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 UNITED
STATES

 SECURITIES
AND EXCHANGE COMMISSION

 Washington,
D.C. 20549

 FORM

 (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, 2023

 OR

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

 For
the transition period from ____________to_________________

 Commission
file Number: 000-24249

 Biosciences, Inc.

 (Exact
 name of registrant as specified in its charter)

 Delaware

 22-2919486

 (State
 or other jurisdiction of

 incorporation
 or organization)

 (I.R.S.
 Employer

 Identification
 No.)

 Waterview
 Plaza, Suite 310

 2001
 Route 46, Parsippany, NJ 07054

 (Address
 of principal executive offices and zip code)

 (855) 776-6419

 (Registrant's
 telephone number, including area code)

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

 Title
 of each class

 Trading
 Symbol(s)

 Name
 of each exchange on which registered

 None

 N/A

 N/A

 Securities
 registered pursuant to Section 12(g) of the Act: Common Stock, $0.01 par value per share

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

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

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

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

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

 Large
 accelerated filer

 Accelerated
 filer

 Non-accelerated
 filer

 Smaller
 reporting company

 Emerging
 growth company

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

by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness
of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered
public accounting firm that prepared or issued its audit report.

 If
securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements.

by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation
received by any of the registrant's executive officers during the relevant recovery period pursuant to §240.10D-1(b).

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

 The
aggregate market value of the registrant's common stock, $0.01 par value per share, held by non-affiliates of the registrant on
June 30, 2023, the last business day of the registrant's most recently completed second fiscal quarter, was $ 3,785,811 (based
on the closing sales price of the registrant's common stock on that date). Shares of the registrant's common stock held by
each officer and director and each person who owns 10% or more of the outstanding common stock of the registrant have been excluded because
such persons may be deemed to be affiliates. This determination of affiliate status is not necessarily a conclusive determination for
other purposes.

 As
of March 15, 2024, 4,376,398 shares of the registrant's common stock, $0.01 par value per share, were issued and outstanding.

 DOCUMENTS
INCORPORATED BY REFERENCE

 Part
III of this Annual Report on Form 10-K will be incorporated by reference from certain portions of the Registrant's definitive proxy
statement for the 2024 annual meeting of stockholders, or Proxy Statement, or will be included in an amendment hereto, to be filed within
120 days of the end of the fiscal year ended December 31, 2023. Except with respect to information specifically incorporated by reference
in this Annual Report on Form 10-K, the Proxy Statement is not deemed to be filed as part hereof.

Biosciences, Inc.

 Annual
Report on Form 10-K

 Page

 Item
 1.

 Business

 Item
 1A.

 Risk Factors

 Item
 1B.

 Unresolved Staff Comments

 Item
 1C.

 Cybersecurity

 Item
 2.

 Properties

 Item
 3.

 Legal Proceedings

 Item
 4.

 Mine Safety Disclosures

 Item
 5.

 Market for our Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

 Item
 6.

 Reserved

 Item
 7.

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

 Item
 7A.

 Quantitative and Qualitative Disclosures about Market Risk

 Item
 8.

 Financial Statements and Supplementary Data

 Item
 9.

 Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

 Item
 9A.

 Controls and Procedures

 Item
 9B.

 Other Information

 Item
 9C.

 Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

 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 Accountant Fees and Services

 Item
 15.

 Exhibits, Financial Statement Schedules

 Item
 16.

 Form 10-K Summary

 Signatures

 FORWARD
LOOKING STATEMENT INFORMATION

 This
Annual Report on Form 10-K, and the documents incorporated by reference in this document, our press releases and oral statements made
from time to time by us or on our behalf, may contain "forward-looking statements" within the meaning of the federal securities
laws, including Section 27A of the Securities Act of 1933, as amended (or the "Securities Act"), and Section 21E of the Securities
Exchange Act of 1934, as amended (the "Exchange Act"). In this context, forward-looking statements are not historical facts
and include statements about our plans, objectives, beliefs and expectations. Forward-looking statements include statements preceded
by, followed by, or that include the words "believes," "expects," "anticipates," "seeks,"
"plans," "estimates," "intends," "projects," "targets," "should,"
"could," "may," "will," "can," "can have," "likely," or the negatives
thereof or other comparable words and expressions regarding beliefs, plans, expectations or intentions regarding the future. These forward-looking
statements are contained throughout this Form 10-K, including, but not limited to, statements found in Part I – Item 1 –
"Business" and Part II – Item 7 – "Management's Discussion and Analysis of Financial Condition and
Results of Operations."

 Forward-looking
statements are only predictions and are not guarantees of future performance. These statements are based on current expectations and
assumptions involving judgments about, among other things, future economic, competitive and market conditions and future business decisions,
all of which are difficult or impossible to predict accurately and many of which are beyond our control. These predictions are also affected
by known and unknown risks, uncertainties and other factors that may cause our actual results to be materially different from those expressed
or implied by any forward-looking statement. Many of these factors are beyond our ability to control or predict. Our actual results could
differ materially from the results contemplated by these forward-looking statements due to a number of factors. Such factors include,
but are not limited to, the following:

 we
 have a history of operating losses prior to fiscal 2023 and our clinical services have generated limited revenue;

 our
 expectations of future revenues, expenditures, capital or other funding requirements;

 our
 reliance on Medicare reimbursement for our clinical services and our being subject to decisions of the Center for Medicare and Medicaid
 Services ("CMS") regarding reimbursement and pricing of our clinical services which could have a material adverse effect
 on our business and financial results;

 our
 ability to continue to perform, bill and receive reimbursement for our PancraGEN molecular test long-term under the
 existing local coverage determination ("LCD"), given that such LCD is currently under review by Novitas, the Company's
 Medicare administrative contractor;

 our
 secured lenders have the right to foreclose on substantially all of our assets if we are unable to timely repay our outstanding obligations;

 our
 dependence on sales and reimbursements from our clinical services for all of our revenue;

 the
 ability to continue to generate sufficient revenue from our clinical service products and other products and/or solutions that we
 develop in the future is important for our ability to meet our financial and other targets;

 our
 ability to finance our business on acceptable terms in the future, which may limit the ability to grow our business, develop and
 commercialize products and services, develop and commercialize new molecular clinical service solutions and technologies;

 our
 obligations to make royalty and milestone payments to our licensors;

 our
 dependence on third parties for the supply of some of the materials used in our clinical services tests;

 the
 potential adverse impact of current and future laws, licensing requirements and governmental regulations upon our business operations,
 including but not limited to the evolving U.S. regulatory environment related to laboratory developed tests ("LDTs"),
 pricing of our tests and services and patient access limitations;

 our
 reliance on our sales and marketing activities for future business growth and our ability to continue to expand our sales and marketing
 activities;

 our
 being subject to the controlling interests of our two private equity investors who control, on an as-converted basis, an aggregate
 of 64.2% of our outstanding shares of common stock through their holdings of our Series B Preferred Stock, and this concentration
 of ownership along with their authority for designation rights for a majority of our directors and their right to approve certain
 of our actions has a substantial influence on our decisions;

 the
delisting of our common stock from Nasdaq has adversely affected and may continue to adversely affect our common stock and business and
financial condition;

 geopolitical
 and other economic and political conditions or events (such as the wars in Ukraine and Israel/Gaza);

 our
 ability to implement our business strategy; and

 the
 potential impact of existing and future contingent liabilities on our financial condition.

 Please
see Part I - Item 1A – "Risk Factors" of this Form 10-K, as well as other documents we file with the U.S. Securities
and Exchange Commission, or the SEC, from time-to-time, for other important factors that could cause our actual results to differ materially
from our current expectations and from the forward-looking statements discussed herein. Because of these and other risks, uncertainties
and assumptions, you should not place undue reliance on these forward-looking statements. In addition, these statements speak only as
of the date of this Form 10-K and, except as may be required by law, we undertake no obligation to revise or update publicly any forward-looking
statements for any reason.

 In
this Form 10-K, references to "we," "our," "us," "Interpace" and the "Company"
refer to Interpace Biosciences, Inc., including consolidated subsidiaries as of December 31, 2023.

 PART
I

 ITEM
 1.

 BUSINESS

 Company
Overview

 We
are a company that provides esoteric molecular diagnostic testing, and pathology services to aid physicians in their evaluation of cancer
risk in patients with indeterminate biopsies and a perceived high risk of cancer from clinical features. Utilizing the latest technology
in personalized medicine, we develop and commercialize genomic tests and related first-line assays that can help improve patient diagnosis
and management.

 Customer
 Category

 Types
 of Customers

 Nature
 of Services

 services

 Hospitals

 Physicians

 Cancer Centers

 Clinics

 services that help guide patient management decisions by providing information on the diagnosis and prognosis of indeterminate specimens.
 Guidance on genetic marker-related pharmaceutical treatment options, when available, is also provided.

 Commercial laboratories

 Pathology groups

 Our
clinical services' customers consist primarily of physicians, hospitals, cancer centers, commercial laboratories, pathology groups
and clinics. Our largest customer for ThyGeNEXT and ThyraMIR v2 products in 2022 was Laboratory Corporation
of America or LabCorp. Our revenue channels include reimbursement by Medicare, Medicare Advantage, Medicaid, and direct
client billings (for example, hospitals and clinics), and commercial payers such as Blue Cross Blue Shield, Aetna, Cigna, United Healthcare
and others.

 Strategic
Disposition of Pharma Business

 On
August 31, 2022, Interpace Biosciences, Inc. ("Interpace" or the "Company") and Interpace Pharma Solutions, Inc.
(the "Subsidiary) entered into an Asset Purchase Agreement (the "Purchase Agreement") with Flagship Biosciences, Inc.
(the "Purchaser") pursuant to which the Purchaser agreed to (i) acquire substantially all of the assets of the Subsidiary
used in Subsidiary's business of complex molecular analysis for the early diagnosis and treatment of cancer and supporting the
development of targeted therapeutics (the "Business") and (ii) assume and pay certain liabilities related to the purchased
assets as set forth in the Purchase Agreement (collectively, the "Transaction"). The Transaction closed on August 31, 2022.

 As
consideration for the Transaction, under the Purchase Agreement, the Company received a total purchase price of approximately $6.2 million
after working capital and other adjustments ($0.5 million of which was deposited into escrow), subject to the assumption by the Purchaser
of certain specified liabilities. In addition, subject to the terms and conditions set forth in the Purchase Agreement, Purchaser was
obligated to pay the Company an earnout of up to $2.0 million based on revenue for the period beginning September 1, 2021, and ending
August 31, 2022. The Company received an earnout payment of approximately $1.0 million in September 2022 which is the fully settled amount
and there will be no further earnout payments in the future. In the third quarter of 2023, the $0.5 million funds in escrow were released
to the Company.

 The
Purchase Agreement includes a one-year commitment of the Company not to compete with the Business, recruit or hire any former employees
of the Subsidiary who accept employment with the Purchaser in connection with the Transaction, or divert or attempt to divert from Purchaser
any business to be performed from any of the contracts or agreements with customers as set forth in the Purchase Agreement. The Purchase
Agreement also contains customary representations and warranties, post-closing covenants and mutual indemnification obligations for,
among other things, any inaccuracy or breach of any representation or warranty and any breach or non-fulfillment of any covenant.

 In
connection with the Transaction, on August 31, 2022, the Company, the Subsidiary and the Purchaser entered into a Shared Services Agreement
(the "Shared Services Agreement") pursuant to which Interpace agreed to provide, or cause its affiliates to provide, to the
Purchaser certain services set forth in the Shared Services Agreement on a transitional basis and subject to the terms and conditions
set forth in the Shared Services Agreement (the "Services"). As consideration for the Services provided by the Company, the
Purchaser is paying the Company the amounts specified for each Service as set forth in the Shared Services Agreement. The Company's
obligations to provide the Services will terminate with respect to each Service as set forth in the Shared Services Agreement.

 The
Purchaser is identified as a related party of the Company and is an affiliate of both Ampersand 2018 Limited Partnership ("Ampersand"),
a private equity investor in the Company, and BroadOak Fund V, L.P. ("BroadOak"), a secured lender to the Company. Ampersand
and BroadOak have each provided equity financing to the Purchaser, collectively own a majority of the Purchaser's outstanding equity
securities and are represented on its Board of Directors.

 The
Company used the remaining net proceeds of the Transaction to fund its future business activities and for general working capital purposes.
As a result of the sale, the gain on sale and all operations from the Subsidiary have been classified as discontinued operations for
all periods presented.

 Impact
of the ongoing military conflict between Russia and Ukraine and the war between Israel and Hamas.

 In
February 2022, Russian military forces invaded Ukraine, and although the length, impact, and outcome of the ongoing war in Ukraine is
highly unpredictable, this war has led, and could continue to lead, to significant market and other disruptions, including instability
in financial markets, supply chain interruptions, political and social instability, and increases in cyberattacks, intellectual property
theft, and espionage. We are actively monitoring the situation in Ukraine and assessing its impact on our business.

 We
have no way to predict the progress or outcome of the war in Ukraine or its impacts in Ukraine, Russia, or Belarus as the war, and any
resulting government reactions, are rapidly developing and beyond our control.

on October 7, 2023, Hamas, a U.S. designated Foreign Terrorist Organization, launched terrorist attacks against Israel. Israel then declared
war on Hamas and there is currently an armed conflict in Israel and the Gaza Strip. The extent and duration of the wars in Ukraine and
Israel/Gaza expanding geopolitical tensions and any resulting market disruptions could be significant and could potentially have a substantial
impact on the global economy and our business for an unknown period of time. Any of the above-mentioned factors could materially adversely
affect our business, financial condition, and results of operations.

 We
are also monitoring other macro-economic and geopolitical developments such as inflation and cybersecurity risks so that the Company
can be prepared to react to new developments as they arise.

 Market
Overview

 Global
Molecular Diagnostic Market

 The
global esoteric molecular diagnostics market is estimated to be $25.9 billion (USD) in 2023 and is expected to grow to $54.9 billion
(USD) by 2030 with a Compound Annual Growth rate or CAGR of 11.3% between 2023 and 2030, according to Coherent Market Insights (Report
Code: CMI6261, published November 2023).

 We
believe that the specialty molecular diagnostics market offers significant growth and strong patient value given the substantial opportunity
it affords to lower healthcare costs by helping to reduce unnecessary surgeries and ensuring the appropriate frequency of monitoring.
We are keenly focused on growing our test volumes; securing additional insurance coverage and reimbursement; maintaining and growing
our current reimbursement; supporting revenue growth for our molecular diagnostic tests; introducing related first-line product and service
extensions; and expanding our business by developing and promoting synergistic products in our markets. We also believe that BarreGEN
 is a potentially significant pipeline product, and we are continuing to support the development process.

 United
States Clinical Oncology Market

 Despite
many advances in the treatment of cancer, it remains one of the greatest areas of unmet medical need According to estimates from the
International Agency for Research on Cancer (IARC), by 2040 it is expected that there will be 16.3 million cancer deaths worldwide simply
due to the growth and aging of the global population. Within the United States, cancer is the second most common cause of death, exceeded
only by heart disease.

 In
2024, it is expected that there will be 2.0 million new cancer cases and almost 612,000 cancer-related deaths, or more than 1,600 deaths
each day. In the United States, while pancreatic cancer represents only about 3% of all new cancer cases, it is the third leading cause
of cancer death. The incidence, deaths and economic loss caused by cancer are staggering. Cancer-attributed medical care costs in the
United States are substantial and projected to increase dramatically by 2030 to an estimated $246 billion (USD). The following table
taken from Common Cancer Types, originally published by the National Cancer Institute (Updated: March 7,2023) shows estimated new cases
and deaths in 2023 in the United States for selected major cancer types:

 Cancer
 Type

 Estimated
 New Cases

 Estimated
 Deaths

 Bladder

 82,290

 16,710

 Breast
 (Female – Male)

 297,790-2,800

 43,170-530

 Colon
 and Rectal (Combined)

 153,020

 52,550

 Kidney
 (Renal Cell and Renal Pelvis)

 81,800

 14,890

 Leukemia
 (All Type)

 59,610

 23,380

 Liver
 and Intrahepatic Bile Duct

 41,210

 29,380

 Lung
 (Including Bronchus)

 238,340

 127,070

 Melanoma

 97,610

 7,990

 Non-Hodgkin's
 Lymphoma

 80,550

 20,180

 Pancreatic

 64,050

 50,550

 Prostate

 288,300

 34,700

 Thyroid

 43,720

 2,120

 Our
Strategy

 Our
primary goal is to become a leader in providing high-quality and dependable personalized medicine with exceptional growth. Our strategy
is to grow our business organically and by selectively partnering—which could potentially include licensing, acquisitions or mergers,
to generate positive returns for our shareholders. We expect to not only continue to further develop our existing gastrointestinal and
endocrine assays but to also expand our presence in other markets where we have expertise and access. Our existing customer base and
broad-based capabilities provide us a unique window not only into our current customers' needs but also permit us to anticipate
their future needs.

 The
key tactics to achieve our goals include:

 Expanding
 awareness and use of our existing commercial products, especially PancraGEN, ThyGeNEXT and ThyraMIR v2
 through omnichannel marketing programs;

 Continuing
 the clinical development and commercialization of BarreGEN, our esophageal cancer risk classifier for Barrett's
 Esophagus, and accelerating and further expanding clinical studies for our inline assays;

 Implementation
 of automation and focus on improved operating efficiencies in the clinical laboratories to provide consistent superior quality testing
 and reporting at reduced costs;

 Broadening
 coverage and reimbursement for our clinical tests including:

 Continuing support of an internal managed care team;

 Utilizing
Key Opinion Leaders to educate on the validity and utility of our testing services; and

 Establishing payer relationship and in-network contracts serving our diagnostic
customers.

