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RESPONSE GENETICS INC - 10-Q - : Management's Discussion and Analysis of Financial Condition and Results of Operations

August 14, 2012
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Special Note Regarding Forward Looking Statements

Except for the historical information contained herein, this Quarterly Report on Form 10-Q contains or may contain, among other things, certain forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, but are not limited to, statements concerning our strategy, future operations, future financial position, future revenues, projected costs, prospects and plans and objectives of management. When used in this report, the words "expects," "anticipates," "intends," "estimates," "plans," "may," "will," "believes," and similar expressions are intended to identify forward-looking statements although not all forward-looking statements contain these identifying words. These are statements that relate to future periods and include statements about our expectation that, for the foreseeable future, a significant amount of our revenues will be derived from ResponseDX sales; our ability to maintain revenue from pharmaceutical clients; the factors that may impact our financial results; the extent of our net losses and our ability to achieve sustained profitability; our business strategy and our ability to achieve our strategic goals; our expectations regarding revenues from ResponseDX® products; the amount of future revenues that we may derive from Medicare patients; the potential or intent to enter into distribution arrangements; our ability to sustain or increase demand for our tests; our sales forces' capacity to sell our tests; plans for the development of additional tests; our expectation that our research and development, general and administrative and sales and marketing expenses will increase and our anticipated uses of those funds; our ability to comply with the requirements of a public company; our ability to attract and retain qualified employees; our compliance with federal and state regulatory requirements; the potential impact resulting from the regulation of our tests by the U.S. Food and Drug Administration; the impact of new or changing policies or regulation of our business; our belief that we have filed adequate patent and trademark applications to protect our intellectual property rights; the impact of accounting pronouncements and our accounting policies, estimates, assumptions or models on our financial results; and anticipated challenges to our business.

Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those expected. These risks and uncertainties include, but are not limited to, our ability to develop and commercialize new product without unanticipated delay; the risk that we may not maintain reimbursement for our existing tests or any future tests; the risk that reimbursement pricing may change; the risks and uncertainties associated with the regulation of our tests; our ability to compete;; our ability to obtain capital when needed; and our history of operating losses. These forward-looking statements speak only as of the date hereof. We expressly disclaim any obligation or undertaking to update any forward-looking statements contained herein to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based.

The following discussion of our financial condition and results of operations should be read in conjunction with our unaudited financial statements and related notes to the financial statements included elsewhere in this Quarterly Report on Form 10-Q as of June 30, 2012 and our audited financial statements for the year ended December 31, 2011 included in our Annual Report on Form 10-K previously filed with the Securities and Exchange Commission. This discussion contains forward-looking statements that relate to future events or our future financial performance. These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward looking statements.



Overview


Response Genetics, Inc. was formed as a Delaware corporation in September 1999. We are a life sciences company engaged in the research and development of clinical diagnostic tests for cancer. Our mission is to provide personalized genetic information that will help guide physicians and patients in choosing the treatment from which a given patient is most likely to benefit. We currently generate revenues primarily from sales of our ResponseDX®diagnostic tests, which we launched in 2008, and by providing clinical trial testing services to pharmaceutical companies.

Our proprietary technologies enable us to reliably and consistently extract the nucleic acids RNA and DNA from tumor specimens that are stored as formalin-fixed and paraffin-embedded, or FFPE, specimens and thereby to analyze genetic information contained in these tissues. Our technologies also enable us to use the FFPE patient biopsies for the development of diagnostic tests.

We file our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and other information with the SEC. Copies of these reports are also available through our website at www.responsegenetics.com. We also post copies of our press releases on our corporate website.



 Our Approach


Clinical studies have shown that not all cancer chemotherapy works effectively in every patient, and that a number of patients receive therapy that has no benefit to them and may potentially even be harmful. Our goal is to provide physicians and cancer patients with a means to make informed, individualized treatment decisions based on genetic analysis of tumor tissues through the utilization of our proprietary technology as well as through the use of non-proprietary technology that could also benefit patients.

Our approach to achieving this goal is to provide a range of oncology diagnostic testing services, focusing on solid tumors, which include technical laboratory services and professional interpretation of laboratory test results by licensed pathologists. In addition, we provide services to pharmaceutical companies and research organizations, including development of diagnostics and clinical trial testing services.



