

(41 ) 
—   
(10 ) 
—   
525   
455   
—   
(154 ) 
775   
(184 ) 
235   
51   

  $ 

SUPPLEMENTAL CASH FLOW INFORMATION 

Cash paid during the period for interest 

  $ 

107     $ 

126   

  
   
  
  
  
    
  
    
        
    
  
    
        
    
    
        
    
    
    
    
    
    
    
    
    
    
    
    
    
    
        
    
    
    
    
    
    
    
    
        
    
    
    
    
    
        
    
    
    
    
    
    
    
    
    
    
    
    
  
    
        
    
    
        
    
SUPPLEMENTAL DISCLOSURE OF NON-CASH INFORMATION 

Purchases of equipment financed through capital lease 
Preferred unit dividend financed through exchange agreement 
Convertible bridge notes exchanged for long-term debt 
Series A and B preferred exchanged for long-term debt 
Conversion of bridges loans plus interest into common stock 
Conversion of senior and junior notes plus interest into preferred stock and 
common stock 
Deferred debt issuance cost 
Beneficial conversion feature on issuance of bridge notes 
Accrued merger cost 
Issuance of warrants in conjunction with issuance of side agreement 
Issuance of warrants in conjunction with convertible promissory note waiver      
Issuance of warrants in conjunction with restructuring of liability 
Purchases of equipment financed through accounts payable 
Prepaid insurance financed with loan 

—       
—       
—       
—       
1,787       

4,771       
64       
1,856       
10       
487       
15       
159       
2       
183       

49   
433   
1,120   
1,715   
—   

—   
—   
—   
—   
—   
—   
—   
—   
—   

See notes to consolidated financial statements. 

44 

    
        
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
  
  
  
PRECIPIO, INC. AND SUBSIDIARY 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
For the Years Ended December 31, 2017 and 2016 

 1. 

BUSINESS DESCRIPTION 

Business Description. 

Precipio,  Inc.,  and  Subsidiary,  (“we”,  “us”,  “our”,  the  “Company”  or  “Precipio”)  is  a  cancer 
diagnostics company providing diagnostic products and services to the oncology market. We have built and 
continue  to  develop  a  platform  designed  to  eradicate  the  problem  of  misdiagnosis  by  harnessing  the 
intellect, expertise and technology developed within academic institutions and delivering quality diagnostic 
information to physicians and their patients worldwide. We operate a cancer diagnostic laboratory located 
in New Haven, Connecticut and have partnered with the Yale School of Medicine to capture the expertise, 
experience and technologies developed within academia so that we can provide a better standard of cancer 
diagnostics  and  solve  the  growing  problem  of  cancer  misdiagnosis.  We  also  operate  a  research  and 
development  facility  in  Omaha,  Nebraska  which  will  focus  on  further  development  of  ICE-COLD-PCR 
(“ICP”), the patented technology which was exclusively licensed by us from Dana-Farber Cancer Institute, 
Inc. (“Dana-Farber”) at Harvard University (“Harvard”). The research and development center will focus 
on  the  development  of  this  technology,  which  we  believe  will  enable  us  to  commercialize  other 
technologies  developed  by  our  current  and  future  academic  partners.  Our  platform  connects  patients, 
physicians  and  diagnostic  experts  residing  within  academic  institutions.  Launched  in  2017,  the  platform 
facilitates the following relationships: 

• 

• 

Patients:  patients  may  search  for  physicians  in  their  area  and  consult  directly  with  academic 
experts  that  are  on  the  platform.  Patients  may  also  have  access  to  new  academic  discoveries  as 
they become commercially available. 

Physicians: physicians can connect with academic experts to seek consultations on behalf of their 
patients and may also provide consultations for patients in their area seeking medical expertise in 
that physician’s relevant specialty. Physicians will also have access to new diagnostic solutions to 
help improve diagnostic accuracy. 

•  Academic Experts: academic experts on the platform can make themselves available for patients 
or  physicians  seeking  access  to  their  expertise.  Additionally,  these  experts  have  a  platform 
available to commercialize their research discoveries. 

We intend to continue updating our platform to allow for patient-to-patient communications and 
allow individuals to share stories and provide support for one another, to allow physicians to consult with 
their  peers  to  discuss  and  share  challenges  and  solutions,  and  to  allow  academic  experts  to  interact  with 
others in academia on the platform to discuss their research and cross-collaborate. 

ICP  was  developed  at  Harvard  and  is  licensed  exclusively  by  us  from  Dana-Farber.  The 
technology enables the detection of genetic mutations in liquid biopsies, such as blood samples. The field 
of  liquid  biopsies  is  a  rapidly  growing  market,  aimed  at  solving  the  challenge  of  obtaining  genetic 
information on disease progression and changes from sources other than a tumor biopsy. 

Gene sequencing is performed on tissue biopsies taken surgically from the tumor site in order to 
identify potential therapies that will be more effective in treating the patient. There are several limitations 
to this process. First, surgical procedures have several limitations, including: 

•  Cost:  surgical  procedures  are  usually  performed  in  a  costly  hospital  environment.  For  example, 

  
   
  
  
  
  
 
  
 
  
 
  
  
  
  
 
according  to  a  recent  study  the  mean  cost  of  lung  biopsies  is  greater  than  $14,000;  surgery  also 
involves hospitalization and recovery time. 

45 

  
  
  
• 

Surgical access: various tumor sites are not always accessible (e.g. brain tumors), in which cases 
no biopsy is available for diagnosis. 

•  Risk: patient health may not permit undergoing an invasive surgery; therefore a biopsy cannot be 

obtained at all. 

• 

Time: the process of scheduling and coordinating a surgical procedure often takes time, delaying 
the start of patient treatment. 

Second,  there  are  several  tumor-related  limitations  that  provide  a  challenge  to  obtaining  such 
genetic information from a tumor: 

• 

Tumors are heterogeneous by nature: a tissue sample from one area of the tumor may not properly 
represent the tumor’s entire genetic composition; thus, the diagnostic results from a tumor may be 
incomplete and non-representative. 

•  Metastases:  in  order  to  accurately  test  a  patient  with  metastatic  disease,  ideally  an  individual 
biopsy sample should be taken from each site (if those sites are even known). These biopsies are 
very difficult to obtain; therefore physicians often rely on biopsies taken from the primary tumor 
site. 

The advent of technologies enabling liquid biopsies as an alternative to tumor biopsy and analysis 
is  based  on  the  fact  that  tumors  (both  primary  and  metastatic)  shed  cells  and  fragments  of  DNA  into  the 
blood  stream.  These  blood  samples  are  called  “liquid  biopsies”  that  contain  circulating  tumor  DNA,  or 
ctDNA, which hold the same genetic information found in the tumor(s). That tumor DNA is the target of 
genetic analysis. However, since the quantity of tumor DNA is very small in proportion to the “normal” (or 
“healthy”) DNA within the blood stream, there is a need to identify and separate the tumor DNA from the 
normal DNA. 

ICP  is  an  enrichment  technology  that  enables  the  laboratory  to  focus  its  analysis  on  the  tumor 
DNA by enriching, and thereby “multiplying” the presence of, tumor DNA, while maintaining the normal 
DNA  at  its  same  level.  Once  the  enrichment  process  has  been  completed,  the  laboratory  genetic  testing 
equipment  is  able  to  identify  genetic  abnormalities  presented  in  the  ctDNA,  and  an  analysis  can  be 
conducted  at  a  higher  level  of  sensitivity,  to  enable  the  detection  of  such  genetic  abnormalities.  The 
technology  is  encapsulated  into  a  chemical  that  is  provided  in  the  form  of  a  kit  and  sold  to  other 
laboratories who wish to conduct these tests in-house. The chemical within the kit is added to the specimen 
preparation process, enriching the sample for the tumor DNA so that the analysis will detect those genetic 
abnormalities. 

Merger Transaction 

On  June 29,  2017,  the  Company  (then  known  as  “Transgenomic,  Inc.”,  or  “Transgenomic”), 
completed  a  reverse  merger  (the  “Merger”)  with  Precipio  Diagnostics,  LLC,  a  privately  held  Delaware 
limited liability company (“Precipio Diagnostics”) in accordance with the terms of the Agreement and Plan 
of  Merger  (the  “Merger  Agreement”),  dated  October 12,  2016,  as  amended  on  February 2,  2017  and 
June 29,  2017,  by  and  among  Transgenomic,  Precipio  Diagnostics  and  New  Haven  Labs  Inc.  (“Merger 
Sub”)  a  wholly-owned  subsidiary  of  Transgenomic.  Pursuant  to  the  Merger  Agreement,  Merger  Sub 
merged  with  and  into  Precipio  Diagnostics,  with  Precipio  Diagnostics  surviving  the  Merger  as  a  wholly-
owned subsidiary of the combined company (See Note 3 - Reverse Merger). In connection with the Merger, 
the Company changed its name from Transgenomic, Inc. to Precipio, Inc., relisted its common stock under 
Precipio, Inc. on the National Association of Securities Dealers Automated Quotations (“NASDAQ”), and 
effected  a  1-for-30  reverse  stock  split  of  its  common  stock.  Upon  the  consummation  of  the  Merger,  the 

  
   
 
  
 
  
 
  
  
 
  
 
  
  
  
  
historical  financial  statements  of  Precipio  Diagnostics  become  the  Company's  historical  financial 
statements.  Accordingly,  the  historical  financial  statements  of  Precipio  Diagnostics  are  included  in  the 
comparative prior periods. As a result of the Merger, historical preferred stock, common stock, restricted 
units,  warrants  and  additional  paid-in  capital,  including  share  and  per  share  amounts,  have  been 
retroactively adjusted to reflect the equity structure of the combined company, including the effect of the 
Merger exchange ratio. Pursuant to the Merger Agreement, each outstanding unit of Precipio Diagnostics 
was  exchanged  for  10.2502  pre-reverse  stock  split  shares  of  Company  Common  Stock  (the  “Exchange 
Ratio”). See Note 3 - Reverse Merger for additional discussion of the Merger. 

46 

  
  
  
Going Concern. 

The  consolidated  financial  statements  have  been  prepared  using  accounting  principles  generally 
accepted in the United States of America (“GAAP”) applicable for a going concern, which assume that the 
Company  will  realize  its  assets  and  discharge  its  liabilities  in  the  ordinary  course  of  business.  The 
Company has incurred substantial operating losses and has used cash in its operating activities for the past 
several years. As of December 31, 2017, the Company had a net loss of $20.7 million, negative working 
capital of $8.3 million and net cash used in operating activities of $6.7 million. The Company’s ability to 
continue  as  a  going  concern  is  dependent  upon  a  combination  of  achieving  its  business  plan,  including 
generating  additional  revenue,  and  raising  additional  financing  to  meet  its  debt  obligations  and  paying 
liabilities arising from normal business operations when they come due. 

To meet its current and future obligations the Company has taken the following steps to capitalize 

the business and successfully achieve its business plan: 

•  On  January  8,  2018,  the  Company  received  gross  proceeds  of  $400,000  when  it  entered  into  an 
agreement with the Connecticut Department of Economic and Community Development by which 
the  Company  received  a  grant  of  $100,000  and  a  loan  of  $300,000  with  a  payment  term  of  ten 
years. 

•  On February 8, 2018 the Company entered into an equity purchase agreement for the purchase of 
up to $8,000,000 of shares of the Company’s common stock from time to time, at the Company’s 
option. The initial sale of 721,153 shares of the Company’s common stock resulted in net proceeds 
to the Company of approximately $709,000. 

•  On February 20, 2018 Crede Capital Group LLC (“Crede”) filed a lawsuit against the Company 
claiming  that  the  Company  owed  Crede  $2.2  million.  On  March  12,  2018,  the  Company  settled 
with Crede for approximately $1.9 million and the settlement allows the Company to pay the $1.9 
million over a sixteen month payment plan concluding in May 2019. 

•  On March 21, 2018, the Company entered into an agreement with investors of Series B and Series 
C Preferred shares and warrants to convert their respective holdings into shares of the Company’s 
common  stock.   Pursuant  to  the  agreement,  to  incent  such  investors,  the  Company  agreed  to  a 
conversion  price  for  such  preferred  stock  and  an  exercise  price  of  $0.75  per  share  of  common 
stock  for  such  warrants  and  each  investor  agreed  to  convert  its  outstanding  shares  and  exercise 
certain  amounts  of  warrants.  As  a  result  of  this  initiative  the  Company  has  substantially 
restructured  its  equity  structure,  eliminating  all  but  47  shares  of  preferred  stock. As  of  April  13, 
2018, these transactions have resulted in net cash proceeds to the Company of $0.2 million. 

Notwithstanding  the  aforementioned  circumstances,  there  remains  substantial  doubt  about  the 
Company’s ability to continue as a going concern. There can be no assurance that the Company will be able 
to  successfully  achieve  its  initiatives  summarized  above  in  order  to  continue  as  a  going  concern.  The 
accompanying  financial  statements  have  been  prepared  assuming  the  Company  will  continue  as  a  going 
concern and do not include any adjustments that might result should the Company be unable to continue as 
a going concern as a result of the outcome of this uncertainty. 

 2. 

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES 

Principles of Consolidation. 

The consolidated financial statements include the accounts of Precipio, Inc. and our wholly owned 

subsidiary. All inter-company balances and transactions have been eliminated in consolidation. 

Use of Estimates. 

  
   
  
  
 
 
 
 
  
  
  
  
  
  
The preparation of the consolidated financial statements in conformity with accounting principles 
generally accepted in the United States of America (“GAAP”) requires management to make estimates and 
assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and 
liabilities at the date of the financial statements and the reported amounts of net sales and expenses during 
the  reporting  period.  The  most  significant  estimates  and  assumptions  with  regard  to  these  consolidated 
financial statements relate to the allowance for doubtful accounts, assumptions used within the fair value of 
debt  and  equity  transactions,  contractual  allowances  and  related  impairments.  These  assumptions  require 
considerable  judgment  by  management.  Actual  results  could  differ  from  the  estimates  and  assumptions 
used in preparing these consolidated financial statements. 

47 

  
  
  
Risks and Uncertainties. 

Certain  risks  and  uncertainties  are  inherent  in  our  day-to-day  operations  and  in  the  process  of 
preparing our financial statements. The more significant of those risks are presented below and throughout 
the notes to the consolidated financial statements. 

The  Company  operates  in  the  healthcare  industry  which  is  subject  to  numerous  laws  and 
regulations  of  federal,  state  and  local  governments.  These  laws  and  regulations  include,  but  are  not 
necessarily  limited  to,  matters  such  as  licensure,  accreditation,  government  healthcare  program 
participation  requirements,  reimbursement  for  patient  services,  and  Medicare  and  Medicaid  fraud  and 
abuse. Government activity has increased with respect to investigations and allegations concerning possible 
violations of fraud and abuse statutes and regulations by healthcare providers. Violations of these laws and 
regulations could result in expulsion from government healthcare programs together with the imposition of 
significant  fines  and  penalties,  as  well  as  significant  repayments  for  patient  services  previously  billed. 
Management believes that the Company is in compliance with fraud and abuse regulations, as well as other 
applicable  government  laws  and  regulations.  While  no  material  regulatory  inquiries  have  been  made, 
compliance with such laws and regulations can be subject to future government review and interpretation as 
well as regulatory actions unknown or unasserted at this time. 

Fair Value. 

Unless  otherwise  specified,  book  value  approximates  fair  value.  The  common  stock  warrant 

liability is recorded at fair value. See Note 12 - Fair Value for additional information. 

Other Current Assets. 

Other  current  assets  of  $0.4  million  as  of  December  31,  2017  include  prepaid  assets  of  $0.1 
million, prepaid insurance of $0.2 million and other receivables of $0.1 million. As of December 31, 2016, 
other current assets consisted primarily of prepaid assets. 

Concentrations of Risk. 

From  time  to  time,  we  may  maintain  a  cash  position  with  financial  institutions  in  amounts  that 
exceed Federal Deposit Insurance Corporation insured limits of up to $250,000 per depositor per financial 
institution. We have not experienced any losses on such accounts as of December 31, 2017. 

Service companies in the health care industry typically grant credit without collateral to patients. 
The majority of these patients are insured under third-party insurance agreements. The services provided by 
the Company are routinely billed utilizing the Current Procedural Terminology (CPT) code set designed to 
communicate  uniform  information  about  medical  services  and  procedures  among  physicians,  coders, 
patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. CPT 
codes are currently identified by the Centers for Medicare and Medicaid Services and third-party payors. 
The  Company  utilizes  CPT  codes  for  Pathology  and  Laboratory  Services  contained  within  codes  80000-
89398. 

Inventories. 

Inventories  consist  of  laboratory  supplies  and  are  valued  at  cost  (determined  on  an  average  cost 
basis,  which  approximates  the  first-in,  first-out  method)  or  net  realizable  value,  whichever  is  lower.  We 
evaluate  inventory  for  items  that  are  slow  moving  or  obsolete  and  record  an  appropriate  reserve  for 
obsolescence  if  needed.  We  determined  that  no  allowance  for  slow  moving  or  obsolete  inventory  was 
necessary at December 31, 2017 and 2016. 

  
   
  
  
  
  
  
  
  
  
  
  
  
48 

  
  
  
Property and Equipment, net. 

Property  and  equipment  are  carried  at  cost,  net  of  accumulated  depreciation  and  amortization. 
Expenditures  for  maintenance  and  repairs  are  expensed  as  incurred.  Depreciation  and  amortization  are 
computed by the straight-line method over the estimated useful lives of the related assets as follows: 

Furniture and fixtures 
Laboratory equipment 
Computer equipment and software 

Equipment under capital leases 

5 to 7 years 
3 to 9 years 
3 to 7 years 
5 
10 
to 
years 

For  assets  sold  or  otherwise  disposed  of,  the  cost  and  related  accumulated  depreciation  and 
amortization are removed from the accounts, and any related gain or loss is reflected in operations for the 
period.  Expenditures  for  major  betterments  that  extend  the  useful  lives  of  property  and  equipment  are 
capitalized. 

Goodwill and Intangible Assets. 

As  a  result  of  the  Merger,  the  Company  recorded  goodwill  and  intangible  assets  as  part  of  its 

allocation of the purchase consideration. See Note 3 - Reverse Merger for the amounts recorded. 

Goodwill 

Goodwill represents the excess of the purchase price over the fair value of identifiable net assets of 
the  business  acquired.  See  Note  3  -  Reverse  Merger  for  the  amount  recorded.  Goodwill  is  tested  for 
impairment annually. We perform this impairment analysis during the fourth quarter of each year or when a 
significant  event  occurs  that  may  indicate  that  the  assets  might  be  impaired.  In  assessing  goodwill  for 
impairment,  the  Company  has  the  option  to  assess  qualitative  factors  to  determine  whether  events  or 
circumstances indicate that it is not more likely than not that the fair value of a reporting unit is less than its 
carrying amount, for which the consolidated Company is considered one reporting unit. If this is the case, 
then  performing  the  quantitative  goodwill  impairment  test  is  unnecessary.  An  entity  can  choose  not  to 
perform a qualitative assessment for any or all of its reporting units, and proceed directly to the use of the 
quantitative impairment test. In assessing qualitative factors to determine whether it is more likely than not 
that the fair value of a reporting unit is less than its carrying amount, the relevant events and circumstances 
that may impact the fair value and the carrying amount of a reporting unit are assessed. The identification 
of  relevant  events  and  circumstances  and  how  these  may  impact  a  reporting  unit’s  fair  value  or  carrying 
amount  involve  significant  judgments  by  management.  These  judgments  include  the  consideration  of 
macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, 
events which are specific to the company, and trends in the market price of our common stock. Each factor 
is assessed to determine whether it impacts the impairment test positively or negatively, and the magnitude 
of any such impact. During the year ended December 31, 2017, the Company experienced a decline in its 
share price and a significant reduction in its market capitalization, as such the Company determined that an 
assessment of goodwill should be performed using the qualitative approach described above. Based on the 
qualitative assessment, the Company concluded that it was more likely than not that the fair value of the 
Company was less than its carry value. While there were positive qualitative factors discovered during the 
qualitative analysis, the instability of the market price of the Company’s common stock and the decline in 
revenues  were  significant  adverse  factors  that  directed  a  full  assessment.  As  part  of  its  analysis,  the 
Company considered triggering events and compared its fair value with its carrying value. The analysis of 
the fair value of the Company involved using the market capitalization and the discounted cash flow model. 
Based on the analysis, the Company concluded that its carrying value exceeded its fair value and goodwill 
impairment in the amount of $9.3 million was recorded for the year ended December 31, 2017. 

  
   
  
  
  
  
  
  
  
49 

  
  
  
Intangibles 

We review our amortizable long-lived assets for impairment annually or whenever events indicate 
that the carrying amount of the asset (group) may not be recoverable. An impairment loss may be needed if 
the  sum  of  the  future  undiscounted  cash  flows  is  less  than  the  carrying  amount  of  the  asset  (group).  The 
amount of the loss would be determined by comparing the fair value of the asset to the carrying amount of 
the asset (group). There were no impairment charges during the year ended December 31, 2017. 

In-process research and development (“IPR&D”) represents the fair value assigned to research and 
development assets that were not fully developed at the date of the Merger. Until the IPR&D projects are 
completed,  the  assets  are  accounted  for  as  indefinite-lived  intangible  assets  and  subject  to  impairment 
testing. For the year ended December 31, 2017, there was no impairment of IPR&D. 

Debt Issuance Costs and Debt Discounts.  

Debt issuance costs and debt discounts are being amortized over the lives of the related financings 
on a basis that approximates the effective interest method. Both are presented as a reduction of the related 
debt  in  the  accompanying  balance  sheets.  Deferred  issuance  costs  increased  by  $1.8  million  due  to  debt 
issuance costs and debt discounts recorded in connection with the issuance of convertible bridge notes (see 
Note 7 –Convertible Bridge Notes for further information). Net debt issuance costs and debt discounts were 
zero  and  $65,048  at  December 31,  2017  and  2016,  respectively  (net  of  accumulated  amortization  of  zero 
and $87,342, respectively). During the year ended December 31, 2017, the convertible bridge notes were 
either extinguished through cash payments or converted to shares of the Company’s common stock. Upon 
the  payments  and  conversions,  all  remaining  debt  discounts  and  debt  issuance  costs  associated  with  the 
conversions were fully amortized to interest expense and debt discounts and debt issuance costs associated 
with the portion paid in cash were amortized to interest expense up through the payment date (see Note 7 – 
Convertible Bridge Notes for further discussion). Amortization expense was $1.9 million and $32,662 for 
the years ended December 31, 2017 and 2016, respectively. 

Stock-Based Compensation. 

All stock-based awards to date have exercise prices equal to the market price of our common stock 
on the date of grant and have ten-year contractual terms. Stock-based compensation cost is based on the fair 
value  of  the  portion  of  stock-based  awards  that  is  ultimately  expected  to  vest.  The  Company  utilizes  the 
Black-Scholes  option  pricing  model  for  determining  the  estimated  fair  value  for  stock-based  awards. 
Unvested awards as of December 31, 2017 had vesting periods of up to four years from the date of grant. 
None of the awards outstanding at December 31, 2017 are subject to performance or market-based vesting 
conditions. 

Net Sales Recognition. 

Revenue is realized and earned when all of the following criteria are met: 
Persuasive evidence of an arrangement exists; 

• 
•  Delivery has occurred or services have been rendered; 
• 
•  Collectability is reasonably assured. 

The seller’s price to the buyer is fixed or determinable; and 

We  primarily  recognize  revenue  for  diagnostic  services  upon  completion  of  the  testing  process. 
Patient diagnostic service revenue is reported at the estimated net realizable amounts from patients, third-
party  payors  and  others  for  services  rendered,  including  retroactive  adjustment  under  reimbursement 
agreements  with  third-party  payors.  Revenue  under  third-party  payor  agreements  is  subject  to  audit  and 
retroactive adjustment. Provisions for third-party payor settlements are provided in the period in which the 

  
   
  
  
  
  
  
  
  
  
 
 
 
 
  
related services are rendered and adjusted in the future periods, as final settlements are determined. We also 
perform  contract  diagnostic  services  on  a  project  by  project  basis  as  well  as  clinical  research  projects 
sponsored  by  federal  and  state  agencies.  When  we  receive  payment  in  advance,  we  initially  defer  the 
revenue and recognize it when we deliver the service. These projects typically do not extend beyond one 
year. 

50 

  
  
  
Deferred net sales included in the balance sheet as deferred revenue was less than $0.1 million as 

of December 31, 2017 and 2016. 

Taxes  collected  from  customers  and  remitted  to  government  agencies  for  specific  net  sales 

producing transactions are recorded net with no effect on the income statement. 

Accounts Receivable  

Accounts  Receivable  result  from  diagnostic  services  provided  to  self-pay  and  insured  patients, 
project based testing services and clinical research.  The payment for services provide by the Company are 
generally due within 30 days from the invoice date.  Accounts receivable are reduced by an allowance for 
doubtful  accounts.  In  evaluating  the  collectability  of  accounts  receivable,  the  Company  analyzes  and 
identifies  trends  for  each  of  its  sources  of  revenue  to  estimate  the  appropriate  allowance  for  doubtful 
accounts.  For  receivables  associated  with  self-pay  patients,  including  patients  with  insurance  and  a 
deductible  and  copayment,  the  Company  records  an  allowance  for  doubtful  accounts  in  the  period  of 
services on the basis of past experience of patients unable or unwilling to pay for service fee for which they 
are  financially  responsible.  For  receivables  associated  with  services  provided  to  patients  with  third-party 
coverage, the Company analyzes contractually due amounts and provides an allowance, if necessary. The 
difference  between  the  standard  rates  and  the  amounts  actually  collected  after  all  reasonable  collection 
efforts have been exhausted is charged against the allowance for doubtful accounts. 

Presentation of Insurance Claims and Related Insurance Recoveries. 

The  Company  accounts  for  its  insurance  claims  and  related  insurance  recoveries  at  their  gross 
values as standards for health care entities do not allow the Company to net insurance recoveries against the 
related claim liabilities. There were no insurance claims or insurance recoveries recorded during the years 
ended December 31, 2017 and 2016. 

Advertising Costs. 

Advertising costs are expensed as incurred. Advertising costs charged to operations totaled $8,300 

in 2017 and $12,900 in 2016. 

Research and Development Costs. 

All costs associated with internal research and development are expensed as incurred. These costs 
include salaries and employee related expenses, operating supplies and facility-related expenses. Research 
and development costs charged to operations totaled $0.5 million and zero for the years ended December 
31, 2017 and 2016, respectively. 

Income Taxes. 

In 2016, Precipio Diagnostics was organized as a limited liability company and operated under the 
default classification as a partnership until July 31, 2016. Effective August 1, 2016, Precipio Diagnostics 
elected  to  be  treated  as  a  corporation  for  tax  purposes  and  as  such,  a  net  deferred  tax  asset,  prior  to  a 
valuation allowance was created. The Company calculated an income tax provision for the remainder of the 
year. Prior to August 1, 2016, income tax expense or benefits were calculated at the members’ level. 

Deferred  tax  assets  and  liabilities  are  determined  based  on  the  differences  between  the  financial 
reporting and tax basis of assets and liabilities at each balance sheet date using tax rates expected to be in 
effect in the year the differences are expected to reverse. The effect on the deferred tax assets and liabilities 
of a change in tax rates is recognized in the period when the change in tax rates is enacted. 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
51 

  
  
  
A valuation allowance is established when it is determined that it is more likely than not that some 
portion  or  all  of  the  deferred  tax  assets  will  not  be  realized.  A  full  valuation  allowance  has  been  applied 
against the Company’s net deferred tax assets as of December 31, 2017 and 2016, due to projected losses 
and  because  it  is  not  more  likely  than  not  that  the  Company  will  realize  future  benefits  associated  with 
these deferred tax assets. 

Management’s  conclusions  regarding  uncertain  tax  positions  may  be  subject  to  review  and 
adjustment  at  a  later  date  based  upon  ongoing  analysis  of,  or  changes  in  tax  laws,  regulations  and 
interpretations  thereof  as  well  as  other  factors.  The  Company’s  policy  is  to  record  interest  and  penalties 
directly  related  to  income  taxes  as  income  tax  expense  in  the  accompanying  consolidated  statements  of 
operations, of which such amounts were immaterial for the years ended December 31, 2017 and 2016. 

Common Stock Warrants. 

The  Company  classifies  the  issuance  of  common  stock  warrants  as  equity  any  contracts  that 
(i) require  physical  settlement  or  net-stock  settlement  or  (ii) gives  the  Company  a  choice  of  net-cash 
settlement  or  settlement  in  its  own  stocks  (physical  settlement  or  net-stock  settlement).  The  Company 
classifies as assets or liabilities any contracts that (i) require net-cash settlement (including a requirement to 
net-cash  settle  the  contract  if  an  event  occurs  and  if  that  event  is  outside  of  the  Company’s  control),  or 
(ii) gives the counterparty a choice of net-cash settlement or settlement in stock (physical settlement or net-
stock settlement). 

Certain  of  our  issued  and  outstanding  warrants  to  purchase  common  stock  do  not  qualify  to  be 
treated as equity and accordingly, are recorded as a liability (“Common Stock Warrant Liability”). We are 
required to present these instruments at fair value at each reporting date and any changes in fair values are 
recorded as an adjustment to earnings. 

Beneficial Conversion Features. 