 Expanding
 our commercial sales staff rationally, while supporting our products with high quality data and studies;

 Exploring
 partnering opportunities to acquire new technologies; and

 Expanding
 understanding and utilization of our bioinformatics data to improve our assays and elevate scientific understanding of the genetic
 drivers of cancer progression and aggressiveness.

 Our
Service Offerings

 Our
business is based on the increasing clinician demand for molecular- and biomarker-based characterization of cancers to help inform patient
management decisions.

 Molecular-based
testing often produces higher value and more accurate cancer diagnostic information than traditional clinical assessments and non-genetic
diagnostic methods. Our proprietary and unique disease-focused esoteric tests aim to provide actionable information that can guide patient
management decisions, potentially resulting in decreased costs.

 We
continue to pursue the strategy of trying to demonstrate increased value and efficacy with payers who wish to contain costs and academic
collaborators seeking to develop new insights and treatments.

 We
aim to provide physicians and patients with diagnostic options for detecting genomic and other molecular alterations that are associated
with gastrointestinal, endocrine, and lung cancers. Our clinical services' customers consist primarily of physicians, hospitals
and clinics.

services

 Our
clinical services business commercializes clinically useful molecular diagnostic tests and molecular pathology services. We commercialize
genomic tests and related first-line assays principally focused on risk-stratification of cancer using the latest technology to help
personalize medicine and improve patient diagnosis and management. Our tests and services provide mutational analysis of genomic material
contained in suspicious cysts, nodules, and lesions with the goal of better informing surgery or surveillance treatment decisions in
patients suspected of thyroid, pancreatic, and other cancers. The molecular diagnostic tests we offer enable healthcare providers to
stratify cancer risk, helping to avoid unnecessary surgical treatment in patients at low risk, while also helping to identify patients
that would benefit from increased surveillance or surgical intervention.

 Our
mission is to assist healthcare providers in the diagnosis, triage, and treatment of patients through advanced diagnostics. Our laboratory
is licensed pursuant to federal law under Clinical Laboratory Improvement Amendments of 1988 ("CLIA") and are accredited
by College of American Pathologists ("CAP") and our products are approved by New York State. We are leveraging our laboratory
to refine and commercialize our assays and products. We aim to provide physicians and patients with diagnostic options for detecting
genomic and other molecular alterations that are associated with gastrointestinal, endocrine, and other cancers. Our customers consist
primarily of physicians, hospitals, and clinics.

 We
currently have five commercialized molecular diagnostic tests in the marketplace: PancraGEN, a pancreatic cyst and pancreaticobiliary
solid lesion genomic test that helps physicians better risk-stratify pancreaticobiliary cancers using our proprietary PathFinderTG
 platform and full integration of clinical factors PanDNA, an alternate reporting option of the PathFinderTG
platform, that provides physicians the "molecular only" information provided within PancraGEN; ThyGeNEXT,
an expanded oncogenic mutation panel that helps "rule-in" and "rule-out" malignancy in thyroid nodules
ThyraMIR v2, used in combination with ThyGeNEXT, which further stratifies thyroid nodules for malignancy
risk utilizing a proprietary microRNA gene expression classifier; and RespriDx a genomic test that also utilizes our
PathFinderTG platform, to help physicians differentiate metastatic or recurrent lung cancer from the presence of newly
formed primary lung cancer.

 Gastrointestinal
Cancer Products

 Our
current diagnostic assay, PancraGEN, is a reporting option of our proprietary PathFinderTG platform.
This platform is designed to use advanced clinical algorithms to accurately risk-stratify patients suspected of having pancreatic cancer
by assessing panels of DNA abnormalities in patients who have pancreaticobiliary lesions (cysts or solid masses). PanDNA
is a "molecular only" reporting option of PathFinderTG and is used by physicians who prefer to perform their
own integration of first-line testing results to stratify pancreatic cancer risk.

 Based
on the American Cancer Society Cancer 2024 Cancer Facts and Figures, pancreatic cancer is the third leading cause of cancer deaths in
the U.S. (estimated) with an average five-year survival rate of 13%. PancraGEN and PanDNA assess the
risk of malignancy in pancreatic cysts and pancreaticobiliary solid lesions, which have potential for developing into cancer. We believe
that PancraGEN is the leader in the market for integrated molecular diagnostic tests for determining risk of pancreaticobiliary
malignancy. We currently estimate that the immediate addressable market for PancraGEN is approximately 124,000 indeterminate
pancreaticobiliary lesions annually or approximately $200 million annually based on the current size of the patient population and reimbursement
rates. To date, PancraGEN testing has been used in almost 70,000 clinical cases. The National Pancreatic Cyst Registry
study published in Endoscopy in 2015 demonstrated that PancraGEN more accurately determined the malignancy potential
of pancreatic cysts than international consensus 2012 imaging criteria, helping to ensure that surgery is reserved for the most appropriate
patients. This is important because pancreatic surgery is high-risk surgery with over 40% postoperative morbidity rates and 0%–15%
postoperative mortality rates. (Ahola, et al, March 2020, doi.org/10.1177/1457496919900411) When molecular analysis is not performed,
the vast majority of all pancreatic cyst surgeries are performed on cystic lesions that do not harbor malignancy.

 The
American Gastroenterological Association 2015 Guidelines have cautioned that many pancreatic surgeries have been performed unnecessarily
for lesions that will not progress to invasive adenocarcinoma. In addition, the 2016 guidelines published by the American Society of
Gastroenterology Endoscopy (ASGE) in Gastrointestinal Endoscopy included a specific recommendation for use of molecular testing in specific
circumstances where other types of testing and analysis have not provided sufficient data on which to determine the best course of action
for patient treatment.

 Most
recently, the International Association of Pancreatology (IAP) reviewed and revised their guidelines with a main objective being to update
their patient management algorithm. These revised guidelines indicate that molecular markers can be used when the diagnosis of a pancreatic
cyst is unclear and will alter surveillance. Additionally, the guidelines further indicate that molecular markers, such as the ones found
within PancraGEN, can be useful in identifying the presence of high-grade dysplasia and invasive carcinoma. ( Pancreatology.
2023 Dec 28: S1424-3903(23)01883-5. doi: 10.1016/j.pan.2023.12.009). Accordingly, we believe that PancraGEN provides
a highly reliable diagnostic and prognostic option that can accurately stratify cancer risk in circumstances where risk of cancer is
otherwise uncertain.

 Endocrine
Cancer Products

 We
currently market and sell a combination testing platform that can inform cancer risk in indeterminate thyroid nodules—those that
are not clearly malignant or benign by cytology. ThyGeNEXT is a next generation DNA and RNA sequencing oncogene and mRNA
fusion panel. The markers within the ThyGeNEXT oncogene panel provide clinical utility by informing diagnosis, prognosis,
and targeted treatment guidance aligned to FDA-approved therapies for RET, NTRK, and other markers found within the panel. ThyGeNEXT
 works with our unique microRNA-based endocrine cancer diagnostic test, ThyraMIR v2. This assay measures the expression
of eleven distinct microRNAs. The combined analysis of the ThyGeNEXT and ThyraMIR v2 test results provides
very narrow malignancy risk ranges to help guide patient management decision-making.

 We
estimate the total market for our endocrine (thyroid) cancer assays is approximately $300 million (USD) annually based on the current
size of the patient population, estimated numbers of indeterminate biopsies and reimbursement rates. The mutational analysis provided
by ThyGeNEXT can help inform treatment alone when strong driver BRAF V600E-like mutations are found. However,
reflex to ThyraMIR v2 occurs approximately 85% of the time to provide a greater understanding of malignancy risk and is
especially helpful when weaker drivers of malignancy, such as RAS -like mutations, are found.

 Endocrinologists,
ear, nose and throat ("ENT"), and other specialists evaluate thyroid nodules for possible cancer by collecting cells through
Fine Needle Aspiration ("FNA") that are then analyzed by cytopathologists to determine whether or not a thyroid nodule is
cancerous. It is estimated that approximately 25% or well over 100,000 biopsies analyzed annually yield indeterminate results, meaning
they cannot be diagnosed as definitely being malignant or benign by cytopathology alone. In the past, guidelines recommended that some
patients with indeterminate cytopathology results undergo surgery to remove all or part of their thyroid to obtain an accurate diagnosis
by looking directly at the thyroid tissue. According to a study published by Wang, et al. in 2011, in approximately 77% of these cases,
the thyroid nodule proved to be benign. Current practice and guidelines, such as those from the National Comprehensive Cancer Network
("NCCN") and American Thyroid Association ("ATA"), support use of molecular analysis for nodules with indeterminate
cytology results as this testing can prove beneficial to further characterize these lesions and help support optimal patient management.

 Lung
Cancer Product — RespriDx Test and Metastatic versus Primary Platform

 RespriDx
 compares the mutational fingerprint of two or more sites of cancer to determine whether the neoplastic deposits are representative
of a recurrence (metastasis) of lung cancer or a new primary or independent tumor. The test, which currently provides only nominal revenues,
defines the presence or absence of cancer in atypical cytology by comparing the mutational profile with that of known previous cancer.
RespriDx assists in determining the most appropriate course of treatment, whether chemotherapy, surgery, or other modalities.

 CLIA
Certified and CAP Accredited Laboratory

 Our
testing is performed in our state-of-the-art CLIA certified and College of American Pathologists ("CAP") accredited laboratory
in Pittsburgh, Pennsylvania. CLIA is a federal law regulating clinical laboratories that perform testing on specimens derived from humans
for the purpose of providing information for the diagnosis, prevention or treatment of disease. Clinical laboratories must be certified
under CLIA in order to perform testing on human specimens, unless they fall within an exception to CLIA certification, such as research
laboratories that test human specimens but do not report patient-specific results for the diagnosis, prevention or treatment of any disease
or impairment of, or the assessment of the health of individual patients. CLIA certification is also required to be eligible to bill
Federal and State healthcare programs, as well as many private third-party payers, for diagnostic testing and services. In addition,
proprietary tests must also be recognized as part of an accredited program under CLIA so that they can be offered in a CLIA-certified
laboratory. CLIA is intended to ensure the quality and reliability of clinical laboratories in the United States by mandating specific
standards in the areas of personnel qualifications, administration, and participation in proficiency testing, patient test management,
quality control, quality assurance and inspections. For renewal of CLIA certification, clinical laboratories are subject to survey and
inspection every two years. Moreover, CLIA inspectors may make random inspections of clinical laboratories outside of the renewal process.

 Sales
and Marketing

 Our
sales and marketing efforts consist of both direct and indirect sales channels with efforts focused predominantly in the United States.
We also have collaborative arrangements with other laboratory services companies.

 Our
commercialization efforts for our clinical services are mainly focused on endocrine (thyroid), and gastroenterologic (pancreatic) cancers.
Communication of our marketing messaging and value propositions is accomplished through multiple channels, including two field-based
commercial sales teams of approximately 41 representatives and managers. In addition, we employ medical science liaisons (MSLs)—therapeutic
specialists with advanced scientific training to aid in communicating complex scientific and medical information to leading physicians.
Other channels of communication include print, digital advertising, social media, a web presence, peer-reviewed publications, and trade
show exhibits. We believe that our molecular diagnostic tests provide value to payers, physicians, and patients by improving patient
care and lowering healthcare costs through avoidance of unnecessary surgeries, reducing the morbidity associated with unnecessary surgeries
for patients, and providing better diagnostic and prognostic insights to physicians. We support the value propositions of our tests through
rigorous science that supports the analytical and clinical validity as well as clinical utility of our tests. We believe our repository
of bioinformatics data accumulated from our testing is a valuable tool in developing and refining our analytics while also potentially
being an even more valuable tool in the future.

 We
also communicate to payers, integrated delivery systems and hospital systems about our molecular diagnostic tests' value through
highly trained professionals who are experienced in reimbursement and business-to-business selling and through face-to-face meetings,
phone calls, digital communications and advisory boards.

 Competition

 We
compete on the basis of factors such as reputation, scientific expertise, service quality, management experience, performance record,
customer satisfaction, accessibility, flexibility, ability to respond to specific customer needs, integration skills, and product portfolio
and price. Increased competition and/or a decrease in demand for our clinical and pharma services may also lead to other forms of competition.
We believe that our business has a variety of competitive advantages that allow us to compete successfully in the marketplace. While
we believe we compete effectively with respect to each of these factors, certain competitors of ours are substantially larger than us
and have greater capital, personnel, and other resources than we have. Many of our competitors also offer broader product lines outside
of the molecular diagnostic testing market, and many have greater brand recognition than we do. Moreover, our competitors may make rapid
technological developments that may result in our technologies and products becoming obsolete before we recover the expenses incurred
to develop them or before they generate significant revenue. Increased competition may lead to pricing pressures and competitive practices
that could have a material adverse effect on our market share and our ability to attract new business opportunities as well as our business,
financial condition and results of operations.

 We
also compete with physicians and the medical community who use traditional methods or local institution-created tests to diagnose gastrointestinal
and endocrine cancers. We believe that we will need to continue to educate physicians and the medical community on the value and benefits
of our molecular diagnostic tests in order to change clinical practices and continue to support the use of molecular diagnostic tests
in clinical guidelines.

 Specifically,
in regard to our thyroid diagnostic tests, Veracyte, Inc., or Veracyte, has a molecular thyroid nodule cancer diagnostic test
(Afirma) that is the current market leader and competes with our ThyGeNEXT and ThyraMIR v2 tests.
Quest Diagnostics Incorporated, or Quest, currently offers a diagnostic test similar to the earlier version of our
ThyGeNEXT test and distributes the Afirma test in partnership with Veracyte. CBLPath, Inc., or CBL, offers
ThyroSeq, a diagnostic test that analyzes genetic alterations using next-generation sequencing. In addition, other
thyroid based endocrine competitors include Qualisure Diagnostics/Protean Biodiagnostics., or other companies we are not aware
of.

 We
are currently not aware of any direct competitors to PancraGEN that fully integrate clinical, imaging, cytology, and
molecular information to stratify patients' risk for malignancy and inform physicians on the best course of action, i.e.,
surgery or surveillance and surveillance interval length. The University of Pittsburgh Medical Center now offers
PancreaSeq, a Next Generation Sequencing "gene only" panel that focuses on the analysis of mutations in
oncogenes and tumor suppressor genes, most of which may help establish the type of pancreatic cyst present and some of which may
help establish the presence of malignancy. Some of these related genomic regions are included in PancraGEN. This
competitive laboratory test also does not follow current physician patient management decision-making which includes the integration
of clinical features to fully characterize a patient's risk for pancreatic cancer. Importantly, there has been no long-term
clinical validation or utility studies completed on any gene panel for pancreatic cyst fluid other than that associated with
PancraGEN. PancraGEN has been validated in multiple studies and peer reviewed publications and has
been used in almost 70,000 patients with up to approximately 8 years of patient follow-up information.

 Given
the size of the Barrett's Esophogus market, there are companies who are either in the process of developing assays and LDTs to
identify the condition or who have started to commercialize diagnostic tests, such as the methylated biomarker test currently being marketed
by Lucid Diagnostics. We anticipate that this space will become increasingly competitive as new diagnostic tests come to market in the
future.

 It
is also possible that we face future competition from other laboratory-developed tests (LDT's), developed by commercial laboratories
or by other diagnostic companies utilizing new, unforeseen technologies in the gastrointestinal and endocrine cancer molecular diagnostic
tests space.

 Research
and Development

 We
continue to generate and publish clinical evidence mainly related to our key products, including ThyGeNEXT and ThyraMIR v2
and PancraGEN.

 We
conduct our research and development activities at our CLIA-certified and CAP-accredited laboratory in Pittsburgh, Pennsylvania. Our
research and development efforts primarily focus on providing data and analyses necessary to support and improve our existing products
on the market. Additionally, our research and development activities provide product line extension of our existing products as well
as new product opportunities utilizing our proprietary platforms and extensive bioinformatics repositories and databases.

 As
part of our growth strategy, we may enter into collaborative relationships with research and academic institutions for the development
of additional or enhanced tests to further increase the depth and breadth of our test offerings. Where appropriate, we may also enter
into licensing agreements with our collaborative partners to both license intellectual property for use in our test panels as well as
licensing such intellectual property out.

 Our
research and development costs are primarily clinical costs and were approximately $0.6 million and $0.7 million in 2023 and 2022, respectively.

 Intellectual

 Patents,
trademarks and other proprietary rights are important to us. We generate our own intellectual property portfolio and hold numerous patents
and patent applications covering our existing and future products and technologies. As of December 31, 2023, we owned nine issued United
States Patents. The U.S. patents are directed to, amongst other things, methods of measuring carcinoembryonic antigen in a biological
sample; methods for treating subject with a high risk of disease progression from Barrett's metaplasia to esophageal adenocarcinoma;
and methods of treating a subject identified with a papillary thyroid carcinoma. As of December 31, 2023, we owned four issued patents
outside of the United States, one each in Australia, Canada, Japan, and Israel. As of December 31, 2023, we owned two pending patent
applications in the United States. Provided all maintenance fees and annuities are paid, our issued United States patents expire from
2031 through 2034, our foreign patents expire in 2031, and our pending patent applications, if issued, are expected to expire between
2027 and 2038, absent any disclaimers, adjustments or extensions. Our patents are directed to certain of the technologies relating to
detecting, diagnosing, and classifying thyroid tumors, pancreatic cysts and other forms of gastrointestinal disorders, such as Barrett's
esophagus.