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ResponseDX®


The outcome of cancer chemotherapy is highly variable due to genetic differences among patients. Some patients respond well with tumor shrinkage and increase in life span. Other patients do not obtain benefit from the same therapy but may still experience toxic side effects as well as delay in effective treatment and psychological trauma.

Many chemotherapy regimens are administered without any pre-selection of patients on the basis of their particular genetics. However recent development of very sensitive molecular technologies has enabled researchers to identify and measure genetic factors in patients' tissues that can predict the probability of success or failure of many currently used anti-cancer agents. In order to increase the chances of a better chemotherapy outcome for cancer patients, we have and continue to develop genetic tests that measure predictive factors for tumor response in tumor tissue samples. We offer tests for non-small cell lung cancer, colorectal cancer and gastric and gastroesophageal, and melanoma cancer patients' tumor tissue specimens through our ResponseDX: Lung®, ResponseDX: Colon® and ResponseDX: Gastric® and ResponseDX: Melanoma™ test suites. These test results may help doctors and patients decide the best course of treatment for patients.

Our ResponseDX® tests are commercially available through our laboratory located in Los Angeles, California, which is certified under the Clinical Laboratory Improvement Amendment of 1988.

Diagnostic Tests for Other Cancers

In addition to ResponseDX:Lung®, ResponseDX:Colon®, and ResponseDX: Gastric®and ResponseDX: Melanoma™, we are developing and intend to commercialize tests for other types of cancer that identify genetic profiles of tumors that are more aggressive and recur rapidly after surgery. We also are identifying genetic profiles of tumors that are more or less responsive to a particular chemotherapy. Following the development of tests to predict the risk of recurrence after surgery, we intend to develop tests to determine the most active chemotherapy regimen for the individual patient at risk. Once developed and after obtaining any necessary regulatory approvals, we intend to leverage our relationships in the healthcare industry to market, sell or license these tests as a means for physicians to determine the courses of cancer treatment.

Pursuit of Additional Collaborations and In-licensing to Expand Our Business

We intend to pursue additional collaborations with pharmaceutical companies or in-licensing of products or technologies that will enable us to accelerate the implementation of our plans to expand the services we provide to oncologists and pathologists. We expect to implement this plan by way of licensing of technology and know-how, investments in other companies, strategic collaborations, and other similar transactions. We expect these collaborations to provide us with early access to new technologies available for commercialization.

There are no assurances that we will be able to continue making our current ResponseDX®tests available, or make additional ResponseDX®tests available; that we will be able to develop and commercialize tests of other types of cancer; or that we will be able to expand our testing service business.

We anticipate that over the next 12 months, a substantial portion of our capital resources and efforts will be focused on research and development to expand our series of diagnostic tests for cancer patients, sales and marketing activities related to our ResponseDX®diagnostic tests, and for other general corporate purposes.

Research and development expenses represented 3.3% and 10.7% of our total operating expenses for the three months ended June 30, 2011 and 2012, respectively and 3.0% and 9.3% for the six months ended June 30, 2011 and 2012, respectively. Major components of the $221,546 and $699,791 in research and development expenses for the three months ended June 30, 2011 and 2012, and $385,888 and $1,269,746 for the six months ended June 30, 2011 and 2012, respectively, include supplies and reagents for our research activities, personnel costs, occupancy costs, equipment warranties and service, patent fees, insurance, business consulting and sample procurement costs.



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Critical Accounting Policies and Significant Judgments and Estimates

This discussion and analysis of our financial condition and results of operations is based on our consolidated financial statements, which have been prepared in accordance with U.S. generally accepted accounting principles. The preparation of these financial statements requires management to make estimates and judgments that affect the reported amounts of assets, liabilities and expenses and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as revenues and expenses during the reporting periods. We evaluate our estimates and judgments on an ongoing basis. We base our estimates on historical experience and on various other factors we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results could therefore differ materially from those estimates under different assumptions or conditions. We believe the following critical accounting policies reflect our more significant estimates and assumptions used in the preparation of our financial statements.



Revenue Recognition



Pharmaceutical Revenue


Revenues that are derived from testing services provided to pharmaceutical companies are recognized on a contract specific basis pursuant to the terms of the related agreements. Revenue is recognized in accordance with ASC 605, Revenue Recognition, which requires that four basic criteria must be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2) delivery has occurred and title and the risks and rewards of ownership have been transferred to the client or services have been rendered; (3) the price is fixed or determinable; and (4) collectability is reasonably assured.