The  intrinsic  value  of  a  beneficial  conversion  feature  (“BCF”)  inherent  to  a  convertible  note 
payable, which is not bifurcated and accounted for separately from the convertible note payable and may 
not  be  settled  in  cash  upon  conversion,  is  treated  as  a  discount  to  the  convertible  note  payable.  This 
discount  is  amortized  over  the  period  from  the  date  of  issuance  to  the  first  conversion  date  using  the 
effective  interest  method.  If  the  note  payable  is  retired  prior  to  the  end  of  its  contractual  term,  the 
unamortized  discount  is  expensed  in  the  period  of  retirement  to  interest  expense.  In  general,  the  BCF  is 
measured  by  comparing  the  effective  conversion  price,  after  considering  the  relative  fair  value  of 
detachable instruments included in the financing transaction, if any, to the fair value of the common shares 
at the commitment date to be received upon conversion. 

Deemed  dividends  are  also  recorded  for  the  intrinsic  value  of  conversion  options  embedded  in 
preferred shares based upon the differences between the fair value of the underlying common stock at the 
commitment  date  of  the  transaction  and  the  effective  conversion  price  embedded  in  the  preferred  shares. 
When  the  preferred  shares  are  non-redeemable  the  BCF  is  fully  amortized  into  additional  paid-in  capital 
and  preferred  discount.  If  the  preferred  shares  are  redeemable,  the  discount  is  amortized  from  the 
commitment date to the first conversion date. 

Loss Per Share. 

Basic  loss  per  share  is  calculated  based  on  the  weighted-average  number  of  common  shares 
outstanding during each period. Diluted loss per share includes shares issuable upon exercise of outstanding 
stock options, warrants or conversion rights that have exercise or conversion prices below the market value 
of  our  common  stock.  Options,  warrants  and  conversion  rights  pertaining  to  9,960,890  and  2,754,593 

  
   
  
  
  
  
  
  
  
  
  
shares  of  our  common  stock  have  been  excluded  from  the  computation  of  diluted  loss  per  share  at 
December 31, 2017 and 2016, respectively, because the effect is anti-dilutive due to the net loss. 

The  following  table  summarizes  the  outstanding  securities  not  included  in  the  computation  of 

diluted net loss per share: 

Stock options 
Warrants 
Preferred stock 
Convertible notes 
Total 

December 31, 

2017 

236,484       
6,197,681       
3,525,000       
1,725       
9,960,890       

2016 

3,430   
1,971,058   
780,105   
—   
2,754,593   

52 

  
  
  
  
  
  
  
    
  
    
    
    
    
    
  
  
  
Recent Accounting Pronouncements. 

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards 
Update  (“ASU”)  2014-09,  Revenue  from  Contracts  with  Customers  and  has  subsequently  issued 
supplemental  and/or  clarifying  ASUs  (collectively  “ASC  606”).  ASC  606  outlines  a  five-step  framework 
that  intends  to  clarify  the  principles  for  recognizing  revenue  and  eliminate  industry-specific  guidance.  In 
addition,  ASC  606  revises  current  disclosure  requirements  in  an  effort  to  help  financial  statement  users 
better understand the nature, amount, timing, and uncertainty of revenue that is recognized. ASC 606 may 
be applied either retrospectively to each prior reporting period presented or use the modified retrospective 
transition method with the cumulative effect of initial adoption recognized at the date of initial application. 
Assessment  of  the  new  guidance  is  not  anticipated  to  result  in  an  opening  balance  sheet  adjustment.  The 
Company  will  adopt  the  guidance  in  ASU  2017-09  as  of  January  1,  2018  and  apply  the  modified 
retrospective approach. The Company evaluated the impact of the adoption of this new revenue recognition 
standard  utilizing  the  five-step  framework  of  ASC  606  for  all  services,  that  include  laboratory  testing 
services  provided  to  patients  and  customer  related  laboratory  service  contracts  encompassing  biomarker 
testing services and clinical projects. The Company concluded that control of the laboratory testing services 
is transferred to the customer at a point in time. As such, the Company shall continue to recognize revenue 
for laboratory testing services at a point in time based on the delivery method (web-portal access or fax) for 
patient’s  laboratory  report,  per  the  contract. The  Company  also  evaluated  customer  related  biomarker 
testing  and  clinical  project  services.  The  Company  analyzed  it’s  “effort  based”  method  of  assessing 
performance and concluded that it can reasonable measure progress towards satisfaction of the performance 
obligation based upon the delivery of results. The Company concludes an adjustment will not be required 
and  a  change  to  its  current  revenue  recognition  process  and  policy  to  adopt  the  new  standard  is  not 
necessary. 

In  February  2016,  the  FASB  issued  ASU  No.  2016-02,  Leases.  The  new  standard  amends  the 
recognition of lease assets and lease liabilities by lessees for those leases currently classified as operating 
leases  and  amends  disclosure  requirements  associated  with  leasing  arrangements.  The  new  standard  is 
effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2018. 
Early adoption is permitted. The new standard must be adopted using a modified retrospective transition, 
and provides for certain practical expedients. Transition will require application of the new guidance at the 
beginning  of  the  earliest  comparative  period  presented.  We  are  currently  assessing  the  impact  that  the 
adoption of this ASU will have on our consolidated financial statements. 

In March 2016, the FASB issued ASU No. 2016-09, Compensation - Stock Compensation (Topic 
718): Improvements to Employee Share-Based Payment Accounting. The new standard simplifies several 
aspects related to the accounting for share-based payment transactions, including the accounting for income 
taxes, statutory tax withholding requirements, forfeitures and classification on the statement of cash flows. 
This  guidance  is  effective  for  fiscal  years  and  interim  periods  within  those  fiscal  years  beginning  after 
December 15, 2016. The Company adopted ASU No. 2016-09 as of January 1, 2017. The adoption of this 
guidance does not have a material effect on the Company’s financial position and results of operations. 

In  August 2016,  FASB  issued  ASU  No. 2016-15,  Classification  of  Certain  Cash  Receipts  and 
Cash Payments. ASU No. 2016-15 eliminates the diversity in practice related to the classification of certain 
cash  receipts  and  payments  in  the  statement  of  cash  flows  by  adding  or  clarifying  guidance  on  eight 
specific  cash  flow  issues.  ASU  No. 2016-15  is  effective  for  fiscal  years  beginning  after  December 15, 
2017,  and  for  interim  periods  within  that  fiscal  year.  We  do  not  believe  ASU  No. 2016-15  will  have  a 
material effect on our financial position and results of operations. 

53 

  
   
  
  
  
  
  
  
  
In January 2017, FASB issued ASU No. 2017-01, Business Combinations (Topic 805): Clarifying 
the  Definition  of  a  Business.  ASU  No.  2017-01  adds  guidance  to  assist  entities  with  evaluating  whether 
transactions  should  be  accounted  for  as  acquisitions  (or  disposals)  of  assets  or  businesses.  The  new 
guidance is effective for fiscal years beginning after December 15, 2017, and interim periods within those 
fiscal years. The Company adopted the new guidance on January 1, 2018, and will apply it to all applicable 
transactions after the adoption date. The Company does not believe ASU No. 2017-01 will have a material 
effect on its financial position and results of operations. 

In January 2017, FASB issued ASU No. 2017-04, Intangibles — Goodwill and Other (Topic 350): 
Simplifying the Test for Goodwill Impairment, which removes Step 2 from the goodwill impairment test. It 
is effective for annual and interim periods beginning after December 15, 2019. Early adoption is permitted 
for interim or annual goodwill impairment test performed with a measurement date after January 1, 2017. 
The Company has adopted this standard and, as discussed above, performed impairment testing of goodwill 
during the year ended December 31, 2017 which resulted in the Company recording a goodwill impairment 
charge of $9.3 million. 

In May 2017, the FASB issued ASU 2017-09 “Compensation – Stock Compensation (Topic 718): 
Scope of Modification Accounting”, which provides clarity and reduces both diversity in practice and cost 
and  complexity  when  applying  guidance  in  Topic  718.  This  amendment  provides  guidance  about  which 
changes to the terms or conditions of a share-based payment award require an entity to apply modification 
accounting  in  Topic  718.   The  amendments  are  effective  for  all  entities  for  annual  periods,  and  interim 
periods within those periods, beginning after December 15, 2017. The Company does not believe ASU No. 
2017-09 will have a material effect on its financial position and results of operations. 

In  July  2017,  FASB  issued  ASU  No.  2017-11,  Earning  Per  Share  (Topic  260),  Distinguishing 
Liabilities  from  Equity  (Topic  480)  and  Derivatives  and  Hedging  (Topic  815),  which  was  issued  in  two 
parts,  Part  I,  Accounting  for  Certain  Financial  Instruments  with  Down  Round  Features  and  Part  II, 
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  ASC  No.  2017-11  addresses  the  classification  analysis  of  certain  equity-linked  financial 
instruments (or embedded features) with down round features. When determining whether certain financial 
instruments  should  be  classified  as  liabilities  or  equity  instruments,  a  down  round  feature  no  longer 
precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. 
The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, 
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. For 
freestanding  equity  classified  financial  instruments,  the  amendments  require  entities  that  present  earnings 
per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is 
triggered.  That  effect  is  treated  as  a  dividend  and  as  a  reduction  of  income  available  to  common 
shareholders  in  basic  EPS.  The  amendments  in  Part  II  of  ASU  2017-11  recharacterize  the  indefinite 
deferral of certain provisions of Topic 480 that now are presented as pending content in the codification, to 
a scope exception. Part II amendments do not have an accounting effect. The ASU 2017-11 is effective for 
annual  and  interim  periods  beginning  after  December  15,  2018,  with  early  adoption  permitted.  The 
Company has early adopted this standard as of January 1, 2017 with the only impact being that the warrants 
with down round provisions are classified within equity. (See Note 7 - Convertible Bridge Notes and Note 
11 - Stockholders' Equity). 

 3. 

REVERSE MERGER 

On  June 29,  2017  (the  “Closing  Date”),  the  Company  completed  the  Merger  with  Precipio 
Diagnostics, in accordance with the terms of the Merger Agreement. On the Closing Date, the outstanding 
common  and  preferred  units  of  Precipio  Diagnostics  and  certain  debt  of  Precipio  Diagnostics  were 

  
  
  
  
  
  
  
converted into (i) 5,352,847 shares of Precipio common stock, together with cash in lieu of fractional units, 
and (ii) 802,920 shares of Precipio preferred stock with an aggregate face amount equal to $3 million. Upon 
the  consummation  of  the  Merger,  the  historical  financial  statements  of  Precipio  Diagnostics  became  the 
Company’s  historical  financial  statements.  Accordingly,  the  historical  financial  statements  of  Precipio 
Diagnostics as of and for the year ended December 31, 2016 are included herein. 

In  connection  with  the  Merger,  on  the  Closing  Date,  Precipio  also  issued  promissory  notes  and 

shares of Precipio preferred and common stock in a number of transactions, whereby: 

54 

  
  
  
  
• 

• 

• 

Holders  of  certain  secured  indebtedness  of  Transgenomic  received  in  exchange  for  such 
indebtedness  802,925  shares  of  Precipio  preferred  stock  in  an  amount  equal  to  $3.0  million 
stated value, and 352,630 shares of Precipio common stock; 

Holders  of  Transgenomic  preferred  stock  converted  it  into  7,155  shares  of  Precipio  common 
stock; and 

Precipio issued 107,056 shares of Precipio preferred stock to certain investors in exchange for 
$400,000 in a private placement. Precipio also completed the sale of an aggregate of $800,000 
of promissory notes pursuant to a securities purchase agreement. 

Purchase Consideration 

The  estimated  purchase  consideration  based  on  the  value  of  the  equity  of  Transgenomic,  the 

accounting acquiree, is as follows: 

(dollars in thousands) 
Legacy Transgenomic common stock 
Fair value of preferred stock converted to common stock 
Fair value of debt converted to common stock 
Fair value of debt converted to preferred stock 
Fair value of existing bridge notes 
Fair value of warrants 
Purchase consideration 

  $ 

6,088   
49   
2,398   
9,796   
1,275   
1,996   
  $  21,602   

In  estimating  the  purchase  consideration  above,  Transgenomic  used  its  closing  stock  price  of 
$6.80 as of the Closing Date. Transgenomic had 895,334 common shares outstanding prior to the Merger. 
In  connection  with  the  Merger,  Transgenomic  preferred  stock  converted  into  7,155  shares  of  Precipio 
common  stock  and  certain  of  Transgenomic  debt  and  accrued  interest  converted  into  352,630  shares  of 
Precipio common stock and 802,925 shares of Precipio preferred stock, face value $3.0 million with an 8% 
annual dividend. At the Closing Date, the preferred stock had a fair value of $12.20 per share. 

Allocation of Purchase Consideration 

The  following  table  sets  forth  an  allocation  of  the  purchase  consideration  to  the  identifiable 
tangible  and  intangible  assets  of  Transgenomic,  the  accounting  acquiree,  based  on  fair  values  as  of  the 
Closing Date with the excess recorded as goodwill: 

(dollars in thousands) 
Current and other assets 
Property and equipment 
Goodwill 
Other intangible assets(1) 
Total assets 
Current liabilities 
Other liabilities 
Total liabilities 
Net assets acquired 

(1)  Other intangible assets consist of: 

  $ 

419   
29   
     14,000   
     21,100   
     35,548   
     13,423   
523   
     13,946   
  $ 21,602   

  
   
 
  
 
  
 
  
  
  
    
  
    
    
    
    
    
  
  
  
  
    
  
    
    
  
 
55 

  
  
(dollars in thousands) 
Acquired technology 
Customer relationships 
Non-compete agreements 
Trademark and trade name 
Backlog 
In-process research and development 
Total intangibles 

  $ 18,990   
250   
30   
40   
200   
     1,590   
  $ 21,100   

We  determined  the  estimated  fair  value  of  the  acquired  technology  by  using  the  multi-period 
excess  earnings  method  of  the  income  approach.  The  estimated  fair  value  of  the  remaining  identifiable 
intangible assets acquired were determined primarily by using the income approach. 

Unaudited pro forma information 

The  operating  results  of  Transgenomic  for  the  period  after  the  Closing  Date  to  December  31,  2017  have 
been included in the Company's consolidated financial statements as of and for the year ended December 
31, 2017. 

The  following  unaudited  pro  forma  information  presents  the  Company's  financial  results  as  if  the 
acquisition of Transgenomic had occurred on January 1, 2016: 

Dollars in thousands, except per share amounts      

Net sales 
Net loss available to common stockholders 
Loss per common share 

 4. 

PROPERTY AND EQUIPMENT 

  For the Years ended December 31,   

2017 

2016 

  $ 

  $ 

2,687       $ 
(37,389 )      
(4.95 )    $ 

3,280   
(11,215 ) 
(1.70 ) 

A summary of property and equipment at December 31, 2017 and 2016 is as follows: 

Furniture and fixtures 
Laboratory equipment 
Computer equipment and software 
Equipment under capital leases 
Construction in process 

Less—accumulated depreciation and amortization 

Total 

2017 

2016 

  $ 

  $ 

9     $ 
181       
307       
296       
115       
908       
(555 )     
353     $ 

9   
153   
275   
296   
—   
733   
(453 ) 
280   

Depreciation  expense  was  approximately  $0.1  million  for  both  the  years  ended  December 31, 

2017 and 2016. 

Depreciation expense during each year includes depreciation related to equipment acquired under 

capital leases. 

56 

  
   
    
  
    
    
    
    
  
  
  
  
  
        
  
  
  
  
     
  
    
   
  
  
  
  
    
  
    
    
    
    
  
    
    
  
  
  
  
  
 5. 

INTANGIBLES 

We  had  no  intangible  assets  as  of  December  31,  2016.  In  conjunction  with  the  Merger,  we 
recorded intangible assets of $21.1 million. As of December 31, 2017 our intangible assets consisted of the 
following: 

Technology 
Customer relationships 
Backlog 
Covenants not to compete 
Trademark 
IPR&D 

Technology 
Customer relationships 
Backlog 
Covenants not to compete 
Trademark 

Dollars in Thousands 
December 31, 2017 
Accumulated 
Amortization     

Net Book 
Value 

   Cost      
  $ 18,990     $ 
250       
200       
30       
40       
     1,590       
  $ 21,100     $ 

42       
100       
15       
10       
—       

475     $  18,515   
208   
100   
15   
30   
1,590   
642     $  20,458   

Estimated Useful Life 
20 years 
3 years 
1 year 
1 year 
2 years 

Until our in-process research and development projects are completed, the assets are accounted for 
as  indefinite-lived  intangible  assets  and  subject  to  impairment  testing.  For  the  year  ended  December  31, 
2017, there was no impairment of IPR&D. 

Amortization expense for intangible assets was $0.6 million during the year ended December 31, 
2017. Amortization expense for intangible assets is expected to be $1.2 million, $1.0 million, $1.0 million, 
$0.9 million and $0.9 million for each of the years ending December 31, 2018, 2019, 2020, 2021 and 2022, 
respectively. 

57 

  
   
  
  
  
  
  
  
  
  
  
  
    
    
    
    
  
  
  
  
  
  
  
  
 6. 

LONG-TERM DEBT 

Long-term debt consists of the following: 

Senior Notes 
Senior Note debt issuance costs 
Junior Notes 
Connecticut Innovations - line of credit 
Department of Economic and Community Development 
(DECD) 
DECD debt issuance costs 
Webster Bank 
Webster Bank debt discounts and issuance costs 
Secured debt obligations 
Financed insurance loan 
Total long-term debt 
Current portion of long-term debt 
Long-term debt, net of current maturities 

Senior and Junior Notes 

Dollars in Thousands 
  December 31, 2017     December 31, 2016   
3,270   
—     $ 
  $ 
(9 ) 
—       
584   
—       
162   
—       

—       
—       
—       
—       
3,233       
183       
3,416       
(587 )     
2,829     $ 

243   
(30 ) 
328   
(26 ) 
—   
—   
4,522   
(395 ) 
4,127   

  $ 

During  2016,  the  Company  raised  $525,000  from  members  through  the  issuance  of  senior  notes 
which accrue interest at a rate of 12% and were payable at the sooner of the closing of a qualified public 
offering, as outlined in the note agreement, or five years from date of issuance. 

Also  during  2016,  the  Company  restructured  equity  through  a  redemption  and  exchange 
agreement by exchanging Member Equity comprised of Series A and Series B Convertible Preferred Units 
in the amount of $2,147,716 (members’ initial investment of $1,715,000, plus declared dividends on these 
preferred units of $432,716), and Convertible Bridge Notes of $1,120,000, plus accrued interest of $61,073 
for new senior notes of $2,744,968 (“Senior Notes”) and new junior notes of $583,821 (“Junior Notes”). 
The  Senior  and  Junior  Notes  accrued  interest  at  a  rate  of  12%  and  15%,  respectively,  and  had  maturity 
dates ranging from March 2021 to September 2021, or earlier based on certain qualifying events as outlined 
in the note agreements. 

During  the  year  ended  December  31,  2017,  prior  to  the  Merger,  the  Company  raised  $315,000 
from  members  through  the  issuance  of  Senior  Notes  at  a  rate  of  12%  interest  that  were  payable  at  the 
sooner of the closing of a qualified public offering, as outlined in the note agreement, or five years from 
date of issuance. 

On  the  Closing  Date  of  the  Merger,  the  outstanding  balance  of  $3,584,968  in  Senior  Notes  and 
$583,821  in  Junior  Notes,  plus  accrued  interest  of  $602,373,  were  converted  into  802,920  shares  of 
Precipio preferred stock and 1,414,700 shares of Precipio common stock. There were no Senior or Junior 
Notes outstanding at December 31, 2017. 

As of December 31, 2016, the outstanding balance of Senior and Junior Notes was $3,269,968 and 
$583,821,  respectively,  with  accrued  interest  included  within  the  accrued  expenses  on  the  accompanying 
consolidated balance sheet of $279,740 and $71,258, respectively. 

Connecticut Innovations, Incorporated 

  
   
  
  
  
  
  
  
    
    
    
    
    
    
    
    
    
    
    
  
  
  
  
  
  
  
  
The  Company  entered  into  a  line  of  credit  on  April  1,  2012  with  Connecticut  Innovations, 
Incorporated  (Connecticut  Innovations),  an  entity  affiliated  with  a  director  of  the  Company,  for  up  to 
$500,000  with  interest  paid  monthly  at  8%,  due  on  September 1,  2018.  Principal  and  interest  payments 
began  February  1,  2013  and  ranged  from  $7,436  to  $12,206  until  September  2016,  when  the  Company 
entered  into  a  forbearance  agreement  to  1)  defer  monthly  principal  payments  until  October  2017  and  2) 
make interest-only payments totaling $1,041 per month through October 2017. Pursuant to the forbearance 
agreement, the Company was also restricted from any additional borrowings under the line of credit. The 
line was secured by substantially all of the Company’s assets. 

58 

  
  
  
In  connection  with  the  Merger,  the  Company  paid  in  full  its  loan  obligations  with  Connecticut 
Innovations.  The  outstanding  balance  was  zero  and  $162,066  as  of  December  31,  2017  and  2016, 
respectively. 

Department of Economic and Community Development. 

The Company entered into a 10-year term loan with the Department of Economic and Community 
Development (“DECD”) on May 1, 2013 for $300,000, with interest paid monthly at 3%, due on April 23, 
2023. The loan was secured by substantially all of the Company’s assets but was subordinate to the term 
loan with Webster Bank and the Connecticut Innovations line of credit. In connection with the Merger, the 
Company paid in full its loan obligations with DECD. The outstanding balance was zero and $243,287 as 
of December 31, 2017 and 2016, respectively. The outstanding principal and accrued interest balance paid 
in full in July 2017 was $225,714. 

Webster Bank. 

The  Company  entered  into  a  3.5-year  term  loan  with  Webster  Bank  on  December  1,  2014  for 
$500,000, with interest paid monthly at the one month LIBOR rate (1.16% at June 30, 2017) plus 500 basis 
points,  due  on  May 31,  2018.  The  line  was  secured  by  substantially  all  of  the  Company’s  assets  and  had 
first priority over all other outstanding debt. 

The  term  loan  with  Webster  Bank  was  subject  to  financial  covenants  relating  to  maintaining 
adequate cash runway, as defined in the term loan agreement. As of December 31, 2016 the Company was 
not  in  compliance  with  these  covenants  and,  as  such,  the  Webster  Bank  debt  has  all  been  presented  as 
current in the accompanying consolidated financial statements. 

On  June  29,  2017,  the  closing  date  of  the  Merger,  the  Company  paid  in  full  its  loan  obligations 
(including principal and interest) with Webster Bank. The outstanding balance was zero and $328,000 as of 
December 31, 2017 and 2016, respectively. 

During  the  year  ended  December  31,  2017,  the  Company  incurred  a  loss  on  extinguishment  of 
debt in the approximate amount of $53,000, related to the extinguishment of the Connecticut Innovations, 
DECD and Webster Bank loans. 

Secured Debt Obligations 

In  the  fourth  quarter  of  2017,  the  Company  entered  into  Debt  Settlement  Agreements  (the 
“Settlement  Agreements”)  with  certain  of  its  accounts  payable  and  accrued  liability  vendors  (the 
“Creditors”) pursuant to which the Creditors, who were owed $6.3 million (the “Debt Obligations”) by the 
Company, agreed to reduce and exchange the Debt Obligations for a secured obligation in the amount of 
$3.2  million,  $1.9  million  in  shares  of  the  Company’s  common  stock  and  warrants,  with  a  fair  value  of 
approximately  $0.2  million,  to  purchase  shares  of  the  Company’s  common  stock.  As  a  result  of  the 
Settlement Agreements, the Company recorded a gain on troubled debt restructuring of $1.2 million and a 
loss on extinguishment of liability of $0.2 million. 

The Debt Obligations were restructured as follows: 
into  a  scheduled 
•  The  Company  entered 

long-term  debt  repayment  agreement  of 
approximately $3.2 million, which includes interest of approximately $0.6 million, to be paid 
in  forty-eight  equal  monthly  installments  beginning  in  July  2018  (the  “Secured  Debt 
Obligations”). 

•  Debt  Obligations  of  $1.9  million  were  canceled  in  exchange  for  1,814,754  shares  of  the 
Company’s common stock with a weighted average price per share of $1.04 (the “Settlement 

  
   
  
  
  
  
  
  
  
  
  
  
 
 
Common Shares”). The stock was issued in February 2018. 

59 

  
  
•  Warrants to purchase 108,112 shares of the Company’s common stock at an exercise price of 
$7.50  per  share  (the  “Creditor  Warrants”)  were  issued  to  certain  Creditors.  The  Creditor 
Warrants were issued in February 2018 and had a fair value of approximately $0.2 million at 
the date of the Settlement Agreements. 

The  Company  also  entered  into  a  Security  Agreement  (the  “Security  Agreement”),  dated 
October 31, 2017, with a collateral agent for the Creditors, pursuant to which the Company granted to the 
collateral agent, for the benefit of the Creditors, a security interest in certain property of the Company to 
secure its obligations under the Settlement Agreements. 

Accounting for Settlement Agreements – Troubled debt 

The  Settlement  Agreements  for  certain  of  the  Creditors  were  accounted  for  as  troubled  debt 
restructurings  as  the  Creditors  had  granted  concessions  to  the  Company.  Of  the  $6.3  million  in  Debt 
Obligations, the accounts payable and accrued liability balances related to the troubled debt restructurings 
totaled $5.2 million at the time of the Settlement Agreements. During the year ended December 31, 2017, 
the  Company  recorded  a  gain  on  settlement  of  troubled  debt  restructuring  of  approximately  $1.2  million 
which is included in gain on troubled debt restructuring in the consolidated statements of operations. The 
$1.2  million  gain  represents  the  carrying  amount  of  the  liability  due  to  the  Creditors  in  excess  of  the 
undiscounted future cash flows. In connection with the accounting for these troubled debt restructurings the 
Company recorded a liability of $3.2 million which represents the undiscounted future cash flows. As such, 
the Company will not record interest in the amount of $0.6 million on the Secured Debt Obligations in the 
future. 

The  full  amount  of  the  undiscounted  future  cash  flow  of  the  Secured  Debt  Obligations  of 
approximately $3.2 million includes interest of 10% accrued up to the first payment, plus interest over the 
forty-eight  months,  resulting  in  an  estimated  monthly  payment  by  the  Company  to  the  Creditors  of 
approximately  $65,000  per  month  beginning  in  July  2018.  At  December  31,  2017,  the  $3.2  million  of 
Secured Debt Obligations is included in long-term debt in the Company’s consolidated balance sheet. 

In  connection  with  the  Settlement  Agreements,  the  Company  agreed  to  issue,  to  certain  of  the 
Creditors  whose  settlements  were  treated  as  troubled  debt  restructurings,  Creditor  Warrants  to  purchase 
108,112  shares  of  the  Company’s  common  stock  at  an  exercise  price  of  $7.50  per  share.  The  Creditor 
Warrants were issued on February 9, 2018 and are exercisable on the date of issuance and will expire five 
years  from  the  date  of  issuance.  See  Note  11  –  Stockholders’  Equity  (Deficit).  The  Company  concluded 
that the Creditor Warrants will be classified as equity. At December 31, 2017, the Company reviewed its 
obligation to issue Creditor Warrants in the future and concluded that the Creditor Warrants will be treated 
as issued for accounting purposes on the date of the Settlement Agreements. The fair value of the Creditor 
Warrants,  as  determined  by  a  Black-Scholes  calculation,  was  approximately  $158,000  on  the  date  of  the 
Settlement Agreements and was recorded as additional paid-in capital. Subsequent changes in the fair value 
will not be recognized as long as the warrants continue to be equity classified. 

On  February  12,  2018,  the  Company  issued  1,814,754  Settlement  Common  Shares  with  a  fair 
value  of  approximately  $1.9  million.  As  the  Settlement  Common  Shares  were  not  yet  issued  as  of 
December 31, 2017, the Company considered the appropriate treatment of its obligation to issue common 
shares and concluded that the Settlement Common Shares will be measured at fair value on the date of the 
Settlement Agreements. Accordingly, the Company recorded a liability of $1.9 million as of the date of the 
Settlement Agreements. The Company has a $1.9 million liability included in other current liabilities in the 
accompanying consolidated balance sheet as of December 31, 2017. 

The transaction for the Secured Debt Obligations exchanged for Settlement Common Shares was 
treated  as  an  obligation  to  issue  shares  and  represented  a  fixed  dollar  liability,  in  the  amount  of  $1.9 

  
   
 
  
  
  
  
  
  
  
million, being settled with a variable number of shares that equal the fixed dollar amount. Accordingly, the 
Company recorded a liability on the Settlement Agreement date equal to the fair value of the shares issued 
in  February  2018.  See  Note  11  –  Stockholders’  Equity  (Deficit).  Of  the  $1.9  million  of  debt  canceled  in 
exchange  for  common  shares,  $0.6  million  was  related  to  Creditors  accounted  for  as  troubled  debt 
restructurings and $1.3 million was related Creditors treated as extinguishments as discussed below. 

60 

  
  
  
Accounting for Settlement Agreements – Extinguishment of liability 

For Creditors where the settlement was not treated as a troubled debt restructuring, the accounting 
was  treated  as  an  extinguishment.  The  accounts  payable  and  accrued  liability  balances  related  to  the 
extinguishments totaled $1.1 million at the time of the Settlement Agreements. For these settlements, the 
Company  recorded  a  net  loss  during  the  year  ended  December  31,  2017  of  approximately  $0.2  million 
equal to the difference between the carrying amount of the liability due to the Creditors and the fair value 
of  the  consideration  transferred  to  the  Creditors.  The  loss  of  $0.2  million  is  included  in  net  gain  on 
settlement of liability in the consolidated statements of operations. 