 In
addition to our own molecular diagnostic test development efforts, we are currently using, and intend to use in the future, certain tests
and biomarkers that have been developed by third parties or by us in collaboration with third parties. While a significant amount of
intellectual property in the field of molecular diagnostic tests is already in the public domain, ThyraMIR v2, ThyGeNEXT,
and some of the future tests developed by us, or by third parties on our behalf for use in our tests, may require, that we license the
right to use certain intellectual property from third parties and pay customary royalties or make one time payments.

 On
August 13, 2014, we consummated an agreement to acquire certain fully developed thyroid and other tests in development for thyroid cancer,
associated intellectual property and a biobank with more than 5,000 patient tissue samples pursuant to an asset purchase agreement, or
the Asuragen Asset Purchase Agreement. We paid $8.0 million at closing and paid an additional $0.5 million to Asuragen for certain integral
transition service obligations set forth in a transition services agreement, entered into concurrently with the Asuragen Asset Purchase
Agreement. We also entered into two license agreements with Asuragen (the Asuragen License Agreement and the CPRIT License Agreement)
relating to our ability to sell the fully developed diagnostic tests and other tests in development for thyroid cancer. Under the Asuragen
License Agreement, we owed a $500,000 milestone payment, all of which was paid in installments throughout 2016 and paid in full as of
January 13, 2017. We are further obligated to pay royalties on the future net sales of tests based on the miR Inform
 pancreas platform, if developed, on the future net sales of tests based on the miR Inform thyroid platform
(i.e., ThyGeNEXT) and potentially on certain other thyroid diagnostics tests.

 In
October 2014, we acquired RedPath Integrated Pathology Inc. (RedPath) which included its pancreatic and gastrointestinal assets. Additionally,
we have a broad and growing trademark portfolio. We have secured trademark registrations for the marks AccuCEA (or TM),
PancraGEN, PanDNA, BarreGEN and miR Inform in the United States,
and miR Inform with the World Intellectual Property Organization.

 We
rely on a combination of trade secrets and proprietary processes to protect our intellectual property. We enter into non-disclosure agreements
with certain vendors and suppliers to attempt to ensure the confidentiality of our intellectual property. We also enter into non-disclosure
agreements with our customers. In addition, we require that all our employees sign confidentiality and intellectual property assignment
agreements.

 Raw
Material and Suppliers

 We
procure reagents, equipment and other materials that we use to perform our tests from sole suppliers. We also purchase components used
in our collection kits from sole-source suppliers. Some of these items are unique to these suppliers and vendors. Our most significant
suppliers for reagents and supplies include Thermo Fisher Scientific Inc., Illumina, Inc., Qiagen N.V., and F. Hoffmann-La Roche AG.
While we have developed alternate sourcing strategies for most of these materials and vendors, we cannot be certain whether these strategies
will be effective or the alternative sources will be available when we need them. If these suppliers can no longer provide us with the
materials we need to perform the tests and for our collection kits, if the materials do not meet our quality specifications or are otherwise
unusable, if we cannot obtain acceptable substitute materials, or if we elect to change suppliers, an interruption in test processing
could occur, we may not be able to deliver patient reports and we may incur higher one-time switching costs. Any such interruption may
significantly affect our future revenue, cause us to incur higher costs, and harm our customer relationships and reputation. In addition,
in order to mitigate these risks, we maintain inventories of these supplies at higher levels than would be the case if multiple sources
of supply were available. If our test volume decreases or we switch suppliers, we may hold excess lab supplies with expiration dates
that occur before use which would adversely affect our losses and cash flow position. As we introduce any new test, we may experience
supply issues as we ramp test volume.

 Government
Regulations and Industry Guidelines

 The
healthcare industry, and thus our business, is subject to extensive Federal, State, local and foreign regulation. Both Federal and State
governmental agencies continue to subject the healthcare industry to intense regulatory scrutiny, including heightened civil and criminal
enforcement efforts. We believe that we have structured our business operations and relationships with our customers to comply with applicable
legal requirements. However, it is possible that governmental entities or other third parties could interpret these laws differently
and assert otherwise. We discuss below the statutes and regulations that are most relevant to our business and most frequently cited
in enforcement actions.

 Regulations
over Our Clinical Laboratory

 The
conduct and provision of our services are regulated under the CLIA. CLIA requires us to maintain Federal certification. CLIA imposes
requirements relating to test processes, personnel qualifications, facilities and equipment, recordkeeping, quality assurance and participation
in proficiency testing. CLIA compliance and certification are also a condition for participation by clinical laboratories in the Medicare
Program and for eligibility to bill for services provided to governmental healthcare program beneficiaries. As a condition of CLIA certification,
our laboratory is subject to survey and inspection every other year, in addition to being subject to additional random inspections. The
biennial survey is typically conducted by a State agency, or, if the laboratory is accredited, a CMS-approved accreditation organization.
Potential sanctions for failure to meet these certification, accreditation and licensure requirements include suspension, revocation
or limitation of a laboratory's CLIA certification, accreditation or license, which is necessary to conduct business, cancellation
or suspension of the laboratory's ability to receive Medicare or Medicaid reimbursement, as well as imposition of plans to correct
deficiencies, injunctive actions and civil monetary and 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 harm
our business.

 In
addition to CLIA requirements, we participate in the accreditation program of the College of American Pathologists ("CAP").
Under CMS requirements, accreditation by CAP is sufficient to satisfy the requirements of CLIA. Failure to maintain CAP accreditation
could have a material adverse effect on the sales of our tests and the results of our operations.

 In
addition to CLIA certification, we are required to hold state licenses in certain states. Some state licensing requirements differ from
federal regulation and may impose additional or different requirements. CLIA does not preempt state laws that are more stringent. If
we were to lose our CLIA certification, CAP Accreditation, or required state licenses for our laboratory, whether as a result of revocation,
suspension or limitation, we would no longer be able to provide our services, which would have a material adverse effect on our business,
financial condition and results of operations.

 Our
laboratory is also subject to licensing and regulation under Federal, State and local laws relating to hazard communication and employee
right-to-know regulations, and the safety and health of laboratory employees. Additionally, our laboratory is subject to applicable Federal
and State laws and regulations and licensing requirements relating to the handling, storage and disposal of hazardous waste and laboratory
specimens, including the regulations of the Environmental Protection Agency, the Department of Transportation, and the National Fire
Protection Agency. The regulations of the United States Department of Transportation, Public Health Service and Postal Service apply
to the surface and air transportation of laboratory specimens. Typically, we use outside vendors who are contractually obligated to comply
with applicable laws and regulations to dispose of hazardous waste. These vendors are licensed or otherwise qualified to handle and dispose
of such waste.

 In
addition to its comprehensive regulation of safety in the workplace, the United States Occupational Safety and Health Administration
has established extensive requirements relating to workplace safety for healthcare employers whose workers may be exposed to blood-borne
pathogens such as HIV and the hepatitis B virus, by preventing or minimizing any exposure through needle stick or similar penetrating
injuries. Although we believe that we are currently in compliance in all material respects with such Federal, State and local laws, failure
to comply with such laws could subject us to denial of the right to conduct business, fines, criminal penalties and other enforcement
actions.

 Potential
U.S. Food and Drug Administration Regulation of Laboratory Developed Tests ("LDTs")

 While
subject to oversight by CMS through its enforcement of CLIA, the FDA has claimed regulatory authority over all laboratories that produce
LDTs, a type of in vitro diagnostic test that is designed, manufactured and used within a single laboratory. The FDA has regulatory responsibility
over, among other areas, instruments, test kits, reagents and other devices used in clinical laboratories to perform diagnostic testing
in the United States.

 Historically,
the FDA has exercised enforcement discretion over most LDTs. However, in July 2014, the FDA issued two draft guidance documents: "Framework
for Regulatory Oversight of Laboratory Developed Tests," which provided an overview of how the FDA would regulate LDTs through
a risk-based framework, and "FDA Notification and Medical Device Reporting for Laboratory Developed Tests," which described
how FDA would implement a proposed notification process applicable to LDT manufacturers, including adverse event reporting.

 On
January 13, 2017, the FDA released a discussion paper on LDTs which outlined a substantially-revised approach for regulating LDTs. According
to the 2017 discussion paper, previously marketed LDTs would not be expected to comply with most or all FDA oversight requirements (grandfathering),
except for adverse event and malfunction reporting. Since many LDTs currently on the market would be grandfathered in, pre-market review
of new and significantly modified LDTs could be phased-in over a four-year period, as opposed to the nine years proposed in the Framework
for Regulatory Oversight draft guidance. In addition, tests introduced after the effective date, but before their phase-in date, could
continue to be offered during pre-market review.

 The
discussion paper notes that FDA will focus on analytical and clinical validity as the basis for marketing authorization. The evidence
of the analytical and clinical validity of all LDTs would be made publicly available. Laboratories developing LDTs would be encouraged
to submit prospective change protocols in their pre-market submission that outline specific types of anticipated changes, the procedures
that will be followed to implement them and the criteria that will be met prior to implementation.

 On
September 29, 2023, the FDA published a proposed rule on LDTs, in which FDA proposes to end enforcement discretion for virtually all
LDTs in five stages over a four-year period from the date FDA publishes a final rule. In Phase 1 (effective one year post-finalization),
laboratories would be required to comply with medical device (adverse event) reporting and correction/removal reporting requirements.
In Phase 2 (effective two years post-finalization), laboratories would be required to comply with all other device requirements ( e.g.,
registration/listing, labeling, investigational use), except for quality systems and premarket review. In Phase 3 (effective three years
post-finalization), laboratories would be required to comply with quality systems requirements. In Phase 4 (effective three and a half
years post-finalization, but not before October 1, 2027), laboratories would be required to comply with premarket review requirements
for high-risk tests ( i.e., tests subject to premarket approval (PMA) requirement). Finally, in Phase 5 (effective four years post-finalization,
but not before April 1, 2028), laboratories would be required comply with premarket review requirements for moderate- and low-risk tests
( i.e., tests subject to de novo or 510(k) requirement). Unlike previous proposals, the proposed rule does not "grandfather"
existing tests. The content and timing of any final rule on LDTs is uncertain at this time.

 Despite
the regulatory approaches proposed over the past decade, FDA currently exercises enforcement discretion over most LDTs. If FDA ceases
to exercise enforcement discretion over LDTs, failure to comply with applicable requirements could result in warning letters, civil monetary
penalties, injunctions, criminal prosecution, recall or seizure, operating restrictions, partial suspension or total shutdown of operations,
and denial of or challenges to applications for clearance or approval, as well as significant adverse publicity.

 Regulatory
and legislative proposals have been introduced alongside FDA's regulatory proposals. In March 2017, members of Congress posted
a discussion draft of "The Diagnostics Accuracy and Innovation Act" (DAIA). The discussion draft included language that,
if enacted, would have established a new regulatory framework for the oversight of in vitro clinical tests ("IVCTs") which
include LDTs. In March 2020, members of Congress introduced "The Verifying Accurate, Leading-edge IVCT Development (VALID) Act."
This bill was re-introduced in substantially similar forms over the years, and, most recently in March 2023. Under the most recent version
of the VALID Act, a risk-based approach would be used to regulate IVCTs while grandfathering many existing IVCTs. Each test will be classified
as high-risk, moderate-risk, or low-risk. Pre-market review will be required for high-risk tests. To market a high-risk IVCT, reasonable
assurance of analytical and clinical validity for the intended use must be established. Under VALID, a precertification process would
be established which will allow a laboratory to establish that the facilities, methods, and controls used in the development of certain
IVCTs meet quality system requirements. If pre-certified, IVCTs falling within the scope of a certification order will not be subject
to pre-market review. The new regulatory framework will include quality control and post-market reporting requirements. The FDA will
have the authority to withdraw from the market IVCTs if there is a reasonable likelihood that such tests will cause death or serious
adverse health consequences (among other criteria). Failure to comply with applicable regulatory requirements can result in enforcement
action by the FDA, such as fines, product suspensions, warning letters, recalls, injunctions and other civil and criminal sanctions.

 Whether
via statute, regulation, or sub-regulatory action, any FDA effort to end enforcement discretion for LDTs is likely to continue to be
met with resistance by certain sections of industry. We cannot predict if September 2023 proposed rule, VALID (or any other bill or proposal)
will be finalized in its current (or any other) form and cannot quantify the effect of such proposals on our business.

 Healthcare,
Fraud, Abuse and Anti-Kickback Laws

 The
Anti-Kickback Statute makes it a felony for a person or entity, including a laboratory, to knowingly and willfully offer, pay, solicit
or receive remuneration, directly or indirectly, in order to induce business that is reimbursable under any Federal healthcare program.
A violation of the Anti-Kickback Statute may result in imprisonment of up to 10 years and fines of up to $100,000 for each violation,
or both. Convictions under the Anti-Kickback Statute result in mandatory exclusion from federal health care programs, generally for a
minimum of five years. In addition, HHS has the authority to impose civil assessments and fines and to exclude healthcare providers and
others engaged in prohibited activities from Medicare, Medicaid and other federal healthcare programs. Actions, which violate the Anti-Kickback
Statute, also incur liability under the Federal False Claims Act, discussed in more detail below, which prohibits, among other things,
knowingly presenting, or causing to be presented, a false or fraudulent claim for payment to the U.S. Government.

 Although
the Anti-Kickback Statute applies only to federal health care programs, a number of states have passed statutes substantially similar
to the Anti-Kickback Statute, which prohibits similar conduct toward other payers, including some that apply to all other health plans
and third-party payers. Federal and state law enforcement authorities scrutinize arrangements between healthcare providers and potential
referral sources to ensure that the arrangements are not designed as a mechanism to improperly induce patient care referrals or induce
the purchase or prescribing of particular products or services. The law enforcement authorities, the courts and Congress have also demonstrated
a willingness to look behind the formalities of a transaction to determine the underlying purpose of payments between healthcare providers
and actual or potential referral sources. Several courts have taken a broad interpretation of the scope of the Anti-Kickback Statute,
holding that the statute may be violated if merely one purpose of a payment arrangement is to induce referrals for or purchases of items
or services reimbursable by federal health care programs.

 In
addition to the Anti-Kickback Statute, the U.S. enacted the Eliminating Kickbacks in Recovery Act of 2018, or EKRA, as part of the
Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). EKRA
is an all-payer anti-kickback law that makes it a criminal offense to, among other things, pay any remuneration to induce referrals
to, or in exchange for an individual using the services of a recovery home, a substance use clinical treatment facility, or
laboratory. Although it appears that EKRA was intended to reach patient brokering and similar arrangements to induce patronage of
substance use recovery and treatment, the language in EKRA is broadly written. The term "laboratory" is defined broadly
and without reference to any connection to substance use disorder treatment. EKRA is a criminal statute and violations can result in
fines of up to $200,000, up to 10 years in prison, or both, per violation. As drafted, EKRA does not clearly protect incentive
compensation to sales employees, a practice that is common in the industry. The government has not issued or proposed regulations or
other guidance interpreting EKRA.

 Several
other healthcare fraud and abuse laws could have an effect on our business. For example, provisions of the Social Security Act permit
Medicare and Medicaid to exclude an entity that charges the federal healthcare programs substantially in excess of its usual charges
for its services. The terms "usual charge" and "substantially in excess" are ambiguous and subject to varying
interpretations. Further, the Federal False Claims Act, discussed in more detail below, prohibits, among other things, a person from
knowingly submitting a claim, making a false record or statement in order to secure payment or retaining an overpayment by the federal
government. In addition to actions initiated by the government itself, the statute authorizes actions to be brought on behalf of the
federal government by a private party, known as a relator, having knowledge of the alleged fraud. Because the complaint is initially
filed under seal, the action may be pending for some time before the defendant is even aware of the action. If the government is ultimately
successful in obtaining redress in the matter or if the relator succeeds in obtaining redress without the government's involvement,
then the relator will receive a percentage of the recovery. Penalties under the federal False Claims Act can include up to three times
the damages sustained by the federal program and up to almost $14,000 and $28,000 per claim (these per-claim penalties are adjusted for
inflation from time to time). Further, numerous states have enacted state false claims acts that apply to state government programs.
Finally, the Social Security Act includes its own provisions that prohibit the filing of false claims or submitting false statements
in order to obtain payment. Violation of these provisions may result in fines, imprisonment or both, and possible exclusion from Medicare
or Medicaid programs.

 We
are also subject to the federal physician self-referral prohibitions, commonly known as the Stark Law, and state equivalents. These restrictions
generally prohibit us from billing a patient or Medicare for any clinical laboratory services and certain other "designated health
services," when the physician ordering the service, or any member of such physician's immediate family, has an investment
interest in or compensation arrangement with us, unless the arrangement meets an exception to the prohibition. The government has also
claimed in FCA litigation that the Stark Law applies to Medicaid claims. Some states have also enacted state Stark Law equivalents that
can apply, for example, to that state's Medicaid plan and/or commercial payors.

 Persons
or entities found to violate the Stark Law are required to refund any payments received pursuant to a referral prohibited by these laws
to the patient, or the Medicare program, as applicable. Sanctions for a violation of the Stark Law include the following:

 denial
 of payment for the services provided in violation of the prohibition;

 refunds
 of amounts collected by an entity in violation of the Stark Law;

 a
 civil penalty of up to $29,899 for each service arising out of the prohibited referral;

 possible
 exclusion from federal healthcare programs, including Medicare and Medicaid; and

 a
 civil penalty of up to $199,338 against parties that enter into a scheme to circumvent the Stark Law's prohibition.