Revenues are recorded on an accrual basis as the contractual obligations are met and as a set of assays is processed through the Company's laboratory under a specified contractual protocol and are recorded on the date the tests are resulted. Certain contracts have minimum assay requirements that, if not met, result in payments that are due upon the completion of the designated period. In these cases, revenues are recognized when the end of the specified contract period is reached, if the minimum assay requirements are not met.



ResponseDX®Revenue


Net revenue for the Company's diagnostic services is recognized on an accrual basis at the time discreet diagnostic tests are completed. Each test performed relates to a specimen encounter derived from a patient, and received by the Company on a specific date (such encounter is commonly referred to as an "accession"). The Company's services are billed to various payors, including Medicare, private health insurance companies, healthcare institutions, and self-pay patients. The Company reports net revenue from contracted payors, including certain private health insurance companies, and healthcare institutions based on the contracted rate, or in certain instances, the Company's estimate of the amount expected to be collected for the services provided. For billing to Medicare, the Company uses the published fee schedules, net of standard discounts (commonly referred to as "contractual allowances"). The Company reports net revenue from non-contracted payors, including certain private health insurance companies, based on the amount expected to be collected for the services provided.

The Company has its Medicare provider number which allows it to invoice and collect from Medicare. Invoicing to Medicare is primarily based on amounts allowed by Medicare for the service provided as defined by Common Procedural Terminology codes.



License Fees


We have licensed technology for the extraction of RNA and DNA from FFPE tumor specimens from USC in exchange for royalty fees on revenue generated by use of this technology. These royalties are calculated as a fixed percentage of revenue that we generate from use of the technology licensed from USC. Total license fees expensed in cost of revenue under the royalty agreement to USC were $132,913 and $75,938 for the three months ended June 30, 2011 and 2012, respectively and $258,811 and $132,440 for the six months ended June 30, 2011 and 2012, respectively. We also maintain a non-exclusive license to use Roche's PCR processes. We pay Roche a fixed percentage royalty fee for revenue that we generate through use of this technology. Royalties expensed in cost of revenue under this agreement totaled $177,821 and $80,418 for the three months ended June 30, 2011 and 2012, respectively and $308,364 and $143,887 for the six months ended June 30, 2011 and 2012, respectively.

We are subject to potentially significant variations in royalties recorded in any period. While the amount paid is based on a fixed percentage from revenues of specific tests pursuant to terms set forth in the agreements with USC and Roche, the amount due is calculated based on the revenue we recognize using the respective licensed technology. As discussed above, this revenue can vary from period to period as it is dependent on the timing of the specimens submitted by our clients for testing.



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Accounts Receivable and Allowance for Doubtful Accounts

We invoice our pharmaceutical clients as specimens are processed and any other contractual obligations are met. Our contracts with pharmaceutical clients typically require payment within 45 days of the date of invoice. We maintain allowances for doubtful accounts for estimated losses resulting from the inability of our clients to make required payments. We specifically analyze accounts receivable and historical bad debts, client credit, current economic trends and changes in client payment trends when evaluating the adequacy of the allowance for doubtful accounts. Account balances are charged-off against the allowance when it is probable the receivable will not be recovered. To date, our pharmaceutical clients have primarily been large pharmaceutical companies. As a result, bad debts to date have been minimal and there is no allowance for doubtful accounts for our pharmaceutical revenue at June 30, 2011 and 2012.

We bill Medicare and Private Payors for ResponseDX®upon completion of the required testing services. As such, we take assignment of benefits and the risk of collection with Medicare and Private Payors. We continue to monitor the collection history for Medicare and Private Payors. Based on the historical experience for our Medicare and Private Payor accounts, we have determined that related accounts receivable associated with billings over one year old are unlikely to be collected.

An allowance for doubtful accounts is recorded for estimated uncollectible amounts due from the Company's various payor groups. The process for estimating the allowance for doubtful accounts involves significant assumptions and judgments. Specifically, the allowance for doubtful accounts is adjusted periodically, and is principally based upon an evaluation of historical collection experience of accounts receivable for the Company's various payor classes. After appropriate collection efforts, accounts receivable are written off and deducted from the allowance for doubtful accounts. Additions to the allowance for doubtful accounts are charged to bad debt expense. The payment realization cycle for certain governmental and managed care payors can be lengthy involving denial, appeal, and adjudication processes, and is subject to periodic adjustments that may be significant. Therefore, we have recorded an allowance for doubtful accounts of $838,750 as of December 31, 2011 and $607,858 as of June 30, 2012.