Convertible Promissory Notes. 

The  Company,  as  part  of  the  merger,  assumed  an  Unsecured  Convertible  Promissory  Note  (the 
“Note”)  with  an  accredited  investor  (the  “Investor”)  in  the  aggregate  principal  amount  of  $125,000  and 
interest  accrues  at  a  rate  of  6%  per  year.  The  Note  provided  that  two-thirds  of  the  outstanding  principal 
amount  of  the  Note  was  due  upon  the  earlier  to  occur  of  the  close  of  the  Merger  or  June 17,  2017  (such 
applicable date, the “Maturity Date”).  The remaining one-third of the principal amount outstanding on the 
Note was to be paid on the six month anniversary of the Maturity Date. 

On  the  Maturity  Date,  the  then  outstanding  aggregate  amount  owed  on  the  Note  of  $143,041 
($125,000 in principal amount and $18,041 of accrued interest) became due. Pursuant to the terms of the 
Note, the Company’s failure to pay any principal or interest within 10 days of the date such payment is due 
will  constitute  an  event  of  default  (the  “Prospective  Event  of  Default”).  On  June  21,  2017,  the  Investor 
agreed  to  waive  the  Prospective  Event  of  Default  and  agreed  to  further  extend  the  Maturity  Date  of  the 
Note pursuant to a side letter to the Note (the “Side Letter”). The Side Letter provides that two-thirds of the 
outstanding  principal  amount  of  the  Note  must  be  paid  upon  the  earlier  to  occur  of  (1)  the  closing  of  a 
public  offering  by  the  Company  of  either  common  stock,  convertible  preferred  stock  or  convertible 
preferred notes or (2) August 16, 2017 (such applicable date, the “Deferred Maturity Date”). On August 31, 
2017, the Company made payment of $83,333, two-thirds of the then outstanding principal amount, which 
was more than 10 days after the Deferred Maturity Date and constituted an event of default under the terms 
of  the  Note  (the  “Deferred  Maturity  Date  Event  of  Default”).  The  Investor  agreed  to  waive  the  Deferred 
Maturity  Date  Event  of  Default.  In  consideration  of  this  waiver,  the  Company  issued  the  Investor  one 
warrant  to  purchase  10,000  shares  of  the  Company’s  common  stock,  par  value  $0.01  per  share  (the 
“Convertible Promissory Note Warrants”). See Note 11 – Stockholders’ Equity (Deficit). The issuance date 
of the Convertible Promissory Note Warrants was October 3, 2017. 

The remaining one-third of the principal amount outstanding on the Note must be paid on the six 
month anniversary of the Deferred Maturity Date (the “Extended Maturity Date”). All accrued and unpaid 
interest  on  the  outstanding  principal  amount  of  the  Note  will  be  due  and  immediately  payable  on  the 
Extended Maturity Date, unless the Note is converted in which case such interest will be payable in shares 
of  the  Company’s  common  stock  as  part  of  the  conversion.  As  of  October  31,  2017,  the  outstanding 
principal amount due was $41,666 and accrued interest was approximately $20,000. The Investor entered 
into a Settlement Agreement, as described above, through which the amount due to the Investor would be 
settled  with  Settlement  Common  Shares.  As  of  December  31,  2017,  the  $41,666  due  to  the  Investor  is 
included in the Settlement Common Shares liability discussed above.  

Financed Insurance Loan. 

During  the  year  ended  December  31,  2017,  the  Company  financed  certain  of  its  insurance 
premiums  (the  “Financed  Insurance  Loan”).  The  original  amount  financed  in  July  2017  was  $0.4  million 
with  a  4.99  %  interest  rate.  The  Company  will  make  monthly  payments  through  May  2018.  As  of 
December 31, 2017, the Financed Insurance Loan outstanding balance of $0.2 million is included in current 

  
   
  
  
  
  
  
  
  
maturities  of  long-term  debt  in  the  Company’s  consolidated  balance  sheet  and  a  corresponding  prepaid 
asset of $0.2 million is included in other current assets. 

61 

  
  
  
The aggregate future maturities required on long-term debt at December 31, 2017 are as follows: 

Secured Debt Obligations 
Financed Insurance Loan 

   2018       2019       2020       2021       2022       Total    
404     $  3,233   
404     $ 
808     $ 
  $ 
183        —        —        —        —       
183   
404     $  3,416   
808     $ 
587     $ 

808     $ 

808     $ 

809     $ 

809     $ 

  $ 

 7. 

CONVERTIBLE BRIDGE NOTES. 

Convertible Bridge Notes. 

During the year ended December 31, 2016, the Company had outstanding $695,000 of unsecured 
convertible  bridge  notes.  The  notes  accrued  interest  at  a  rate  of  14%  and  were  payable  on  the  extended 
maturity  date  of  December  31,  2016.  During  January  2017,  the  holders  of  the  convertible  bridge  notes 
agreed to waive the maturity date of December 31, 2016 and change it to payable on demand and accrue 
interest until paid. 

The convertible bridge notes had conversion terms of (i) convertible into Series C Preferred Units 
of  the  Company  (at  a  30%  discount)  upon  a  Qualified  Series  C  Financing  (as  defined  in  the  note 
agreement), (ii) at the option of the holders of a majority of the then-outstanding principal amount of the 
notes, convertible into Series C Preferred Units of the Company (at a 30% discount) upon any other Series 
C Financing, or (iii) if no such Qualified Series C Financing occurs, or no such optional conversion takes 
place by the maturity date (as hereinafter defined), the convertible notes will be fully repaid by Company or 
the notes and accrued and unpaid interest shall convert into Preferred Series B Units (at a 30% discount) of 
the Preferred Series B conversion Price as defined in the operating agreement provided that notice is given 
to the Company at least one day prior to maturity.  In the event a Deemed Liquidity Event (merger, sale, 
IPO, or transaction with exchange of 50% or more of voting power) the holders of the notes at their sole 
discretion can (a) require the Company to pay an amount equal to two times the principal and accrued and 
unpaid  interest  or  (b)  convert  all  unpaid  principal  and  interest  at  a  rate  of  70%  of  the  applicable 
security.  These notes were subordinated to Connecticut Innovations, DECD and Webster Bank. 

In  connection  with  the  Merger,  on  the  Closing  Date,  convertible  bridge  notes  of  $695,000,  plus 

$192,000 of accrued interest, were converted into 155,639 shares of Precipio common stock. 

2017 New Bridge Notes I. 

Prior to the Merger, the Company (then Transgenomic) completed the sale of an aggregate of $1.2 
million of non-convertible promissory notes (the “2017 Bridge Notes”) in a bridge financing pursuant to a 
securities purchase agreement (the “Purchase Agreement”), for which $561,500 was then given to Precipio 
Diagnostics  through  the  issuance  of  a  promissory  note  and  is  eliminated  in  consolidation.  The  financing 
was intended to help facilitate the completion of the Merger. The 2017 Bridge Notes had an annual interest 
rate of 4% and a 90-day maturity. The 2017 Bridge Notes could be repaid by the Company at any time in 
cash  upon  payment  of  a  20%  premium.  In  connection  with  the  issuance  of  the  2017  Bridge  Notes,  the 
Company  issued  warrants  (the  “2017  Bridge  Warrants”)  to  acquire  40,000  shares  of  the  Company's 
common  stock  at  an  exercise  price  of  $15.00  per  share,  subject  to  anti-dilution  protection.  The  Purchase 
Agreement provides certain piggyback registration rights for the holders of the 2017 Bridge Warrants for a 
period  of  six  months  after  the  closing  of  the  bridge  financing.  Aegis  Capital  Corp.  (“Aegis”)  acted  as 
placement agent for the bridge financing and received a placement agent fee of $84,000 and warrants (the 
“Aegis Warrants”) to acquire 5,600 shares of the Company's common stock at an exercise price of $15.00 
per share. The Aegis Warrants are identical to the 2017 Bridge Warrants except that the Aegis Warrants do 
not have anti-dilution protection. 

  
   
  
  
    
  
  
  
  
  
  
  
  
  
62 

  
  
At the time of the Merger, the 2017 Bridge Notes were extinguished and replaced with convertible 
promissory notes (the “2017 New Bridge Notes I”) with an original principal amount of $1.2 million in the 
aggregate  pursuant  to  an  Exchange  Agreement  (the  “Exchange  Agreement”)  entered  into  on  the  Closing 
Date. The 2017 New Bridge Notes I had an annual interest rate of 8.0% and were due and payable upon the 
earlier  to  occur  of  (i)  October  1,  2017  or  (ii)  the  closing  of  a  Qualified  Offering  (as  defined  in  the  2017 
New Bridge Notes I). The 2017 New Bridge Notes I were convertible into shares of our common stock at 
an  initial  conversion  price  of  $3.736329  per  share,  subject  to  adjustment,  and  could  be  convertible  into 
shares of our preferred stock at the holder’s option if the Company did not complete a Qualified Offering 
(as  defined  in  the  2017  New  Bridge  Notes  I)  by  October  1,  2017.  The  Company  could  redeem  the  2017 
New Bridge Notes I at any time in cash upon payment of a 20% premium, or $240,000. As the convertible 
promissory notes were convertible into the Company's common stock at a conversion rate lower than the 
fair  market  value  of  the  common  stock  at  the  time  of  issuance,  the  Company  recorded  $989,000  as  a 
beneficial conversion feature, which was recorded as a debt discount in the balance sheet. The discount was 
amortized  using  the  effective  interest  method  through  the  first  conversion  date  of  the  2017  New  Bridge 
Notes I. On August 28, 2017, these 2017 New Bridge Notes I were partially converted into the Company’s 
common stock and the remaining were paid off, refer below for further discussion. 

Pursuant to the Exchange Agreement, the 2017 Bridge Warrants were canceled and replaced with 
new warrants to acquire 45,600 shares of our common stock (the “2017 New Bridge Warrants”). The initial 
exercise  price  of  the  2017  New  Bridge  Warrants  was  $7.50  (subject  to  adjustments).  If  the  Company 
completed  a  Qualified  Offering  (as  defined  in  the  2017  New  Bridge  warrants),  the  exercise  price  of  the 
2017  New  Bridge  Warrants  would  become  the  lower  of  (i)  $7.50,  or  (ii)  110%  of  the  per  share  offering 
price in the Qualified Offering, but in no event lower than $1.50 per share, which has been considered a 
down round provision. At issuance, the 2017 New Bridge Warrants had a fair value of $211,000 and were 
recorded  as  a  debt  discount  to  the  related  2017  New  Bridge  Notes  I,  with  the  corresponding  entry  to 
additional paid in capital as the warrants were considered classified as equity in accordance with GAAP. As 
discussed  in  Note  2  of  the  accompanying  consolidated  financial  statements,  the  Company  early  adopted 
ASU  2017-11,  which  allowed  the  Company  to  treat  the  warrants  as  equity  classified,  despite  the  down 
round provision. 

2017 New Bridge Note II. 

In  connection  with  the  Merger,  on  the  Closing  Date  and  pursuant  to  a  Securities  Purchase 
Agreement  (the  “Bridge  Purchase  Agreement”),  the  Company  completed  the  sale  of  an  aggregate  of 
$800,000 of a convertible promissory note (the “2017 New Bridge Note II”). The Company received net 
proceeds  of  $721,000  from  the  sale  of  the  2017  New  Bridge  Note  II,  which  would  be  used  for  working 
capital  purposes.  The  2017  New  Bridge  Note  II  had  an  annual  interest  rate  of  8.0%  and  was  due  and 
payable  upon  the  earlier  to  occur  of  (i)  October  1,  2017  or  (ii)  the  closing  of  a  Qualified  Offering  (as 
defined in the 2017 New Bridge Note II). The 2017 New Bridge Note II was convertible into shares of our 
common  stock  at  an  initial  conversion  price  of  $3.736329  per  share,  subject  to  adjustment,  and  could  be 
convertible  into  shares  of  our  preferred  stock  at  the  holder’s  option  if  the  Company  does  not  complete  a 
Qualified Offering (as defined in the 2017 New Bridge Note II) by October 1, 2017. The Company could 
redeem the 2017 New Bridge Note II at any time in cash upon payment of a 20% premium, or $160,000. 

As  the  2017  New  Bridge  Note  II  was  convertible  into  the  Company's  common  stock  at  a 
conversion rate lower than the fair market value of the common stock at the time of issuance, the Company 
recorded  $656,000  as  a  beneficial  conversion  feature,  which  was  recorded  as  a  debt  discount  in  the 
accompanying balance sheet. The discount was amortized using the effective interest method through the 
first conversion date of the 2017 New Bridge Note II. On August 28, 2017, this 2017 New Bridge Note II 
was partially converted into the Company’s common stock and the remaining was paid off, refer below for 
further discussion. 

  
  
  
  
  
  
  
In  connection  with  the  bridge  financing  and  the  assumption  of  certain  obligations  by  an  entity 
controlled  by  Mark  Rimer  (a  director  of  the  Company),  the  Company  issued  to  that  entity  warrants  (the 
“Side Warrants”) to purchase an aggregate of 91,429 shares of the Company's common stock. See Note 11 
– Stockholders’ Equity (Deficit) for a discussion on terms of the Side Warrants. 

In addition, the agreement stipulated that if the Company were to consummate one or more rounds 
of  equity  financing  following  July  1,  2017,  with  aggregate  gross  proceeds  of  at  least  $7  million,  the 
Company  would  be  required  to  use  a  portion  of  the  proceeds  from  such  financing  to  repay  the  principal 
amount  of  the  2017  New  Bridge  Notes,  together  with  any  premium  and  interest.  See  discussion  below 
regarding payment and conversion of the 2017 notes. 

63 

  
  
  
  
Conversion  and  Payment  of  the  2017  New  Bridge  Notes  I  and  New  Bridge  Note  II  (collectively, 

the “New Bridge Notes”). 

On August 28, 2017, the Company completed an underwritten public offering (the “August 2017 
Offering”)  of  6,000  units  consisting  of  one  share  of  the  Company’s  Series  B  Preferred  Stock  and  one 
warrant to purchase up to 400 shares of the Company's common stock at a combined public offering price 
of $1,000 per unit for gross proceeds of $6.0 million (see Note 11 - Stockholders' Equity (Deficit)). 

At the time of the closing of the August 2017 Offering, the aggregate amount due to the holders of 
the New Bridge Notes was $2,436,551 ($2,000,000 in principal, $400,000 for a 20% redemption premium 
and $36,551 in accrued interest). Upon the closing of the August 2017 Offering, the Company made a cash 
payment  of  $1,536,551  to  extinguish  certain  notes  and  the  remaining  $900,000  of  the  Company’s  New 
Bridge  Notes  were  converted  into  an  aggregate  of  359,999  shares  of  the  Company's  common  stock  (the 
“Note Conversion Shares”) at a conversion price of $2.50 per share and 359,999 warrants to purchase the 
Company's  common  stock  (the  “Note  Conversion  Warrants”).  The  Company  issued  the  Note  Conversion 
Warrants to the holders of the New Bridge Notes as consideration for their election to convert their New 
Bridge  Notes  into  shares  of  the  Company's  common  stock.  The  Company  treated  the  $900,000  debt 
conversion  as  an  induced  conversion  and  determined  that  the  fair  value  of  the  consideration  given  in  the 
conversion exceeded the fair value of the debt pursuant to its original conversion terms by approximately 
$1.0  million.  This  amount  was  recorded  as  an  expense  included  in  loss  on  extinguishment  of  debt  and 
induced conversion of convertible bridge notes in our consolidated statements of operations. The Company 
also recorded a loss on extinguishment of debt of approximately $0.4 million related to the extinguishment 
of  the  $1,536,551  portion  paid  in  cash,  which  was  also  recorded  as  an  expense  within  the  loss  on 
extinguishment  of  debt  and  induced  conversion  of  convertible  bridge  notes  line  in  our  consolidated 
statements of operations. See Note 11 Stockholders’ Equity (Deficit) for discussion of the Note Conversion 
Warrants. 

Upon  conversion  and  payment  of  the  New  Bridge  Notes,  all  remaining  debt  discounts  and  debt 
issuance costs associated with the conversions were fully amortized to interest expense and debt discounts 
and  debt  issuance  costs  associated  with  the  portion  paid  in  cash  were  amortized  to  interest  expense  up 
through  the  payment  date.  During  the  year  ended  December  31,  2017,  debt  discounts  and  debt  issuance 
costs  amortized  to  interest  expense  were  $1.9  million.  As  of  December  31,  2017,  the  outstanding 
convertible bridge notes balance was zero. 

 8. 

ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES. 

Accrued expenses at December 31, 2017 and 2016 are as follows: 

Accrued expenses 
Accrued compensation 
Accrued interest 

     2016 

   2017 
  $  1,122     $ 
126       
—       
  $  1,248     $ 

50   
155   
495   
700   

During the year ended December 31, 2017, the Company was able to reduce approximately $1.1 
million of certain accrued expense and accounts payable amounts through negotiations with certain vendors 
to settle pre-Merger liabilities. The Company recorded a gain of $1.1 million which is included in gain on 
settlement of liability, net in the consolidated statements of operations. 

Other current liabilities at December 31, 2017 and 2016 are as follows: 

   2017       2016 

  
   
  
  
  
  
  
  
  
  
    
    
  
  
  
  
  
  
Obligation to issue common shares 
Liability for settlement of equity instrument 

  $  1,897     $  —   
     1,085       
—   
  $  2,982     $  —   

64 

  
  
  
  
As of December 31, 2017, the Company has recorded a liability related to its obligation to issue 
shares of its common stock in the future. On February 12, 2018, the Company issued 1,814,754 Settlement 
Common  Shares  with  a  fair  value  of  approximately  $1.9  million.  See  Note  6  –  Long-Term  Debt  for 
additional information. 

On February 20, 2018, Crede Capital Group LLC (“Crede”) filed a lawsuit against the Company 
in the Supreme Court of the State of New York for Summary Judgment in Lieu of Complaint requiring the 
Company  to  pay  cash  owed  to  Crede.  Crede  claimed  that  Precipio  had  breached  a  Securities  Purchase 
Agreement and Warrant that Crede entered into in connection with an investment in Transgenomic and that 
pursuant  to  those  agreements,  Precipio  owed  Crede  approximately  $2.2  million.  On  March 12,  2018, 
Precipio  entered  into  a  settlement  agreement  (the  “Crede  Agreement”)  with  Crede  pursuant  to  which 
Precipio agreed to pay Crede a total sum of $1.925 million over a period of 16 months payable in cash, or 
at  the  Company’s  discretion,  in  stock,  in  accordance  with  terms  contained  in  the  Crede  Agreement.  As  a 
result  of  the  Crede  Agreement,  as  of  December  31,  2017,  the  Company  has  recorded  a  liability  of  $1.1 
million included in other current liabilities on the accompanying consolidated balance sheets, as well as a 
liability  of  $0.8  million  included  in  common  stock  warrant  liability  on  the  accompanying  consolidated 
balance  sheets  related  to  warrants  classified  as  liabilities  that  Crede  is  the  holder  of.  See  Note  12  –  Fair 
Value for additional information. During the year ended December 31, 2017, the Company recorded a loss 
on settlement of equity instruments of approximately $0.6 million related to the Crede Agreement. 

 9. 

COMMITMENTS AND CONTINGENCIES 

OPERATING LEASES 

The Company entered into a sixty month operating lease beginning in January 2017, for its facility 
in New Haven, Connecticut at a monthly rental rate of $13,400 to $14,600 and a sixty-one month operating 
lease  beginning  in  May  2017,  for  its  facility  in  Omaha,  Nebraska  at  a  monthly  rental  rate  of  $2,300  to 
$2,800. 

The  future  minimum  annual  lease  payments  under  these  operating  leases  at  December  31,  2017 

are as follows: 

Years Ending December 31, 
2018 
2019 
2020 
2021 
2022 
Total 

  $ 195,000   
     198,000   
     203,000   
     208,000   
     13,000   
  $ 817,000   

The  Company  recognizes  rent  expense  on  a  straight-line  basis  for  all  operating  leases.  Rent 

expense was $0.2 million and $0.1 million for the years ended December 31, 2017 and 2016, respectively. 

CAPITAL LEASES 

The  Company  has  entered  into  various  capital  lease  agreements  to  obtain  lab  equipment.  The 

terms of the capital leases range from five to ten years with interest rates of 7.25%. 

An  analysis  of  the  property  acquired  under  capital  leases  at  December  31,  2017  and  2016  is  as 

follows. 

Classes of Property: 

   2017 

     2016 

  
   
  
  
  
  
  
  
    
  
  
  
  
  
  
  
Lab equipment 
Less accumulated amortization 

  $ 296,000     $ 296,000   
    (150,000 )     (102,000 ) 
  $ 146,000     $ 194,000   

Included in cost of diagnostic services is amortization expense related to equipment acquired under capital 
leases  of  approximately  $48,000  and  $45,000  for  the  years  ended  December  31,  2017  and  2016 
respectively. 

65 

  
  
  
  
  
The  following  is  a  schedule  by  years  of  future  minimum  lease  payments  under  capital  leases 

together with the present value of the net minimum lease payments. 

Years Ending December 31, 
2018 
2019 
2020 
2021 
2022 

Total capital lease obligations 
Less: Amount representing interest 
Present value of net minimum lease obligations 
Less, current maturities of capital leases 
Capital Leases, long term 

  $  60,000   
     60,000   
     36,000   
     24,000   
4,000   

    184,000   
     (21,000 ) 
    163,000   
     (50,000 ) 
  $ 113,000   

PURCHASE COMMITMENTS 

The  Company  has  entered  into  purchase  commitments  for  reagents  from  suppliers.  These 
agreements started in 2011 and run through 2022. The Company and the suppliers will true up the amounts 
on an annual basis. The future minimum purchase commitments under these agreements are as follows: 

Years ending December 31, 
2018 
2019 
2020 
2021 
2022 

OTHER CONTRACTUAL COMMITTMENTS  

  $ 209,000   
    208,000   
    138,000   
     99,000   
     10,000   

The Company has a $1.925 million contractual commitment with Crede as a result of a settlement 
agreement  the  Company  reached  with  Crede  on  March  12,  2018.  See  Note  8  –  Accrued  Expenses  And 
Other  Current  Liabilities  for  details  on  the  settlement.  The  following  is  a  schedule  by  years  of  future 
contractual payments under the settlement: 

Years Ending December 31, 
2018 
2019 
Total 

  $ 1,000,000   
     925,000   
  $ 1,925,000   

LITIGATIONS  

The Company is delinquent on the payment of outstanding accounts payable for certain vendors 

and suppliers who have taken or have threatened to take legal action to collect such outstanding amounts. 

66 

  
   
  
    
  
    
  
  
  
    
  
  
  
    
  
  
  
  
    
  
  
  
  
  
  
On  February  25,  2016,  the  Board  of  Regents  of  the  University  of  Nebraska  (“UNMC”)  filed  a 
lawsuit against Transgenomic in the District Court of Douglas County, Nebraska, for breach of contract and 
seeking  recovery  of  $0.7  million  owed  by  us  to  UNMC.  A  $0.4  million  liability  was  recorded  and  is 
reflected in accrued expenses at December 31, 2016. We and UNMC entered into a settlement agreement 
dated February 6, 2017, which included, among other things, a mutual general release of claims, and our 
agreement to pay $0.4 million to UNMC in installments over a period of time. On September 8, 2017, we 
and UNMC entered into a First Amendment to the Settlement Agreement with quarterly payments in the 
amount  of  $25,000  due  commencing  on  September  15,  2017  and  ending  on  June  15,  2020  and  a  final 
payment  of  $100,000  due  on  or  before  September  15,  2020.  We  made  settlement  payments  totaling  of 
$50,000  during  2017  and  a  $0.3  million  liability  has  been  recorded  and  is  reflected  in  accounts  payable 
within the accompanying consolidated balance sheet at December 31, 2017. 

On April 13, 2016, Fox Chase Cancer Center (“Fox Chase”) filed a lawsuit against us in the Court 
of Common Pleas of Philadelphia County, First Judicial District of Pennsylvania Civil Trial Division (the 
“Court  of  Common  Pleas”),  alleging,  among  other  things,  breach  of  contract,  tortious  interference  with 
present and prospective contractual relations, unjust enrichment, fraudulent conversion and conspiracy and 
seeking  punitive  damages  in  addition  to  damages  and  other  relief.  This  lawsuit  relates  to  a  license 
agreement  Transgenomic  entered  into  with  Fox  Chase  in  August  2000,  as  amended  (the  “License 
Agreement”), as well as the assignment of certain of Transgenomic's rights under the License Agreement to 
Integrated DNA Technologies, Inc. (“IDT”) pursuant to the Surveyor Kit Patent, Technology and Inventory 
Purchase  Agreement  Transgenomic  entered  into  with  IDT  effective  as  of  July  1,  2014  (the  “IDT 
Agreement”).  Pursuant  to  the  terms  of  the  IDT  Agreement,  Transgenomic  agreed  to  indemnify  IDT  with 
respect  to  certain  of  the  claims  asserted  in  the  Fox  Chase  proceeding.  On  July  8,  2016,  the  Court  of 
Common  Pleas  sustained  Transgenomic’s  preliminary  objections  to  several  of  Fox  Chase’s  claims  and 
dismissed  the  claims  for  tortious  interference,  fraudulent  conversion,  conspiracy,  punitive  damages  and 
attorney’s  fees.   Accordingly,  the  case  was  narrowed  so  that  only  certain  contract  claims  and  an  unjust 
enrichment claim remained pending against Transgenomic. 

During  June  2017,  prior  to  the  Merger,  Transgenomic  entered  into  a  settlement  agreement  with 
Fox  Chase  (the  “Agreement”) to  pay  $175,000  in  three  installments.   In  August  2017  we  made  two 
payments, each in the amount of $60,000 and on October 3, 2017, we made a third and final payment in the 
amount  of  $55,000. The  three  payments  total $175,000  which  resolved  all  outstanding  claims  in  the 
litigation  brought  in  April  2016  by  Fox  Chase  against  Transgenomic  in  the  Court  of  Common  Pleas  of 
Philadelphia County (the “Action”). As of April 13, 2018, the case remains pending with the Court as Fox 
Chase  has  not caused  the  Action  to  be  formally  dismissed  with  prejudice  as  it  is  obligated  per  the 
agreement. Also, on July 13, 2017 we entered into an agreement with its co-Defendant, IDT, regarding our 
indemnity obligations to IDT for legal fees and expenses incurred in the Action pursuant to the terms of the 
IDT Agreement in the amount of $139,000. During 2017, we made total payments to IDT in the amount of 
$139,000 satisfying the agreement. As of December 31, 2017 there are no outstanding amounts owed by us 
and  we  have  no  liabilities  recorded  within  the  accompanying  consolidated  balance  sheet  related  to  this 
matter. 

On June 23, 2016, the Icahn School of Medicine at Mount Sinai (“Mount Sinai”) filed a lawsuit 
against  Transgenomic  in  the  Supreme  Court  of  the  State  of  New  York,  County  of  New  York,  alleging, 
among  other  things,  breach  of  contract  and,  alternatively,  unjust  enrichment  and  quantum  merit,  and 
seeking  recovery  of  $0.7  million  owed  by  us  to  Mount  Sinai  for  services  rendered.  We  and  Mount  Sinai 
entered into a settlement agreement dated October 27, 2016, which included, among other things, a mutual 
general  release  of  claims,  and  our  agreement  to  pay  approximately  $0.7  million  to  Mount  Sinai  in 
installments over a period of time. Effective as of October 31, 2017, we and Mount Sinai agreed to enter 
into a new settlement agreement to restructure these liabilities into a secured, long-term debt obligation of 
$0.5  million  which  includes  accrued  interest  at  10%  with  monthly  principal  and  interest  payments  of 
$9,472  beginning  in  July  2018  and  continuing  over  48  months  and  to  issue  warrants  in  the  amount  of 

  
   
  
  
  
24,900  shares,  that  are  exercisable  for  shares  of  our  common  stock,  on  a  1-for-1  basis,  with  an  exercise 
price of $7.50 per share, exercisable on the date of issuance with a term of 5 years. We do not plan to apply 
to  list  the  warrants  on  the  NASDAQ  Capital  Market,  any  other  national  securities  exchange  or  any  other 
nationally  recognized  trading  system.  A  $0.5  million  liability  has  been  recorded  and  is  reflected  in  long-
term debt within the accompanying consolidated balance sheet at December 31, 2017. 

On December 19, 2016, Todd Smith (“Smith”) filed a lawsuit against us in the District Court of 
Douglas County Nebraska, alleging breach of contract and seeking recovery of $2.2 million owed by us to 
Smith  for  costs  and  damages  arising  from  a  breach  of  our  obligations  pursuant  to  a  lease  agreement 
between  the  parties.  On  April  7,  2017,  we  entered  into  a  settlement  agreement  with  Smith  related  to  the 
early  termination  of  our  lease  for  a  facility  in  Omaha,  Nebraska.  The  agreement  included,  among  other 
things, a mutual general release of claims, and our agreement to pay approximately $0.6 million to Smith in 
installments through October 2018. During the year ended December 31, 2017, we made payments totaling 
$0.4 million and a $0.2 million liability has been recorded and is reflected in accounts payable within the 
accompanying consolidated balance sheet at December 31, 2017. 