 These
penalty amounts are adjusted each year for inflation. The Stark Law prohibitions apply regardless of the reasons for the financial relationship
and the referral. No finding of intent to violate the Stark Law is required for a violation. In addition, violations of the Stark Law
may also serve as the basis for liability under the Federal False Claims Act.

 Additionally,
the Federal Civil Monetary Penalties Law prohibits, among other things, the offering or transfer of remuneration to a Medicare or state
healthcare program beneficiary if the person knows or should know it is likely to influence the beneficiary's selection of a particular
provider, practitioner, or supplier of services reimbursable by Medicare or a state healthcare program, unless an exception applies.

 We
do retain healthcare practitioners as key opinion leaders providing consultation in various aspects of the business. These arrangements,
as any arrangement that includes compensation to a healthcare provider may trigger Federal or State anti-kickback, Stark Law, and other
fraud and abuse liability. Our arrangements with healthcare providers are designed to meet available safe harbors and exceptions provided
in the anti-kickback laws and Stark laws and other relevant laws or otherwise comply with such laws. There is no guarantee that the government
will find that these arrangements are designed properly or that they do not trigger liability. Under existing laws, all arrangements
must have a legitimate purpose and compensation must be fair market value. These terms require some subjective analysis. Safe harbors
in the anti-kickback laws do not necessarily equate to exceptions in the Stark Law; and there is no guarantee that the government will
not have issue with the relationships between the laboratories and the healthcare providers.

 HIPAA,
Fraud and Privacy Regulations

 The
Federal government's efforts to combat fraud in the healthcare setting were consolidated and strengthened under Public Law 104-191,
the Health Insurance Portability and Accountability Act of 1996, or HIPAA. HIPAA aimed to combat fraud committed against all health plans,
both public and private by, among other things creating two new Federal offenses: healthcare fraud (18 U.S. Code § 1347) and false
statements relating to healthcare matters (18 U.S. Code § 1035). These provisions prohibit: (1) the knowing and willful execution,
or attempted execution, of a scheme or artifice (a) to defraud any healthcare benefit program (including private payers), or (b) to obtain,
by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody
or control of, any health care benefit program, in connection with the delivery of or payment for healthcare benefits, items, or services;
and (2) the knowing and willful (a) falsification, concealment or covering up of a material fact by any trick, scheme or device, or (b)
making of any materially false, fictitious or fraudulent statement or representation, or making or using any materially false writing
or document knowing the same to contain any materially false, fictitious, or fraudulent statement or entry, in connection with the delivery
of or payment for healthcare benefits, items or services. A violation of these provisions is a felony and may result in fines, imprisonment
and/or exclusion from government-sponsored programs.

 HIPAA,
along with the Health Information Technology for Economic and Clinical Health Act (HITECH) and the various regulations promulgated thereunder,
also establish uniform standards governing the conduct of certain electronic healthcare transactions and the security and privacy of
individually identifiable health information maintained or transmitted by certain healthcare providers, health plans and healthcare clearinghouses,
which are referred to as "covered entities," as well as individuals or entities to the extent they use such individually
identifiable health information perform functions as a "business associate" for or on behalf of a covered entity. Individually
identifiable health information maintained by covered entities and business associates is referred to as "protected health information"
or "PHI." The regulations promulgated under HIPAA governing covered entities and business associates include the following
subparts: "Privacy of Individually Identifiable Health Information", which establishes conditions for the permissible use
and disclosure of protected health information by covered entities and establishes certain rights of individuals who are the subject
of such information (45 C.F.R. §§ 164.500, et seq.); "Administrative Requirements", which establishes electronic
standards for common healthcare transactions, such as claims information, plan eligibility, payment information and the use of electronic
signatures (45 C.F.R. §§ 162.100, et seq.); "Security Standards for the Protection of Electronic Protected Health Information",
which requires covered entities and their business associates to implement and maintain certain security measures to safeguard certain
electronic protected health information (45 C.F.R. §§ 164.302, et seq.); and "Notification in the Case of Breach of Unsecured
Protected Health Information", which requires business associates to provide certain notifications to covered entities and covered
entities to provide certain notifications to affected individuals, HHS and, in some cases, relevant media outlets following a breach
of unsecured protected health information (45 C.F.R. §§ 164.400, et seq.). As a covered entity, and also in our capacity as
a business associate to certain of our customers, we are subject to these standards. We may also be liable for violations of HIPAA by
any individual or entity, which may include a business associate, that is acting as our agent under the federal common law of agency.
While the government intended this legislation to reduce administrative expenses and burdens for the healthcare industry, our compliance
with certain provisions of these standards entails significant costs for us and requires us to follow specific policies and procedures
when we use and disclose protected health information. If we are found to be in violation of HIPAA, HITECH, or their respective implementing
regulations, we may be subject to potentially significant penalties, including civil and criminal penalties, damages and fines, and may
incur damage to our reputation. Such enforcement actions could have an adverse effect on our business.

 In
addition to Federal regulations issued under HIPAA and HITECH, many states have enacted privacy and security statutes or regulations
regarding individually identifiable health information that, in some cases, are more stringent than those issued under HIPAA and HITECH.
In those cases, it may be necessary to modify our planned operations and procedures to comply with the more stringent laws as HIPAA and
HITECH do not preempt state laws to the extent such state laws are broader in scope, impose more stringent requirements for individually
identifiable health information, or give individuals more rights with respect to their individually identifiable health information.
If we fail to comply with applicable state laws, rules, or regulations, we could be subject to additional sanctions or other liabilities
under those laws, rules, and regulations.

and State Consumer Protection Laws

 The
Federal Trade Commission, or FTC, is an independent U.S. law enforcement agency charged with protecting consumers and enhancing competition
across broad sectors of the economy. In 2022, the FTC has said that it will be evaluating new data privacy regulations, which, if adopted,
could impact our operations. The FTC's authority with respect to data privacy and security comes from Section 5 of the FTC Act.
The FTC uses its broad grant of authority to regulate data privacy and security, using its powers to investigate and bring lawsuits.
Where appropriate, the FTC can seek a variety of remedies, such as but not limited to requiring the implementation of comprehensive privacy
and security programs, biennial assessments by independent experts, monetary redress to consumers, and provision of robust notice and
choice mechanisms to consumers.

 In
addition to the FTC Act, many U.S. states have unfair and deceptive acts and practices statutes, known as UDAP statutes, that are substantively
similar to the FTC Act and have been applied in the privacy and data security context. These UDAP statutes vary in substance and strength
from state to state. Many have broad prohibitions against unfair and deceptive acts and practices. These statutes generally allow for
private rights of action, and are enforced by the states' Attorneys General.

 More
than a dozen states have adopted comprehensive consumer privacy laws that are in effect or will take effect within the next 12 to 24
months, and regulate how certain for-profit businesses collect, use, and disclose the personal information of consumers who reside in
each respective state. While the specific consumer rights vary from state-to-state, generally these laws confer to consumers in the state
the right to: receive notice of information collection and use practices; access, delete, correct, or transfer personal information and
opt out of the "sale" of their personal information or the use of their information for targeted advertising. These laws
also require companies to adopt reasonable measures to safeguard the personal information that is collected and regulate categories of
"sensitive" data such as information associated with minors, citizenship, and other personal data for which these state laws
have designated special protection. These laws do not, however, apply to personal information that constitutes PHI under HIPAA, de-identified
data as defined under HIPAA or in some instances, HIPAA-regulated entities. As a result, we do not or likely will not have compliance
obligations with respect to most testing and patient information we collect and process. However, we are required to comply with these
consumer privacy laws insofar as we collect other categories of consumers' personal information, for example from website visitors.
These state consumer privacy laws are generally enforced by the respective state Attorney General. California's law also includes
a private right of action for certain data breaches.

 Washington
State has passed the My Health My Data Act or MHMDA, which comes into effect on March 31, 2024. MHMDA regulates consumer health data
that is not otherwise subject to HIPAA. The definition of "consumer health data" is broad and applies to a variety of health-related
information including non-health information that is used to infer some aspect of current or future medical conditions. MHMDA requires
additional transparency requirements related to how companies handle non-HIPAA covered health data as well as additional technical safeguards
for "consumer health data." MHMDA also requires that companies obtain the consent of individuals for certain uses of their
"consumer health data." MHMDA also gives Washington residents a variety of rights, similar to those in the state consumer
privacy laws discussed above, and related to the resident's "consumer health data." Unlike the consumer state laws,
MHMDA includes a private right of action. Should the company become subject to an action brought under MHMDA, it could have an impact
on our operations. Nevada and Connecticut has passed substantially similar consumer privacy health laws that have or will come into effect
in 2024. However, the Nevada and Connecticut laws do not include a private right of action.

 Dozens
of other states in the United States are currently considering similar, consumer data privacy laws, which could impact our operations
if enacted.

 Healthcare
Reform

 The
United States and many foreign jurisdictions have enacted or proposed legislative and regulatory changes affecting the healthcare system.
The United States government, state legislatures and foreign governments also have shown significant interest in implementing cost-containment
programs to limit the growth of government-paid healthcare costs, including price controls, restrictions on reimbursement and requirements
for substitution of generic products for branded prescription drugs.

 In
March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, or PPACA (also known as the Affordable Care
Act), as amended by the Health Care and Education Reconciliation Act, a sweeping law intended to broaden access to health insurance and
coverage for patients, reduce or constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency
requirements for healthcare and health insurance industries, impose new taxes and fees on the health industry, coordinate and promote
research on comparative clinical effectiveness of different technologies and procedures, and impose additional health policy reforms.
PPACA, as well as other healthcare reform measures that have been and may be adopted in the future, may result in more rigorous coverage
criteria, new payment methodologies and in additional downward pressure on pricing and implemented changes which significantly affect
the pharmaceutical, medical device and clinical laboratory industries. There have been legislative and administrative actions to make
changes to PPACA, including repeal and replacement of certain provisions.

 The
PPACA has also been subject to challenges in the courts; however, the U.S. Supreme Court most recently upheld the surviving elements
of the law in 2021.

 Further
changes to the PPACA remain possible, although the Biden Administration has signaled that it plans to build on the Affordable Care Act
and expand the number of people who are eligible for subsidies under it. President Biden has used executive orders to undo changes to
the PPACA made by the Trump administration and indicated he would advocate for legislation to build on the PPACA. It is unknown what
form any such changes or any law would take, and how or whether it may affect our business in the future. We expect that changes or additions
to the PPACA, the Medicare and Medicaid programs, and changes stemming from other healthcare reform measures, especially with regard
to healthcare access, financing or other legislation in individual states, could have a material adverse effect on the healthcare industry.

 We
expect that additional federal, state and foreign healthcare reform measures will be adopted in the future, any of which could limit
the amounts that federal and state governments will pay for healthcare products and services, which could result in limited coverage
and reimbursement and reduced demand for our products, once approved, or additional pricing pressures.

 Third
Party Coverage and Reimbursement for our Clinical Services

 Our
customers' bills are paid by many different payer groups. The majority of reimbursement dollars for traditional laboratory services
are provided by traditional commercial insurance products, most notably preferred provider organizations, or PPOs, and other managed
care plans, as well as government healthcare programs, such as Medicare and Medicaid. PPOs, HMOs and other managed care plans typically
contract with a limited number of laboratories and then designate the laboratory or laboratories to be used for tests ordered by participating
physicians. We are currently an out-of-network provider with most payers, which means we do not have a contract with payers to pay a
specific rate for our tests. We are subject to applicable state laws regarding who should be billed, how they should be billed, how business
should be conducted, and how patient obligations regarding cost sharing should be handled. In addition, if we become an "in-network"
provider for certain payers in the future, we will also be subject to the terms of contracts (which could include reduced reimbursement
rates) and may be subject to discipline, breach of contract actions, non-renewal or other contractually provided remedies for non-compliance
with the contract's requirements and/or applicable laws.

 We
generally bill third-party payers and individual patients for testing services on a test-by-test basis. Third-party payers include Medicare,
private insurance companies, institutional direct clients and Medicaid, each of which has different billing requirements. Medicare reimbursement
programs are complex and often ambiguous, and are continuously being evaluated and modified by CMS. Our ability to receive timely reimbursements
from third-party payers is dependent on our ability to submit accurate and complete billing statements, and/or correct and complete missing
and incorrect billing information. Missing and incorrect information on reimbursement submissions slows down the billing process and
increases the aging of accounts receivable. We must bill Medicare directly for tests performed for Medicare patients and must accept
Medicare's fee schedule for the covered tests as payment in full. State Medicaid programs are generally prohibited from paying
more than the Medicare fee schedule. Since 2021, we have been contracted with XIFIN, Inc. ("XIFIN"), a healthcare billing
services management company, to help manage our third-party billing.

 Some
billing arrangements require us to bill multiple payers, and there are several other factors that complicate billing (e.g., disparity
in coverage and information requirements among various payers; and incomplete or inaccurate billing information provided by ordering
physicians). Several private payers have implemented pre-authorization requirements for molecular and genetic testing, including Anthem
Blue Cross Blue Shield and United Healthcare, as well as various lab benefit companies such as American Imaging Management, Inc., or
AIM, and Beacon Lab Benefits Solutions, or Beacon. In addition, more commercial payers are contracting with and delegating risk for lab
services costs to lab benefits management companies (e.g. eviCore healthcare, AIM, and Beacon). This requires us to go through their
technology assessment process to secure coverage and obtain a contract as an in-network lab provider for our services. We incur additional
costs as a result of our participation in Medicare and Medicaid programs because diagnostic testing services are subject to complex,
stringent and frequently ambiguous federal and state laws and regulations, including those relating to coverage, billing and reimbursement.
Additionally, auditing for compliance with applicable laws and regulations as well as internal compliance policies and procedures adds
further cost and complexity to the billing process. Further, our billing systems require significant technology investment and, as a
result of marketplace demands, we need to continually invest in our billing systems. Changes in laws and regulations could further complicate
our billing and increase our billing expense. CMS establishes procedures and continuously evaluates and implements changes to the reimbursement
process and requirements for coverage.

 As
an integral part of our billing compliance program, we investigate reported failures or suspected failures to comply with federal and
state healthcare reimbursement requirements. Any Medicare or Medicaid overpayments are reimbursed by us. As a result of these efforts,
we have periodically identified and reported overpayments, reimbursed the payers for overpayments and taken appropriate corrective action.

 Historically,
due to the nature of our business, we have performed requested testing and have reported test results regardless of collectability or
form of reimbursement. We submit claims for reimbursement on a best efforts basis including the use of a third-party revenue cycle management
firm. If at times the billing information is incorrect or incomplete, we subsequently attempt to contact the healthcare provider or patient
to obtain any missing information and to rectify incorrect billing information. Missing or incorrect information on requisitions complicates
and slows down the billing process and may also impact revenue recognition. The increased use of electronic ordering reduces the incidence
of missing or incorrect information, and we are seeking to electronically integrate with more and more payers and clients.

 There
are a number of factors that influence coverage and reimbursement for molecular diagnostic tests. In the United States, the American
Medical Association assigns specific CPT codes, which are necessary for reimbursement of molecular diagnostic tests. Once the CPT code
is established, CMS establishes reimbursement payment levels and coverage rules under Medicare, and private payers establish rates and
coverage rules independently. However, the availability of a CPT code is not a guarantee of coverage or adequate reimbursement levels,
and the revenues generated from our tests will depend, in part, on the extent to which third-party payers provide coverage and establish
adequate reimbursement levels.

 United
States and other government regulations governing coverage and reimbursement for molecular diagnostic testing may affect, directly or
indirectly, the design of our tests and the potential market for their use. The availability of third-party reimbursement for our tests
and services may be limited or uncertain. Third-party payers may deny coverage if they determine that the tests or service has not received
appropriate FDA or other government regulatory clearances, is not used in accordance with cost-effective treatment methods as determined
by the payer, or is deemed by the third-party payer to be experimental, unnecessary or inappropriate. Furthermore, third-party payers,
including Federal and State healthcare programs, government authorities, private managed care providers, private health insurers and
other organizations, frequently challenge the prices, medical necessity, and cost-effectiveness of healthcare products and services,
including laboratory tests. Such payers may limit coverage of our tests to specific, limited circumstances, may not provide coverage
at all, or may not provide adequate reimbursement rates, if covered. Further, one payer's determination to provide coverage does
not assure that other payers will also provide coverage for the test. Adequate third-party reimbursement may not be available to enable
us to maintain price levels sufficient to maintain our revenue and growth. Coverage policies and third-party reimbursement rates may
change at any time.

 Government
payers, such as Medicare and Medicaid, have taken steps and are expected to continue to take steps to control the cost, utilization and
delivery of healthcare services, including clinical test services. For example, Medicare has adopted policies under which it does not
pay for many commonly ordered clinical tests unless the ordering physician has provided an appropriate diagnosis code supporting the
medical necessity of the test. Physicians are required by law to provide diagnostic information when they order clinical tests for Medicare
and Medicaid patients.

 Currently,
Medicare does not require the beneficiary to pay a co-payment for diagnostic information services reimbursed under the Clinical Laboratory
Fee Schedule. Certain Medicaid programs require Medicaid recipients to pay co-payment amounts for diagnostic information services.