We cannot guarantee that we will continue to experience the same credit loss rates that we have in the past. Measurement of such losses requires consideration of historical loss experience, including the need to adjust for current conditions, and judgments about the probable effects of relevant observable data, including present economic conditions such as delinquency rates and financial health of specific customers. We consider all available information in our assessments of the adequacy of the reserves for uncollectible accounts.




Income Taxes



We estimate our tax liability through calculations we perform for the determination of our current tax liability, together with assessing temporary differences resulting from the different treatment of items for tax and accounting purposes. These differences result in deferred tax assets and liabilities, which are recorded in our balance sheets. Our management then assesses the likelihood that deferred tax assets will be recovered in future periods through future operating results. To the extent that we cannot conclude that it is more likely than not that the benefit of such assets will be realized, we establish a valuation allowance to adjust the net carrying value of such assets. The carrying value of our net deferred tax assets assumes that we will be able to generate sufficient future taxable income, based on management's estimates and assumptions. These estimates and assumptions take into consideration future taxable income and ongoing feasible tax strategies in determining recoverability of such assets. Our valuation allowance is subject to significant change based on management's estimates of future profitability and the ultimate realization of the deferred tax assets. The Company has established a full valuation allowance against its net deferred tax assets due to the uncertainty surrounding the realization of such assets.



Results of Operations


Quarters Ended June 30, 2012 and June 30, 2011

Revenues: Revenues were $3,835,006 for the quarter ended June 30, 2012, as compared to $6,702,561 for the quarter ended June 30, 2011, a decrease of $2,867,555. The decrease was primarily due to a decrease in pharmaceutical revenues of $2,748,655 and a decrease in ResponseDX® revenue of $150,653. ResponseDX®revenue accounted for 73.9% of total revenue for the quarter ended June 30, 2012 compared to 44.5% for the quarter ended June 30, 2011. ResponseDX®revenues decreased 5.0% for the quarter ended June 30, 2012, as compared to the quarter ended June 30, 2011. For the quarter ended June 30, 2012, our two most significant pharmaceutical customers accounted for approximately 13.7% of our revenue, as compared to approximately 46% of our revenue for the quarter ended June 30, 2011.

Cost of Revenues: Cost of revenue for the quarter ended June 30, 2012 was $2,426,118 as compared to $2,800,904 for the quarter ended June 30, 2011, a decrease of $374,786 or 13.4%. This decrease resulted primarily from decreases in lab supplies and reagent costs of $140,426, royalties of $131,601, business consulting of $87,862, legal fees of $133,095, travel costs of $29,798, offset in part by an increase in personnel costs of $162,142. Cost of revenues as a percentage of revenues was 63.3% for the quarter ended June 30, 2012, as compared to 41.8% for the quarter ended June 30, 2011, an increase of 21.5%.



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Research and Development Expenses: Research and development expenses were $699,791 for the quarter ended June 30, 2012, as compared to $221,546 for the quarter ended June 30, 2011, an increase of $478,245 or 215.9%. This increase resulted primarily from increases in lab supplies of $276,873, personnel costs of $148,099, legal services of $71,432 and business consulting of $24,821. We expect research and development expenses to increase as we continue work to develop additional aspects of our technology and to study diagnostic indicators for various forms of cancer.

General and Administrative Expenses: General and administrative expenses were $1,920,563 for the quarter ended June 30, 2012, as compared to $2,347,217 for the quarter ended June 30, 2011, a decrease of $426,654 or 18.2%. This decrease resulted primarily from decreases in personnel costs of $7,568, legal fees of $58,054, billing fees of $102,958, business taxes of $118,398, bad debt expense of $108,373, travel costs of $41,085 and audit fees of $35,983, offset in part by an increase in foreign currency loss of $75,631.

Sales and Marketing Expenses: Sales and marketing expenses were $1,495,321 for the quarter ended June 30, 2012, as compared to $1,417,460 for the quarter ended June 30, 2011, an increase of $77,861 or 5.5%. The increase primarily resulted from increased sales and marketing activities for ResponseDX®, which included increases in consulting costs of $73,351, business travel costs of $16,977, and meeting expenses of $25,827, offset in part by decreases of expense for advertising of $12,505 and personnel costs of $40,821. We expect that sales and marketing costs will continue to increase as we expand our sales and marketing activities in order to gain clinical acceptance of our ResponseDX®assays.