67 

  
  
  
  
On February 21, 2017, XIFIN, Inc. (“XIFIN”) filed a lawsuit against us in the District Court for 
the  Southern  District  of  California  alleging  breach  of  written  contract  and  seeking  recovery  of 
approximately  $0.27  million  owed  by  us  to  XIFIN  for  damages  arising  from  a  breach  of  our  obligations 
pursuant  to  a  Systems  Services  Agreement  between  us  and  XIFIN,  dated  as  of  February  22,  2013,  as 
amended and restated on September 1, 2014. On April 5, 2017, the court clerk entered default against the 
Company. On May 5, 2017, XIFIN filed an application for entry of default judgment against us. During the 
year  ended  December  31,  2017,  we  made  payments  totaling  $0.1  million  and  a  $0.2  million  liability  has 
been recorded and is reflected in accounts payable within the accompanying consolidated balance sheet at 
December 31, 2017. 

CPA  Global  provides  us  with  certain  patent  management  services.  On  February  6,  2017,  CPA 
Global claimed that we owe approximately $0.2 million for certain patent maintenance services rendered. 
CPA  Global  has  not  filed  claims  against  us  in  connection  with  this  allegation.  During  the  year  ended 
December 31, 2017, we made payments of less than $0.1 million and a liability of approximately less than 
$0.1 million has been recorded and is reflected in accounts payable within the accompanying consolidated 
balance sheet at December 31, 2017. 

On March 9, 2016, counsel for Edge BioSystems, Inc. (“EdgeBio”) sent a demand letter on behalf 
of EdgeBio to us in connection with the terms of an Asset Purchase Agreement dated September 8, 2015 
(the  “EdgeBio  Agreement”).  EdgeBio  alleges,  among  other  things,  that  certain  customers  of  EdgeBio 
erroneously  remitted  payments  to  us,  that  such  payments  should  have  been  paid  to  EdgeBio  and  that  we 
failed to remit these funds to EdgeBio in violation of the terms of the EdgeBio Agreement. On September 
13, 2016, we received a demand for payment letter from EdgeBio’s counsel alleging that the balance due to 
EdgeBio  is  approximately  $0.1  million.  On  September  19,  2017  a  summary  of  action  from  the  Judicial 
District  of  New  Haven,  CT  for  a  judgement  of  $113,000  was  issued.  We  and  Edge-Bio  reached  an 
agreement on payment and we paid $63,000 on December 21, 2017 with another $63,000 due within 180 
days from the initial payment. A liability of approximately $0.1 million has been recorded and is reflected 
in accounts payable within the accompanying consolidated balance sheet at December 31, 2017. 

On February 17, 2017, Jesse Campbell (“Campbell”) filed a lawsuit individually and on behalf of 
others  similarly  situated  against  us  in  the  District  Court  for  the  District  of  Nebraska  alleging  we  had  a 
materially incomplete and misleading proxy relating to a potential merger and that the merger agreement’s 
deal  protection  provisions  deter  superior  offers.   As  a  result,  Campbell  alleges  that  we  have  violated 
Sections 14(a) and 20(a) of the Exchange Act and Rule 14a-9 promulgated thereafter.  Although we intend 
to  defend  the  lawsuit,  there  can  be  no  assurance  regarding  the  ultimate  outcome  of  this  case.  Given  the 
uncertainty of litigation, the legal standards that must be met for, among other things, class certification and 
success on the merits, we are unable to estimate the amount of loss, or range of possible loss, at this time 
that  may  result  from  this  action.  In  the  event  that  a  settlement  is  reached  related  to  these  matters,  the 
amount  of  such  settlement  may  be  material  to  our  results  of  operations  and  financial  condition  and  may 
have a material adverse impact on our liquidity. 

On  February  20,  2018,  Crede  Capital  Group  LLC  (“Crede”)  filed  a  lawsuit  against  us  in  the 
Supreme Court of the State of New York for Summary Judgment in Lieu of Complaint requiring us to pay 
cash owed to Crede. Crede claims that Precipio has breached a Securities Purchase Agreement and Warrant 
that  Crede  entered  into  in  connection  with  an  investment  in  Transgenomic  and  that  pursuant  to  those 
agreements,  we  owed  Crede  the  sum  of  $2.2  million.  In  addition  to  the  aforementioned  sum,  Crede  also 
demanded that we pay an additional sum of $3,737.32 per day between the date of the summons and the 
date  that  judgment  is  entered,  plus  interest.  As  previously  disclosed  by  us,  Crede  had  sent  us  a  letter 
claiming  that  we  owed  Crede  $1.8  million.  On  March 12,  2018,  we  entered  into  a  settlement  agreement 
with  Crede  pursuant  to  which  we  agreed  to  pay  Crede  a  total  sum  of  $1.925  million  over  a  period  of  16 
months payable in cash, or at the Company’s discretion, in stock, in accordance with terms contained in the 
Agreement. In accordance with the terms of the agreement and in addition to the agreement to pay, we have 

  
   
  
  
  
  
also  executed  and  delivered  to  Crede  an  affidavit  of  confession  of  judgment.  Liabilities  totaling 
approximately  $1.9  million  have  been  recorded  and  are  reflected  in  other  current  liabilities  and  common 
stock  warrant  liability  within  the  accompanying  consolidated  balance  sheet  at  December  31,  2017.  On 
March 19, 2018 we made the first scheduled payment of $175,000 to Crede. 

68 

  
  
  
On March 21, 2018, Bio-Rad Laboratories filed a lawsuit against us in the Superior Court Judicial 
Branch of the State of Connecticut for Summary Judgment in Lieu of Complaint requiring us to pay cash 
owed to Bio-Rad in the amount of $39,000. We are currently in discussions with Bio-Rad to reach payment 
conditions.  A  liability  of  less  than  $0.1  million  has  been  recorded  in  accounts  payable  within  the 
accompanying consolidated balance sheet at December 31, 2017. 

LEGAL AND REGULATORY ENVIRONMENT  

The  healthcare  industry  is  subject  to  numerous  laws  and  regulations  of  federal,  state  and  local 
governments.  These  laws  and  regulations  include,  but  are  not  limited  to,  matters  such  as  licensure, 
accreditation, government healthcare program participation requirement, reimbursement for patient services 
and  Medicare  and  Medicaid  fraud  and  abuse.  Government  activity  has  increased  with  respect  to 
investigations and allegations concerning possible violations of fraud and abuse statutes and regulations by 
healthcare providers. 

Violations  of  these  laws  and  regulations  could  result  in  expulsion  from  government  healthcare 
programs together with the imposition of significant fines and penalties, as well as significant repayments 
for patient services previously billed. Management believes that the Company is in compliance with fraud 
and  abuse  regulations,  as  well  as  other  applicable  government  laws  and  regulations.  While  no  material 
regulatory inquiries have been made, compliance with such laws and regulations can be subject to future 
government review and interpretation, as well as regulatory actions unknown or unasserted at this time. 

 10. 

INCOME TAXES 

Impact of the Tax Cuts and Jobs Act 

In 2016, Precipio Diagnostics was organized as a limited liability company and operated under the 
default classification as a partnership until July 31, 2016. Effective August 1, 2016, Precipio Diagnostics 
elected  to  be  treated  as  a  corporation  for  tax  purposes  and  as  such,  a  net  deferred  tax  asset,  prior  to  a 
valuation allowance was created. The Company calculated an income tax provision for period from August 
1, 2016 through December 31, 2016. 

The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. Among other things, 
the Act reduces the U.S. federal corporate tax rate from 34 percent to 21 percent, eliminates the alternative 
minimum  tax  (“AMT”)  for  corporations,  and  creates  a  one-time  deemed  repatriation  of  profits  earned 
outside  of  the  U.S.  The  tax  rate  reduction  also  resulted  in  a  write-down  of  the  net  deferred  tax  asset  of 
approximately  $1.0  million.  With  the  exception  of  the  IPR&D  noted  below,  the  write-down  of  the  net 
deferred  tax  asset  related  to  the  rate  reduction  resulted  in  a  corresponding  write-down  of  the  valuation 
allowance of approximately $1.3 million. 

The Company recorded a deferred tax liability of $0.3 million as of December 31, 2017, related to 
the acquisition of the IPR&D. This deferred tax liability was recorded to account for the book versus tax 
basis difference related to the IPR&D intangible asset, which was recorded in connection with the Merger. 
This deferred tax liability was excluded from sources of future taxable income, as the timing of its reversal 
cannot be predicted due to the indefinite life of this IPR&D. As such, this deferred tax liability cannot be 
used to offset the valuation allowance.   

Deferred  income  taxes  reflect  the  net  effects  of  temporary  differences  between  the  carrying 
amounts  of  assets  and  liabilities  for  financial  reporting  purposes  and  the  amounts  used  for  income  tax 
purposes. The Company’s net deferred tax assets relate primarily to its net operating loss carryforwards and 
stock based compensation, offset by property and equipment and intangible assets. With the exception of 
the  IPR&D,  the  Company  has  recorded  a  full  valuation  allowance  to  offset  the  net  deferred  tax  assets, 

  
   
  
  
  
  
  
  
  
  
  
because it is not more likely than not that the Company will realize future benefits associated with these net 
deferred tax assets at December 31, 2017 and 2016. 

69 

  
  
  
At  December  31,  2017  and  2016,  the  Company  had  net  deferred  tax  assets  of  $1.5  million  and 
$0.7  million,  respectively,  against  which  a  valuation  allowance  of  $1.8  million  and  $0.7  million, 
respectively,  had  been  recorded.  The  valuation  allowance  excluded  the  deferred  tax  liability  for  IPR&D 
assigned  as  an  indefinite  life  intangible  asset  for  book  purposes,  also  known  as  a  “naked  credit”  in  the 
amount of $0.3 million at December 31, 2017. The change in the valuation allowance for the year ended 
December 31, 2017 was an increase of $1.1 million. The increase in the valuation allowance for the year 
ended December 31, 2017 was mainly attributable to the reverse merger with Transgenomic, for which the 
Company  obtained  Transgenomic’s  net  operating  losses,  which  were  limited  under  the  Internal  Revenue 
Code  Section  382.  In  addition,  the  increase  was  offset  due  to  the  recognition  of  deferred  tax  liabilities 
associated  with  the  book  versus  tax  basis  difference  of  intangible  assets  purchased.  There  was  also  an 
offsetting  decrease  attributable  to  a  decrease  in  the  corporate  tax  rate.  Significant  components  of  the 
Company’s deferred tax assets at December 31, 2017 and 2016 are as follows: 

Deferred tax assets: 

Net operating loss and credit carryforwards 
Accrued interest 
Stock-based compensation 
Other 

Gross deferred tax assets 
Deferred tax liabilities: 

Property and equipment 
Intangible assets 
IPR&D intangible assets 
Other 

Gross deferred tax liabilities 
Net deferred tax assets 
Less valuation allowance 
Net deferred liability 

   Dollars in Thousands    

2017 

2016 

  $ 

  $ 

5,907     $ 
2       
61       
22       
5,992       

(32 )     
(4,145 )     
(349 )     
—       
(4,526 )     
1,466       
(1,815 )     
(349 )   $ 

407   
164   
—   
110   
681   

—   
—   
—   
(16 ) 
(16 ) 
665   
(665 ) 
—   

The  Company’s  provision  for  income  taxes  for  the  year  ended  December  31,  2017  and  for  the 
period  from  August  1,  2016  through  December  31,  2016  relates  to  income  taxes  in  states  and  other 
jurisdictions and differs from the amounts determined by applying the statutory federal income tax rate to 
the loss before income taxes for the following reasons: 

Dollars in Thousands 

Benefit at federal rate 
Increase (decrease) resulting from: 
State income taxes—net of federal benefit 
Miscellaneous permanent differences 
Warrant liability revaluation 
Capitalized transaction cost 
Impairment of goodwill 
Enactment of Tax Cuts and Jobs Act 
Change in valuation allowance 
Total income tax expense (benefit) 

For the period  
from August 1,  
2016 through  
December 31, 2016   
(421 ) 

   2017 
  $ 

(7,331 )   $ 

(101 )     
4       
81       
958       
3,334       
1,041       
2,014       
—     $ 

  $ 

(27 ) 
2   
—   
—   
—   
—   
446   
—   

  
   
  
  
  
  
    
  
    
        
    
    
    
    
    
    
        
    
    
    
    
    
    
    
    
   
  
  
  
  
  
    
    
        
    
    
    
    
    
    
    
    
70 

  
  
  
The income tax expense consists of the following at December 31, 2017 and 2016. 

Federal: 

Current 
Deferred 

Total Federal 

State: 

Current 
Deferred 

Total State 

Foreign: 

Current 
Deferred 

Total Foreign 
Total Tax Provision 

  Dollars in Thousands   
   2017 

2016 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 
  $ 

—     $ 
—       
—     $ 

—     $ 
—       
—     $ 

—     $ 
—       
—     $ 
—     $ 

—   
—   
—   

—   
—   
—   

—   
—   
—   
—   

The Company had approximately $27 million and $1.0 million of available gross federal and state 
net operating loss (“NOL”) carryforwards as of December 31, 2017 and 2016, respectively. Section 382 of 
the  Internal  Revenue  Code,  and  similar  state  regulations,  contain  provisions  that  may  limit  the  NOL 
carryforwards available to be used to offset income in any given year upon the occurrence of certain events, 
including  changes  in  the  ownership  interests  of  significant  stockholders.  In  the  event  of  a  cumulative 
change in ownership in excess of 50% over a three-year period, the amount of the NOL carryforwards that 
the Company may utilize in any one year may be limited. The Company reduced its tax attributes (NOLs 
and tax credits) obtained from the Merger with Transgenomic and the limitation placed on the utilization of 
its  tax  attributes,  as  a  substantial  portion  of  the  NOLs  and  tax  credits  generated  prior  to  the  Merger  will 
likely expire unused. 

At  December 31,  2017  and  2016,  and  as  a  result  of  the  limitations  under  Section  382  of  the 
Internal  Revenue  Code,  the  Company  had  a  total  of  unused  federal  tax  net  operating  loss  carryforwards 
with expiration dates as follows: 

2036 
2037 
Total Federal 

     2016 

  Dollars in Thousands   
   2017 
  $  17,781     $ 
9,109       
  $  26,890     $ 

967   
—   
967   

The Company has adopted guidance on accounting for uncertainty in income taxes which clarified 
the accounting for income taxes by prescribing the minimum threshold a tax position is required to meet 
before  being  recognized  in  the  financial  statements  as  well  as  guidance  on  de-recognition,  measurement, 
classification  and  disclosure  of  tax  positions.  There  are  no  material  uncertain  tax  positions  that  would 
require recognition in the financial statements. The Company is obligated to file income tax returns in the 
U.S. federal jurisdiction and various U.S. states. Since the Company had losses in the past, all prior years 
that generated NOLs are open and subject to audit examination in relation to the NOL generated from those 
years. Our evaluation of uncertain tax positions was performed for the tax years ended December 31, 2014 
and forward. 

71 

  
   
  
  
  
    
  
    
        
    
    
    
        
    
    
    
        
    
    
   
  
  
  
  
  
    
  
  
  
  
 11. 

STOCKHOLDERS’ EQUITY (DEFICIT) 

Common Stock. 

Pursuant  to  our  Third  Amended  and  Restated  Certificate  of  Incorporation,  as  amended,  we 

currently have 150,000,000 shares of common stock authorized for issuance. 

In connection with the Merger, the Company effected a 1-for-30 reverse stock split of its common 
stock. This reverse stock split became effective on June 13, 2017 and, unless otherwise indicated, all share 
amounts, per share data, share prices, exercise prices and conversion rates set forth in these notes and the 
accompanying  consolidated  financial  statements  have,  where  applicable,  been  adjusted  retroactively  to 
reflect  this  reverse  stock  split.  Additionally,  as  a  result  of  the  Merger,  the  Company  has  recapitalized  its 
stock. All historical preferred stock, common stock, restricted units, warrants and additional paid-in capital, 
including share and per share amounts, have been retroactively adjusted to reflect the equity structure of the 
combined company, including the effect of the Merger exchange ratio. Pursuant to the Merger Agreement, 
each outstanding unit of Precipio Diagnostics was exchanged for 10.2502 pre-reverse stock split shares of 
the Company's common stock. 

Restricted stock of 59,563 shares were granted during the year ended December 31, 2017, none of 
which vested prior to the merger. Upon closing of the merger, all shares fully vested. During 2017, 64,593 
shares  were  released  to  common  stock.  We  recorded  stock  compensation  expense  of  approximately 
$28,000, within operating expense in the accompanying statements of operations, related to the restricted 
stock that vested during the year ended December 31, 2017. 

On  the  Closing  Date,  Precipio  Diagnostics  received  7,356,170  shares  of  Precipio  common  stock 
from  the  conversion  of  preferred  stock,  senior  and  junior  debt,  bridge  notes  and  warrants.  Also,  certain 
advisors  of  Precipio  Diagnostics  received  321,821  shares  of  Precipio  common  stock  related  to  services 
performed in connection with the Merger. The fair value of these advisory shares was $2.2 million at the 
date  of  the  Merger  and  is  included  as  a  merger  advisory  fee  expense  in  the  accompanying  consolidated 
statements of operations. 

As  part  of  the  Merger,  Precipio  Diagnostics  also  received  200,081  shares  of  Precipio  common 
stock  that  have  not  been  issued  yet.  These  shares  were  originally  held  for  future  issuance  to  advisors 
pending  completion  of  certain  performance  obligations,  however,  these  obligations  were  not  met.  The 
shares remain with Precipio Diagnostics as part of the unissued pool. For any shares that remain unissued, 
it is the intent of the Company to allocate these to Precipio Diagnostics shareholders on a pro rata basis. 

Upon  completion  of  the  Merger,  Transgenomic  legacy  stockholders  had  1,255,119  shares  of 

Precipio common stock outstanding. 

Upon the closing of the August 2017 Offering, the Company issued 359,999 shares of its common 
stock upon conversion of $900,000 of its New Bridge Notes (See Note 7 - Convertible Bridge Notes) and 
1,735,419 shares of its common stock upon conversion of its Series A Senior stock (see below - Series A 
Senior Preferred Stock). 

Also,  during  the  year  ended  December  31,  2017,  the  Company  issued  1,550,485  shares  of  its 
common  stock  in  connection  with  conversions  of  its  Series  B  Preferred  Stock  (see  below  -  Series  B 
Preferred  Stock)  and  142,857  shares  of  its  common  stock  in  connection  with  conversions  of  its  Series  C 
Preferred Stock (see below - Series C Preferred Stock). 

  
   
  
  
  
  
  
  
  
  
  
  
On February 12, 2018, the Company issued 1,814,754 shares of its common stock in exchange for 
approximately $1.9 million of debt obligations. The $1.9 million in obligations is included in other current 
liabilities in the accompanying consolidated balance sheet as of December 31, 2017. See Note 8. 

Series A and Series B Preferred Stock. 

Prior to the Merger and as of December 31, 2016, under Precipio Diagnostics, the Company had 
outstanding  preferred  units  of  367,299  for  Series  A  and  412,806  for  Series  B  (collectively,  the  "Precipio 
Diagnostics Preferred Stock"). These units were recapitalized and were included in preferred stock. On the 
Closing Date, the outstanding preferred units for the Precipio Diagnostics Preferred Stock, along with the 
related accumulated dividends, were converted into common shares of the Company. 

72 

  
  
  
  
  
In  March  2016,  the  Company  entered  into  a  redemption  and  exchange  agreement  with  certain 
member's relating to their 275,237 Preferred A Units and 208,087 Preferred B Units, related to the Precipio 
Diagnostics Preferred Stock. Under the terms of the agreement, the unit holders would exchange their units 
in the Company for the issuance of debt. The aggregate purchase price per the agreement was the member's 
initial  investment  of  $750,000  for  Preferred  A  Units  and  $965,000  for  Preferred  B  Units,  along  with  a 
preferred return of 8%, recorded as a dividend in the amount of $432,716. In addition to the debt issued as 
consideration for the members' preferred units 

Preferred Stock. 

The  Company’s  Board  of  Directors  is  authorized  to  issue  up  to  15,000,000  shares  of  preferred 
stock in one or more series, from time to time, with such designations, powers, preferences and rights and 
such qualifications, limitations and restrictions as may be provided in a resolution or resolutions adopted by 
the  Board  of  Directors.  The  authority  of  the  Board  of  Directors  includes,  but  is  not  limited  to,  the 
determination  or  fixing  of  the  following  with  respect  to  shares  of  such  class  or  any  series  thereof:  (i) the 
number of shares; (ii) the dividend rate, whether dividends shall be cumulative and, if so, from which date; 
(iii) whether shares are to be redeemable and, if so, the terms and amount of any sinking fund providing for 
the purchase or redemption of such shares; (iv) whether shares shall be convertible and, if so, the terms and 
provisions  thereof;  (v) what  restrictions  are  to  apply,  if  any,  on  the  issue  or  reissue  of  any  additional 
preferred  stock;  and  (vi) whether  shares  have  voting  rights.  The  preferred  stock  may  be  issued  with  a 
preference over the common stock as to the payment of dividends. We have no current plans to issue any 
additional  preferred  stock.  Classes  of  stock  such  as  the  preferred  stock  may  be  used,  in  certain 
circumstances, to create voting impediments on extraordinary corporate transactions or to frustrate persons 
seeking  to  effect  a  merger  or  otherwise  to  gain  control  of  the  Company.  For  the  foregoing  reasons,  any 
additional preferred stock issued by the Company could have an adverse effect on the rights of the holders 
of the common stock. 

Series A Senior Preferred Stock. 

In connection with the Merger, the Company filed a Certificate of Designation with the Secretary 
of  State  of  the  State  of  Delaware  on  June  29,  2017,  designating  4,100,000  shares  of  the  Company’s 
Preferred  Stock,  par  value  $0.01  per  share,  as  Series  A  Senior  Convertible  Preferred  Stock  ("Series  A 
Senior") and establishing the rights, preferences and privileges of the new preferred stock. Generally, the 
holders  of  the  Series  A  Senior  stock  are  entitled  to  vote  as  a  single  voting  group  with  the  holders  of  the 
Company's  common  stock,  and  the  holders  of  the  Series  A  Senior  stock  are  generally  entitled  to  that 
number of votes as is equal to the number of whole shares of the Company's common stock into which the 
Series A Senior stock may be converted as of the record date of such vote or consent. 

So  long  as  the  shares  of  Series  A  Senior  stock  are  outstanding  certain  actions  will  require  the 
separate  approval  of  at  least  two-thirds  of  the  Series  A  Senior  stock,  including:  changes  to  the  terms 
(requires three-fourths approval) of the Series A Senior stock, changes to the number of authorized shares 
of  Series  A  Senior  stock,  issuing  a  series  of  preferred  stock  that  is  senior  to  the  Series  A  Senior  stock, 
changing the size of the board of directors, certain changes to the capital stock of the Company, bankruptcy 
proceedings and granting security interests in the Company’s assets. 

The Series A Senior stock will be convertible into the Company's common stock at any time at the 
then  applicable  conversion  price.  The  initial  conversion  price  for  the  Series  A  Senior  stock  issued  in 
connection with the Merger and the other transactions described herein is $3.736329, but will be subject to 
anti-dilution  protections  including  adjustments  for  stock  splits,  stock  dividends,  other  distributions, 
recapitalizations  and  the  like.  Additionally,  each  holder  of  the  Series  A  Senior  stock  will  have  a  right  to 
convert  such  holder's  Series  A  Senior  stock  into  securities  issued  in  any  future  private  offering  of  the 
Company's securities at a 15% discount to the proposed price in such private offering. 

  
   
  
  
  
  
  
  
The Series A Senior stock will be entitled to an annual 8% cumulative payment in lieu of interest 
or dividends, payable in-kind for the first two years and in cash or in-kind thereafter, at the option of the 
Company. The Series A Senior stock also will be entitled to share in any dividends paid on the Company's 
common stock. 

73 

  
  
  
  
As discussed in Note 3 - Reverse Merger, in connection with the Merger, the Company issued 1) 
to  holders  of  certain  Transgenomic  secured  indebtedness,  802,925  shares  of  Series  A  Senior  stock  in  an 
amount  equal  to  $3  million,  2)  to  holders  of  certain  Precipio  Diagnostic  indebtedness,  802,920  shares  of 
Series A Senior stock in an amount equal to $3 million and 3) to certain investors, 107,056 shares of Series 
A Senior stock in exchange for $400,000 in a private placement. 

We determined that there was a beneficial conversion feature in connection with the issuances of 
the Series A Senior stock since the conversion price of $3.736329 was at a discount to the fair market value 
of the Company's common stock at issuance date. The Series A Senior stock is non-redeemable and as a 
result,  the  Company  recognized  the  full  beneficial  conversion  feature  in  the  amount  of  $5.2  million  as  a 
deemed dividend at the time of issuance. 

Upon the closing of the August 2017 Offering, all of the Company’s outstanding Series A Senior 
stock  converted  into  an  aggregate  of  1,712,901  shares  of  the  Company's  common  stock,  at  the  existing 
conversion rate of one share of Common Stock for one share of Series A Senior stock (the “Conversion”). 
The Company also issued an aggregate of 22,518 shares of Series A Senior stock to these holders, which 
shares represented the Series A Preferred Payment (as defined in the Company’s Certificate of Designation 
of Series A Senior Convertible Preferred Stock) accrued through the date of Conversion and immediately 
converted  into  an  aggregate  of  22,518  shares  of  the  Company's  common  stock  in  connection  with  the 
Conversion. The Company issued warrants (the “Series A Conversion Warrants”) to purchase an aggregate 
of 856,446 shares of Common Stock to these former holders of Series A Senior stock as consideration for 
the conversion of their shares of Series A Senior stock into shares of Common Stock. The Company treated 
this as an induced conversion of the Series A Senior stock. 

At  the  date  of  the  Conversion,  the  fair  value  of  the  Series  A  Conversion  Warrants  was 
approximately  $1.4  million.  The  Company  determined  that  the  $1.4  million  represented  the  excess  fair 
value  of  all  consideration  transferred  to  the  Series  A  Senior  holders  as  compared  to  the  fair  value  of  the 
Series A Senior stock pursuant to its original conversion terms. The $1.4 million was recorded as a deemed 
dividend at the time of the Conversion. 

The  Series  A  Preferred  Payment  of  22,518  shares  of  Series  A  Senior  stock  had  a  fair  value  of 
approximately $84,000 at the time of issuance and was recorded as a deemed dividend on preferred shares. 

At December 31, 2017, the Company had designated, issued and outstanding shares of Series A 

Senior in the amount of 4,100,000, 1,712,901 and zero, respectively. 

Series B Preferred Stock. 

On  August 25,  2017,  the  Company  filed  a  Certificate  of  Designation  of  Preferences,  Rights  and 
Limitations  of  Series B  Convertible  Preferred  Stock  (“Series  B  Preferred  Stock”)  with  the  State  of 
Delaware which designates 6,900 shares of our preferred stock as Series B Preferred Stock. The Series B 
Preferred  Stock  has  a  stated  value  of $1,000  per  share  and  a  par  value  of $0.01  per  share.  The  Series  B 
Preferred  Stock  includes  a  beneficial  ownership  blocker  but  has  no  dividend  rights  (except  to  the  extent 
dividends are also paid on the common stock). 

On August 28, 2017, the Company completed the August 2017 Offering of 6,000 units consisting 
of one share of the Company’s Series B Preferred Stock, which is convertible into 400 shares of common 
stock, par value $0.01 per share, at a conversion price of $2.50 per share, and one warrant to purchase up to 
400 shares of common stock (the “August 2017 Offering Warrants”) at a combined public offering price of 
$1,000  per  unit.  The  August  2017  Offering  included  the  sale  of  280,000  August  2017  Offering  Warrants 
pursuant  to  the  over-allotment  option  exercised  by  Aegis  Capital  Corp.  (“Aegis”)  for  $0.01  per  share  or 
$2,800.  The  Offering  was  completed  pursuant  to  the  terms  of  an  underwriting  agreement  dated  as  of 

  
   
  
  
  
  
  
  
  
  
August 22,  2017  (the  “Underwriting  Agreement”)  between  the  Company  and  Aegis.  The  net  proceeds 
received  by  the  Company  from  the  sale  of  the  units  was  approximately  $5.0  million,  after  deducting 
underwriting discounts and estimated offering expenses, which have been recorded as stock issuance costs 
within additional paid in capital. 

74 

  
  
  
For  purposes  of  recording  this  transaction,  the  gross  proceeds  of  $6.0  million  from  the  August 
2017 Offering were allocated to the Series B Preferred Stock and the August 2017 Offering Warrants based 
on their relative fair values at the date of issuance. The portion allocated to the Series B Preferred stock was 
$3.1 million with the remaining $2.9 million allocated to the August 2017 Offering Warrants. As a result of 
the allocation of the proceeds, we determined that there was a beneficial conversion feature in connection 
with the issuance of the Series B Preferred Stock since the calculated effective conversion price was at a 
discount  to  the  fair  market  value  of  the  Company's  common  stock  at  issuance  date.  The  Company 
recognized  the  full  beneficial  conversion  feature  in  the  amount  of  $2.3  million  as  a  deemed  dividend  at 
time of issuance. 