 The
Medicare Part B program contains fee schedule payment methodologies for clinical testing services performed for covered patients. Historically,
the Medicare Clinical Laboratory Fee Schedule, or CLFS, has been subject to local variations in pricing. In April 2014, President Obama
signed the Protecting Access to Medicare Act of 2014, or PAMA, which included a substantial new payment system for clinical laboratory
tests under the CLFS. Under PAMA, CLFS rates are based upon the weighted median of private payor rates reported for each type of laboratory
test. PAMA requires laboratories that receive a majority of their Medicare revenue from payments made under the CLFS and the Physician
Fee Schedule, and at least $12,500 in CLFS revenue during the six month data collection period to report private payor data collected
from such 6-month period (January 1 through June 30 in the applicable year) to CMS between January 1 through March 31 of the following
year. CMS posted the first new Medicare CLFS rates (based on weighted median private payer rates) in November 2017 and the new rates
became effective on January 1, 2018. CMS published final rules implementing these changes in 2016 and 2018. The result of the PAMA calculations
was an increase in our reimbursement rate for ThyGenX of approximately 40% for our Medicare volume. However, on July
26, 2018, we received a coding update from CMS, which changed the billable procedure code (CPT) for ThyGeNEXT. This code
change resulted in a reduction of the fee schedule for payments to us. We have recently presented clinical data to CMS adding additional
markers to the panel that we run that increase our gene families above 50. If approved, reimbursement for the new panel will exceed the
previously approved rate. There can be no assurances that our request will be successful and that the rate will be escalated.

 PAMA,
as amended by the Protecting Medicare and American Farmers from Sequester Cuts Act, among other laws, revised payment reductions and
the data reporting schedule for approved Clinical Diagnostic Laboratory Tests ("CDLTs") that are not ADLTs. Under these laws,
the next data reporting period is January 1, 2025 through March 31, 2025, and will be based upon the data collected during the January
1, 2019 to June 30, 2019 period. Any reductions to payment rates resulting from the new methodology are limited to 10% per test per year
in each of the years 2018 through 2020 and to 15% per test per year in each of the years 2025 through 2027. Payments will not be reduced
for 2021-2024 for CDLTs.

 Under
the revised Medicare Clinical Laboratory Fee Schedule, reimbursement for clinical laboratory testing was reduced for most tests in 2018,
2019, and 2020. PAMA (as amended) calls for further revisions of the Medicare Clinical Laboratory Fee Schedule for years after 2024,
based on surveys of market rates.

 Penalties
for violations of laws relating to billing government healthcare programs and for violations of federal and state fraud and abuse laws
include: (1) exclusion from participation in Medicare/Medicaid programs; (2) asset forfeitures; (3) civil and criminal fines and penalties;
and (4) the loss of various licenses, certificates and authorizations necessary to operate our business. Civil monetary penalties for
a wide range of violations may be assessed on a per violation basis. A parallel civil remedy under the federal False Claims Act provides
for penalties on a per violation basis, plus damages of up to three times the amount claimed.

 Historically,
most Medicare and Medicaid beneficiaries were covered under the traditional Medicare and Medicaid programs administered by the federal
government. Reimbursement from traditional Medicare and Medicaid programs represented approximately 51% and 45% of our consolidated net
revenues during 2023 and 2022, respectively. Over the last several years, the federal government has continued to expand its contracts
with private health insurance plans for Medicare beneficiaries and has encouraged such beneficiaries to switch from the traditional programs
to the private programs, called "Medicare Advantage" programs. There has been growth of health insurance providers offering
Medicare Advantage programs and of beneficiary enrollment in these programs. Commercial health plans that might not cover one or all
of our tests for their commercially insured members are required to follow the Novitas LCD coverage policy for their Medicare Advantage
members. To the extent we maintain the LCD coverage policies with Novitas for our products, any shift of members from traditional Medicare
to Medicare Advantage plans doesn't represent a risk of lost revenue. In recent years, in an effort to control costs, states also
have mandated that Medicaid beneficiaries enroll in private managed care arrangements.

 The
current position of our laboratory is that it does not meet the definition of an "Applicable Manufacturer" under the "Sunshine
Act" section of PPACA and therefore is not subject to the disclosure requirements contained in PPACA. However, as new regulations
are implemented and diagnostic tests reclassified, this may change and the laboratory business may be subject to PPACA as are other companies.
There is no guarantee that our interpretation of the law is now or will be in the future consistent with government guidance and interpretation.

 In
December 2019, our Medicare Administrative Contractor (MAC) issued a new draft local coverage determination (LCD) for our ThyGeNEXT
 test, representing an increase of approximately $2,400 per assay over previous reimbursement coverage. This increase in reimbursement
rates reflected the expansion of the ThyGeNEXT panel to aid in identifying the appropriate patients for surgery.

 In
January 2022, the Company announced that CMS issued a new billing policy whereby CMS would no longer reimburse for the use of the Company's
ThyGeNEXT and ThyraMIR tests when billed together by the same provider/supplier for the same beneficiary
on the same date of service. On February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued
a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT (0245U) and
ThyraMIR (0018U) tests has been retroactively reversed to January 1, 2022. CMS was previously reimbursing the Company
for one of its two thyroid tests, and had agreed to retroactively reimburse for the second test once they had completed their internal
administrative adjustments. We were notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be
completed beginning July 1, 2022. As of the date of this filing, the Company has no remaining outstanding collections regarding this
matter and is fully up to date with CMS. Effective January 1, 2023, the gapfill price for ThyGeNEXT was set at $1,266.07.

along with many laboratories, we may be affected by the Proposed LCD DL39365, which is currently under consideration by Novitas. If finalized,
this Proposed LCD, which governs "Genetic Testing for Oncology," could impact the existing Medicare coverage for one of our
molecular tests, PancraGEN. On June 5, 2023 we announced that Novitas issued the final LCD of Genetic Testing for Oncology
(L39365) which if implemented, would have established non-coverage for the Company's widely used PancraGEN test
effective July 17, 2023. On July 6, 2023, Novitas announced that it would not be implementing the final Genetic Testing for Oncology
LCD (L39365) as scheduled on July 17, 2023. Novitas then issued a new, virtually identical proposed LCD affecting the same companies
and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. In response, we participated in
a public meeting presentation and submitted detailed written comments supporting the use of PancraGEN. The timing and
content of any final, implemented LCD is uncertain at this time; the process could potentially take a year or longer from issuance the
updated proposed LCD to reach a conclusion. As a result, we are able to continue offering PancraGEN and the related Point2
 fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas ultimately restricts coverage for the PancraGEN
 test, our liquidity could be negatively impacted.

 Reporting
Segments

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

 Employees

 As
of February 29, 2024, we had 108 full time employees and 108 total employees. We are not party to a collective bargaining agreement with
any labor union.

 Corporate

 We
were originally incorporated in New Jersey in 1986 and began commercial operations as PDI, Inc., a contract sales organization or CSO
in 1987. In connection with PDI, Inc.'s initial public offering, it reincorporated in Delaware in 1998. In 2015 the CSO business
and assets were sold, and we operated our molecular diagnostics business as Interpace Diagnostics Group, Inc. (IDXG). We conduct our
business through our wholly-owned subsidiaries, Interpace Diagnostics, LLC, which was formed in Delaware in 2013 and Interpace Diagnostics
Corporation (formerly known as RedPath Integrated Pathology, Inc.), which was formed in Delaware in 2007, On November 12, 2019, we changed
the name of Interpace Diagnostics Group, Inc. to Interpace Biosciences, Inc. Our executive offices are located at Waterview Plaza, Suite
310, 2001 Route 46, Parsippany, New Jersey 07054. Our telephone number is (855) 776-6419.

 Business
Development

 Series
B Preferred Stock Investment by 1315 Capital and Ampersand

 On
January 10, 2020, we entered into a Securities Purchase and Exchange Agreement (the "Securities Purchase and Exchange Agreement")
with 1315 Capital II, L.P., a Delaware limited partnership ("1315 Capital"), and Ampersand (together with 1315 Capital, the
"Investors") pursuant to which we sold to the Investors, in a private placement pursuant to Regulation D and Section 4(a)(2)
under the Securities Act, an aggregate of $20,000,000 in Series B Preferred Stock, at an issuance price per share of $1,000. Pursuant
to the Securities Purchase and Exchange Agreement, 1315 Capital purchased 19,000 shares of Series B Preferred Stock at an aggregate purchase
price of $19,000,000 and Ampersand purchased 1,000 shares of Series B Preferred Stock at an aggregate purchase price of $1,000,000.

 In
addition, we exchanged $27,000,000 of the Company's existing Series A Preferred Stock held by Ampersand, represented by 270 shares
of Series A Preferred Stock, which represented all of the Company's issued and outstanding Series A Preferred Stock, for 27,000
newly created shares of Series B Preferred Stock (such shares of Series B Preferred Stock, the "Exchange Shares" and such
transaction, the "Exchange"). Following the Exchange, no shares of Series A Preferred Stock remain designated, authorized,
issued or outstanding. Under the terms of the Securities Purchase and Exchange Agreement, Ampersand also agreed to waive all dividends
and weighted-average anti-dilution adjustments accrued to date on the Series A Preferred Stock.

 For
so long as each of Ampersand and 1315 Capital holds at least sixty percent (60%) of the Series B Preferred Stock issued to it on January
15, 2020, such Investor will be entitled to elect two directors to the Board, provided that one of the directors qualifies as an "independent
director" under Rule 5605(a)(2) of the listing rules of the Nasdaq Stock Market (or any successor rule or similar rule promulgated
by another exchange on which the Company's securities are then listed or designated) ("Independent Director"). However,
if at any time such Investor holds less than sixty percent (60%), but at least forty percent (40%), of the Series B Preferred Stock issued
to them on January 15, 2020, such Investor would only be entitled to elect one director to the Board. Any director elected pursuant to
the terms of the Certificate of Designation may be removed without cause by, and only by, the affirmative vote of the holders of Series
B Preferred Stock. A vacancy in any directorship filled by the holders of Series B Preferred Stock may be filled only by vote or written
consent in lieu of a meeting of such holders of Series B Preferred Stock or by any remaining director or directors elected by such holders
of Series B Preferred Stock. As previously disclosed in Current Reports on Form 8-K filed with the SEC on November 16, 2023 and December
12, 2023, Edward Chan, a director designated by 1315 Capital, and Robert Gorman, a director designated by Ampersand, resigned from the
Board on November 15, 2023 and December 7, 2023, respectively. Following these resignations, 1315 Capital and Ampersand have two designated
directors out of the five directors currently serving on the Board.

 The
Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock (the "Certificate of
Designation") provides that each share of Series B Preferred Stock is convertible, at any time and from time to time, at the option
of the holder into a number of shares of our common stock equal to dividing the amount equal to the greater of the stated value of $1,000
of such Series B Preferred Stock, plus any dividends declared but unpaid thereon, or such amount per share as would have been payable
had each such share been converted into our common stock immediately prior to a liquidation, by six dollars ($6.00) (subject to adjustment
in the event of any stock dividend, stock split, combination, or other similar recapitalization affecting such shares). The aggregate
number of shares of our common stock that may be issued through conversion of the currently outstanding Series B Preferred Stock is 7,833,334
shares (subject to appropriate adjustment in the event of any stock dividend, stock split, combination or other similar recapitalization
affecting such shares). On any matter presented to our stockholders for their action or consideration at any meeting of stockholders
of the Company (or by written consent of stockholders in lieu of meeting), each holder of outstanding shares of Series B Preferred Stock
will be entitled to cast the number of votes equal to the number of whole shares of our common stock into which the shares of Series
B Preferred Stock held by such holder are convertible as of the record date for determining stockholders entitled to vote on such matter.
Except as provided by law or by the Certificate of Designation, holders of Series B Preferred Stock will vote together with the holders
of common stock as a single class and on an as-converted to common stock basis.

 The
Series B Preferred Stock entitles the holders thereof to certain protective provisions. In particular, for so long as any shares of Series
B Preferred Stock are outstanding, the written consent of the holders of at least seventy five percent (75%) of the then outstanding
shares of Series B Preferred Stock (voting as a single class) is required for us to amend, waive, alter or repeal the preferences, rights,
privileges or powers of the holders of the Series B Preferred Stock, amend, alter or repeal any provision of the Certificate of Designation
in a manner adverse to the holders of the Series B Preferred Stock, authorize, create or issue any equity securities senior to or pari
passu with the Series B Preferred Stock, or increase or decrease the number of directors constituting the Board. Moreover, for so long
as thirty percent (30%) of the Series B Preferred Stock outstanding as of January 15, 2020 remains outstanding (subject to appropriate
adjustment in the event of any stock dividend, stock split, combination or other similar recapitalization affecting such shares, including
the Reverse Stock Split effected in January 2020), the written consent of the holders representing at least seventy-five percent (75%)
of the of the outstanding shares of Series B Preferred Stock (voting as a single class) is required for us to: (A) authorize, create
or issue any debt securities for borrowed money or funded debt (1) pursuant to which we issue shares, warrants or any other convertible
security, or (2) in excess of $4,500,000 initially, with such amount to be increased in connection with an aggregate consolidated revenue
milestone, but excluding certain specified permitted transactions; (B) merge with or acquire all or substantially all of the assets of
one or more other companies or entities with a value in excess of $20,000,000, to be increased in connection with an aggregate consolidated
revenue milestone; (C) materially change our business; (D) consummate any Liquidation (as defined in the Certificate of Designation);
(E) transfer material intellectual property rights other than in the ordinary course of business; (F) declare or pay any cash dividend
or make any cash distribution on any of our equity interests other than the Series B Preferred Stock; (G) repurchase or redeem any shares
of our capital stock, except for the redemption of the Series B Preferred Stock pursuant to the terms of the Certificate of Designation,
or repurchases of our common stock under agreements previously approved by the Board with employees, consultants, advisors or others
who performed services for us in connection with the cessation of such employment or service; (H) incur any additional individual debt,
indebtedness for borrowed money or other additional liabilities pursuant to we issue shares, warrants or any other convertible security,
or incur any individual debt, indebtedness for borrowed money or other liabilities pursuant to which we do not issue shares, warrants
or any other convertible security exceeding, in each case, $4,500,000 initially, with such amount to be increased in connection with
an aggregate consolidated revenue milestone, but excluding certain specified permitted transactions; (I) change any of our accounting
methods, except for those changes required by GAAP or applicable regulatory agencies or authorities; or (J) conduct a public offering
of common stock registered with the SEC, including any at-the-market offering of our common stock.

 The
holders of our Series B Preferred Stock have preferential rights with respect to distributions upon a liquidation or sale of the Company,
including certain business combinations or sales of assets deemed to be a liquidation. Accordingly, no distributions upon liquidation
may be made to the holders of common stock until the holders of the Series B Preferred Stock have been paid their liquidation preference.
As a result, it is possible that, on a liquidation event (including a sale of the Company) and depending on the price thereof, all amounts
available for the holders of equity of the Company would be paid to the holders of Series B Preferred Stock, and that the holders of
common stock would not receive any payment. Upon any voluntary or involuntary liquidation, dissolution or winding up of the Company or
Deemed Liquidation (as defined in the Certificate of Designation) (a "Liquidation"), the holders of shares of Series B Preferred
Stock then outstanding will be entitled to be paid out of the assets of the Company available for distribution to its stockholders (on
a pari passu basis with the holders of any class or series of preferred stock ranking on liquidation on a parity with the Series B Preferred
Stock), and before any payment will be made to the holders of common stock or any other class or series of preferred stock ranking on
liquidation junior to the Series B Preferred Stock by reason of their ownership thereof, an amount per share of Series B Preferred Stock
equal to the greater of (i) the Stated Value of such share of Series B Preferred Stock, plus any dividends declared but unpaid thereon,
or (ii) such amount per share as would have been payable had each such share been converted into common stock immediately prior to such
Liquidation.

April 2020, the Company applied for various federal stimulus loans, grants and advances made available under Title 1 of the Coronavirus
Aid, Relief, and Economic Security (CARES) Act, including a loan request under the Small Business Administration (SBA) Paycheck Protection
Program (PPP). In connection with the Company's application for the PPP loan, both Ampersand and 1315 Capital consented to, and
agreed to vote their shares of Series B Preferred Stock in favor of any "Fundamental Action" taken by the Company as determined
by the Company's Board of Directors. "Fundamental Actions" include the Company's ability to a) authorize, create
or issue any debt securities for borrowed money or funded debt; b) merge with or acquire all or substantially all of the assets of one
or more other companies or entities with a value in excess of $20 million; c) transfer, by sale, exclusive license or otherwise, material
intellectual property rights of the Company or any of its direct or indirect subsidiaries, other than those accomplished in the ordinary
course of business; d) declare or pay any cash dividend or make any cash distribution on any equity interests of the Company other than
the Series B Shares; e) incur any additional individual debt, indebtedness for borrowed money or other additional liabilities; and f)
change any accounting methods or practices of the Company, except for those changes required by GAAP or applicable regulatory agencies
or authorities. Subsequently, the Company and Ampersand agreed that Ampersand no longer was required to vote its shares of Series B Preferred
Stock in favor of any "Fundamental Action" taken by the Company as determined by the Company's Board of Directors.

 Available

 We
maintain an internet website at www.interpace.com. Our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on
Form 8-K, and amendments to those reports are available free of charge through the "Investor Relations" portion of our website,
as soon as reasonably practicable after they are filed with the SEC. The content contained in, or that can be accessed through, our website
is not incorporated into this Form 10-K.

 ITEM
 1A.