Income Taxes: As of June 30, 2012 and 2011, since we have incurred substantial losses and have generated no taxable income, a full valuation allowance has been recorded for the deferred tax assets since we do not believe the recoverability of the deferred income tax assets in the near future is more likely than not.



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Six Months Ended June 30, 2012 and June 30, 2011

Revenues: Revenues were $7,816,651 for the six months ended June 30, 2012, as compared to $12,630,136 for the six months ended June 30, 2011, a decrease of $4,813,485. The decrease was primarily due to a decrease in pharmaceutical revenue of $4,514,347 and a decrease in ResponseDX®revenue of $299,123. For the six months ended June 30, 2012, our two most significant pharmaceutical customers accounted for approximately 19.1% of our revenue, as compared to approximately 45% of our revenue for the six months ended June 30, 2011.

Cost of Revenues: Cost of revenues for the six months ended June 30, 2012 were $5,126,976 as compared to $5,501,826 for the six months ended June 30, 2011, a decrease of $374,850 or 6.8%. This decrease resulted primarily from decreases in lab supplies and reagent costs of $75,916, royalties of $253,415, legal services of $208,470 and relocation costs of $25,324, offset in part by an increase in personnel costs of $309,581 and facility rent of $87,483. Cost of revenues as a percentage of revenues was 65.6% for the six months ended June 30, 2012, as compared to 43.6% for the six months ended June 30, 2011, an increase of 22%.

Research and Development Expenses: Research and development expenses were $1,269,746 for the six months ended June 30, 2012, as compared to $385,888 for the six months ended June 30, 2011, an increase of $883,858 or 229%. This increase resulted primarily from increases in personal costs of $308,247, consulting costs of $35,870 lab supplies and reagent costs of $429,026, and legal costs of $179,995. We expect research and development expenses to increase as we continue to work to develop additional aspects of our technology and to study diagnostic indicators for various forms of cancer.

General and Administrative Expenses: General and administrative expenses were $4,279,013 for the six months ended June 30, 2012, as compared to $4,224,562 for the six months ended June 30, 2011, an increase of $54,451 or 1.3%. This increase resulted primarily from increases in personnel costs of $158,311, business consulting $87,447, equipment maintenance of $40,416 and foreign currency translation of $80,803 offset by decreases in business taxes of $224,910 and billing services of $157,238.

Sales and Marketing Expenses: Sales and marketing expenses were $2,949,128 for the six months ended June 30, 2012, as compared to $2,856,586 for the six months ended June 30, 2011, an increase of $92,542 or 3.2%. This increase primarily resulted from increased sales and marketing activities for ResponseDX®, which included increases in business travel of $43,336 and business consulting of $73,351, offset by decreases in personnel costs of $6,838. We expect that sales and marketing costs will continue to increase as we expand our sales and marketing activities in order to gain clinical acceptance of our ResponseDX®assays.

Income Taxes: As of June 30, 2012 and 2011, since we have incurred substantial losses and have generated no taxable income, a full valuation allowance has been recorded for the deferred tax assets since we do not believe the recoverability of the deferred income tax assets in the near future is more likely than not.

Liquidity and Capital Resources

We incurred net losses of $87,344 and $2,729,661 during the three months ended June 30, 2011 and 2012, respectively. Since our inception in September 1999, we have incurred cumulative losses and as of June 30, 2012, we had an accumulated deficit of $55,373,835. We have not yet achieved profitability and anticipate that we will likely incur additional losses for the next year. We cannot provide assurance as to when we will achieve profitability. As of June 30, 2012, we had $2,562,262 in cash and cash equivalents and working capital of $2,952,690. In the six months ended June 30, 2012, we used cash flows in operating activities of $6,353,530. We expect that our cash and cash equivalents will continue to be used to fund our selling and marketing activities primarily related to our ResponseDX® tests, research and development, and general corporate purposes. As a result, we will need to generate significant revenues to achieve profitability.