The conversion price of the Series B Preferred Stock contains a down round feature. As discussed 
in Note 2 of the accompanying consolidated financial statements, the Company early adopted ASU 2017-
11,  which  allowed  the  Company  to  treat  the  preferred  stock  as  equity  classified,  despite  the  down  round 
provision. The Company will recognize the effect of the down round feature when it is triggered. At that 
time, the effect would be treated as a deemed dividend and as a reduction of income available to common 
shareholders in our basic earnings per share calculation. 

In November 2017, the down round feature of the Series B Preferred Stock was triggered at the 
time of the Company’s issuance of its Series C Preferred Stock and, as a result, the conversion price of the 
Series B Preferred Stock was reduced from $2.50 per share to $1.40 per share. In connection with the down 
round adjustment, the Company calculated an incremental beneficial conversion feature of approximately 
$2.0 million which was recognized as a deemed dividend at time of the down round adjustment. 

During  the  year  ended  December  31,  2017,  3,613  shares  of  Series  B  Preferred  Stock  were 

converted into 1,550,485 shares of our common stock. 

At December 31, 2017, the Company had designated, issued and outstanding shares of Series B in 

the amount of 6,900, 6,900 and 2,387, respectively. 

Series C Preferred Stock 

On November 6, 2017, the Company filed a Certificate of Designation of Preferences, Rights and 
Limitations  of  Series C  Convertible  Preferred  Stock  (“Series  C  Preferred  Stock”)  with  the  State  of 
Delaware which designates 2,748 shares of our preferred stock as Series C Preferred Stock. The Series C 
Preferred Stock has a stated value of $1,000 per share and a par value of $0.01 per share. 

On  November  2,  2017,  the  Company  entered  into  a  Placement  Agency  Agreement  (the 
“Placement Agreement”) with Aegis Capital Corp. for the sale on a reasonable best efforts basis of 2,748 
units, each consisting of one share of the Company’s Series C Preferred Stock, convertible into a number of 
shares of the Company’s common stock equal to $1,000 divided by $1.40 and warrants to purchase up to 
1,962,857 shares of common stock with an exercise price of $1.63 per share (the “Series C Warrants”) at a 
combined  offering  price  of  $1,000  per  unit,  in  a  registered  direct  offering  (the  “Series  C  Preferred 
Offering”). The Series C Preferred Stock includes a beneficial ownership blocker but has no dividend rights 
(except to the extent dividends are also paid on the common stock). The securities comprising the units are 
immediately separable and were issued separately. 

The  gross  proceeds  to  the  Company  from  the  sale  of  the  Series  C  Preferred  Stock  and  Series  C 
Warrants, before deducting the placement agent fee and other estimated offering expenses payable by the 
Company  and  assuming  no  exercise  of  the  Series  C  Warrants,  were  $2,748,000.  The  offering  closed  on 
November 9, 2017. 

  
  
  
  
  
  
  
  
  
  
  
For  purposes  of  recording  this  transaction,  the  gross  proceeds  of  $2.8  million  from  the  Series  C 
Preferred Offering were allocated to the Series C Preferred Stock and the Series C Warrants based on their 
relative fair values at the date of issuance. The portion allocated to the Series C Preferred stock was $1.5 
million with the remaining $1.3 million allocated to the Series C Warrants. As a result of the allocation of 
the proceeds, we determined that there was a beneficial conversion feature in connection with the issuance 
of the Series C Preferred Stock since the calculated effective conversion price was at a discount to the fair 
market  value  of  the  Company's  common  stock  at  issuance  date.  The  Company  recognized  the  full 
beneficial conversion feature in the amount of $1.2 million as a deemed dividend at time of issuance. 

75 

  
  
  
The  Series  C  Preferred  Offering  required  the  Company  to  adjust  downward  the  exercise  and 
conversion prices of various warrants and Series B Preferred Stock that were outstanding at the time of the 
closing  of  the  Series  C  Preferred  Offering  due  to  the  down  round  provisions  contained  in  certain  of  the 
Company's warrants and Series B Preferred Stock. 

During the year ended December 31, 2017, 200 shares of Series C Preferred Stock were converted 
into 142,857 shares of our common stock. At December 31, 2017, the Company had designated, issued and 
outstanding shares of Series C in the amount of 2,748, 2,748 and 2,548, respectively. 

Liquidation Preferences. 

The following is the liquidation preferences for the Company’s preferred stock; 

The  Series  B  Preferred  Stock  and  Series  C  Preferred  Stock  have  identical  terms  regarding 
liquidation  preferences.  Upon  any  liquidation,  dissolution  or  winding-up  of  the  Corporation,  whether 
voluntary  or  involuntary,  the  holders  shall  be  entitled  to  receive  out  of  the  assets  of  the  Corporation  an 
amount equal to the par value, plus any accrued and unpaid dividends thereon, for each share of Preferred 
Stock  before  any  distribution  or  payment  shall  be  made  to  the  holders  of  the  Common  Stock,  and  if  the 
assets  of  the  Corporation  shall  be  insufficient  to  pay  in  full  such  amounts,  then  the  entire  assets  to  be 
distributed to the holders shall be ratably distributed among the holders in accordance with the respective 
amounts that would be payable on such shares. If all amounts were paid in full; and thereafter, the holders 
shall be entitled to receive out of the assets, whether capital or surplus, of the Corporation the same amount 
that  a  holder  of  Common  Stock  would  receive  if  the  Preferred  Stock  were  fully  converted  to  Common 
Stock which amount shall be paid pari passu with all holders of Common Stock. 

For  Series  A  Senior  preferred  stock,  upon  any  liquidation,  dissolution  or  winding-up  of  the 
Corporation, whether voluntary or involuntary, the Holders shall be entitled to receive out of the assets of 
the  Corporation  an  amount  equal  to  the  greater  of  the  (A)  the  sum  of  (1)  1.5  times  the  Series  A  Stated 
Value  as  adjusted  for  any  stock  dividends,  combinations  or  splits  with  respect  to  such  shares  plus  (2)  all 
accrued but unpaid Series A Preferred Payments through the Liquidation Event, as adjusted for any stock 
dividends, combinations or splits with respect to such shares and (B) such amount per share of the Series A 
Preferred  as  would  have  been  payable  had  each  share  been  converted  into  Common  Stock  immediately 
prior to such Liquidation Event. 

Common Stock Warrants. 

Prior  to  the  Merger,  in  connection  with  the  line  of  credit  with  Connecticut  Innovations,  the 
Company  issued  warrants  to  purchase  8,542  Series  A  Preferred  shares  of  the  Company,  which  were 
classified as an equity warrant, at an exercise price of $2.93 per unit, subject to adjustments as defined in 
the  warrant  agreement.  The  warrants  were  valued  at  $6,000  at  the  date  of  the  grant  utilizing  the  Black-
Sholes model (volatility 40%, expected life 7 years, and risk free rate .36%). The value of the warrants was 
treated as a debt discount. At the Merger date, the warrants were exercised for $25,000 and then converted 
into shares of Precipio common stock. 

In connection with the Webster Bank agreement, the Company issued 7 years warrants to purchase 
20,000 Series B Preferred shares of the Company. At the Merger date, Webster Bank declined to exercise 
their warrants and, per the terms of the warrant agreement, the warrants were retired. 

During  2016,  Precipio  Diagnostics  issued  common  warrant  units,  which  allows  the  holders  to 
collectively purchase common units of the Company, representing approximately 60% of the Company at 
the  time  of  exercise.  At  the  time  of  issuance,  this  represented  1,958,166  common  units.  The  common 
warrant units had a $0.00 exercise price with a ten year expiration date. The common warrant units were 

  
   
  
  
  
  
  
  
  
  
  
classified as equity awards and the fair value upon issuance was calculated utilizing a discounted cash flow 
analysis  to  value  the  Company's  equity  and  an  option  pricing  method  to  allocate  the  value  of  the  equity. 
The fair value of the warrants was determined directly utilizing the option pricing method as the exercise 
price was $0.00. The aggregate value of the common warrant units was $1,421,738, which was considered 
a  deemed  dividend.  At  the  time  of  the  Merger,  these  warrants  were  converted  into  1,958,166  shares  of 
Precipio common stock. 

76 

  
  
  
Warrants Assumed in Merger 

At the time of the Merger, Transgenomic had a number of outstanding warrants related to various 
financing  transactions  that  occurred  between  2013-2016.  Details  related  to  year  issued,  expiration  date, 
amount of underlying common shares and exercise price are included in the table below. 

2017 New Bridge Warrants 

During the year ended December 31, 2017, prior to the Merger, Transgenomic completed the sale 
of the 2017 Bridge Notes in the amount of $1.2 million and the issuance of the 2017 Bridge Warrants to 
acquire 40,000 shares of the Company's common stock at an exercise price of $15.00 per share, subject to 
anti-dilution  protection.  Aegis  acted  as  placement  agent  for  the  bridge  financing  and  received  Aegis 
Warrants to acquire 5,600 shares of Transgenomic common stock at an exercise price of $15.00 per share. 
The Aegis Warrants are identical to the 2017 Bridge Warrants except that the Aegis Warrants do not have 
anti-dilution protection. (See Note 7 - Convertible Bridge Notes). 

In connection with the Merger, the holders of the 2017 Bridge Notes, the 2017 Bridge Warrants 
and  the  Aegis  Warrants  agreed  to  exchange  the  2017  Bridge  Notes,  the  2017  Bridge  Warrants  and  the 
Aegis Warrants for 2017 New Bridge Notes and the 2017 New Bridge Warrants to acquire 45,600 shares of 
our  common  stock.  (See  Note  7  -  Convertible  Bridge  Notes).  The  initial  exercise  price  of  the  2017  New 
Bridge Warrants was $7.50 (subject to adjustments). These warrants had a one-time down round provision 
that  if  the  Company  completed  a  Qualified  Offering  (as  defined  in  the  2017  New  Bridge  Warrants),  the 
exercise price of the 2017 New Bridge Warrants would become the lower of (i) $7.50 or (ii) 110% of the 
per share offering price in the Qualified Offering, but in no event lower than $1.50 per share. As a result of 
the Series B Preferred Stock issued in the August 2017 Offering, the exercise price of the 2017 New Bridge 
Warrants was adjusted to $2.75 per share, and the down round provision for these warrants no longer exists 
after this adjustment. 

At issuance, the 2017 New Bridge Warrants had a fair value of $211,000 and were recorded as a 
debt discount to the related 2017 New Bridge Notes I, with the corresponding entry to additional paid in 
capital  as  the  warrants  were  considered  classified  as  equity  in  accordance  with  GAAP.  At  the  time  the 
exercise price was adjusted, due to the down round provision triggered by the August 2017 Offering, the 
Company  calculated  the  fair  value  of  the  down  round  provision  on  the  warrants  to  be  approximately 
$12,000 and recorded this as deemed dividend. 

Side Warrants 

In  connection  with  the  bridge  financing  and  the  assumption  of  certain  obligations  by  an  entity 
controlled by Mark Rimer (a director of the Company), the Company issued to that entity Side Warrants to 
purchase an aggregate of 91,429 shares of the Company's common stock at an exercise price of $7.00 per 
share (subject to adjustment), with a fair value of $487,000 at the date of issuance. The Side Warrants have 
a term of 5 years and are exercisable as to 22,857 shares of the Company's common stock upon grant and as 
to  68,572  shares  of  the  Company's  common  stock  upon  the  entity’s  performance  of  the  assumed 
obligations.  All  performance  obligations  have  been  met  and  the  Company  has  recorded  merger  advisory 
expense of $487,000 related to the Side Warrants during the year ended December 31, 2017. 

August 2017 Offering Warrants 

In  connection  with  the  August  2017  Offering,  the  Company  issued  2,680,000  warrants  at  an 
exercise price of $3.00, which contain a down round provision. The August 2017 Offering Warrants were 
exercisable immediately and expire 5 years from date of issuance. The terms of the August 2017 Offering 
Warrants prohibit a holder from exercising its August 2017 Offering Warrants if doing so would result in 

  
   
  
  
  
  
  
  
  
  
  
such  holder  (together  with  its  affiliates)  beneficially  owning  more  than  4.99%  of  the  Company’s 
outstanding shares of common stock after giving effect to such exercise, provided that, at the election of a 
holder and notice to the Company, such beneficial ownership limitation may be increased to 9.99% of the 
Company’s outstanding shares of common stock after giving effect to such exercise. 

As  a  result  of  the  Series  C  Preferred  Offering,  the  exercise  price  of  the  August  2017  Offering 
Warrants  was  adjusted  to  $1.40  per  share.  At  the  time  the  exercise  price  was  adjusted,  the  Company 
calculated  the  fair  value  of  the  down  round  provision  on  the  warrants  to  be  approximately  $211,000  and 
recorded this as a deemed dividend. 

77 

  
  
  
  
Representative Warrants 

In  accordance  with  the  underwriting  agreement  for  the  August  2017  Offering,  the  underwriter 
purchased  60,000  warrants,  with  an  exercise  price  of  $3.125,  for  an  aggregate  price  of  $100.  The 
Representative Warrants are exercisable beginning one year after the date of the prospectus for the August 
2017 Offering and expiring on a date which is no more than five years from the date of the prospectus for 
the August 2017 Offering. The fair value of the warrants at date of issuance of approximately $113,000 was 
treated as a stock issuance cost and recorded as a reduction to additional paid in capital. 

Series A Conversion Warrants 

The Company issued Series A Conversion Warrants to purchase an aggregate of 856,446 shares of 
the Company's common stock at an exercise price of $10.00 per share, which have a term of 5 years. At the 
time of issuance, the Series A Conversion Warrants had a fair value of $1.4 million and, as discussed in the 
Series A Senior Preferred Stock section above, these were issued and recorded as deemed dividends. 

Note Conversion Warrants 

Upon  the  closing  of  the  August  2017  Offering,  $900,000  of  the  Company’s  New  Bridge  Notes 
were  converted  into  an  aggregate  of  359,999  shares  of  the  Company's  common  stock  and  359,999  Note 
Conversion Warrants. The Note Conversion Warrants have an exercise price of $3.00 per share and a five 
year  term.  The  exercise  price  contains  a  down  round  provision.  The  conversion  of  the  Company's  New 
Bridge Notes was treated as an induced conversion and at the date of the conversion the Company recorded 
an expense of approximately $1.0 million which is included in loss on extinguishment of debt and induced 
conversion  of  convertible  bridge  notes  in  our  consolidated  statements  of  operations  (See  Note  7  - 
Convertible Bridge Notes). 

As a result of the Series C Preferred Offering, the exercise price of the Note Conversion Warrants 
was adjusted to $1.40 per share. At the time the exercise price was adjusted, the Company calculated the 
fair value of the down round provision on the warrants to be approximately $28,000 and recorded this as a 
deemed dividend. 

Convertible Promissory Note Warrants 

On August 31, 2017, the Company made a payment of $83,333, two-thirds of the then outstanding 
principal amount, which was more than 10 days after the Deferred Maturity Date and constituted an event 
of  default  under  the  terms  of  the  Note  (the  “Deferred  Maturity  Date  Event  of  Default”).  The  Company 
received a waiver for the Deferred Maturity Date Event of Default. As discussed in Note 6 – Long-Term 
Debt,  in  connection  with  the  waiver  obtained,  the  Company  issued  the  Convertible  Promissory  Note 
Warrants to purchase 10,000 shares of the Company’s common stock. The issuance date of the Convertible 
Promissory  Note  Warrants  was  October  3,  2017.  They  have  an  exercise  price  of  $3.00  per  share,  which 
contain  a  down  round  provision,  and  were  exercisable  immediately  and  expire  5  years  from  date  of 
issuance.  The  fair  value  of  the  warrants  at  date  of  issuance  of  approximately  $15,000  was  recorded  as 
interest expense and included in the consolidated statements of operations for the year ended December 31, 
2017. 

As  a  result  of  the  Series  C  Preferred  Offering,  the  exercise  price  of  the  Convertible  Promissory 
Note Warrants was adjusted to $1.40 per share. At the time the exercise price was adjusted, the Company 
calculated  the  fair  value  of  the  down  round  provision  on  the  warrants  to  be  approximately  $1,000  and 
recorded this as a deemed dividend. 

Series C Warrants 

  
   
  
  
  
  
  
  
  
  
  
  
In connection with the Series C Preferred Offering, the Company issued 1,962,857 warrants at an 
exercise price of $1.63, which contain a down round provision. Series C Warrants are exercisable on the 
six-month  anniversary  of  the  date  of  issuance  and  expire  5  years  from  date  they  are  initially  exercisable. 
The  terms  of  the  Series  C  Warrants  prohibit  a  holder  from  exercising  its  Series  C  Warrants  if  doing  so 
would  result  in  such  holder  (together  with  its  affiliates)  beneficially  owning  more  than  4.99%  of  the 
Company’s outstanding shares of common stock after giving effect to such exercise, provided that, at the 
election of a holder and notice to the Company, such beneficial ownership limitation may be increased to 
9.99% of the Company’s outstanding shares of common stock after giving effect to such exercise. 

78 

  
  
  
  
The following represents a summary of the warrants outstanding as of December 31, 2017: 

Expiration 

Issue Year    
Warrants Assumed in Merger 
(1)    2013 
(2)    2014 
(3)    2015 
(4)    2015 
(5)    2015 
(6)    2016 

January 2018 
April 2020 
February 2020 
December 2020 
January 2021 
January 2021 

Warrants 
(7)    2017 
(8)    2017 
(9)    2017 
(10)   2017 
(11)   2017 
(12)   2017 
(13)   2017 
(14)   2017 

June 2022 
June 2022 
August 2022 
August 2022 
August 2022 
August 2022 
October 2022 
May 2023 

Underlying 
Shares 

Exercise 
Price 

23,055     $ 
12,487     $ 
23,826     $ 
4,081     $ 
38,732     $ 
29,168     $ 

270.00   
120.00   
67.20   
49.80   
36.30   
36.30   

45,600     $ 
91,429     $ 
     2,680,000     $ 
60,000     $ 
856,446     $ 
359,999     $ 
10,000     $ 
     1,962,857     $ 
     6,197,681       

2.75   
7.00   
1.40   
3.125   
10.00   
1.40   
1.40   
1.63   

 (1) 

 (2) 

 (3) 

 (4) 

 (5) 

 (6) 

 (7) 

 (8) 

 (9) 

 (10) 

 (11) 

These warrants were issued in connection with an offering which was completed in January 2013. 

These  warrants  were  issued  in  connection  with  a  private  placement  which  was  completed  in 
October 2014. 

These  warrants  were  issued  in  connection  with  an  offering  which  was  completed  in  February 
2015. 

These warrants were issued in connection with an offering which was completed in July 2015. 

These  warrants  were  originally  issued  in  connection  with  an  offering  in  July  2015,  and  were 
amended in connection with an offering which was completed in January 2016. 

These warrants were issued in connection with an offering which was completed in January 2016. 

These warrants were issued in connection with the Merger and are the 2017 New Bridge Warrants 
discussed above. 

These  warrants  were  issued  in  connection  with  the  Merger  and  are  the  Side  Warrants  discussed 
above. 

These warrants were issued in connection with the August 2017 Offering and are the August 2017 
Offering Warrants discussed above. 

These  warrants  were  issued  in  connection  with  the  August  2017  Offering  and  are  the 
Representative Warrants discussed above. 

These warrants were issued in connection with the conversion of our Series A Senior stock, at the 
time  of  the  closing  of  the  August  2017  Offering,  and  are  the  Series  A  Conversion  Warrants 

  
   
  
  
    
  
    
        
    
  
    
  
    
  
    
  
    
  
    
  
    
  
    
    
    
        
    
    
    
        
    
  
    
  
    
  
  
    
  
    
  
    
  
    
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
discussed above. 

 (12) 

 (13) 

These warrants were issued in connection with the conversion of convertible bridge notes, at the 
time of the closing of the August 2017 Offering, and are the Note Conversion Warrants discussed 
above. 

These warrants were issued in connection with the waiver of default the Company received in the 
fourth  quarter  of  2017  in  connection  with  the  Convertible  Promissory  Notes  and  are  the 
Convertible Promissory Note Warrants discussed above. 

 (14) 

These warrants were issued in connection with the Series C Preferred Offering and are the Series 
C Warrants discussed above. 

In the fourth quarter of 2017, the Company entered into Settlement Agreements with certain of its 
accounts payable and accrued liability vendors (the “Creditors”) pursuant to which the Company agreed to 
issue, to certain of its Creditors, 108,112 warrants to purchase 108,112 shares of the Company’s common 
stock  at  an  exercise  price  of  $7.50  per  share.  The  warrants  were  issued  in  February  2018.  See  Note  6  – 
Long-Term Debt. 

79 

  
  
  
  
  
  
  
 12. 

FAIR VALUE 

FASB guidance on fair value measurements, which defines fair value, establishes a framework for 
measuring  fair  value  and  expands  disclosures  about  fair  value  measurements  for  our  financial  assets  and 
liabilities, as well as for other assets and liabilities that are carried at fair value on a recurring basis in our 
consolidated financial statements. 

FASB guidance establishes a three-level fair value hierarchy based upon the assumptions (inputs) 

used to price assets or liabilities. The three levels of inputs used to measure fair value are as follows: 

Level 1—Unadjusted quoted prices in active markets for identical assets or liabilities; 

Level 2—Observable inputs other than those included in Level 1, such as quoted prices for similar 
assets  and  liabilities  in  active  markets  or  quoted  prices  for  identical  assets  or  liabilities  in  inactive 
markets; and 

Level 3—Unobservable  inputs  reflecting  our  own  assumptions  and  best  estimate  of  what  inputs 

market participants would use in pricing the asset or liability. 

Common Stock Warrant Liabilities. 

Certain of our issued and outstanding warrants to purchase shares of common stock do not qualify 

to be treated as equity and, accordingly, are recorded as a liability. 

2016 Warrant Liability 

The Company assumed the 2016 Warrant Liability in the Merger and it represents the fair value of 
Transgenomic  warrants  issued  in  January  2016,  of  which,  25,584  warrants  remain  outstanding  as  of 
December  31,  2017.  We  are  required  to  record  these  instruments  at  fair  value  at  each  reporting  date  and 
changes  are  recorded  as  a  non-cash  adjustment  to  earnings.  The  gains  or  losses  included  in  earnings  are 
reported in other income (expense) in our consolidated Statement of Operations. 

The 2016 Warrant Liability is considered a Level 3 financial instrument and was valued using the 
Monte  Carlo  methodology.  Assumptions  and  inputs  used  in  the  valuation  of  the  common  stock  warrants 
include: remaining life to maturity of three years; annual volatility of 136%; and a risk-free interest rate of 
1.98%. 

During the year ended December 31, 2017, the change in the fair value of the liability measured 

using significant unobservable inputs (Level 3) were comprised of the following:  

Dollars in Thousands 

Beginning balance at January 1 

Additions - liability assumed in the Merger 
Total (gains) or losses: 

Recognized in earnings 

Balance at December 31 

  For the Year Ended   
  December 31, 2017   
—   
  $ 
615   

  $ 

226   
841   

80 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
    
  
  
  
    
    
    
    
  
  
  
 13. 

EQUITY INCENTIVE PLAN 

The Company's 2006 Equity Incentive Plan (the "2006 Plan") was terminated as to future awards 
on July 12, 2016. The Company's 2017 Stock Option and Incentive Plan (the "2017 Plan") was adopted by 
the Company's stockholders on June 5, 2017 and will expire on June 5, 2027. There are 666,666 shares of 
common stock reserved for issuance under the 2017 Plan.  

The  Plan  is  administered  by  the  Compensation  Committee  of  the  Board  of  Directors  (the 
“Committee”), which has the authority to set the number, exercise price, term and vesting provisions of the 
awards granted under the Plan, subject to the terms thereof. Either incentive or non-qualified stock options 
may be granted to employees of the Company, but only non-qualified stock options may be granted to non-
employee  directors  and  advisors.  However,  in  either  case,  the  Plan  requires  that  stock  options  must  be 
granted at exercise prices not less than the fair market value of the common stock on the date of the grant. 
Options issued under the plan vest over periods as determined by the Committee and expire 10 years after 
the date the option was granted. 

The  company  accounts  for  all  stock-based  compensation  payments  to  employees  and  directors, 
including grants of employee stock options, at fair value and expenses the benefit in operating expense in 
the consolidated statements of operations over the service period of the awards. The fair value of each stock 
option  granted  is  estimated  on  the  date  of  grant  using  the  Black-Scholes  option  pricing  model,  which 
requires various assumptions including estimating stock price volatility, expected life of the stock option, 
risk free interest rate and estimated forfeiture rate. 

Stock Options. 

During the year ended December 31, 2017, The Company granted stock options to employees and 
directors to purchase up to 232,332 shares of common stock at a weighted average exercise price of $1.85. 
These awards have vesting periods of three to four years and had a weighted average grant date fair value 
of $1.59. The fair value calculation of options granted during 2017 used the follow assumptions: risk free 
interest rates of 1.87% to 2.01%, based on the U.S. Treasury yield in effect at the time of grant; expected 
life of six years; and volatility of 118% based on historical volatility of the Company’s common stock over 
a time that is consistent with the expected life of the option. 

The  following  table  summarizes  stock  option  activity  under  our  plans  during  the  year  ended 

December 31, 2017: 

Outstanding at January 1, 2017 

Granted 
Forfeited 

Outstanding at December 31, 2017 
Exercisable at December 31, 2017 

Number of 

Options      
24,600     $ 
     232,332       
(20,448 )     
     236,484     $ 
13,161     $ 

Weighted-Average 
Exercise Price 

107.83   
1.85   
68.39   
7.12   
93.27   

As of December 31, 2017, there were 180,645 options that were vested or expected to vest with an 

aggregate intrinsic value of zero and a remaining weighted average contractual life of 9.6 years. 

During both of the years ended December 31, 2017 and 2016, we recorded compensation expense 
for all stock awards of less than $0.1 million within operating expense in the accompanying statements of 
operations.  As  of  December 31,  2017,  the  unrecognized  compensation  expense  related  to  unvested  stock 
awards was $0.3 million, which is expected to be recognized over a weighted-average period of 3.6 years. 

  
   
  
  
  
  
  
  
  
  
  
  
    
    
    
  
  
  
Stock Appreciation Rights (“SARs”) 

As of December 31, 2017, zero SARs shares were outstanding. During year ended December 31, 
2017,  the  SARs  liability  decreased  approximately  $8,000  and  at  December  31,  2017,  no  liability  was 
recorded in accrued expenses since there were no shares outstanding. 

81 

  
  
  
  
 14. 

SALES SERVICE REVENUE, NET AND ACCOUNTS RECEIVABLE 

Sales 

Revenue  includes  service  revenue  (patient  diagnostic  services  and  contract  diagnostic  services) 
and  clinical  research  grants.  The  following  table  summarizes  service  revenue,  net  of  contractual 
allowances, for the years ended December 31, 2017 and 2016:   

Service revenue 
Less: contractual allowances and adjustments 
Service revenue, net 

     2016 

   2017 
  $  2,565     $  3,385   
(863 )      (1,284 ) 
  $  1,702     $  2,101   

The following summarizes by payer type for the years ended December 31, 2017 and 2016: 

Medicaid 
Medicare 
Self-pay 
Third party payers 
Contract diagnostic services 

     2016 

   2017 
  $ 

25   
39     $ 
688   
569       
253   
103       
500        1,135   
—   
491       
  $  1,702     $  2,101   

Revenue  from  the  Medicare  and  Medicaid  programs  account  for  a  portion  of  the  Company’s 
patient diagnostic service revenue. Laws and regulations governing those programs are extremely complex 
and  subject  to  interpretation.  As  a  result,  there  is  at  least  a  reasonable  possibility  that  recorded  estimates 
will change by a material amount in the near term. 

Revenue from clinical research grants are federal or state grants awarded to the Company to fund 
salaries, fringe benefits, and the purchase of supplies and equipment for specific research and development 
projects. Clinical research grant revenue of $0.3 million in 2017 includes grants from the National Cancer 
Institute  of  the  National  Institutes  of  Health  and  from  the  State  of  Nebraska  Department  of  Economic 
Development. The  project  activities  involved  development  of  ICE  COLD-PCR  to  interrogate  multiple 
genes taken from blood samples. The grant period ended December 31, 2017. 

The Company recognized revenue from three and two customers in 2017 and 2016, respectively, 
that represented in the aggregate 50 percent (ranging from 15 to 20 percent) and 33 percent (ranging from 
15  to  18  percent)  of  net  revenues,  respectively.  No  other  customers  represented  10%  or  greater  of  net 
revenue. 

Accounts Receivable 

The  Company  has  provided  an  allowance  for  potential  credit  losses,  which  has  been  determined 
based on management’s industry experience. The Company grants credit without collateral to its patients, 
most of who are insured under third party payer agreements. 

The  following  summarizes  the  mix  of  receivables  for  the  years  ended  December 31,  2017  and 

2016: 

Medicaid 

   2017 
  $ 

     2016 

37     $ 

22   

  
  
  
  
  
  
  
    
  
  
  
  
    
    
    
    
  
  
  
  
  
  
  
  
  
  
Medicare 
Self-pay 
Third party payers 
Contract diagnostic services 
Other 

Less allowance for doubtful accounts 
Accounts receivable, net 

82 

232   
256       
63   
53       
881   
     1,066       
—   
445       
—   
—       
  $  1,857        1,198   
(810 ) 
     (1,127 )     
388   
730     $ 
  $ 

    
    
    
    
  
  
  
  
 15. 