 RISK
 FACTORS

 In
addition to the other information provided in this Annual Report on Form 10-K, including our financial statements and the related notes
in Part II - Item 8, you should carefully consider the following factors in evaluating our business, operations and financial condition.
Additional risks and uncertainties not presently known to us, which we currently deem immaterial or that are similar to those faced by
other companies in our industry or businesses in general, such as competitive conditions, may also impair our business operations. The
occurrence of any of the following risks could have a material adverse effect on our business, financial condition, results of operations
or cash flows.

 Summary
of Risk Factors

 Our
business is subject to numerous risks and uncertainties, discussed in more detail in the following section. These risks include, among
others, the following key risks:

 we
 have a history of operating losses;

 our
 expectations of future revenues, expenditures, capital or other funding requirements;

 our
 reliance on Medicare reimbursement for our clinical services and our being subject to decisions of the Center for Medicare and Medicaid
 Services ("CMS") regarding reimbursement and pricing of our clinical services which could have a material adverse effect
 on our business and financial results;

 our
 ability to continue to perform, bill and receive reimbursement for our PancraGEN molecular test long-term under the
 existing local coverage determination ("LCD"), given that such LCD is currently under review by Novitas, the Company's
 Medicare administrative contractor ("Novitas");

 our
 secured lenders have the right to foreclose on substantially all of our assets if we are unable to timely repay our outstanding obligations;

 our
 dependence on sales and reimbursements from our clinical services for all of our revenue;

 the
 ability to continue to generate sufficient revenue from our clinical service products and other products and/or solutions that we
 develop in the future is important for our ability to meet our financial and other targets;

 our
 ability to finance our business on acceptable terms in the future, which may limit the ability to grow our business, develop and
 commercialize products and services, develop and commercialize new molecular clinical service solutions and technologies;

 our
 obligations to make royalty and milestone payments to our licensors;

 our
 dependence on third parties for the supply of some of the materials used in our clinical services tests;

 the
 potential adverse impact of current and future laws, licensing requirements and governmental regulations upon our business operations,
 including but not limited to the evolving U.S. regulatory environment related to laboratory developed tests ("LDTs"),
 pricing of our tests and services and patient access limitations;

 our
 reliance on our sales and marketing activities for future business growth and our ability to continue to expand our sales and marketing
 activities;

 our
 being subject to the controlling interests of our two private equity investors who control, on an as-converted basis, an aggregate
 of 64.2% of our outstanding shares of common stock through their holdings of our Series B Preferred Stock, and this concentration
 of ownership along with their authority for designation rights for a majority of our directors and their right to approve certain
 of our actions has a substantial influence on our decisions;

 the
delisting of our common stock from Nasdaq has adversely affected and may continue to adversely affect our common stock and business and
financial condition;

 geopolitical
 and other economic and political conditions or events (such as the wars in Ukraine and Israel/Gaza);

 our
 ability to implement our business strategy; and

 the
 potential impact of existing and future contingent liabilities on our financial condition.

 Risks
Related to our Business

 We
face substantial risks due to our operating history of net losses, negative working capital and insufficient cash flows, and lack of
liquidity to pay our current obligations and if we are unable to continue our business, our shares may have little or no value.

 Our
ability to maintain being a profitable operating company is dependent upon our ability to continue to generate revenues and/or obtain
financing adequate to support our cost structure.

 For
the fiscal year ended December 31, 2023, we had operating income from continuing operations of $2.8 million. As of December 31, 2023,
we had cash and cash equivalents of $3.5 million and current liabilities of $17.5 million. We may need to attempt to raise additional
equity capital by selling shares of common stock or other dilutive or non-dilutive means, if necessary. However, investing in our securities
may be an unattractive investment for potential investors. These factors, among others, may make it difficult to raise any additional
capital.

 We
depend on a few payers for a significant portion of our revenue for our clinical services, and if one or more significant payers, including
CMS, stops providing reimbursement or decreases the amount of reimbursement for our tests, or if we are unable to successfully negotiate
additional reimbursement contracts for our clinical services tests, our revenue could decline and our commercial success could be compromised.

 Revenue
for clinical services tests performed on patients covered by Medicare was approximately 51% of our revenue for the fiscal year ended
December 31, 2023. The percentage of our revenue derived from significant payers for our clinical services tests is expected to fluctuate
from period to period as our revenue increases, as additional payers provide reimbursement for such tests, and in the event that one
or more payers were to stop reimbursing for our clinical services tests or change their reimbursement amounts.

 In
January 2022, the Company announced that CMS issued a new billing policy whereby CMS will no longer reimburse for the use of the Company's
ThyGeNEXT and ThyraMIR v2 tests when billed together by the same provider/supplier for the same beneficiary
on the same date of service. On February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued
a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT (0245U) and
ThyraMIR v2 (0018U) tests has been retroactively reversed to January 1, 2022. CMS was reimbursing the Company for one
of its two thyroid tests, and had agreed to retroactively reimburse for the second test once they had completed their internal administrative
adjustments. We were notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be completed beginning
July 1, 2022. As of the date of this filing the Company has no remaining outstanding collections regarding this matter and is fully up
to date with CMS. Effective January 1, 2023, the gapfill price for ThyGeNEXT was set at $1,266.07.

 Novitas
has been and is the current regional MAC that handles claims processing for Medicare services with jurisdiction for PancraGEN,
ThyGeNEXT, ThyraMIR v2, and RespriDx. On a five-year rotational basis, Medicare requests
bids for its regional MAC services. Any future changes in the MAC processing or coding for Medicare claims for our molecular diagnostic
tests could result in a change in the coverage or reimbursement rates for such molecular diagnostic tests, or the loss of coverage.

 Further, along with many laboratories,
we may be affected by the Proposed LCD DL39365, which is currently under consideration by our local Medicare Administrative Contractor,
Novitas. If finalized, this Proposed LCD, which governs "Genetic Testing for Oncology," could impact the existing Medicare
coverage for one of our molecular tests, PancraGEN. On June 5, 2023 we announced that Novitas issued the final LCD of
Genetic Testing for Oncology (L39365) which, if finalized, would have established non-coverage for the Company's widely used PancraGEN
 test effective July 17, 2023. On July 6, 2023, Novitas announced that it would not be implementing the final Genetic Testing for
Oncology LCD (L39365) as scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed LCD affecting the same companies
and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. In response, the Company participated
in a public meeting presentation and submitted detailed written comments supporting the use of PancraGEN. The timing and
content of any final implemented LCD is uncertain at this time; the process could potentially take a year or longer from issuance of the
updated proposed LCD to reach a conclusion. As a result, we are able to continue offering PancraGEN and the related Point2
fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas ultimately restricts coverage for the PancraGEN
test, the Company's liquidity could be negatively impacted.

 Our
PancraGEN, ThyraMIR v2 and ThyGeNEXT tests are reimbursed by Medicare based on applicable
CPT codes. RespriDx is currently only covered by the Medicare Advantage program and our BarreGEN assay
is not reimbursed at all. Any future reductions from the current reimbursement rates for our clinical services tests would have a material
adverse effect on business and results of operations.

 Although
we have entered into contracts with certain third-party payers which establish allowable rates of reimbursement for our clinical services
tests, payers may suspend or discontinue reimbursement at any time, may require or increase co-payments from patients, or may reduce
the reimbursement rates paid to us. Any such actions could have a negative effect on our revenue for our clinical services tests.

 The
war between Russia and Ukraine or the war between Israel and Hamas could materially adversely affect our business, results of operations,
and financial condition.

 In
February 2022, Russian military forces invaded Ukraine, and although the length, impact, and outcome of the ongoing war in Ukraine is
highly unpredictable, this war has led, and could continue to lead, to significant market and other disruptions, including instability
in financial markets, supply chain interruptions, political and social instability, and increases in cyberattacks, intellectual property
theft, and espionage. We are actively monitoring the situation in Ukraine and assessing its impact on our business.

 We
have no way to predict the progress or outcome of the war in Ukraine or its impacts in Ukraine, Russia, or Belarus as the war, and any
resulting government reactions, are rapidly developing and beyond our control.

on October 7, 2023, Hamas, a U.S. designated Foreign Terrorist Organization, launched terrorist attacks against Israel. Israel then declared
war on Hamas and there is currently an armed conflict in Israel and the Gaza Strip as well as elsewhere in the Middle East. The extent
and duration of the wars in Ukraine and Israel/Gaza expanding geopolitical tensions and any resulting market disruptions could be significant
and could potentially have a substantial impact on the global economy and our business for an unknown period of time. Any of the above-mentioned
factors could materially adversely affect our business, financial condition, and results of operations.

 We
are also monitoring other macro-economic and geopolitical developments such as inflation and cybersecurity risks so that the Company
can be prepared to react to new developments as they arise.

 Adverse
developments affecting financial institutions, companies in the financial services industry or the financial services industry generally,
including those we do business with, could adversely affect our operations and liquidity.

 Actual
events involving limited liquidity, defaults, non-performance or other adverse developments that affect financial institutions or other
companies in the financial services industry or the financial services industry generally, or concerns or rumors about any events of
these kinds, have in the past and may in the future lead to market-wide liquidity problems. For example, on March 10, 2023, Silicon Valley
Bank was closed by the California Department of Financial Protection and Innovation, which appointed the Federal Deposit Insurance Corporation,
or the FDIC, as receiver.

 Our
access to our cash and cash equivalents and our ability to access bank financing in amounts adequate to finance our operations could
be significantly impaired by the financial institutions with which we have arrangements directly facing liquidity constraints or failures.
In addition, investor concerns regarding the U.S. or international financial systems could result in less favorable commercial financing
terms, including higher interest rates or costs and tighter financial and operating covenants, or systemic limitations on access to credit
and liquidity sources, thereby making it more difficult for us to acquire or take down financing on acceptable terms or at all. Any material
decline in available funding or our ability to access our cash and cash equivalents or our ability to access bank financing could adversely
impact our ability to meet our operating expenses and result in breaches of our contractual obligations which could have material adverse
impacts on our operations and liquidity.

 We
have a history of operating losses, and our clinical services have generated limited revenue. We may continue to incur net losses for
the foreseeable future and may never sustain profitability.

 Although
we expect our revenue to grow in the future, there can be no assurance that we will continue to achieve revenue sufficient to offset
expenses. Over the next several years, we expect to continue to devote resources to increase adoption of, and reimbursement for, our
clinical services tests and assays and to use our bioinformatics data to develop and enhance our clinical services products and services,
and (ii) develop and acquire additional products and services. However, although we achieved profitability in 2023, our business may
not sustain profitability, and our failure to sustain profitability in the future could have a material adverse effect on our business,
financial condition and results of operations, as well as cause the market price of our common stock to decline.

 Our
quarterly and annual revenues and operating results may vary which may cause the price of our common stock to fluctuate.

 Our
quarterly and annual operating results may vary as a result of a number of factors, including:

 uncertainty
 of cash collections which could impact or affect net realizable values of sales of our tests and services;

 inability
 of our laboratory to perform tests;

 progress
 or lack of progress in developing and commercializing tests and services;

 favorable
 or unfavorable decisions about our tests or services or reimbursement rates from government regulators, insurances companies, customers,
 or other third party payers;

 the
 commencement, delay, cancellation or completion of sales and marketing programs;

 timing
 and amount of expenses for implementing new programs and accuracy of estimates of resources required for ongoing programs;

 adoption
 of and coverage and reimbursement for our tests;

 changes
 in our relationships with key collaborators, suppliers, customers and third parties;

 fluctuations
 in net revenue due to changes in the valuation of our patient accounts;

 periodic
 stock-based compensation and awards;

 fluctuations
 in R&D, business development and spending for clinical trials;

 timing
 and integration of any acquisitions; and

 changes
 in regulations related to diagnostics, pharmaceutical, biotechnology and healthcare companies.

 We
believe that quarterly, and in certain instances annual, comparisons of our financial results are not necessarily meaningful and should
not be relied upon as an indication of future performance. Fluctuations in quarterly and annual results could materially and adversely
affect the market price of our common stock in a manner unrelated to our long-term operating performance.

 We
depend on sales and reimbursements from our clinical services for all of our revenue, and we will need to generate sufficient revenue
from these and other products and/or solutions that we develop or acquire to grow our business.

 All
of our revenue is derived from our clinical services business. We have molecular diagnostics tests and complimentary service extensions
that are in development, but there can be no assurance that we will be able to successfully commercialize or sufficiently increase revenues
from those tests. If we are unable to increase sales of our molecular diagnostic tests, expand reimbursement for these tests, or successfully
develop and commercialize other molecular diagnostic tests, our revenue and our ability to achieve and sustain profitability would be
impaired, and this could have a material adverse effect on our business, financial condition and results of operations, and the market
price of our common stock could decline.

 We
rely on third-parties to process and transmit claims to payers for our clinical services, and any delay in processing or transmitting
could have an adverse effect on our revenue and financial condition.

 We
rely on third-parties to provide overall processing of claims and to transmit actual claims to payers based on specific payer billing
formats. If claims for our clinical services are not submitted to payers on a timely basis, or if we are again required to switch to
a different third-party processor to handle claim submissions, we may experience delays in our ability to process claims and receive
payment from payers, which could have a material adverse effect on our business, financial condition and results of operations.

 Due
to how we recognize revenue, our quarterly revenue and operating results are likely to fluctuate.

 We
adopted Financial Accounting Standards Board ("FASB") ASC 606 2014-09, "Revenue from Contracts with Customers (Topic
606)" (or "ASC 606") effective January 1, 2018. As of this date, all revenue is recognized on the accrual basis, based
upon actual collection histories for tests and services and respective payers or payer groups. Due to this change in accounting and the
estimations required under ASC 606, our quarterly revenue and operating results are likely to fluctuate. As we recognize revenue from
payers under ASC 606, we may subsequently determine that certain judgments underlying estimated reimbursement change, or that the estimates
we used at the time we accrued such revenue vary materially from the actual reimbursements subsequently realized, and our financial results
could be negatively impacted in future quarters.

 As
a result, comparing our operating results on a period-to-period basis may be difficult due to fluctuations resulting from the estimation
process under ASC 606 and such comparisons may not be meaningful. You should not rely on our past results as an indication of our future
performance. In addition, these fluctuations in revenue may make it difficult in the near term for us, research analysts and investors
to accurately forecast our revenue and operating results. If our revenue or operating results fall below consensus expectations, the
price of our common stock would likely decline.

 A
deterioration in the collectability of our accounts receivable could have a material adverse effect on our business, financial condition
and results of operations.

 Collection
of accounts receivable from third-party payers and clients is critical to our operating performance. Our primary collection risks are
(i) the risk of overestimating our net revenue at the time of billing, which may result in us receiving less than the recorded receivable,
(ii) the risk of non-payment as a result of denied claims, (iii) in certain states, the risk that clients will fail to remit insurance
payments to us when the commercial insurance company pays out-of-network claims directly to the client and (iv) resource and capacity
constraints that may prevent us from handling the volume of billing and collection issues in a timely manner. Additionally, our ability
to hire and retain experienced personnel affects our ability to bill and collect accounts in a timely manner. We routinely review accounts
receivable balances in conjunction with these factors and other economic conditions that might ultimately affect the collectability of
the client accounts and factor them into our estimation of collectability as warranted. Significant changes in business operations, payer
mix or economic conditions, including changes resulting from legislation or other health reform efforts (including to repeal or significantly
change the Affordable Care Act), could affect our collection of accounts receivable, cash flows and results of operations. In addition,
increased client concentration in states that permit commercial insurance companies to pay out-of-network claims directly to the client
instead of the provider, could adversely affect our collection of receivables. Unexpected changes in reimbursement rates by third-party
payers could have a material adverse effect on our business, financial condition and results of operations.

 Our
business is substantially dependent on third-party reimbursement. Any change in the overall health care reimbursement system may adversely
impact our business.

 Our
revenues are substantially dependent on third-party reimbursement. We are paid directly by private insurers and governmental agencies,
often on a fixed fee basis. If the average fees allowable by private insurers or governmental agencies were reduced, the negative impact
on revenues could have a material effect on our business, financial condition, results of operations and cash flows. Also, if amounts
owed to us by payors are reduced or not paid on a timely basis, we may be required to increase our concessions and/or decrease our revenues.
Changes to the health care reimbursement system that favor other technologies or treatment regimens and reduce our reimbursements may
adversely affect our ability to market our services profitably. Overall, such dependency and potential changes could materially and adversely
affect our business, financial condition, results of operations and cash flows.

 Our
inability to finance our business on acceptable terms in the future may limit our ability to develop and commercialize products and services
and grow our business.

 We
may need to finance our business in the future through collaborations, equity offerings, debt financings, licensing arrangements or other
dilutive or non-dilutive means. On January 7, 2021, we entered into promissory notes ("Notes") with our two private equity
investors in the aggregate amount of $5 million with a maturity date of June 30, 2021 which were secured by all of our assets. In October
2021, the Company entered into a $7.5 million revolving credit facility with Comerica Bank ("Comerica"). In addition, also
in October 2021, the Company entered into an $8.0 million term loan with BroadOak, the proceeds of which were used to repay in full at
their maturity the Notes extended by our two private equity investors. The BroadOak loan agreement contains affirmative and negative
restrictive covenants, including restrictions on certain mergers, acquisitions, investments and encumbrances which could adversely affect
our ability to conduct our business. The BroadOak loan agreement also contains customary events of default. The Comerica agreement was
repaid in full in 2023 and the agreement was terminated in February 2024. The Comerica loan agreement contained affirmative and negative
restrictive covenants that were applicable whether or not any amounts are outstanding under the Comerica loan agreement. These restrictive
covenants, which included restrictions on certain mergers, acquisitions, investments, encumbrances, etc., could have adversely affected
our ability to conduct our business. The Comerica loan agreement also contained financial covenants requiring specified minimum liquidity
and minimum revenue thresholds and also contains customary events of default. In May 2022, the Company issued a Convertible Note to BroadOak,
pursuant to which BroadOak funded a term loan in the aggregate principal amount of $2 million. In August 2022, the Convertible Note was
converted into a subordinated term loan and was added to the outstanding BroadOak loan balance discussed above.