The Company's current operating plan includes various assumptions concerning the level and timing of cash receipts from product sales and cash outlays for operating expenses and capital expenditures. The Company's ability to successfully carry out its business plan is primarily dependent upon its ability to (1) obtain sufficient additional capital at acceptable costs, (2) attract and retain knowledgeable workers, and (3) generate significant revenues. At this time, the Company expects to satisfy its future cash needs primarily through additional financing and/or strategic investments. The Company is currently seeking such additional financing and/or strategic investments; however, there can be no assurance that any additional financing or strategic investments will be available on acceptable terms, if at all. If the Company is unable to timely and successfully raise additional capital and/or achieve profitability, it will not have sufficient capital resources to implement its business plan or continue its operations.



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Sales of Common Stock



Under the Company's Articles of Incorporation, the Company has one class of common stock and its holders have no preemptive, subscription, redemption or conversion rights. As described below and in Note 11 in the notes to Consolidated Financial Statements, the Company sold shares of its common stock during 2011 and during the first quarter of 2012. In connection with certain of these offerings, the Company entered into registration rights agreements with the purchasers of the common shares which give such purchasers certain registration rights.

May 2011 Registered Offering of Common Stock

On May 6, 2011, the Company issued 1,175,512 shares of its common stock at a price of $1.99 per share in a registered direct public offering to certain institutional investors and received net proceeds of approximately $2.2 million from the sales, after deducting its estimated offering expenses. The securities issued with this financing were registered under the Securities Act of 1933, as amended. The shares were issued pursuant to a prospectus supplement dated May 4, 2011 and an accompanying prospectus dated January 6, 2011, pursuant to the Company's existing effective shelf registration statement on Form S-3 (File No. 333-171266), which was filed with the SEC on December 17, 2010 and declared effective by the SEC on January 6, 2011.

Common stock classified outside of stockholders' equity (deficit)

March 2010 Private Placement


On March 5, 2010, we entered into a purchase agreement with certain affiliates of and funds managed by Lansdowne ("Lansdowne"), Greenway Capital Partners and Paragon Associates for the private placement of 3,005,349 newly-issued shares of our common stock at a per share price of $1.31. The closing of the sale of the shares occurred on March 5, 2010. In connection with the acquisition of the shares, the purchasers were granted certain preemptive rights permitting them to maintain their percentage ownership interests in connection with future issuances of our capital stock, subject to various exceptions and limitations. Lansdowne participated in the private placement by electing to exercise the preemptive rights granted to it pursuant to the purchase agreement by and between the Company and Lansdowne, dated July 22, 2009. Net proceeds received from this financing were approximately $3,879,403.

In connection with the private placement, we also entered into a registration rights agreement, dated March 5, 2010, with the purchasers pursuant to which it agreed to file, within 45 days of the closing of the private placement, a registration statement with the SEC to register the shares for resale, which registration statement was required to become effective within 120 days following the closing. We also granted certain "piggyback" registration rights to the purchasers which are triggered if we propose to file a registration statement for its own account or the account of one or more shareholders until the earlier of the sale of all of the shares or the shares becoming eligible for sale under Rule 144(b)(1) without restriction.

Pursuant to the registration rights agreement dated March 5, 2010, the Company filed a registration statement with the SEC to register the 3,005,349 shares sold to Lansdowne, Greenway and Paragon for resale, which became effective on May 19, 2010 and which registration statement remained effective as of June 30, 2012.

Under the registration rights agreements dated March 5, 2010, the Company is obligated to use commercially reasonable efforts to (i) cause the registration statement described above to remain continuously effective and (ii) to maintain the listing of Company's common stock on NASDAQ or other exchanges, as defined, for a period that will terminate on the earlier of March 5, 2013 or the date on which the purchasers have sold all shares of common stock. The Company is also required to file with the SEC in a timely manner all reports and other documents required of the Company under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). In the event the Company fails to satisfy its obligations under the registration rights agreements, the Company would be in breach of said agreements, in which event, the purchasers would be entitled to pursue all rights and remedies at law or equity including an injunction or other equitable relief. These registration rights agreements do not provide an explicitly stated or defined penalty due upon a breach. Because (i) the potential penalty for any breach of these registration rights agreement is not explicitly stated or defined, which prohibits the Company from applying the guidance of ASC 825-20-15, Registration Payment Arrangements and (ii) complying with all filing requirements under the Exchange Act as described above is not solely within the Company's control, the Company is required to present the investment of $3,879,403 in the Company's common stock as common stock outside of stockholders' equity in the accompanying consolidated balance sheet under ASC 480-10-S99-3, Classification and Measurement of Redeemable Securities.