SUBSEQUENT EVENTS 

Loan Agreement 

On  January  8,  2018,  the  Company  received  gross  proceeds  of  $400,000  when  it  entered  into  an 
agreement with the Connecticut Department of Economic and Community Development (the “DECD”) by 
which the Company received a grant of $100,000 and a loan of $300,000 secured by substantially all of the 
Company’s  assets  (the  “DECD  2018  Loan”.)  The  DECD  2018  Loan  has  a  maturity  date  of  January  27, 
2028 and an annual interest rate of 3.25% with principal and interest payments due monthly. 

Amendment of the 2017 Stock Option and Incentive Plan  

On January 31, 2018, at a special meeting of the stockholders of the Company, the stockholders 
approved  an  amendment  and  restatement  of  the  Company’s  2017  Stock  Option  and  Incentive  Plan  (the 
“2017 Plan”) to: 

• 

• 

• 

increase  the  aggregate  number  of  shares  authorized  for  issuance  under  the  2017  Plan  by 
5,389,500 shares to 6,056,166 shares and cumulatively increased on January 1, 2019 and on 
each January 1 thereafter by the lesser of the annual increase for such year or 500,000 shares; 
increase the maximum number of shares that may be granted in the form of stock options or 
stock appreciation rights to any one individual in any one calendar year and the maximum 
number  of  shares  underlying  any  award  intended  to  qualify  as  performance-based 
compensation  to  any  one  individual  in  any  performance  cycle,  in  each  case  to  1,000,000 
shares of Common Stock; and 
add an “evergreen” provision, pursuant to which the aggregate number of shares authorized 
for  issuance  under  the  2017  Plan  will  be  automatically  increased  each  year  beginning  on 
January 1, 2019 by 5% of the number of shares of Common Stock issued and outstanding on 
the immediately preceding December 31, or such lesser number of shares determined by the 
Company’s Board of Directors or Compensation Committee. 

Equity Purchase Agreement 

On  February  8,  2018  the  Company  entered  into  an  equity  purchase  agreement  (the  “Purchase 
agreement”)  with  Leviston  Resources  LLC  (“Leviston”)  for  the  purchase  of  up  to  $8,000,000  (the 
“Aggregate Amount”) of shares (the “Shares”) of the Company’s common stock from time to time, at the 
Company’s  option.  Shares  offered  and  sold  prior  to  February  13,  2018  were  issued  pursuant  to  the 
Company’s  shelf  registration  statement  on  Form  S-3  (and  the  related  prospectus)  that  the  Company  filed 
with the Securities and Exchange Commission (the “SEC”) and which was declared effective by the SEC 
on February 13, 2015 (the “Shelf Registration Statement”). 

Sales  of  the  Company’s  common  stock,  if  any,  may  be  made  in  sales  deemed  to  be  “at-the-
market” equity offerings as defined in Rule 415 promulgated under the Securities Act of 1933, as amended 
(the “Securities Act”), at a purchase price equal to 97.25% of the volume weighted average sales price of 
the common stock reported on the date that Leviston receives a capital call from the Company. 

Leviston  purchased  721,153  shares  (the  “Investor  Shares”)  of  the  Company’s  common  stock 
following the close of business on February 9, 2018, subject to customary closing conditions, at a price per 
share of $1.04. The shares were sold pursuant to the Shelf Registration Statement. The net proceeds to the 
Company from this sale were approximately $744,000. 

In  consideration  of  Leviston’s  agreement  to  enter  into  the  Purchase  Agreement,  the  Company 
agreed to pay to Leviston a commitment fee in shares of the Company’s common stock equal in value to 
5.25% of the total Aggregate Amount (the “Commitment Shares”), payable as follows: 1.75% on or before 

  
   
  
  
  
  
 
 
 
  
  
  
  
  
February 12, 2018. This amount, of $140,000, was paid to Leviston through the issuance of 170,711 shares 
of the Company’s common stock on February 12, 2018; 1.75% on the third calendar day after the date on 
which  the  registration  statement  on  Form  S-1  that  the  Company  plans  to  file  with  the  SEC  is  declared 
effective  by  the  SEC;  and  1.75%  on  the  thirtieth  calendar  day  after  the  date  on  which  such  registration 
statement on Form S-1 is declared effective by the SEC. 

83 

  
  
  
The Company agreed to pay to Leviston, on each day that Leviston receives a capital call from the 
Company, all expenses associated with depositing, clearing, selling and mailing of the stock certificates, a 
fee  of  0.75%  of  any  amount  purchased  by  Leviston.  Also,  the  Company  paid  $35,000  to  Leviston  for  a 
documentation  fee  for  preparing  the  Purchase  Agreement.  Leviston  will  refund  the  Company  $15,000  if 
certain future conditions are met. 

Because the Company’s existing registration statement on Form S-3 expired on February 13, 2018 
and, due to the timing of the filing of the Company’s Quarterly Report on Form 10-Q for the quarter ended 
June  30,  2017,  the  Company  will  not  be  eligible  to  file  a  new  Form  S-3  registration  statement  until 
September 1, 2018, the Company agreed to prepare and file with the SEC a registration statement on Form 
S-1 the (“S-1 Registration Statement”), by April 15, 2018 and to use reasonable best efforts to cause the S-
1 Registration Statement to be declared effective by the SEC within ninety days thereafter. If the Company 
does not file the S-1 Registration Statement with the SEC by April 15, 2018, the Company will be required 
to pay to Leviston liquidated damages in the amount of $100,000, and liquidated damages on a sliding scale 
each day thereafter. The Company is also required to pay liquidated damages of $100,000 on each event of 
default  under 
the  Purchase  Agreement.  The  Company  has  provided  Leviston  with  customary 
indemnification rights under the Purchase Agreement. 

As a result of the issuance of the Investor Shares, the conversion price of the Company’s Series C 
Preferred Stock was automatically adjusted from $1.40 per share to $1.04 per share, the conversion price of 
the  Company’s  Series  B  Convertible  Preferred  Stock  was  automatically  adjusted  from  $1.40  per  share  to 
$1.04  per  share  and  the  exercise  price  of  certain  warrants  to  purchase  shares  of  the  Company’s  common 
stock that contain down round provisions was automatically adjusted to $1.04 per share. 

Issuance of Common Stock 

On February 12, 2018 the Company issued 1,814,754 shares of its common stock, par value $0.01 
per  share  to  several  of  its  trade  creditors  that  are  unaffiliated  with  the  Company  in  exchange  for 
cancellation of an aggregate of $1.9 million of indebtedness to such trade creditors. (See Note 6 – Long-
Term  Debt  for  additional  information).  The  shares  were  issued  pursuant  to  the  Company’s  Shelf 
Registration Statement. 

Preferred Stock induced conversions  

On March 21, 2018, the Company entered into a Letter Agreement (the “Agreement”) with certain 
holders (the “Investors”) of shares of the Company’s Series B Preferred Stock and Series C Preferred Stock 
(  together  the  “Preferred  Stock”),  and  warrants  (the  “Warrants”)  to  purchase  shares  of  the  Company’s 
common stock, par value $0.01 per share (“Common Stock”), issued in the Company’s public offering in 
August  2017  and  registered  direct  offering  in  November  2017.  Pursuant  to  the  Agreement,  the  Company 
and  the  Investors  agreed  that,  as  a  result  of  the  issuance  of  shares  of  Common  Stock  pursuant  to  that 
Purchase  Agreement,  dated  February  8,  2018,  by  and  between  the  Company  and  the  investor  named 
therein, and effective as of the time of execution of the Agreement, the exercise price of the Warrants was 
reduced to $0.75 per share (the “Exercise Price Reduction”) and the conversion price of the Preferred Stock 
was reduced to $0.75 (the “Conversion Price Reduction”). As consideration for the Company’s agreement 
to the Exercise Price Reduction and the Conversion Price Reduction, (i) each Investor agreed to convert the 
shares of Preferred Stock held by such Investor into shares of Common Stock in increments of up to 4.99% 
of the shares of Common Stock outstanding as of the date of the Agreement and (ii) one Investor agreed to 
exercise 666,666 Warrants and another Investor agreed to exercise 500,000 Warrants in increments of up to 
4.99%  of  the  shares  of  Common  Stock  outstanding  as  of  the  date  of  the  Agreement,  in  each  case  in 
accordance with the beneficial ownership limitations set forth in the Company’s Certificate of Designation 
of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, the Company’s Certificate 
of  Designation  of  Preferences,  Rights  and  Limitations  of  Series  C  Convertible  Preferred  Stock  and  the 

  
   
  
    
  
  
  
  
Warrants. These transactions resulted in net cash proceeds to the Company of $0.2 million as of April 13, 
2018. 

84 

  
  
  
Nasdaq Delisting Notice  

On March 26, 2018, Precipio, Inc. received written notice (the “Notice”) from The Nasdaq Stock 
Market LLC (“Nasdaq”) indicating that, based on the closing bid price of the Company’s common stock for 
the preceding 30 consecutive business days (February 9, 2018 to March 23, 2018) that the Company is not 
in compliance with the $1.00 minimum bid price requirement for continued listing on the Nasdaq Capital 
Market  (the  “Minimum  Bid  Price  Requirement”),  as  set  forth  in  Nasdaq  Listing  Rule  5550(a)(2).  The 
Notice  has  no  immediate  effect  on  the  listing  of  Precipio’s  common  stock,  and  its  common  stock  will 
continue to trade on the Nasdaq Capital Market under the symbol “PRPO” at this time. 

In  accordance  with  Nasdaq  Listing  Rule  5810(c)(3)(A),  Precipio  has  a  period  of  180  calendar 
days,  or  until  September  24,  2018  to  regain  compliance  with  the  Minimum  Bid  Price  Requirement.  To 
regain compliance, the closing bid price of Precipio’s common stock must meet or exceed $1.00 per share 
for at least ten consecutive business days during this 180 calendar day period. 

If Precipio is not in compliance with the Minimum Bid Price Requirement by September 24, 2018, 
Nasdaq may provide Precipio with a second 180 calendar day period to regain compliance. To qualify for 
the  second  180  calendar  day  period,  the  Company  would  be  required  to  (i)  meet  the  continued  listing 
requirement  for  the  Nasdaq  Capital  Market  for  market  value  of  publicly  held  shares  and  all  other  initial 
listing standards for the Nasdaq Capital Market, except for the Minimum Bid Price Requirement, and (ii) 
notify Nasdaq of its intent to cure its noncompliance with the Minimum Bid Price, including by effecting a 
reverse stock split, if necessary. If Precipio does not indicate its intent to cure the deficiency or if it does 
not appear to Nasdaq that it would be possible for the Company to cure the deficiency, Precipio would not 
be eligible for the second 180 calendar day period, and its common stock would then be subject to delisting 
from the Nasdaq Capital Market. 

If  Precipio  does  not  regain  compliance  within  the  allotted  compliance  period(s),  including  any 
extensions that may be granted by Nasdaq, Nasdaq will provide notice that Precipio’s common stock will 
be  subject  to  delisting.   Precipio  would  then  be  entitled  to  appeal  the  Nasdaq  Staff’s  determination  to  a 
Nasdaq Listing Qualifications Panel and request a hearing. 

The  Company  intends  to  monitor  the  closing  bid  price  of  its  common  stock  and  consider  its 
available  options  to  resolve  its  noncompliance  with  the  Minimum  Bid  Price  Requirement.  No 
determination  regarding  Precipio’s  response  to  the  Notice  has  been  made  at  this  time.  There  can  be  no 
assurance that Precipio will be able to regain compliance with the Minimum Bid Price Requirement or will 
otherwise be in compliance with the other listing standards for the Nasdaq Capital Market. 

85 

  
   
  
  
  
  
  
  
  
  
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

None. 

Item 9A. Controls and Procedures 

 (a) 

Evaluation of Disclosure Controls and Procedures 

As of the end of the period covered by this Annual Report on Form 10-K, management performed, 
with  the  participation  of  our  Chief  Executive  Officer  and  Chief  Financial  Officer,  an  evaluation  of  the 
effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of the 
Securities  Exchange  Act  of  1934,  as  amended  (the  “Exchange  Act”).  Our  disclosure  controls  and 
procedures  are  designed  to  provide  reasonable  assurance  that  information  required  to  be  disclosed  in  the 
reports we file or submit under the Exchange Act is recorded, processed, summarized, and reported within 
the time periods specified in the rules and forms of the Securities and Exchange Commission (the “SEC”), 
and that such information is accumulated and communicated to management including our Chief Executive 
Officer  and  our  Chief  Financial  Officer,  to  allow  timely  decisions  regarding  required  disclosures.  In 
designing and evaluating the disclosure controls and procedures, management recognizes that any controls 
and  procedures,  no  matter  how  well  designed  and  operated,  can  provide  only  reasonable  assurance  of 
achieving the desired control objectives, and no evaluation of controls and procedures can provide absolute 
assurance  that  all  control  issues  and  instances  of  fraud,  if  any,  within  a  company  have  been  detected. 
Management  is  required  to  apply  its  judgment  in  evaluating  the  cost-benefit  relationship  of  possible 
controls and procedures. Based on the evaluation, the Chief Executive Officer and Chief Financial Officer 
concluded that our disclosure controls and procedures were effective as of December 31, 2017. 

 (b) 

Management’s Report on Internal Control Over Financial Reporting 

Our  management  is  responsible  for  establishing  and  maintaining  an  adequate  system  of  internal 
control  over  financial  reporting.  Our  system  of  internal  control  over  financial  reporting  is  designed  to 
provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial 
statements for external purposes in accordance with accounting principles generally accepted in the United 
States of America. 

Our internal control over financial reporting includes those policies and procedures that: 
 •         pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect 
our transactions and dispositions of our assets; 
•         provide  reasonable  assurance  that  our  transactions  are  recorded  as  necessary  to  permit 
preparation  of  our  financial  statements  in  accordance  with  accounting  principles  generally 
accepted in the United States of America, and that our receipts and expenditures are being made 
only in accordance with authorizations of our management and our directors; and 
•         provide  reasonable  assurance  regarding  prevention  or  timely  detection  of  unauthorized 
acquisition,  use  or  disposition  of  our  assets  that  could  have  a  material  effect  on  the  financial 
statements. 

Because  of  its  inherent  limitations,  a  system  of  internal  control  over  financial  reporting  can 
provide  only  reasonable  assurance  and  may  not  prevent  or  detect  misstatements.  Further,  because  of 
changes in conditions, effectiveness of internal controls over financial reporting may vary over time. Our 
system  contains  self-monitoring  mechanisms,  and  actions  are  taken  to  correct  deficiencies  as  they  are 
identified. 

Management  has  conducted,  with  the  participation  of  the  Chief  Executive  Officer  and  Chief 
Financial  Officer,  an  assessment,  including  testing  of  the  effectiveness,  of  our  internal  control  over 

  
   
  
  
  
  
  
  
  
  
  
financial  reporting  as  defined  in  Rule  13(a)-15(f)  under  the  Exchange  Act  as  of  December  31, 2017. 
Management’s  assessment  of  internal  control  over  financial  reporting  was  conducted  using  the  criteria  in 
the 2013 Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of 
the  Treadway  Commission  (“COSO”).  Based  on  that  assessment,  management  has  concluded  that  the 
Company’s internal control over financial reporting is effective.  

86 

  
  
  
 (c) 

Changes in internal control over financial reporting 

There has been no change in our internal control over financial reporting during the quarter ended 
December  31,  2017  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  our  internal 
control over financial reporting. A control system, no matter how well designed and operated, can provide 
only reasonable, not absolute, assurance that the objectives of the control system are met, and therefore, no 
evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, 
within a company have been detected. We do not expect that our disclosure controls and procedures or our 
internal control over financial reporting are able to prevent with certainty all errors and all fraud. 

We are continuing to integrate legacy internal controls over financial reporting into our financial 
reporting  framework.  Such changes have  resulted,  and  may  continue  to  result  in  changes  in  our  internal 
control  over  financial  reporting  results  that  materially  affect  our internal control over financial reporting. 
Management has increased the Company’s technical accounting abilities through the hiring of consultants 
experienced in such matters, and as such, material weaknesses related to complex transactions have been 
alleviated.  Other  than  the changes that  have  and  may  continue  to  result  from  such integration,  there  has 
been  no change in our internal control over financial reporting  during  the  year  ended  December 31,  2017 
that 
affect, 
or 
our internal control over financial reporting.  

has  materially 

to  materially 

reasonably 

affected, 

likely 

is 

We  continue  to  integrate  the  business  processes  and  information  systems  in  effect  prior  to  the 

reverse merger, including internal controls. 

As a smaller reporting company, the Company is not required to include in this Annual Report a 
report  on  the  effectiveness  of  internal  control  over  financial  reporting  by  the  Company’s  independent 
registered public accounting firm. 

Item 9B. Other Information 

None. 

Part III 

Item 10. Directors, Executive Officers and Corporate Governance 

Board of Directors 

NAME 
Ilan Daniel 
Michael Luther 

David Cohen 
Douglas Fisher 

Jeffrey Cossman 

Samuel Riccitelli 

Mark Rimer 

Position  

   AGE   
   46 
   61 

   Chief Executive Officer and Director 
   Director, Member of Audit Committee and Compensation 

Committee  

   59 
   41 

   Director 
   Director,  Member  of  the Compensation  Committee  and 

Audit Committee 

   70 

   59 

   36 

   Director,  Member  of  the Compensation  Committee  and 
the Nominating and Corporate Governance Committee 
   Chairman, Director, Member of the Audit Committee and 
the Nominating and Corporate Governance Committee 
   Director,  Member  of  the Compensation  Committee  and 
the Nominating and Corporate Governance Committee 

  
   
  
  
  
  
  
  
  
  
  
  
  
Set  forth  below  is  information  concerning  the  age,  principal  occupation,  employment  and 
directorships during the past financial year and positions within the Company of each director, and the year 
in which he first became a director of the Company. 

87 

  
  
  
Samuel  Riccitelli,  Chairman,  age  59.  Mr.  Riccitelli  has  been  an  independent  consultant  since 
February  2017.  Mr.  Riccitelli  served  as  President  and  Chief  Executive  Officer  from  October  2012  to 
February  2017  and  on  the  Board  of  Directors  since  June  2014  of  Miragen  Therapeutics,  Inc.  (formerly 
Signal Genetics, Inc.), a publicly traded molecular diagnostic company. From July 2011 to October 2012, 
Mr. Riccitelli was an independent consultant. From October 2001 to June 2011, he served as the Executive 
Vice  President  and  Chief  Operating  Officer  of  Genoptix,  Inc.,  a  publicly  traded  diagnostic  services 
company focused on the needs of community hematologists and oncologists. From 1995 to 2001, he served 
in  a  number  of  research  and  development  and  general  management  leadership  positions  for  Becton, 
Dickinson  and  Company.  From  1989  to  1994,  he  served  in  several  positions  at  Puritan-Bennett 
Corporation,  including,  most  recently,  as  general  manager.  Mr.  Riccitelli  has  served  as  a  member  of  the 
board of directors of Orthopediatics, Inc. since December 2017. Mr. Riccitelli also served on the Board of 
Directors  of  Exagen  Diagnostics,  Inc.  from  October  2011  to  September  2014.  He  received  a  B.A.  in 
Biology from Washington and Jefferson College and a M.S. Eng. degree from The University of Texas in 
Mechanical & Biomedical Engineering. Mr. Riccitelli was appointed as director of the Company since the 
Merger on June 2017. We believe Mr. Riccitelli’s deep experience in the diagnostics field, chiefly as COO 
of  Genoptix,  one  of  the  industry’s  leading  diagnostic  companies;  as  well  as  his  experience  as  CEO  of 
Signal Genetics, a publicly-traded diagnostics company, provides substantial executive experience in both 
the industry, and knowledge of public markets. 

Mark Rimer, age 36. Mr. Rimer has been a partner at Kuzari Group, a boutique private investment 
group with a broad mandate to invest in full or partial buy-outs, growth capital, and venture capital across a 
broad  range  of  industries  since  September  2009.  Mr.  Rimer  serves  on  the  Board  of  Directors  of  several 
companies,  including  Precipio,  and  is  actively  involved  in  business  development  roles  at  numerous 
portfolio companies. Prior to joining Kuzari, Mr. Rimer worked for a London-based private equity group, 
RP  Capital  Group,  managing  a  number  of  investments  across  several  emerging  markets.  Mr.  Rimer  is  a 
Chartered Accountant, earned an undergraduate degree in Politics and Economics from Bristol University 
and an MBA from the NY Stern School of Business. Mr. Rimer was appointed as director of the Company 
in March 2012. Mr. Rimer has been an investor in Precipio from its inception. He brings with him not only 
a strong financial, accounting and investment background, but also a deep familiarity with the Company’s 
business model and its evolution over the years. 

Jeffrey  Cossman,  M.D.,  age  70.  Dr.  Cossman  was  a  founder  of  and  served  as  Chief  Executive 
Officer and Chairman of the Board at United States Diagnostic Standards, Inc. from 2009 to 2014, and as a 
member of the Board of The Personalized Medicine Coalition from 2008 to 2014. Prior to that, he served as 
Chief  Scientific  Officer  and  as  member  of  the  Board  of  Directors  of  The  Critical  Path  Institute,  and  as 
Medical Director of Gene Logic, Inc. He was Professor and Chairman of the Department of Pathology at 
Georgetown University Medical Center where he held the Oscar Benwood Hunter Chair of Pathology and 
he  served  as  Senior  Investigator  in  Hematopathology  at  the  National  Cancer  Institute.  He  is  currently  a 
medical  advisor  to  Epigenomics  AG.  Dr.  Cossman  holds  a  B.S.  from  the  University  of  Michigan  and  an 
M.D.  from  the  University  of  Michigan  Medical  School.  He  is  board-certified  in  pathology  and  trained  in 
pathology  and  hematopathology  at  the  University  of  Michigan,  Stanford  University  and  the  National 
Institutes  of  Health.  Dr.  Cossman  was  appointed  as  director  of  the  Company  since  September  2017.  The 
Board believes that, as former chair of the department of pathology of Georgetown University, a premier 
academic institution, Dr. Cossman provides significant insight and guidance as to how the company should 
execute  on  its  model.  Furthermore,  his  experience  in  the  molecular  field  is  significant  to  the  Company’s 
strategy. 

Douglas  Fisher,  M.D.,  MBA,  age  41.  Dr.  Fisher  is  currently  an  Executive  in  Residence  at 
InterWest  Partners  LLC,  a  venture  capital  firm,  where  he  has  worked  since  March  2009.  Dr.  Fisher  also 
works  and  serves  as  the  Chief  Business  Officer  at  Sera  Prognostics,  Inc.  since  January  2015.  Prior  to 
joining InterWest, Dr. Fisher served as Vice President of New Leaf Venture Partners LLC, a private equity 
and venture capital firm, from January 2006 to March 2009. Prior to joining New Leaf, Dr. Fisher was a 

  
   
  
  
  
project  leader  with  The  Boston  Consulting  Group,  Inc.,  a  global  management  consulting  firm,  from 
November  2003  to  February  2006.  He  currently  serves  on  the  board  of  Obalon  Therapeutics,  Inc., 
Gynesonics, Inc. and Indi Molecular, Inc., and previously served on the board of QuatRx Pharmaceuticals 
Company, Cardiac Dimensions, PMV Pharmaceuticals, Inc. and Sera Prognostics, Inc. Dr. Fisher holds an 
A.B.  and  a  B.S.  from  Stanford  University,  an  M.D.  from  the  University  of  Pennsylvania  School  of 
Medicine and an MBA from The Wharton School of Business at the University of Pennsylvania. Mr. Fisher 
was appointed as director of the Company since September 2017. Dr. Fisher’s diverse background as both a 
physician,  and  an  investor  in  biotech  markets,  is  extremely  beneficial  to  the  Board  in  planning  the 
Company’s strategic growth and how to approach and manage the financial markets. 

David Cohen, age 59. Mr. Cohen is the Chief Operating Officer and co-owner of Standard Oil of 
Connecticut, Inc., the largest independent petroleum retailing company in Connecticut. He founded several 
highly successful ventures, including: Standard Security Systems, a provider of electronic security services; 
ResCom Energy, a multi-state supplier of deregulated electricity; Moneo Technology Solutions, a provider 
of security and network infrastructure solutions; and My Gene Counsel, a cancer bioinformatics company. 
Mr.  Cohen  is  also  a  highly  experienced  investor  in  numerous  start-up  and  early  stage  businesses.  He 
currently serves on the Boards of: eBrevia, Emme Controls, Foresite MSP, My Gene Counsel, The Platt & 
LaBonia Company, and Sirona Medical Technologies. Mr. Cohen holds a B.A. from Harvard College and 
an MBA from the Harvard Business School. Mr. Cohen was appointed as director of the Company since 
November  2017.  Mr.  Cohen  brings  to  the  Board  a  wealth  of  experience  as  a  serial  entrepreneur  that  has 
built  several  successful  companies,  as  well  as  a  strong  investment  track  record.  Mr.  Cohen  has  been  an 
early-stage investor in Precipio and brings his deep familiarity of the business to help guide management 
and the Board in its strategy. 

88 

  
  
  
  
Michael Luther, PhD, age 61. Dr. Luther has served as President and Chief Executive Officer of 
Bantam  Pharmaceutical,  LLC,  a  pharmaceutical  company  focused  on  the  discovery  and  development  of 
compounds  to  treat  cancer  with  a  focus  on  RNA  translation,  since  March  2016.  From  October  2013  to 
October  2015,  Dr.  Luther  was  Senior  Vice  President  and  General  Manager,  Discovery  and  Development 
Services,  at  Albany  Molecular  Research,  Inc.  (NASDAQ:  AMRI),  a  global  contract  research  and 
manufacturing  organization  offering  drug  discovery,  development  and  manufacturing  services,  where  he 
was  responsible  for  the  strategic,  operational  and  business  development  activities  for  Albany  Molecular 
Research,  Inc.’s  global  discovery  and  development  divisions.  From  August  2012  to  September  2013,  Dr. 
Luther was Corporate Vice President of Global Discovery Research Services at Charles River Laboratories 
(NYSE: CRL), a global provider of products and services to pharmaceutical and biotechnology companies, 
government  agencies  and  academic  institutions,  where  he  served  as  the  general  manager  of  the  firm’s 
discovery business unit, including developing and implementing strategic and operating plans. Prior to his 
role at Charles River, from March 2009 to August 2012, he was President and a member of the Board of 
Directors of the David H. Murdock Research Institute, a non-profit contract research organization located 
in  Kannapolis,  North  Carolina,  where  he  led  and  directed  all  activities  of  the  institute,  including  applied 
research and development activities. From November 2006 to March 2009, Dr. Luther held the position of 
Vice President and Site Head at Merck Frosst, a pharmaceutical company in Montreal, Canada, focused on 
the  delivery  of  Phase  I  product  candidates  from  target  to  clinic  for  novel  therapeutics  in  respiratory  and 
metabolic  disorders.  Prior  to  Merck  Frosst,  from  1991  to  2006,  he  held  positions  of  increasing 
responsibilities  at  GlaxoSmithKline,  a  global  healthcare  company  that  researches  and  develops  a  broad 
range  of  innovative  medicines  and  brands,  culminating  in  his  appointment  as  Vice  President,  High 
Throughput Biology. Dr. Luther holds a Bachelor of Science degree in Biology and Chemistry from North 
Carolina  State  University,  a  Master  in  Business  Administration  from  Duke  University,  Fuqua  School  of 
Business,  and  a  Ph.D.  in  Biophysical  Chemistry  from  Saint  Louis  University  School  of  Medicine.  He 
served as a member of the Board of Directors of Islet Sciences, Inc., a biopharmaceutical company (OTC: 
ISLT),  from  March  2014  to  June  2015.  The  Board  selected  Dr.  Luther  to  serve  as  a  director  because  it 
believes  he  possesses  valuable  experience  in  the  healthcare  and  pharmaceutical  industries  and  extensive 
strategic,  scientific  and  business  experience  in  such  industries,  which  brings  a  unique  and  valuable 
perspective to the Board. Dr. Luther was appointed as director of the Company since April 2014. 

Ilan  Danieli,  age  46.  Mr.  Danieli  was  the  founder  of  Precipio  Diagnostics  LLC  and  has  been  its 
chief executive officer since 2011. Mr. Danieli assumed the role of Director of Precipio, Inc at the time of 
the  Merger.  With  over  20  years  managing  small  and  medium-size  companies,  some  of  his  previous 
experiences include COO of Osiris, a publicly-traded company based in New York City with operations in 
the US, Canada, Europe and Asia; VP of Operations for Laurus Capital Management, a multi-billion dollar 
hedge fund; and various other entrepreneurial ventures. Mr. Danieli holds an MBA from the Darden School 
at the University of Virginia, and a BA in Economics from Bar-Ilan University in Israel. 

Code of Business Conduct and Ethics 

Our  Board  has  adopted  a  code  of  ethical  conduct  that  applies  to  our  principal  executive  officer, 
principal  financial  officer  and  senior  financial  management.  This  code  of  ethical  conduct  is  embodied 
within  our  Code  of  Business  Conduct  and  Ethics,  which  applies  to  all  persons  associated  with  our 
Company,  including  our  directors,  officers  and  employees  (including  our  principal  executive  officer, 
principal financial officer, principal accounting officer and controller). The Code of Business Conduct and 
Ethics  is  available  in  the  Investor  Relations  section  of  our  website  at  www.precipiodx.com.  In  order  to 
satisfy  our  disclosure  requirements  under  Item  5.05  of  Form  8-K,  we  will  disclose  amendments  to,  or 
waivers of, certain provisions of our Code of Business Conduct and Ethics relating to our chief executive 
officer, chief financial officer, chief accounting officer, controller or persons performing similar functions 
on our website promptly following the adoption of any such amendment or waiver. The Code provides that 
any waivers of, or changes to, the Code that apply to the Company’s executive officers or directors may be 

  
  
  
  
  
made only by the Audit Committee. In addition, the Code includes updated procedures for non-executive 
officer employees to seek waivers of the Code. 