 We
may need additional funding to repay the BroadOak loan, which has a maturity date of June 30, 2025, as well as to continue operations.
Additional funding may not be available to us on acceptable terms, or at all. If we seek to raise funds by issuing additional equity
securities, dilution to our stockholders could result. Any public offering of equity securities must be approved by the holders of our
Series B Preferred Stock who are our private equity investors. In addition, we are currently ineligible to use a Form S-3 shelf registration
statement. If we are unable to timely repay the Comerica and BroadOak borrowings when due, Comerica and BroadOak will have the right
to foreclose on our assets (BroadOak being subordinated to Comerica). The incurrence of additional indebtedness or the issuance of certain
equity securities could result in increased fixed payment obligations and could also result in restrictive covenants, such as limitations
on our ability to incur additional debt or issue additional equity, limitations on our ability to acquire or license intellectual property
rights, limitations on our ability to enter into mergers or acquisition of assets, and other operating restrictions that could adversely
affect our ability to conduct our business.

 If
we are unable to timely repay our outstanding obligations, our secured lender will have the right to foreclose on our assets.

 In
October 2021, the Company entered into an $8.0 million term loan with BroadOak, which is secured by all of our assets and has a maturity
date of June 30, 2025. In May 2022, the Company issued a Convertible Note to BroadOak, pursuant to which BroadOak funded a term loan in
the aggregate principal amount of $2 million. In August 2022, the Convertible Note was converted into a subordinated term loan and was
added to the outstanding BroadOak loan balance discussed above. We may need additional funding to repay these outstanding obligations
as well as to continue operations. Additional funding may not be available to us on acceptable terms, or at all. If we are unable to
timely repay these outstanding obligations, our secured lenders will have the right to foreclose on substantially all of our assets.

 Risks
Related to our Preferred Stock

 We
have issued and may issue additional preferred stock in the future, and the terms of the preferred stock may reduce the value of our
common stock.

 We
are authorized to issue up to five million shares of preferred stock in one or more series. Our Board may determine the terms of future
preferred stock offerings without further action by our stockholders. If we issue additional preferred stock, it could affect stockholder
rights or reduce the market value of our outstanding common stock. In particular, specific rights granted to future holders of preferred
stock may include voting rights, preferences as to dividends and liquidation, conversion and redemption rights, sinking fund provisions,
and restrictions on our ability to merge with or sell our assets to a third party. We have designated, issued and sold an aggregate of
47,000 outstanding shares of Series B Preferred Stock.

 Two
private equity firms and their affiliate's control, on an as-converted basis, an aggregate of 64.2% of our outstanding shares of
common stock through their holdings of our Series B Preferred Stock, and this concentration of ownership along with their authority for
designation rights for a majority of our directors and their right to approve certain of our actions has a substantial influence on our
decisions.

 Ampersand
holds 28,000 shares of our Series B Preferred Stock and 1315 Capital holds 19,000 shares of our Series B Preferred Stock. Accordingly,
on an as converted basis, Ampersand and its affiliates beneficially own 38.2% of the Company's outstanding common stock of 4,376,398
shares and 1315 Capital and its affiliates beneficially own 26.0%. The conversion and sale by such holders of one or more large blocks
of our common stock could have a negative impact on the market price of our common stock.

 These
stockholders, acting together, have control over the outcome of matters submitted to our stockholders for approval, including the election
of directors and any merger, consolidation or sale of all or substantially all of our assets. Holders of Series B Preferred Stock were
granted director designation rights over a majority of our Board. As previously disclosed in Current Reports on Form 8-K filed with the
SEC on November 16, 2023 and December 12, 2023, Edward Chan, a director designated by 1315 Capital, and Robert Gorman, a director designated
by Ampersand, resigned from the Board on November 15, 2023 and December 7, 2023, respectively. Following these resignations, 1315 Capital
and Ampersand have two designated directors out of the five directors currently serving on the Board. Accordingly, these stockholders,
acting together, have significant influence over our management and affairs. This concentration of ownership might harm the market price
of our common stock by delaying, deterring or preventing a change in control, making some transactions more difficult or impossible to
complete without the support of these shareholders, regardless of the impact of this transaction on our other shareholders. Such ownership
interests could effectively deter a third party from making an offer to buy us, which might involve a premium over our current stock
price or other benefits for our stockholders, or otherwise prevent changes in the control or management. For example, this concentration
of ownership may have the effect of impeding a merger, consolidation, takeover or other business combination involving us or discouraging
a potential acquirer from making a tender offer or otherwise attempting to obtain control of us.

 The
holders of our Series B Preferred Stock have preferential rights that may be adverse to holders of our common stock.

 The
holders of our Series B Preferred Stock have preferential rights with respect to distributions upon a liquidation or sale of the Company,
including certain business combinations or sales of assets deemed to be a liquidation. Accordingly, no distributions upon liquidation
may be made to the holders of common stock until the holders of the Series B Preferred Stock have been paid their liquidation preference.
As a result, it is possible that, on a liquidation event (including a sale of the Company) and depending on the price thereof, all amounts
available for the holders of equity of the Company would be paid to the holders of Series B Preferred Stock, and that the holders of
common stock would not receive any payment. In addition, the holders of Series B Preferred Stock have the right to approve certain actions
of the Company.

 In
April 2020, 1315 Capital consented to, and agreed to vote (by proxy or otherwise) their Series B Preferred Stock in favor of any "Fundamental
Action" taken by the Company as determined by the Company's Board of Directors. "Fundamental Actions" include
the Company's ability to a) authorize, create or issue any debt securities for borrowed money or funded debt; b) merge with or
acquire all or substantially all of the assets of one or more other companies or entities with a value in excess of $20 million; c) transfer,
by sale, exclusive license or otherwise, material intellectual property rights of the Company or any of its direct or indirect subsidiaries,
other than those accomplished in the ordinary course of business; d) declare or pay any cash dividend or make any cash distribution on
any equity interests of the Company other than the Series B Shares; e) incur any additional individual debt, indebtedness for borrowed
money or other additional liabilities; and f) change any accounting methods or practices of the Company, except for those changes required
by GAAP or applicable regulatory agencies or authorities.

 Risks
Related to our Clinical Services

 Billing
for our clinical services tests is complex, and we must dedicate substantial time and resources to the billing process to be paid for
our clinical services tests.

 Billing
for clinical services is complex, time consuming and expensive. Depending on the billing arrangement and applicable law, we bill various
payers, including Medicare, insurance companies and patients, all of which have different billing requirements. To the extent laws or
contracts require us to bill patient co-payments or co-insurance; we must also comply with these requirements. We may also face increased
risk in our collection efforts, including write-offs of doubtful accounts and long collection cycles, which could have a material adverse
effect on our clinical services, results of operations and financial condition. Among others, the following factors make the billing
process complex:

 differences
 between the list price for our molecular diagnostic tests and the reimbursement rates of payers;

 compliance
 with complex federal and state regulations related to billing Medicare;

 changes
 in billing policy reimbursement by CMS;

 disputes
 among payers as to which party is responsible for payment;

 differences
 in coverage among payers and the effect of patient co-payments or co-insurance;

 differences
 in information and billing requirements among payers;

 incorrect
 or missing billing information;

 the
 resources required to manage the billing and claims appeals process including those of our billing service providers;

 our
 inability to bill timely and accurate requisitions and process denials efficiently may result in delayed collections and reduced
 reimbursement rates; and

 the
 overall performance and effectiveness of our billing service providers.

 As
we grow and introduce new clinical services tests and other services, we will likely need to add new codes to our billing process as
well as our financial reporting systems. Failure or delays in effecting these changes in external billing and internal systems and processes
could negatively affect our revenue and cash flow from our clinical services. Additionally, our billing activities require us to implement
compliance procedures and oversight, train and monitor our employees or contractors, challenge coverage and payment denials, assist patients
in appealing claims, and undertake internal audits to evaluate compliance with applicable laws and regulations as well as internal compliance
policies and procedures. Payers also conduct external audits to evaluate payments, which add further complexity to the billing process.
These billing complexities, and the related uncertainty in obtaining payment for our diagnostic solutions, could negatively affect our
revenue and cash flow, our ability to achieve profitability, and the consistency and comparability of our results of operations.

 If
payers do not provide reimbursement, rescind or modify their reimbursement policies or delay payments for clinical services, or if we
are unable to successfully negotiate additional reimbursement contracts for our clinical services tests, our commercial success could
be compromised.

 Physicians
may generally not order our clinical services tests unless payers reimburse a substantial portion of the test price. There is uncertainty
concerning third-party reimbursement of any test incorporating new molecular diagnostic technology. Reimbursement by a payer may depend
on a number of factors, including a payer's determination that tests such as our molecular diagnostic tests are: (a) not experimental
or investigational; (b) pre-authorized and appropriate for the patient; (c) cost-effective; (d) supported by peer-reviewed publications;
and (e) included in clinical practice guidelines. Since each payer generally makes its own decision as to whether to establish a policy
or enter into a contract to reimburse our clinical services tests, seeking these approvals is a time-consuming and costly process. Although
we have contracted rates of reimbursement with certain payers, which establishes allowable rates of reimbursement for our PancraGEN,
ThyGeNEXT, ThyraMIR v2 and RespriDx assays, payers may suspend or discontinue reimbursement
at any time, may require or increase co-payments from patients, may impose pre-authorization requirements or may reduce the reimbursement
rates paid to us. Any such actions could have a negative effect on our revenue for our clinical services tests.

 We
have contracted rates of reimbursement with select payers for PancraGEN, ThyGeNEXT and ThyraMIR v2
and to a limited extent, RespriDx. Without a contracted rate for reimbursement, claims may be denied upon submission,
and we may need to appeal the claims. The appeals process is time consuming and expensive, and may not result in payment. We expect to
continue to focus resources on increasing adoption of and coverage and reimbursement for our molecular diagnostic tests. We cannot, however,
predict whether, under what circumstances, or at what payment levels payers will reimburse us for our molecular diagnostic tests, if
at all. In addition to our current commercial products on the market and in our pipeline, the launch of any new molecular diagnostic
tests in the future may require that we expend substantial time and resources in order to obtain and retain reimbursement. Also, payer
consolidation can create uncertainty as to whether coverage and contracts with existing payers will even remain in effect. Finally, commercial
payers may tie their allowable rates to Medicare rates, and should Medicare reduce their rates, we may be negatively impacted. If we
fail to establish broad adoption of and reimbursement for our assays, or if we are unable to maintain existing reimbursement from payers,
our ability to generate revenue for our clinical services tests could be harmed and this could have a material adverse effect on our
business, financial condition and results of operations.

 We
may experience a reduction in revenue if physicians decide not to order our clinical services tests.

 If
we are unable to create or maintain sufficient demand for our clinical services tests or if we are unable to expand our product offerings,
we may not maintain profitability. To generate demand, we will need to continue to educate physicians and the medical community on the
value and benefits of our clinical services tests in order to change clinical practices through clinical trials, published papers, presentations
at scientific conferences and one-on-one education by our commercial sales force, which are costly and time-consuming. In addition, our
ability to obtain and maintain adequate reimbursement from third-party payers for our clinical services tests will be critical to generating
revenue.

 In
many cases, practice guidelines in the United States have recommended therapies or surgery to determine if a patient's condition
is malignant or benign. Accordingly, physicians may be reluctant to order a diagnostic test that may suggest surgery is unnecessary.
In addition, our assays are performed at our laboratory rather than by a pathologist in a local laboratory, so pathologists may be reluctant
to support our tests. Moreover, guidelines for the diagnosis and treatment of thyroid nodules may change to recommend another type of
treatment protocol, and these changes may result in medical practitioners deciding not to use our molecular diagnostic tests. These facts
may make physicians reluctant to use our assays, which could limit our ability to generate revenue from our clinical services tests and
achieve profitability, which could have a material adverse effect on our business, financial condition and results of operations.

 We
may experience a reduction in revenue if patients decide not to use our clinical services tests.

 Some
patients may decide not to use our clinical services tests due to price, all or part of which may be payable directly by the patient
if the patient's insurer denies reimbursement in full or in part. Many insurers seek to shift more of the cost of healthcare to
patients in the form of higher deductibles, co-payments, or premiums. In addition, the economic environment in the United States may
result in the loss of healthcare coverage. Implementation of provisions of PPACA provided coverage for many patients, particularly in
the individual market, who were previously either uninsured or faced high premiums. However, premiums for many of the plans participating
in the exchanges established as part of this legislation have increased and some health plans have chosen to drop out of these networks
in specific markets or the program altogether. In 2018, Congress passed legislation revising certain provisions of PPACA and federal
agencies also have issued final rules to repeal or revise regulations governing the implementation of certain provisions of PPACA which
may negatively impact our revenues. Overall, the scope and timing of any further legislation, judicial action or federal regulations
to limit, revise, or replace PPACA or regulations governing its implementation is uncertain, but if enacted could have a significant
impact on the U.S. healthcare system and our revenues. These events may result in an increase of uninsured patients, increases in premiums,
and reductions in coverage for some patients. Patients may therefore delay or forego medical checkups or treatment due to their inability
to pay for our clinical services tests, which could have a negative effect on our revenues. We do have a Patient Assistance Program that
allows eligible patients to apply for assistance in covering a portion of their out of pocket obligation or all costs for claims denied
as non-covered for our clinical services tests if they meet the criteria for participation.

 If
our clinical services tests do not perform as expected, we may not be able to achieve widespread market adoption among physicians, which
would cause our operating results, reputation, and business to suffer.

 Our
success depends in part on the market's confidence that we can provide reliable, high-quality molecular information products. There
is no guarantee that the accuracy and reproducibility we have demonstrated to date will continue, particularly for clinical samples,
as our test volume increases. We believe that our customers are likely to be particularly sensitive to product defects and errors, including
if our products fail to detect genomic alterations with high accuracy from clinical specimens or if we fail to list, or inaccurately
include, certain treatment options and available clinical trials in our product reports. As a result, the failure of our products to
perform as expected would significantly impair our operating results and our reputation. We may be subject to legal claims arising from
any defects or errors in our clinical services tests.

 Our
profitability will be impaired by our obligations to make royalty and milestone payments to our licensors for our clinical services tests.

 In
connection with our acquisition of certain assets of Asuragen in 2014, we currently license certain patents and know-how from Asuragen
relating to (i) miR Inform thyroid and pancreas cancer diagnostic tests and other tests in development for thyroid
cancer (the "Asuragen License Agreement"), and (ii) the sale of diagnostic devices and the performance of certain services
relating to thyroid cancer (the "CPRIT License Agreement"). Pursuant to the Asuragen License Agreement and the CPRIT License
Agreement, we are obligated to make certain royalty and milestone payments to Asuragen and the Cancer Prevention & Research Institute
of Texas, or CPRIT. Under the Asuragen License Agreement, we are obligated to pay royalties on the future net sales of tests utilizing
the miR Inform thyroid platform (i.e., ThyGeNEXT), potentially on certain other thyroid diagnostics
tests and potentially on other tests in development for thyroid cancer. A similar obligation exists if we elect to launch any molecular
tests utilizing the miR Inform pancreas platform. We are also required by the CPRIT License Agreement with Asuragen
to make certain related royalty payments to CPRIT. The Asuragen obligation regarding royalty payments expires in August 2024.

 When
performing the ThyraMIR v2 test, we use products supplied by Exiqon A/S (now a part of Qiagen), subject to a license agreement
with Exiqon A/S. The license agreement obligates us to pay royalties on the future net sales of our assays that utilize licensed patents
and know-how obtained from Exiqon A/S. Our profitability will be impaired by our obligations to make royalty payments to our licensors.
Although we believe, under such circumstances, that the increase in revenue will exceed the corresponding royalty payments, our obligations
to our licensors could have a material adverse effect on our business, financial condition, and results of operations if we are unable
to manage our operating costs and expenses at profitable levels.

 If
we breach certain agreements with Asuragen, it could have a material adverse effect on our sales and commercialization efforts for our
thyroid cancer diagnostic tests as well as any potential tests in development for thyroid cancer utilizing their technology and the sale
of diagnostic devices and the performance of certain services relating to thyroid cancer.

 Under
the CPRIT License Agreement, we are obligated to pay 5% of net sales on sales of certain diagnostic devices and the performance of services
relating to thyroid cancer that incorporate technology developed and funded under an agreement between Asuragen and the Cancer Prevention
and Research Institute of Texas, subject to a maximum deduction of 3.5% for royalties paid to third parties. Both of the Asuragen License
Agreement and the CPRIT License Agreement continue until terminated by (i) mutual agreement of the parties or (ii) either party in the
event of a material breach of the respective agreement by the other party. The Asuragen royalty obligation expires in August 2024.