On January 18, 2012, the restrictions were removed on 3,658,676 shares purchased by Lansdowne, including all of the shares purchased by Lansdowne in the March 2010 private placement, and these shares were reclassified to common stock from common stock classified outside of equity (deficit).



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February 2012 Private Placement

On February 2, 2012, the Company entered into purchase agreements with various investors (collectively, the "Investors") for the private placement of an aggregate of 5,257,267 newly-issued shares of the Company's common stock (the "Shares") at a purchase price of $1.50 per share (the "2012 Private Placement"). Net cash proceeds raised in the 2012 Private Placement were approximately $7,822,000. The Investors participating in the 2012 Private Placement were various institutions and all officers and directors of the Company. The final closing of the 2012 Private Placement (the "Closing") occurred on February 2, 2012.

In connection withthe 2012 Private Placement, the Company also entered into registration rights agreements, each dated February 2, 2012, with the Investors pursuant to which the Company agreed to file, within 90 days of the Closing, a registration statement with the SEC to register the Shares for resale, which registration statement was required to become effective within 180 days following the Closing. The Company also granted the Investors certain "piggyback" registration rights, which are triggered if the Company proposes to file a registration statement for its own account or the account of one or more shareholders until the earlier of the sale of all of the Shares or the Shares becoming eligible for sale under Rule 144(b)(1) without restriction.

Pursuant to the registration rights agreements dated February 2, 2012, the Company filed a registration statement with the SEC on April 30, 2012, to register the Shares for resale. This registration statement became effective on May 17, 2012 and remained effective as of June 30, 2012.

Under the registration rights agreements dated February 2, 2012, the Company is obligated to use commercially reasonable efforts to (i) cause the registration statements described above to remain continuously effective and (ii) to maintain the listing of Company's common stock on NASDAQ or other exchanges, as defined, for a period that will terminate on the earlier of February 2, 2013, or the date on which the Investors have sold all shares of common stock. The Company is also required to file with the SEC in a timely manner all reports and other documents required of the Company required of the Company under the Exchange Act. In the event the Company fails to satisfy its obligations under the registration rights agreements, the Company would be in breach of said agreements, in which event, the Investors would be entitled to pursue all rights and remedies at law or equity including an injunction or other equitable relief. These registration rights agreements do not provide an explicitly stated or defined penalty due upon a breach. Because (i) the potential penalty for any breach of these registration rights agreement is not explicitly stated or defined, which prohibits the Company from applying the guidance of ASC 825-20-15, Registration Payment Arrangements and (ii) complying with all filing requirements under the Exchange Act as described above is not solely within the Company's control, the Company is required to present the investment of approximately $7,884,400 in the Company's common stock as common stock outside of stockholders' equity in the accompanying consolidated balance sheet under ASC 480-10-S99-3, Classification and Measurement of Redeemable Securities.



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Comparison of Cash Flows for the Six Months Ended June 30, 2012 and 2011

As of June 30, 2012, we had $2,562,262 in cash and cash equivalents, working capital of $2,952,690 and an accumulated deficit of $55,373,835. As of June 30, 2011, we had $3,321,937 in cash and cash equivalents, working capital of $5,603,105 and an accumulated deficit of $44,161,397.

Cash flows provided by operating activities

During the six months ended June 30, 2012, the Company used cash flows in operating activities of $6,353,530 compared to $2,263,236 used in the six months ended June 30, 2011. The primary reason for the increase in cash used in operating activities of $4,090,294 was the increase in net loss the Company incurred for the six-month period ended June 30, 2012 compared to the six-month period ended June 30, 2011. The net loss for the Company was primarily driven by a decrease in pharmaceutical revenue of $4,514,347 and a decrease in ResponseDX® revenue of $299,123.

Cash flows used in investing activities

Net cash used in investing activities was $375,163 for the six months ended June 30, 2012 compared to $681,410 for the six months ended June 30, 2011. This decrease was primarily attributable to a reduced need for property and equipment purchases in our laboratory and facility.

Cash flows used in financing activities

Cash flows from financing activities for the six months ended June 30, 2012 provided net cash of $7,592,966 relating to the sale of common stock. Cash flows from financing activities for the six months ended June 30, 2011 provided net cash of $2,184,946 relating to the sale of common stock and a capital contribution.

Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements.

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