Involvement in Certain Legal Proceedings 

No director, executive officer, promoter or person of control of our Company has, during the last 
ten years: (i) been convicted in or is currently subject to a pending criminal proceeding (excluding traffic 
violations and other minor offenses); (ii) been a party to a civil proceeding of a judicial or administrative 
body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or 
final  order  enjoining  future  violations  of,  or  prohibiting  or  mandating  activities  subject  to  any  Federal  or 
state  securities  or  banking  or  commodities  laws  including,  without  limitation,  in  any  way  limiting 
involvement  in  any  business  activity,  or  finding  any  violation  with  respect  to  such  law,  nor  (iii)  any 
bankruptcy petition been filed by or against the business of which such person was an executive officer or a 
general partner, whether at the time of the bankruptcy or for the two years prior thereto. 

89 

  
  
  
  
  
We are not engaged in, nor are we aware of any pending or threatened, litigation in which any of 
our  directors,  executive  officers,  affiliates  or  owner  of  more  than  5%  of  our  common  stock  is  a  party 
adverse to us or has a material interest adverse to us. 

Corporate Governance 

Board Leadership Structure 

Our  Board  has  determined  that  having  an  independent  director  serve  as  the  Chairperson  of  the 
Board is in the best interests of our stockholders. Our Chairperson of the Board is Samuel Riccitelli. Ilan 
Danieli, CEO, is the only member of our Board who is not an independent director. We believe that this 
leadership  structure  enhances  the  accountability  of  our  CEO  to  the  Board  and  strengthens  the  Board’s 
independence  from  management.  While  both  Mr.  Riccitelli  and  Mr.  Danieli  are  actively  engaged  in 
significant matters affecting our Company, such as long-term strategy, we believe splitting these leadership 
positions  enables  Mr. Danieli  to  focus  his  efforts  on  running  our  business  and  managing  our  Company 
while permitting Mr. Riccitelli to focus on the governance of our Company, including Board oversight. 

Director Attendance at Meetings 

Our  Board  conducts  its  business  through  meetings  of  our  Board,  both  in  person  and  telephonic, 
and  actions  taken  by  written  consent  in  lieu  of  meetings.  During  the  year  ended  December 31,  2017,  our 
Board  held  four  meetings.  All  directors  attended  at  least  75%  of  the  meetings  of  our  Board  and  of  the 
committees of our Board on which they served during 2017. 

Our Board encourages all directors to attend our annual meetings of stockholders unless it is not 

reasonably practicable for a director to do so. 

Committees of our Board of Directors 

Our Board has established and delegated certain responsibilities to its standing Audit Committee, 

Compensation Committee and Nominating and Corporate Governance Committee. 

Audit Committee 

We  have  a  separately  designated  standing  Audit  Committee  established  in  accordance  with 
Section 3(a)(58)(A) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The Audit 
Committee’s  primary  duties  and  responsibilities  include  monitoring  the  integrity  of  our  financial 
statements,  monitoring  the  independence  and  performance  of  our  external  auditors,  and  monitoring  our 
compliance with applicable legal and regulatory requirements. The functions of the Audit Committee also 
include reviewing periodically with our independent registered public accounting firm the performance of 
the services for which they are engaged, including reviewing the scope of the annual audit and its results, 
reviewing with management and the auditors the adequacy of our internal accounting controls, reviewing 
with management and the auditors the financial results prior to the filing of quarterly and annual reports, 
reviewing  fees  charged  by  our  independent  registered  public  accounting  firm  and  reviewing  any 
transactions between our Company and related parties. Our independent registered public accounting firm 
reports  directly  and  is  accountable  solely  to  the  Audit  Committee.  The  Audit  Committee  has  the  sole 
authority  to  hire  and  fire  the  independent  registered  public  accounting  firm  and  is  responsible  for  the 
oversight  of  the  performance  of  their  duties,  including  ensuring  the  independence  of  the  independent 
registered public accounting firm. The Audit Committee also approves in advance the retention of, and all 
fees to be paid to, the independent registered public accounting firm. The rendering of any auditing services 
and  all  non-auditing  services  by  the  independent  registered  public  accounting  firm  is  subject  to  prior 
approval of the Audit Committee. 

  
   
  
  
  
  
  
  
  
  
  
  
The Audit Committee operates under a written charter which is available in the Investor Relations 
section  of  our  website  at  www.precipiodx.com.  The  Audit  Committee  is  required  to  be  composed  of 
directors  who  are  independent  under  the  rules  of  the  SEC  and  the  listing  standards  of  The  Nasdaq  Stock 
Market LLC (“NASDAQ”). 

90 

  
  
  
  
The current members of the Audit Committee are directors Mr. Riccitelli, the Chairperson of the 
Audit  Committee,  Dr.  Fisher  and  Dr.  Luther,  all  of  whom  have  been  determined  by  the  Board  to  be 
independent  under  the  NASDAQ  listing  standards  and  rules  adopted  by  the  SEC  applicable  to  audit 
committee members. The Board has determined that Mr. Riccitelli, Dr. Fisher and Dr. Luther each qualifies 
as an “audit committee financial expert” under the rules adopted by the SEC and the Sarbanes Oxley Act of 
2002. The Audit Committee met one time during 2017 and did not take any actions by written consent. 

REPORT OF THE AUDIT COMMITTEE 

Precipio’s  management  is  responsible  for  the  preparation  of  the  its  financial  statements  and  for 
maintaining  an  adequate  system  of  internal  controls  and  processes  for  that  purpose.  Marcum  LLP 
(“Marcum”) acts as Precipio’s independent registered public accounting firm and they are responsible for 
conducting  an  independent  audit  of  Precipio’s  annual  financial  statements  in  accordance  with  auditing 
standards  generally  accepted  in  the  United  States  of  America  and  issuing  a  report  on  the  results  of  their 
audit. The Audit Committee is responsible for providing independent, objective oversight of both of these 
processes. 

The Audit Committee has reviewed and discussed Precipio’s audited financial statements for the 
year  ended  December 31,  2017  with  management  of  Precipio  and  with  representatives  of  Marcum.  The 
Audit Committee's discussions with Marcum also included the matters required by Auditing Standard No. 
16,  Communications  with  Audit  Committees,  as  adopted  by  the  Public  Company  Accounting  Oversight 
Board  (PCAOB).  In  addition,  the  Audit  Committee  received  the  written  disclosures  and  the  letter  from 
Marcum required by applicable requirements of the PCAOB regarding its communications with the Audit 
Committee concerning independence, and has discussed with Marcum its independence from Precipio and 
its management. 

Based on the foregoing, the Audit Committee has recommended to the Board of Directors, and the 
Board  of  Directors  has  approved,  that  the  audited  financial  statements  of  Precipio  for  the  year  ended 
December 31, 2017 be included in the Company’s Annual Report on Form 10-K for filing with the SEC. 

Mr. Samuel Riccitelli 
Michael A. Luther, Ph.D. 
Douglas Fisher, MD 

Compensation Committee 

The  primary  duties  and  responsibilities  of  our  standing  Compensation  Committee  are  to  review, 
modify and approve the overall compensation policies for the Company, including the compensation of the 
Company’s  Chief  Executive  Officer  and  other  senior  management;  establish  and  assess  the  adequacy  of 
director  compensation;  and  approve  the  adoption,  amendment  and  termination  of  the  Company’s  stock 
option  plans,  pension  and  profit  sharing  plans,  bonus  plans  and  similar  programs.  The  Compensation 
Committee may delegate to one or more officers the authority to make grants of options and restricted stock 
to  eligible  individuals  other  than  officers  and  directors,  subject  to  certain  limitations.  Additionally,  the 
Compensation  Committee  has  the  authority  to  form  subcommittees  and  to  delegate  authority  to  any  such 
subcommittee. The Compensation Committee also has the authority, in its sole discretion, to select, retain 
and  obtain,  at  the  expense  of  the  Company,  advice  and  assistance  from  internal  or  external  legal, 
accounting or other advisors and consultants. Moreover, the Compensation Committee has sole authority to 
retain  and  terminate  any  compensation  consultant  to  assist  in  the  evaluation  of  director,  Chief  Executive 
Officer or senior executive compensation, including sole authority to approve such consultant’s reasonable 
fees and other retention terms, all at the Company’s expense. 

  
  
  
  
  
  
  
  
  
  
The Compensation Committee operates under a written charter which is available on our website 
at  www.precipiodx.com.  All  members  of  the  Compensation  Committee  must  satisfy  the  independence 
requirements of NASDAQ applicable to compensation committee members. 

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The Compensation Committee currently consists of directors Dr. Luther, Mr. Rimer, Dr. Cossman 
and  Dr.  Fisher.  Dr.  Luther  was  Chairperson  of  the  Compensation  Committee  form  the  Merger  date  to 
February  8,  2018.  On  February  8,  2018,  Dr.  Fisher  was  appointed  Chairperson  of  the  Compensation 
Committee.  Each  of  the  Compensation  Committee  members  has  been  determined  by  the  Board  to  be 
independent  under  NASDAQ  listing  standards  applicable  to  compensation  committee  members.  The 
Compensation Committee met two times during 2017 and did not take any actions by written consent. 

Nominating and Corporate Governance Committee 

The  Nominating  and  Corporate  Governance  Committee  identifies,  reviews  and  evaluates 
candidates to serve on the Board; reviews and assesses the performance of the Board and the committees of 
the  Board;  and  assesses  the  independence  of  our  directors.  The  Nominating  and  Corporate  Governance 
Committee  is  also  responsible  for  reviewing  the  composition  of  the  Board’s  committees  and  making 
recommendations to the entire Board regarding the chairpersonship and membership of each committee. In 
addition,  the  Nominating  and  Corporate  Governance  Committee  is  responsible  for  developing  corporate 
governance  principles  and  periodically  reviewing  and  assessing  such  principles,  as  well  as  periodically 
reviewing  the  Company’s  policy  statements  to  determine  their  adherence  to  the  Company’s  Code  of 
Business Conduct and Ethics. 

The  Nominating  and  Corporate  Governance  Committee  has  adopted  a  Director  Nominees 
Consideration  Policy,  whereby  Board  candidates  are  identified  primarily  through  suggestions  made  by 
directors, management and stockholders of the Company. We have implemented no material changes to the 
procedures  by  which  stockholders  may  recommend  nominees  for  the  Board.  The  Nominating  and 
Corporate Governance Committee will consider director nominees recommended by stockholders that are 
submitted  in  writing  to  the  Company’s  Corporate  Secretary  in  a  timely  manner  and  which  provide 
necessary  biographical  and  business  experience  information  regarding  the  nominee.  The  Nominating  and 
Corporate  Governance  Committee  does  not  intend  to  alter  the  manner  in  which  it  evaluates  candidates, 
including the criteria considered by the Nominating Committee, based on whether or not the candidate was 
recommended  by  a  stockholder.  The  Board  does  not  prescribe  any  minimum  qualifications  for  director 
candidates,  and  all  candidates  for  director  will  be  evaluated  based  on  their  qualifications,  diversity,  age, 
skill  and  such  other  factors  as  deemed  appropriate  by  the  Nominating  and  Corporate  Governance 
Committee given the current needs of the Board, the committees of the Board and the Company. Although 
the  Nominating  and  Corporate  Governance  Committee  does  not  have  a  specific  policy  on  diversity,  it 
considers  the  criteria  noted  above  in  selecting  nominees  for  directors,  including  members  from  diverse 
backgrounds who combine a broad spectrum of experience and expertise. Absent other factors which may 
be material to its evaluation of a candidate, the Nominating and Corporate Governance Committee expects 
to recommend to the Board for selection incumbent directors who express an interest in continuing to serve 
on the Board. Following its evaluation of a proposed director’s candidacy, the Nominating and Corporate 
Governance  Committee  will  make  a  recommendation  as  to  whether  the  Board  should  nominate  the 
proposed director candidate for election by the stockholders of the Company. 

The Nominating and Corporate Governance Committee operates under a written charter which is 
available  on  our  website  at  www.precipiodx.com.  No  member  of  the  Nominating  and  Corporate 
Governance  Committee  may  be  an  employee  of  the  Company  and  each  member  must  satisfy  the 
independence requirements of NASDAQ and the SEC. 

The  Nominating  and  Corporate  Governance  Committee  currently  consists  of  directors  Dr. 
Cossman, Mr. Riccitelli and Mr. Rimer, each of whom has been determined by the Board to be independent 
under NASDAQ listing standards. The Nominating and Corporate Governance Committee did not meet or 
take any actions by written consent during 2017.  

Oversight of Risk Management 

  
  
  
  
  
  
  
  
         Risk is inherent with every business, and how well a business manages risk can ultimately 
determine  its  success.  We  face  a  number  of  risks,  including  economic  risks,  financial  risks,  legal  and 
regulatory risks and others, such as the impact of competition. Management is responsible for the day-to-
day  management  of  the  risks  that  we  face,  while  our  Board,  as  a  whole  and  through  its  committees,  has 
responsibility for the oversight of risk management. In its risk oversight role, our Board is responsible for 
satisfying  itself  that  the  risk  management  processes  designed  and  implemented  by  management  are 
adequate and functioning as designed. Our Board assesses major risks facing our Company and options for 
their mitigation in order to promote our stockholders’ interests in the long-term health of our Company and 
our  overall  success  and  financial  strength.  A  fundamental  part  of  risk  management  is  not  only 
understanding the risks a company faces and what steps management is taking to manage those risks, but 
also understanding what level of risk is appropriate for us. The involvement of our full Board in the risk 
oversight  process  allows  our  Board  to  assess  management’s  appetite  for  risk  and  also  determine  what 
constitutes an appropriate level of risk for our Company. Our Board regularly includes agenda items at its 
meetings relating to its risk oversight role and meets with various members of management on a range of 
topics, including corporate governance and regulatory obligations, operations and significant transactions, 
risk management, insurance, pending and threatened litigation and significant commercial disputes. 

92 

  
  
  
  
While  our  Board  is  ultimately  responsible  for  risk  oversight,  various  committees  of  our  Board 
oversee  risk  management  in  their  respective  areas  and  regularly  report  on  their  activities  to  our  entire 
Board. In particular, the Audit Committee has the primary responsibility for the oversight of financial risks 
facing our Company. The Audit Committee’s charter provides that it will discuss our major financial risk 
exposures  and  the  steps  we  have  taken  to  monitor  and  control  such  exposures.  Our  Board  has  also 
delegated primary responsibility for the oversight of all executive compensation and our employee benefit 
programs to the Compensation Committee. The Compensation Committee strives to create incentives that 
encourage a level of risk-taking behavior consistent with our business strategy. 

We  believe  the  division  of  risk  management  responsibilities  described  above  is  an  effective 
approach for addressing the risks facing our Company and that our Board’s leadership structure provides 
appropriate checks and balances against undue risk taking. 

Section 16(a) Beneficial Ownership Reporting Compliance 

Section 16(a) of the Exchange Act and the rules of the SEC require our directors, certain officers 
and beneficial owners of more than 10% of our outstanding common stock to file reports of their ownership 
and changes in ownership of our common stock with the SEC. We believe all Section 16 reports were filed 
in a timely manner during 2017. 

Information Regarding Executive Officers 

A  list  of  our  section  16  executive  officers  and  executive  management  together  with  biographical 
information appears below. 

Executive Management 

NAME 
Ilan Danieli 
Carl R. Iberger 

AGE 

Position  

   46 
   65 

   Chief Executive Officer 
   Chief Financial Officer 

Mr. Danieli was the founder of Precipio Diagnostics LLC and was the Chief Executive Officer of 
Precipio Diagnostics LLC since 2011. Mr. Danieli assumed the role of Chief Executive Officer of Precipio, 
Inc. at the time of the Merger. With over 20 years managing small and medium-size companies, some of 
his previous experiences include COO of Osiris, a publicly-traded company based in New York City with 
operations in the US, Canada, Europe and Asia; VP of Operations for Laurus Capital Management, a multi-
billion  dollar  hedge  fund;  and  in  various  other  entrepreneurial  ventures.  Ilan  holds  an  MBA  from  the 
Darden School at the University of Virginia, and a BA in Economics from Bar-Ilan University in Israel. 

Mr. Iberger was named Chief Financial Officer in October 2016. For the years 1990 through 2015, 
Mr. Iberger held the positions of Chief Financial Officer and Executive Vice President at Dianon Systems, 
DigiTrace Care Services and SleepMed, Inc. Mr. Iberger has significant diagnostic healthcare experience in 
mergers  and  acquisitions,  private  equity  transactions,  public  offerings  and  executive  management  in  high 
growth  environments.  Mr.  Iberger  holds  a  Masters  Degree  in  Finance  from  Hofstra  University  and  a 
Bachelor of Science Degree in Accounting from the University of Connecticut. 

Executive Management 
Name 
Stephen Miller 
Ahmed Zaki Sabet 
Ayman A. Mohamed 

   Age    
  51 
  32 
  33 

  Chief Commercial Officer 
  Chief Operating Officer 
  SVP R&D and Laboratory Operations 

Positon with the Company 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
  
93 

  
  
Mr.  Miller  currently  serves  as  the  Chief  Commercial  Officer  of  Precipio,  joining  Precipio  from 
Transgenomic Inc. where he served as SVP & General Manager since 2013. Mr. Miller has over 25 years’ 
experience  in  the  diagnostic  and  biotechnology  sectors,  with  in-depth  experience  in  developing  and 
implementing  business  strategies.  Mr.  Miller  also  has  broad  experience  successfully  leading  sales, 
marketing, reimbursement and business development. Prior to joining Precipio, Mr. Miller held executive 
commercial positions at BG Medicine and Mira Dx. He also held a variety of key positions within Athena 
Diagnostics with responsibilities for reimbursement, corporate accounts, business development, marketing 
and sales. His last position with Athena was as the Vice President of Sales & Marketing as that company 
grew  from  $6  million  to  over  $100  million  in  sales.  Mr.  Miller  received  a  B.A.  in  Business  Psychology 
from Miami University. 

Mr. Sabet is a founder of Precipio Diagnostics, LLC and was named Chief Operating Officer of 
Precipio, Inc. in June 2017 after serving as Vice President Operations for Precipio Diagnostics, LLC since 
2011. 

Mr.  Mohamed  is  a  founder  of  Precipio  Diagnostics,  LLC  and  was  named  Senior  Vice  President 
R&D and Laboratory Operations of Precipio, Inc. in June 2017 after serving as Vice President of Precipio 
Diagnostics, LLC since 2011. 

Review and Approval of Related Person Transactions 

We recognize that related person transactions can present potential or actual conflicts of interest 
and  create  the  appearance  that  our  decisions  are  based  on  considerations  which  may  not  be  in  our  best 
interests  or  the  best  interests  of  our  stockholders.  Accordingly,  as  a  general  matter,  we  prefer  to  avoid 
related  person  transactions.  Nevertheless,  we  recognize  that  there  are  situations  where  related  person 
transactions may be in, or may not be inconsistent with, our best interests. Pursuant to the Audit Committee 
Charter,  the  Audit  Committee  is  responsible  for  reviewing  and  overseeing  related-party  transactions  as 
required  by  NASDAQ  and  SEC  rules.  Related  persons  include  our  directors,  executive  officers,  5% 
beneficial owners of our common stock or their respective immediate family members. Our Board will also 
review  related  party  transactions  in  accordance  with  applicable  law  and  the  provisions  of  our  Third 
Amended and Restated Certificate of Incorporation, as amended. 

In addition, our Audit Committee has adopted a written Related Party Transactions Policy. Under 
our Related Party Transactions Policy, if any director or executive officer or any immediate family member 
or related entity of a related person proposes to enter into a transaction, or if the Company proposes to enter 
into  a  transaction  with  a  5%  beneficial  owner  of  our  common  stock,  then,  prior  to  entering  into  such 
transaction, the related person must notify the Company’s Compliance Officer (currently, the Interim Chief 
Financial  Officer)  and  provide  sufficient  knowledge  regarding  the  proposed  transaction  as  is  reasonably 
available  to  assist  the  Compliance  Officer  in  determining  whether  approval  of  the  Audit  Committee  is 
required. The Audit Committee must review and consider any proposed related person transaction, and the 
Audit  Committee  will  only  approve  the  transactions  it  deems  are  fair  to  and  in  the  best  interests  of  the 
Company. Additionally, the Audit Committee may ratify transactions that were previously unapproved if it 
finds  the  transactions  are  fair  to  and  in  the  best  interests  of  the  Company.  There  are  no  related  party 
transactions to report during fiscal year 2017. 

Director Independence 

Our  Company  is  governed  by  our  Board.  Currently,  each  member  of  our  Board,  other  than  Ilan 
Danieli, Chief Executive Officer, is an independent director and all standing committees of our Board are 
composed  entirely  of  independent  directors,  in  each  case  under  NASDAQ’s  independence  definition 
applicable  to  boards  of  directors.  For  a  director  to  be  considered  independent,  our  Board  must  determine 
that the director has no relationship which, in the opinion of our Board, would interfere with the exercise of 

  
   
  
  
  
  
  
  
  
independent judgment in carrying out the responsibilities of a director. Members of the Audit Committee 
also  must  satisfy  a  separate  SEC  independence  requirement,  which  provides  that  they  may  not  accept 
directly or indirectly any consulting, advisory or other compensatory fee from us or any of our subsidiaries 
other than their directors’ compensation. In addition, under SEC rules, an Audit Committee member who is 
an affiliate of the issuer (other than through service as a director) cannot be deemed to be independent. In 
determining  the  independence  of  members  of  the  Compensation  Committee,  NASDAQ  listing  standards 
require our Board to consider certain factors, including but not limited to: (1) the source of compensation of 
the director, including any consulting, advisory or other compensatory fee paid by us to the director, and 
(2)  whether  the  director  is  affiliated  with  us,  one  of  our  subsidiaries  or  an  affiliate  of  one  of  our 
subsidiaries. Under our Compensation Committee Charter, members of the Compensation Committee also 
must qualify as “outside directors” for purposes of Section 162(m) of the Internal Revenue Code of 1986, 
as amended (the “Code”), and as “non-employee directors” for purposes of Rule 16b-3 under the Exchange 
Act.  The  independent  members  of  the  Board  are  Michael  A.  Luther,  Jeffery  Cossman,  M.D.,  Douglas 
Fisher, M.D., David Cohen, Mark Rimer and Samuel Riccitelli. 

94 

  
  
  
Information Regarding Executive Officers 

Our section 16 Executive Officers, their ages and their respective positions are identified above in 

Item 1. 

Family Relationships 

There are no family relationships between or among any of our executive officers or directors. 

Item 11. Executive Compensation 

The information set forth under the captions “Director Compensation,” “Named Executive Officer 
Compensation,”  “Compensation  Committee  Interlocks  and  Insider  Participation,”  and  “Compensation 
Committee Report” is incorporated herein. 

2017 EXECUTIVE COMPENSATION 
Summary Compensation Table 

The  following  table  sets  forth  compensation  awarded  to,  paid  to  or  earned  by  our  “named 

executive officers” for services rendered during fiscal years 2017 and 2016. 

Name and Principal Position 

   Year 

Salary  
($) 

Option  
Awards  
($)(1) 

All Other  
Compensation  
($) 

      Total ($)    

Ilan Danieli (2) 
Chief Executive Officer 

Carl R. Iberger (5) 
Chief Financial Officer 

2017        250,000        106,666       
-       
2016        200,000       

11,979 (3)      368,645   
17,234 (4)      217,234   

2017        200,000        106,666       
-       
53,750       
2016       

-   
-   

     306,666   
53,750   

(1) The amounts in this column reflect the aggregate grant date fair value of the stock option awards granted 
during  the  respective  fiscal  year  as  computed  in  accordance  with  Financial  Accounting  Standards  Board 
(“FASB”)  Accounting  Standards  Codification  (“ASC”)  Topic  718,  excluding  the  effect  of  estimated 
forfeitures. The amounts shown do not correspond to the actual value that will be recognized by the named 
executive  officer.  The  assumptions  used  in  the  calculation  of  these  amounts  are  included  in  Note  13 
“Equity Incentive Plan” to the consolidated financial statements for the year ended December 31, 2017. 

(2) Mr. Danieli was appointed our Chief Executive Officer effective as of June 29, 2017. No employment 
contract  has  been  executed  at  the  time  of  this  filing.  Prior  to  the  merger,  Mr.  Danieli  was  the  Chief 
Executive Officer of Precipio Diagnostics since November 2011. 

95 

  
   
  
  
  
  
  
  
  
  
    
    
    
  
    
      
      
      
  
    
  
    
    
  
    
        
        
        
    
    
    
    
    
    
  
  
  
  
  
(3) Amounts paid to Mr. Danieli in 2017 consisted of $11,979 in health insurance premiums. 

(4) Amounts paid to Mr. Danieli in 2016 consisted of $13,634 in health insurance premiums and $3,600 in 
auto allowance. 

(5) Mr. Iberger was appointed our Chief Financial Officer effective June 29, 2017. Prior to the merger, Mr. 
Iberger was the Chief Financial Officer of Precipio Diagnostics since October 1, 2016. 

2017 Grants of Option Plan-Based Awards 

The following table sets forth certain information with respect to grants of plan-based awards in 
fiscal year 2017 to our named executive officers and directors. The stock option awards granted in fiscal 
year  2017  were  granted  under  the  Company’s  2017  Stock  Option  and  Incentive  Plan,  as  amended  (the 
“2017  Plan”).  During  the  year  ended  December  31,  2017,  no  other  equity  awards  were  granted  to  our 
named  executive  officers  and  directors.  See  the  notes  below  the  table  for  details  on  option  vesting 
schedules. 

All Other  
Option Awards: 
Number of 
Securities 
Underlying 
Options (#) 

  Grant Date   

Exercise or  
Price of Option 
Awards ($/sh) (1)     

Grant Date Fair 
Value of Option 
Awards ($)(2)    

  9/26/17 

66,666       

1.87       

106,666   

  9/26/17 

66,666       

1.87       

106,666   

Name 

Ilan Danieli 

Stock options (3) 

Carl R. Iberger 

Stock options (3) 

(1) The exercise price of the stock awards represents the fair market value of our common stock on the date 
of grant as defined in the 2017 Plan. 

(2) The amount in this column reflects the aggregate grant date fair value of each stock award granted to our 
named  executive  officers  and  directors  during  the  fiscal  year  as  computed  in  accordance  with  ASC  718, 
excluding the effect of estimated forfeitures. The amounts shown do not correspond to the actual value that 
will  be  recognized  by  the  named  executive  officer.  The  assumptions  used  in  the  calculation  of  these 
amounts  are  included  in  Note  13  “Equity  Incentive  Plan”  to  the  consolidated  financial  statements  for  the 
year ended December 31, 2017. 

(3) 25% of the options shall vest on the first anniversary of the grant and thereafter the reminder shall vest 
by  36  equal  monthly  installments  (total  of  4  years)  and  so  long  as  the  executive  officer  remains  an 
employee of the Company or a Subsidiary on such dates. 

96 

  
   
  
  
  
  
  
    
    
    
        
        
    
    
  
    
    
        
        
    
    
    
        
        
    
    
  
  
  
  
  
  
Outstanding Equity Awards at Fiscal 2017 Year-End 

The  following  table  provides  certain  information  concerning  outstanding  option  awards  held  by 
our named executive officers as of December 31, 2017. As of December 31, 2016, no other equity awards 
granted to our named executive officers were outstanding.  

Stock Option Awards 

Name    

SARs and Option 
Award Grant Date   

Number of Securities 
Underlying Unexercised 
Options (#) (Exercisable)     

Number of Securities 
Underlying  
Unexercised Options  
(#) (Unexercisable)      

Option Exercise Price 
($) 

Option Expiration 
Date  

Ilan 
Danieli 
Carl 
Iberger 

  9/26/2017 

  9/26/2017 

0       

0       

66,666       

66,666       

1.87     9/26/2027 

1.87     9/26/2027 

(1)  The  award  vests  over  a  four  year  period.  Twenty-five  per  cent  of  the  options  vest  on  the  first 
anniversary of the grant and thereafter the reminder shall vest by 36 equal monthly installments (total of 4 
years) and so long as the executive officer remains an employee of the Company or a Subsidiary on such 
dates. 

Fiscal Year 2017 Option Exercises and Stock Vested 

No stock options were exercised by either of our named executive officers during fiscal year 2017. 

Agreements with Our Named Executive Officers 

No employment agreements have been entered into for Ilan Danieli, Chief Executive Officer, or 
Carl  R.  Iberger,  Chief  Financial  Officer,  as  of  the  date  of  this  filing.  The  Company  intends  to  enter  into 
employment agreements with the named officers but no date has been established by the Board of Directors 
at this time. 

Compensation Risk Analysis 

We  have  reviewed  our  material  compensation  policies  and  practices  for  all  employees  and  have 
concluded that these policies and practices are not reasonably likely to have a material adverse effect on us. 
While  risk-taking  is  a  necessary  part  of  growing  a  business,  our  compensation  philosophy  is  focused  on 
aligning compensation with the long-term interests of our stockholders as opposed to rewarding short-term 
management decisions that could pose long-term risks. 

DIRECTOR COMPENSATION 

It  is  our  Board’s  general  policy  that  compensation  for  independent  directors  should  be  a  mix  of 
cash  and  equity-based  compensation.  As  part  of  a  director’s  total  compensation,  and  to  create  a  direct 
linkage  between  corporate  performance  and  stockholder  interests,  our  Board  believes  that  a  meaningful 
portion of a director’s compensation should be provided in, or otherwise based on, the value of appreciation 
in our common stock. 

Our  Board  has  the  authority  to  approve  all  compensation  payable  to  our  directors,  although  our 
Compensation  Committee  is  responsible  for  making  recommendations  to  our  Board  regarding  this 
compensation.  Additionally,  our  Chief  Executive  Officer  may  also  make  recommendations  or  assist  our 
Compensation  Committee  in  making  recommendations  regarding  director  compensation.  Our  Board  and 
Compensation Committee annually review our director compensation. 

  
   
  
  
  
  
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
97 

  
  
Cash Compensation 

Directors  who  are  also  our  employees  are  not  separately  compensated  for  serving  on  the  Board 
other  than  reimbursement  for  out-of-pocket  expenses  related  to  attendance  at  Board  and  committee 
meetings. Independent directors are paid an annual retainer of $20,000 and receive reimbursement for out-
of-pocket expenses related to attendance at Board and committee meetings. Independent directors serving 
on  any  committee  of  the  Board  are  paid  an  additional  annual  retainer  of  $2,500  unless  they  are  also  a 
chairperson of a committee. The chairperson of the Audit Committee receives an additional annual retainer 
of $8,000 and the chairperson of any other committee receives an additional annual retainer of $4,000. 

In  2017,  the  directors  were  granted  a  non-qualified  option  to  purchase  7,000 shares  of  our 
common  stock.  The  options  vest  in  full  on  the  third  anniversary  of  the  grant  date.  A  complete  list  of  the 
grants is set and their terms are set out below. 

Director Summary Compensation Table 

The following table provides information regarding our compensation for non-employee directors 
during the year ended December 31, 2017. Directors who are our employees did not receive compensation 
for serving on the Board or its committees in fiscal year 2017. 

Name 

Samuel Riccitelli 
David Cohen 
Michael A. Luther, Ph.D. 
Douglas Fisher 
Mark Rimer 
Jeffrey Cossman 
 Robert M. Patzig(2) 

Fees Earned or Paid  
in Cash(3) ($) 

    Option Awards ($) (1)     Total ($)   
11,200        55,200   
8,190        38,190   
11,200        56,200   
11,200        53,200   
11,200        50,200   
11,200        53,200   
11,200        41,200   

44,000       
30,000       
45,000       
42,000       
39,000       
42,000       
30,000       

(1)  The amounts reflected in this column reflect the grant date fair value of each option award granted 
during  2017,  as  determined  in  accordance  with  FASB  ASC  Topic  718.  Actual  table  with  grant 
dates and details appear below.  

(2)  Mr. Patzig resigned from the Board effective November, 8 2017, and the option awards included 

in this table were canceled as of that date. 

(3)  Directors are accruing cash compensation and no compensation has been paid to date. 

Equity Compensation Plan Information 

The  following  equity  compensation  plan  information  summarizes  plans  and  securities  approved 

and not approved by security holders as of December 31, 2017. 

98 

  
  
  
  
  
  
  
  
    
    
    
    
    
    
    
  
 
 
 
  
  
  
  
  
(b) 

(a) 
Number of 
securities to be 
issued upon 
exercise of 
outstanding options, 
warrants and rights     

Weighted-average 
exercise price of 
outstanding 
options, warrants 
and rights 

(c) 
Number of securities  
remaining available for  
future issuance under  
equity compensation plans  
(excluding securities  
reflected in column (a) )    

236,484 (1)     $ 

—       
236,484     $ 

7.12       

—        
7.12       

441,334 (2)   

—   
441,334   

PLAN CATEGORY 

Equity compensation plans 
approved by security holders 
Equity compensation plans not 
approved by security holders 
Total 

 (1)  Includes  shares  of  our  common  stock  issuable  upon  exercise  of  options  to  purchase  common  stock 

awarded under our 2006 Plan and 2017 Plan. 

 (2)  All shares of our common stock available for future issuance are from our 2017 Plan. The 2006 Plan 

was terminated as to future awards on July 12, 2016. 

Item  12.  Security  Ownership  of  Certain  Beneficial  Owners  and  Management  and  Related 
Stockholder Matters 

The  following  table  provides  information  known  to  the  Company  with  respect  to  beneficial 
ownership of the Company’s common stock by its directors, by its named executive officers, by all of its 
current executive officers and directors as a group, and by each person the Company believes beneficially 
owns  more  than  5%  of  its  outstanding  common  stock  as  of  March  31,  2018.  Percentage  ownership 
calculations for beneficial ownership for each person or entity are based on 19,668,572 shares outstanding 
as of March 31, 2018. The number of shares beneficially owned by each person or group as of March 31, 
2018 includes shares of the Company’s common stock that such person or group had the right to acquire on 
or within 60 days after March 31, 2018, including, but not limited to, upon the exercise of options, warrants 
to  purchase  common  stock  or  the  conversion  of  securities  into  common  stock.  Except  as  otherwise 
indicated in the table below, addresses of named beneficial owners are in care of Precipio, Inc., 4 Science 
Park, New Haven, CT 06511. 

Name of Beneficial Owner 
Randal J. Kirk (1) 

Executive Officers and Directors: 
Ilan Danieli (2) 
Carl R. Iberger (3) 
Jeffrey Cossman, M.D. (4) 
Michael A. Luther (5) 
David S. Cohen (6) 
Samuel Riccitelli (4) 
Mark Rimer (7) 
Douglas Fisher, M.D. (4) 
All executive officers and directors as a group (8 persons) (8) 

Number of Shares 
Beneficially 
Owned 

    Percent of Class   

1,768,915       

8.8 % 

169,714       
17,060       
15,776       
16,110       
1,086,647       
15,776       
1,252,673       
15,776       
2,589,532       

*   
*   
*   
*   
5.5 % 
*   
6.3 % 
*   
13.1 % 

* 

Represents beneficial ownership of less than 1% of the shares of Common Stock. 

  
   
  
  
    
    
  
  
    
    
    
    
  
  
  
  
  
  
    
  
    
        
    
    
        
    
    
    
    
    
    
    
    
    
    
  
  
 (1) 

Consists  of  (i)  1,359,121  shares  of  Common  Stock  and  (ii)  409,794  shares  of  Common  Stock 
issuable  upon  exercise  of  warrants  to  purchase  shares  of  Common  Stock  that  are  currently 
exercisable.  Based  solely  on  information  provided  to  the  Company  by  the  stockholder  and 
disclosed  in  a  Schedule  13D/A  filed  on  September  5,  2017.  The  total  of  the  shares  of  Common 
Stock and the warrants to purchase shares of Common Stock are held by the following companies: 
Third Security Senior Staff 2008 LLC, Third Security Staff 2010 LLC, Third Security Incentive 
2010 LLC and Third Security Staff 2014 LLC. These companies are managed by Third Security, 
LLC, which is managed by Randal J. Kirk. Mr. Randal J. Kirk could be deemed to have indirect 
beneficial  ownership  of  these  shares.  The business  address  of  these  beneficial  owners  is  1881 
Grove Avenue, Radford, Virginia 24141. 

99 

  
  
  
  
 (2) 

 (3) 

 (4) 

 (5) 

 (6) 

 (7) 

Consists of 169,714 shares of Common Stock owned by IDP Holdings, LLC. Mr. Danieli is the 
sole member and manager of IDP Holdings, LLC. 

Consists of 17,060 shares of Common Stock owned by Mr. Iberger. 

Consists of 15,776 shares of Common Stock issuable upon the exercise of stock options that are 
exercisable or will become exercisable within 60 days after March 31, 2018. 

Consists of 16,110 shares of Common Stock issuable upon the exercise of stock options that are 
exercisable or will become exercisable within 60 days after March 31, 2018. 

Consists of (i) 860,881 shares of Common Stock; (ii) 210,379 shares of Common Stock issuable 
upon exercise of warrants to purchase shares of Common Stock that are currently exercisable; and 
(iii)  15,387  shares  of  Common  Stock  issuable  upon  the  exercise  of  stock  options  that  are 
exercisable or will become exercisable within 60 days after March 31, 2018. Based on information 
provided  to  the  Company  by  the  stockholder  and  disclosed  in  a  Schedule  13G  filed  on  July  11, 
2017.  The  business  address  for  David  S.  Cohen  is  299  Bishop  Avenue,  Bridgeport,  Connecticut 
06610. 

Consists  of  (i)  686,874  shares  of  Common  Stock  held  by  Chenies  Investor  LLC;  (ii)  340,913 
shares of Common Stock held by Chenies Management LLC; (iii) 4,179 shares of Common Stock 
held by Precipio Employee Holdings, LLC; (iv) warrants to purchase 175,390 shares of Common 
Stock  held  by  Chenies  Investor  LLC;  (v)  warrants  to  purchase  29,541  shares  of  Common  Stock 
held  by  Chenies  Management  LLC;  and  (vi)  15,776  shares  of  Common  Stock  issuable  upon  the 
exercise  of  stock  options  that  are  exercisable  or  will  become  exercisable  within  60  days  after 
March 31, 2018 held directly by Mr. Rimer. Mr. Rimer is managing member of Chenies Investor 
LLC  and  Chenies  Management  LLC.  Based  on  information  provided  to  the  Company  by  the 
stockholder and disclosed in a Schedule 13D/A filed on October 17, 2017. 

 (8) 

Includes shares which may be acquired by executive officers and directors as a group within 60 
days after March 31, 2018 through the exercise of stock options or warrants. 

Item 13. Certain Relationships and Related Transactions, and Director Independence 

We  have  been  a  party  to  the  following  transactions  since  January  1,  2017  in  which  the  amount 
involved exceeded or will exceed $120,000, and in which any director, executive officer or holder of more 
than 5% of any class of our voting stock, or any member of the immediate family of or entities affiliated 
with any of them, had or will have a material interest. 

Between March 2017 and June 2017, Mr. Cohen, a member of our Board of Directors, purchased 
convertible  promissory  notes,  or  the  Notes,  from  us  in  an  aggregate  principal  amount  of  $225,000  and 
bearing  interest  at  8%  per  year.  In  connection  with  the  closing  of  our  underwritten  public  offering  in 
August 2017, or the Offering, the aggregate principal amount under the Notes, together with approximately 
$50,000 in accrued interest and a redemption payment in accordance with the terms of the Notes, converted 
into 110,027 shares of our common stock and warrants to purchase 110,027 shares of our common stock. 

In  connection  with  the  Merger  with  Precipio  Diagnostics,  LLC  in  June  2017,  we  issued  to  Mr. 
Cohen  562,708  shares  of  our  common  stock  and  158,940  shares  of  our  Series  A  Senior  Convertible 
Preferred Stock, or Series A Preferred Stock, in respect of the units of Precipio Diagnostics, LLC held by 
Mr.  Cohen.  In  June  2017,  Mr.  Cohen  also  purchased  26,764  shares  of  Series  A  Preferred  Stock  for 
approximately $100,000. In connection with the closing of the Offering, all of our Series A Preferred Stock 
converted into shares of common stock, including shares of Series A Preferred Stock issued to the holders 

  
   
  
  
  
  
  
  
  
  
  
  
of Series A Preferred Stock as the Series A Preferred Payment (as defined in our Certificate of Designation 
of Series A Senior Convertible Preferred Stock), and we issued warrants to purchase shares of our common 
stock to the former holders of Series A Preferred Stock as consideration for the conversion of their shares 
of  Series  A  Preferred  Stock  into  shares  of  common  stock.  As  a  result  of  the  foregoing  transactions,  we 
issued  to  Mr.  Cohen  188,146  shares  of  our  common  stock  and  warrants  to  purchase  92,852  shares  of 
common stock. 

Between  March  2017  and  June  2017,  Mr.  Rimer,  a  member  of  our  Board  of  Directors  and  an 
affiliate  (“Mr.  Rimer”),  purchased  convertible  promissory  notes,  or  the  Notes,  from  us  in  an  aggregate 
principal  amount  of  $75,000  and  bearing  interest  at  8%  per  year.  In  connection  with  the  closing  of  our 
underwritten  public  offering  in  August  2017,  or  the  Offering,  the  aggregate  principal  amount  under  the 
Notes,  together  with  approximately  $17,000  in  accrued  interest  and  a  redemption  payment  in  accordance 
with the terms of the Notes, converted into 29,880 shares of our common stock and warrants to purchase 
29,880 shares of our common stock. 

100 

  
  
  
In  connection  with  the  Merger  with  Precipio  Diagnostics,  LLC  in  June  2017,  we  issued  to  Mr. 
Rimer  963,857  shares  of  our  common  stock  and  257,147  shares  of  our  Series  A  Senior  Convertible 
Preferred Stock, or Series A Preferred Stock, in respect of the units of Precipio Diagnostics, LLC held by 
Mr.  Rimer.  In  June  2017,  Mr.  Rimer  also  purchased  69,586  shares  of  Series  A  Preferred  Stock  for 
approximately $260,000. In connection with the closing of the Offering, all of our Series A Preferred Stock 
converted into shares of common stock, including shares of Series A Preferred Stock issued to the holders 
of Series A Preferred Stock as the Series A Preferred Payment (as defined in our Certificate of Designation 
of Series A Senior Convertible Preferred Stock), and we issued warrants to purchase shares of our common 
stock to the former holders of Series A Preferred Stock as consideration for the conversion of their shares 
of  Series  A  Preferred  Stock  into  shares  of  common  stock.  As  a  result  of  the  foregoing  transactions,  we 
issued  to  Mr.  Cohen  332,909  shares  of  our  common  stock  and  warrants  to  purchase  166,454  shares  of 
common stock. In addition, in connection with the Merger, the Company issued Mr. Rimer Side Warrants 
to purchase an aggregate of 91,429 shares of the Company's common stock at an exercise price of $7.00 per 
share (subject to adjustment). 

Family Relationships 

There are no family relationships between or among any of our executive officers or directors. 

Item 14. Principal Accountant Fees and Services 

Independent Registered Public Accounting Firm 

The following table shows information about fees that were billed or were expected to be billed by 

Marcum LLP, our independent registered public accounting firm, for each of the last two fiscal years. 

Audit fees 
Audit-related fees 
Tax fees 
Total fees 

2017 

2016 

  $ 

  $ 

353,790     $ 
9,015       
3,560       
366,365     $ 

203,000   
7,965   
24,065   
235,030   

Audit Fees. Audit fees consist of services rendered for the audit of our financial statements. 

Audit-Related Fees. Audit-Related Fees consist of fees for assurance and related services that are 
reasonably related to the performance of the audit and the review of our financial statements and which are 
not reported under Audit Fees. 

Tax  Fees.  Tax  services  consist  primarily  of  planning,  advice  and  compliance,  or  return 

preparation, for U.S. federal, state and local, as well as international jurisdictions. 

All Other Fees. None. 

Pre-Approval of Audit and Non-Audit Services 

Under the Audit Committee Charter, the Audit Committee is required to pre-approve all audit and 
non-audit  services  to  be  provided  to  us  by  our  independent  registered  public  accounting  firm  and  its 
member firms. All services provided by our independent registered public accounting firm in 2017 were 
pre-approved by the Audit Committee. 

  
  
  
  
  
  
  
  
  
  
    
  
    
    
  
  
  
  
  
  
  
101 

  
  
Part IV 

Item 15. Exhibits, Financial Statement Schedules 

 (a)  The following documents are filed as part of this report: 

1 

Financial  Statements.  The  following  financial  statements  of  the  Registrant  are  included  in 
response to Item 8 of this report: 

Report of Independent Registered Public Accounting Firm. 

Consolidated Balance Sheets of the Registrant and Subsidiary as of December 31, 2017 and 2016. 

Consolidated  Statements  of  Operations  of  the  Registrant  and  Subsidiary  for  the  years  ended 
December 31, 2017 and 2016. 

Consolidated Statements of Stockholders’ Equity (Deficit) of the Registrant and Subsidiary for the 
years ended December 31, 2017 and 2016. 

Consolidated  Statements  of  Cash  Flows  of  the  Registrant  and  Subsidiary  for  the  years  ended 
December 31, 2017 and 2016. 

Notes to Consolidated Financial Statements of the Registrant and Subsidiary. 

2 

Financial Statement Schedules. 

All financial statement schedules are omitted because the information is inapplicable or presented 
in the notes to the financial statements. 

3 

Exhibits. The following exhibits are filed as required by Item 15(a)(3) of this report. Exhibit 
numbers refer to the paragraph numbers under Item 601 of Regulation S-K: 

102 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
2.1    

2.2    

2.3    

3.1    

3.2    

3.3    

3.4    

3.5    

4.1    

4.2    

4.3    

4.4    

4.5    

4.6    

10.1    

10.2    

10.3    

10.4    

10.5    

10.6    

Agreement  and  Plan  of  Merger,  dated  October  12,  2016  by  and  among  Transgenomic,  Inc., 
New Haven Labs Inc. and Precipio Diagnostics, LLC (incorporated by reference to Exhibit 2.1 
of the Company’s Form 8-K filed on October 13, 2016).  
First  Amendment  to  Agreement  and  Plan  of  Merger,  dated  as  of  February  3,  2017  by  and 
among  Transgenomic,  Inc.,  New  Haven  Labs  Inc.  and  Precipio  Diagnostics,  LLC 
(incorporated  by  reference  to  Exhibit  2.1  of  the  Company’s  Form  8-K  filed  on  February  2, 
2017). 
Second  Amendment  to  Agreement  and  Plan  of  Merger,  dated  as  of  June  27,  2017  by  and 
among  Transgenomic,  Inc.,  New  Haven  Labs  Inc.  and  Precipio  Diagnostics,  LLC 
(incorporated by reference to Exhibit 2.1 of the Company’s Form 8-K filed on June 30, 2017).  
Third  Amended  and  Restated  Certificate  of  Incorporation,  as  amended  (incorporated  by 
reference to Exhibit 3.1 of the Company’s 8-K filed on June 30, 2017).  
Amended  and  Restated  Bylaws  (incorporated  by  reference  to  Exhibit  3.2  of  the  Company’s 
Form 8-K filed on June 30, 2017).  
Certificate of Elimination (incorporated by reference to Exhibit 3.3 of the Company’s Form 8-
K filed on June 30, 2017).  
Certificate of Designation for Series B Preferred Stock (incorporated by reference to Exhibit 
3.1 of the Company’s Form 8-K filed on August 31, 2017).  
Certificate of Designation for Series C Preferred Stock (incorporated by reference to Exhibit 
3.1 of the Company’s Form 8-K filed on November 6, 2017).  
Form of Certificate of the Company’s Common Stock (incorporated by reference to Exhibit 4 
of the Company’s Registration Statement on Form S-1 (Registration No. 333-32174) filed on 
March 10, 2000).  
Form of Offering Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Form 8-
K filed on August 23, 2017).  
Form  of  Underwriter  Warrant  (incorporated  by  reference  to  Exhibit  4.2  of  the  Company’s 
Form 8-K filed on August 23, 2017).  
Form  of  Conversion  Warrant  (incorporated  by  reference  to  Exhibit  4.3  of  the  Company’s 
Form 8-K filed on August 23, 2017).  
Form of Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Form 8-K filed 
on November 6, 2017).  
Form of Warrant (incorporated by reference to Exhibit 4.1 of the Company’s Form 8-K filed 
on November 13, 2017).  
License Agreement between the Company and Dana-Farber Cancer Institute dated October 8, 
2009  (incorporated  by  reference  to  Exhibit  10.1  of  the  Company’s  Form  10-Q  filed  on 
November 5, 2009).  
Waiver Letter Agreement by and among the Company, Potomac Capital Partners, L.P., MAZ 
Partners, LP, David Wambeke and Craig-Hallum Capital Group, LLC dated as of January 10, 
2017 (incorporated by reference to Exhibit 10.1 of the Company’s Form 8-K filed on January 
17, 2017). 
First Amendment to Unsecured Convertible Promissory Note by and among the Company and 
MAZ Partners LP, dated as of January 17, 2017 (incorporated by reference to Exhibit 10.1 of 
the Company’s Form 8-K filed on January 20, 2017).  
Termination and Tenth Amendment to Loan and Security Agreement, dated as of February 3, 
2017,  by  and  among  Third  Security  Senior  Staff  2008  LLC,  as  administrative  agent  and  a 
lender, the other lenders party thereto and the Company (incorporated by reference to Exhibit 
10.1 of the Company’s Form 8-K filed on February 2, 2017).  
Promissory  Note,  dated  February  2,  2017  between  the  Company  and  Precipio  Diagnostics, 
LLC (incorporated by reference to Exhibit 10.2 of the Company’s Form 8-K filed on February 
3, 2017). 
Securities Purchase Agreement, dated as of April 13, 2017 by and between the Company and 
the  investors  set  forth  on  Schedule  A  attached  thereto  (incorporated  by  reference  to  Exhibit 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
10.7    

10.8    

10.9    

10.10    

10.1 of the Company’s Form 8-K filed on April 17, 2017).  
Form of Promissory Note, issued by the Company to certain investors, dated as of April 13, 
2017 (incorporated by reference to Exhibit 10.2 to the Company’s Form 8-K filed on April 17, 
2017). 
Form  of  Warrant  to  Purchase  Common  Stock,  issued  by  the  Company  to  certain  investors, 
dated as of April 13, 2017 (incorporated by reference to Exhibit 10.3 of the Company’s Form 
8-K filed on April 17, 2017).  
Precipio  Diagnostics,  LLC  Subordinated  Promissory  Note,  issued  by  Precipio  to  the 
Company,  dated  as  of  April  13,  2017  (incorporated  by  reference  to  Exhibit  10.4  of  the 
Company’s Form 8-K filed on April 17, 2017).  
Subordination  Agreement,  dated  as  of  April  13,  2017,  by  and  between  the  Company  and 
Webster  Bank,  National  Association  (incorporated  by  reference  to  Exhibit  10.5  of  the 
Company’s Form 8-K filed on April 17, 2017).  

103 

  
  
  
  
  
  
  
10.11    

10.12†    

10.13†    

10.14†    

10.15†    

10.16    

10.17    

10.18    

10.19    

10.20    

10.21    

10.22    

10.23#    

10.24    

10.25    

10.26    

10.27    

10.28    

10.29    

Side  Letter  to  extend  Maturity  Date  of  Unsecured  Convertible  Promissory  Note  by  and 
between  the  Company  and  MAZ  Partners  LP,  dated  as  of  June  21,  2017  (incorporated  by 
reference to Exhibit 10.1 of the Company’s Form 8-K filed on June 27, 2017).  
Amended  and  Restated  2017  Stock  Option  and  Incentive  Plan  (incorporated  by  reference  to 
Annex D of the Company’s Definitive Proxy Statement on Schedule 14A filed on December 
29, 2017). 
Form  of  Non-Qualified  Stock  Option  Agreement  for  Non-Employee  Directors  (incorporated 
by reference to Exhibit 10.2 of the Company’s Form 8-K filed on June 28, 2017).  
Form  of  Non-Qualified  Stock  Option  Agreement  for  Company  Employees  (incorporated  by 
reference to Exhibit 10.3 of the Company’s Form 8-K filed on June 28, 2017).  
Form of Incentive Stock Option Agreement (incorporated by reference to Exhibit 10.4 of the 
Company’s Form 8-K filed on June 28, 2017).  
Securities  Purchase  Agreement  with  the  Private  Placement  Purchasers  (incorporated  by 
reference to Exhibit 10.1 of the Company’s Form 8-K filed on June 30, 2017). 
Investors’  Rights  Agreement  (incorporated  by  reference  to  Exhibit  10.2  of  the  Company’s 
Form 8-K filed on June 30, 2017).  
Exchange Agreement (incorporated by reference to Exhibit 10.3 of the Company’s Form 8-K 
filed on June 30, 2017).  
New Bridge Securities Purchase Agreement (incorporated by reference to Exhibit 10.4 of the 
Company’s Form 8-K filed on June 30, 2017).  
Form  of  New  Bridge  Promissory  Note  (incorporated  by  reference  to  Exhibit  10.5  of  the 
Company’s Form 8-K filed on June 30, 2017).  
Form  of  New  Bridge  Warrant  (incorporated  by  reference  to  Exhibit  10.6  of  the  Company’s 
Form 8-K filed on June 30, 2017).  
Form of Side Warrant (incorporated by reference to Exhibit 10.7 of the Company’s Form 8-K 
filed on June 30, 2017).  
Amended and Restated Pathology Services Agreement, dated March 21, 2017, by and between 
the  Company  and  Yale  University  (incorporated  by  reference  to  Exhibit  10.1  of  the 
Company’s Form 8-K/A filed on July 31, 2017).  
Lease,  dated  July  11,  2017,  by  and  between  the  Company  and  Science  Park  Development 
Corporation (incorporated by reference to Exhibit 10.2 of the Company’s Form 8K/A filed on 
July 31, 2017).   
Underwriting  Agreement,  dated  August  22,  2017,  by  and  among  the  Company  and  the 
underwriters party thereto (incorporated by reference to Exhibit 1.1 of the Company’s Form 8-
K filed on August 23, 2017).  
Placement Agency Agreement, dated as of November 2, 2017, by and between Precipio, Inc. 
and Aegis Capital Corp. (incorporated by reference to Exhibit 10.1 of the Company’s Form 8-
K filed on November 3, 2017). ‘  
Debt  Settlement  Agreement,  dated  October  31,  2017,  by  and  among  Precipio,  Inc.,  the 
Creditors  and  Collateral  Services,  LLC  (incorporated  by  reference  to  Exhibit  10.1  of  the 
Company’s Form 8-K filed on November 6, 2017).  
Security  Agreement,  dated  October  31,  2017,  by  and  between  Precipio,  Inc.  and  Collateral 
Services  LLC,  in  its  capacity  as  collateral  agent  for  the  Vendors  (as  defined  therein) 
(incorporated by reference to Exhibit 10.2 of the Company’s Form 8-K filed on November 6, 
2017). 
Amendment, dated November 9, 2017, to Placement Agency Agreement, dated November 2, 
2017,  by  and  between  Precipio,  Inc.  and  Aegis  Capital  Corp.  (incorporated  by  reference  to 
Exhibit 10.1 of the Company’s Form 8-K filed on November 13, 2017).  

21.1*      Subsidiaries of the Company. 
23.1*      Consent of Marcum LLP.  

31.1*      Certification  of  Principal  Executive  Officer,  pursuant  to  Section 302  of  the  Sarbanes-Oxley 

  
   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
Act of 2002, as amended.  

31.2*    

Certification of Principal Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act 
of 2002, as amended. 

32.1*    

Certification  of  Principal  Executive  Officer  and  Principal  Financial  Officer,  pursuant  to 
Section 906 of the Sarbanes-Oxley Act of 2002, as amended.  

104 

  
    
  
  
    
  
  
  
  
101.INS     XBRL Instance Document 

101.SCH     XBRL Taxonomy Extension Schema Document 

101.CAL     XBRL Taxonomy Extension Calculation Linkbase Document 

101.DEF     XBRL Taxonomy Extension Definition Linkbase Document 

101.LAB     XBRL Taxonomy Extension Label Linkbase Document 

101.PRE     XBRL Taxonomy Extension Presentation Linkbase Document 

*     Filed herewith 

**     Furnished herewith 

# 

Confidential treatment has been requested or granted for certain information contained in this 
exhibit.  Such  information  has  been  omitted  and  filed  separately  with  the  Securities  and 
Exchange Commission. 

†     Indicates a management contract or any compensatory plan, contract or arrangement. 

Item 16. Form 10-K Summary 

None. 

105 

  
   
        
        
        
        
        
        
  
  
  
  
  
  
  
SIGNATURES 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the 
registrant  has  duly  caused  this  report  to  be  signed  on  its  behalf  by  the  undersigned,  thereunto  duly 
authorized on this 13th day of April 2018. 

Precipio, Inc. 

By: 

/s/ ILAN DANIELI 
Ilan Danieli, 
Chief Executive Officer (Principal Executive Officer) 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, this 
report has been signed below by the following persons on behalf of the registrant and in the capacities and 
on the dates indicated. 

Signature 

Title 

Date 

/s/ Ilan Danieli 
Ilan Danieli 

   Director and Chief Executive Officer 
   (Principal Executive Officer) 

   April 13, 2018 

/s/ Carl R. Iberger 
Carl R. Iberger 

   Chief Financial Officer 
   (Principal Financial and Accounting Officer)      

   April 13, 2018 

/s/ Samuel Riccitelli 
Samuel Riccitelli 

   Chairman of the Board of Directors 

   April 13, 2018 

/s/ Michael A. Luther 
Michael A. Luther 

   Director 

/s/ Mark Rimer 
Mark Rimer 

   Director 

/s/Douglas Fisher, M.D. 
Douglas Fisher, M.D. 

   Director 

/s/ Jeffrey Cossman, M.D. 
Jeffrey Cossman, M.D. 

   Director 

/s/ David Cohen 
David Cohen 

   Director 

106 

   April 13, 2018 

   April 13, 2018 

   April 13, 2018 

   April 13, 2018 

   April 13, 2018