 If
we materially breach or fail to perform any provision under the CPRIT License Agreement, Asuragen will have the right to terminate our
license from CPRIT, and upon the effective date of such termination, our right to practice the licensed technology would end. To the
extent such licensed technology rights relate to our molecular diagnostic tests currently on the market, we would expect to exercise
all rights and remedies available to us, including attempting to cure any breach by us, and otherwise seek to preserve our rights under
the technology licensed to us, but we may not be able to do so in a timely manner, at an acceptable cost to us or at all. Any uncured,
material breach under these license agreements could result in our loss of rights to practice the technology licensed to us under these
license agreements, and to the extent such rights and other technology relate to our molecular diagnostic tests currently on the market,
it could have a material adverse effect on our sales and commercialization efforts for NGS-based thyroid and pancreatic cancer molecular
diagnostic tests and other tests in development for thyroid cancer, and the sale of molecular diagnostic tests and the performance of
certain services relating to thyroid cancer.

 Under
the agreement, neither party will be held responsible for a default or breach for failure or delay in performing its obligations when
such failure or delay is caused by or results from events beyond reasonable control of the non-performing party, including fires, floods,
earthquakes, hurricanes, embargoes, shortages, epidemics or pandemics, quarantines war, acts of war, etc.

utility studies are important in demonstrating to both customers and payers a molecular diagnostic test's clinical relevance and
value. If we are unable to identify collaborators willing to work with us to conduct clinical utility studies, or the results of those
studies do not demonstrate that a molecular diagnostic test provides clinically meaningful information and value, commercial adoption
of such test may be slow, which would negatively impact our business.

utility studies show when and how to use a molecular diagnostic clinical test and describe the particular clinical situations or settings
in which it can be applied and the expected results. Clinical utility studies also show the impact of the molecular diagnostic test results
on patient care and management. Clinical utility studies are typically performed with collaborating oncologists or other physicians at
medical centers and hospitals, analogous to a clinical trial, and generally result in peer-reviewed publications. Sales and marketing
representatives use these publications to demonstrate to customers how to use a molecular diagnostic clinical test, as well as why they
should use it. These publications are also used with payers to obtain coverage for a molecular diagnostic test, helping to assure there
is appropriate reimbursement. We will need to conduct additional studies for our molecular diagnostic tests and other diagnostic tests
we plan to introduce, to increase the market adoption and obtain coverage and adequate reimbursement. Should we not be able to perform
these studies, should the costs or length of time required for these studies exceed their value, or should their results not provide
clinically meaningful data and value for oncologists and other physicians, adoption of our molecular diagnostic tests could be impaired,
and we may not be able to obtain coverage and adequate reimbursement for them.

 We
rely on sole suppliers for some of the materials used in our tests and services, and we may not be able to find replacements or transition
to alternative suppliers in a timely manner.

 We
rely on sole suppliers for certain materials that we use to perform our tests and services for our endocrine cancer diagnostic tests.
We also purchase reagents used in our tests and services from sole-source suppliers. While we have developed alternate sourcing strategies
for these materials and vendors, we cannot be certain whether these strategies will be effective or the alternative sources will be available
in a timely manner. If these suppliers can no longer provide us with the materials we need to perform our tests and services, if the
materials do not meet our quality specifications, or if we cannot obtain acceptable substitute materials, an interruption in test processing
and services could occur. Any such interruption may directly impact our revenue and cause us to incur higher costs. In particular, the
continued spread of the coronavirus globally could materially and adversely impact our operations including without limitation our supply
chain, which may have a material and adverse effect on our business, financial condition and results of operations.

 We
may experience problems in scaling our operations, or delays or reagent and supply shortages for our tests and services that could limit
the growth of our revenue.

 If
we encounter difficulties in scaling our operations as a result of, among other things, quality control and quality assurance issues
and availability of reagents and raw material supplies, we will likely experience reduced sales of our tests and services, increased
repair or re-engineering costs, and defects and increased expenses due to switching to alternate suppliers, any of which would reduce
our revenues and gross margins. Although we attempt to match our capabilities to estimates of marketplace demand, to the extent demand
materially varies from our estimates, we may experience constraints in our operations and delivery capacity, which could adversely impact
revenue in a given fiscal period. Should our need for raw materials and reagents used in our tests and services fluctuate, we could incur
additional costs associated with either expediting or postponing delivery of those materials or reagents.

 If
we are unable to support demand for our tests and services, or any of our future tests, services or solutions, our business could suffer.

 As
demand for our tests and services grow, we will also need to continue to scale up our testing capacity and processing technology, expand
customer service, billing and systems processes and enhance our internal quality assurance program. We will also need additional certified
laboratory scientists and other scientific and technical personnel to process higher volumes of our tests and services. We cannot assure
you that increases in scale, related improvements and quality assurance will be implemented successfully or that appropriate personnel
will be available. Failure to implement necessary procedures, transition to new processes or hire the necessary personnel could result
in higher costs of processing tests or inability to meet demand. There can be no assurance that we will be able to perform our testing
and services on a timely basis at a level consistent with demand, or that our efforts to scale our operations will not negatively affect
the quality of test results. If we encounter difficulty meeting market demand or quality standards, our reputation could be harmed and
our future prospects and our business could suffer, causing a material adverse effect on our business, financial condition and results
of operations.

 Developing
new tests and related services and solutions involves a lengthy and complex process, and we may not be able to commercialize on a timely
basis, or at all, other tests, assays, services and solutions under development.

 Developing
new tests, services and solutions will require us to devote considerable resources to research and development, which we may not be in
a position to do. We may face challenges obtaining sufficient numbers of samples to validate a newly acquired or developed test or service.
In order to develop and commercialize new tests and services, we need to:

 expend
 significant funds to conduct substantial research and development;

 conduct
 successful analytical and clinical studies;

 scale
 our laboratory processes to accommodate new tests and services; and

 build
 and maintain the commercial infrastructure to market and sell new tests and services.

 Typically,
few research and development projects result in commercial products, and success in early clinical studies often is not replicated in
later studies. At any point, we may abandon development of a test, service or solutions or we may be required to expend considerable
resources repeating clinical studies, which would adversely affect the timing for generating revenue from such test, service or solution.
If a clinical validation study fails to demonstrate the prospectively defined endpoints of the study or if we fail to sufficiently demonstrate
analytical validity, we might choose to abandon the development of the test, service or solution which could harm our business. In addition,
competitors may develop and commercialize new competing tests, services and solutions faster than us or at a lower cost, which could
have a material adverse effect on our business, financial condition and results of operations.

 If
we are unable to develop or acquire tests, services and solutions to keep pace with rapid technological, medical and scientific change,
our operating results and competitive position in the market could be affected.

 Recently,
there have been numerous advances in technologies relating to diagnostics, particularly diagnostics that are based on genomic information.
These advances require us to continuously develop our technology and to work to develop new solutions to keep pace with evolving standards
of care. Our services could become obsolete unless we continually innovate and expand our product offerings to include new clinical applications.
If we are unable to develop or acquire new tests, services and solutions or to demonstrate the applicability of our tests and services
for other diseases, our sales could decline and our competitive position could be harmed.

 If
we cannot enter into new clinical study collaborations, our product development and subsequent commercialization could be delayed.

 In
the past, we have entered into clinical study collaborations related to our tests and services, and our success in the future depends
in part on our ability to enter into additional collaborations with highly regarded institutions. This can be difficult due to internal
and external constraints placed on these organizations. Some organizations may limit the number of collaborations they have with any
one company so as to not be perceived as biased or conflicted. Organizations may also have insufficient administrative and related infrastructure
to enable collaboration with many companies at once, which can extend the time it takes to develop, negotiate and implement a collaboration.
Moreover, it may take longer to obtain the samples we need which could delay our trials, publications, and product launches and reimbursement.
Additionally, organizations often insist on retaining the rights to publish the clinical data resulting from the collaboration. The publication
of clinical data in peer-reviewed journals is a crucial step in commercializing and obtaining reimbursement for our diagnostic tests,
and our inability to control when and if results are published may delay or limit our ability to derive sufficient revenue from them.

 If
the FDA changes its enforcement policy as to LDTs or disagrees with our position that our clinical services tests are LDTs covered by
the FDA's current enforcement discretion policy, we could be subject to a number of enforcement actions, any of which could have
a material adverse effect on our clinical services and/or incur substantial costs and delays associated with trying to obtain pre-market
clearance or approval and comply with applicable pre- and post-market requirements.

laboratory tests like our clinical services tests are regulated under CLIA as well as by applicable state laws and may also be subject
to FDA regulation, depending on how the test is classified. For example, the FDA regulates in vitro diagnostic tests (also called
 in vitro diagnostics or "IVDs"), specimen collection kits, analyte specific reagents (ASRs), and instruments used
in conducting diagnostic testing as medical devices. Most tests offered as LDTs are currently subject to enforcement discretion by the
FDA. LDTs are defined by FDA as IVDs that are intended for clinical use and are designed, manufactured, and used within a single CLIA-certified,
high-complexity clinical laboratory.

 Given
the history of attempts by FDA and Congress to regulate LDTs, there is substantial uncertainty concerning whether FDA's enforcement
discretion policy will continue. Most recently, on September 29, 2023, the FDA published a proposed rule on LDTs, in which FDA proposes
to end enforcement discretion for virtually all LDTs in five stages over a four-year period from the date FDA publishes a final rule.
In Phase 1 (effective one year post-finalization), laboratories would be required to comply with medical device (adverse event) reporting
and correction/removal reporting requirements. In Phase 2 (effective two years post-finalization), laboratories would be required to
comply with all other device requirements ( e.g., registration/listing, labeling, investigational use), except for quality systems
and premarket review. In Phase 3 (effective three years post-finalization), laboratories would be required to comply with quality systems
requirements. In Phase 4 (effective three and a half years post-finalization, but not before October 1, 2027), laboratories would be
required to comply with premarket review requirements for high-risk tests ( i.e., tests subject to premarket approval (PMA) requirement).
Finally, in Phase 5 (effective four years post-finalization, but not before April 1, 2028), laboratories would be required comply with
premarket review requirements for moderate- and low-risk tests ( i.e., tests subject to de novo or 510(k) requirement).
Unlike previous proposals, the proposed rule does not "grandfather" existing tests. The content and timing of any final rule
on LDTs is uncertain at this time.

 If
we are required to submit applications to FDA for our currently-marketed clinical tests and any tests that we may develop in the future,
we may be required to conduct additional studies, which may be time-consuming and costly and could result in our currently-marketed tests
being withdrawn from the market. Continued compliance with the FDA's regulations would increase the cost of conducting our clinical
services, and subject us to heightened regulation by the FDA and penalties for failure to comply with these requirements. Failure to
comply with applicable regulatory requirements can result in enforcement action by the FDA, such as warning letters, civil monetary penalties,
injunctions, criminal prosecution, recall or seizure, operating restrictions, partial suspension or total shutdown of operations, and
denial of or challenges to applications for clearance, authorization or approval, as well as significant adverse publicity. Any other
regulatory or legislative proposals that would increase general FDA oversight of clinical laboratories or LDTs could negatively impact
our business if additional requirements are imposed. We are monitoring developments and anticipate that our clinical services products
will be able to comply with requirements that are ultimately imposed by the FDA. In the meantime, we maintain our CLIA accreditation
and state licenses, which permit the use of LDTs for diagnostic purposes.

 Similarly,
notwithstanding any change in existing enforcement policies, if the FDA seeks to enforce the applicable medical device regulations against
our clinical services tests, we could be subject to a wide range of penalties and would likely be prohibited from continuing to offer
the applicable tests in interstate commerce until we have obtained FDA approval, authorization or clearance through the Premarket Approval
(PMA), de novo or 510(k) process, respectively, as applicable. Additionally, we could be subject to enforcement for noncompliance
with the FDA's regulations on marketing and promotional communications, manufacturing, quality and safety standards, labeling,
storage, registration and listing, recordkeeping, adverse event reporting, and any other regulations applicable to IVDs. Any adverse
enforcement action against us may have a material adverse effect on our clinical services and results of operations.

 If
we are sued for product liability or errors and omissions liability related to our tests and services, we could face substantial liabilities
that exceed our resources.

 The
marketing, sale and use of our tests and services could lead to product liability claims if someone were to allege that the test or service
failed to perform as it was designed. We may also be subject to liability for errors in the results we provide to physicians or for a
misunderstanding of, or inappropriate reliance upon, the information we provide. A product liability or errors and omissions liability
claim could result in substantial damages and be costly and time consuming for us to defend. Although we maintain product liability and
errors and omissions insurance, we cannot be certain that our insurance would fully protect us from the financial impact of defending
against these types of claims or any judgments, fines or settlement costs arising out of such claims. Any product liability or errors
and omissions liability claim brought against us, with or without merit, could increase our insurance rates or prevent us from securing
insurance coverage in the future. Additionally, any product liability lawsuit could cause injury to our reputation or cause us to suspend
sales of our products and solutions. The occurrence of any of these events could have a material adverse effect on our business, financial
condition and results of operations.

 Our
failure to comply with fraud and abuse laws or payer regulations could result in our being excluded from participation in Medicare, Medicaid,
or other governmental payer programs, subject to fines, penalties, and repayment obligations, decrease our revenues and adversely affect
our results of operations and financial condition for our clinical services.

 The
Medicare program is administered by CMS, which, like the states that administer their respective state Medicaid programs, imposes extensive
and detailed requirements on diagnostic services providers, including, but not limited to, rules that govern how we structure our relationships
with physicians, how and when we submit reimbursement claims and how we provide our specialized diagnostic services. In addition, federal
and state laws prohibit fraudulent billing and provide for the recovery of overpayments. In particular, if we fail to comply with federal
and state documentation, coding and billing rules, we could be subject to liability under the federal False Claims Act, including criminal
and/or civil penalties, loss of licenses and exclusion from the Medicare and Medicaid programs. The False Claims Act prohibits individuals
and companies from knowingly submitting false claims for payments to, or improperly retaining overpayments from, the government. Private
payers also have complex documentation, coding, and billing rules, and can bring civil actions against laboratories. Our failure to comply
with applicable Medicare, Medicaid and other third-party payer rules could result in liability under the False Claims Act, our inability
to participate in a governmental payer program, recoupment or returning funds already paid to us, civil monetary penalties, criminal
penalties and/or limitations on the operational function of our laboratory, all of which could adversely affect our results of operations
and financial condition.

 Risks
Related to our Operations

 The
loss of members of our senior management team or our inability to attract and retain key personnel could adversely affect our business.

 As
a small company with approximately 110 employees, the success of our business depends largely on the skills, experience and performance of
members of our senior management team, including our chief executive officer, and others in key management positions The efforts of these
persons will be critical to us as we continue to grow our clinical services and develop and/or acquire additional molecular diagnostic
tests. If we were to lose one or more of these key employees, we may experience difficulties in competing effectively, developing our
technologies and implementing our business strategy. In addition, our commercial laboratory operations depend on our ability to attract
and retain highly skilled scientists, including licensed clinical laboratory scientists. We may not be able to attract or retain qualified
scientists and technicians in the future due to the competition for qualified personnel, and we may have to pay higher salaries to attract
and retain qualified personnel. We may also be at a disadvantage in recruiting and retaining key personnel as our small size, limited
resources, and limited liquidity may be viewed as providing a less stable environment, with fewer opportunities than would be the case
at one of our larger competitors. If we are not able to attract and retain the necessary personnel to accomplish our business objectives,
we may experience constraints that could adversely affect our ability to support our clinical laboratory and commercialization.

 If
we lose the support of key opinion leaders or KOL's, it may limit our revenue growth from our tests or services and our ability
to achieve profitability.

 We
have established relationships with leading oncology opinion leaders at premier cancer institutions and oncology networks. If these key
opinion leaders determine that our existing products and services or other products and services that we develop are not clinically effective,
that alternative technologies are more effective, or if they elect to use internally developed products, we would encounter significant
difficulty validating our testing platform, driving adoption, or establishing our tests as a standard of care, which would limit our
revenue growth and our ability to achieve profitability.

 We
have limited experience in marketing and selling our products, and if we are unable to expand our direct sales and marketing force to
adequately address our customer's needs, our business may be adversely affected.

 Although
we have been selling commercial products since 2014, genomic diagnostics is a relatively new area of science, and we continue to focus
and refine our efforts to sell, market and receive reimbursement for our clinical service products and to leverage our bioinformatics
data. We may not be able to market, sell, or distribute our existing products or services or other products or services we may develop
effectively enough to support our planned growth.

 Our
future sales will depend in large part on our ability to develop, and substantially expand, our sales force and to increase the scope
of our marketing efforts. Our target market of physicians is a large and diverse market. As a result, we believe it is necessary to develop
a sales force that includes sales representatives with specific technical backgrounds. We will also need to attract and develop marketing
personnel with industry expertise. Competition for such employees is intense. We may not be able to attract and retain personnel or be
able to build an efficient and effective sales and marketing force, which could negatively impact sales and market acceptance of our
products and services and limit our revenue growth and potential profitability.

 Our
expected future growth will impose significant added responsibilities on members of management, including the need to identify, recruit,
maintain, and integrate additional employees. Our future financial performance and our ability to commercialize our products and leverage
our data and to compete effectively will depend in part on our ability to manage this potential future growth effectively, without compromising
quality.

 If
our sales force is less successful than anticipated, our business expansion plans could suffer and our ability to generate revenues could
be diminished. In addition, we have limited history selling our clinical services tests on a direct basis, and leveraging our bioinformatics
data and our limited history makes forecasting difficult.

 If
our sales force is not successful, or new additions to our sales team fail to gain traction among our customers, we may not be able to
increase market awareness and sales of our molecular diagnostic tests. If we fail to establish our clinical services tests in the marketplace,
it could have a negative effect on our ability to sell subsequent products or services and hinder the desired expansion of our business.
We have growing, however limited, historical experience forecasting the direct sales of our clinical services products. Our ability to
produce product quantities that meet customer demand is dependent upon our ability to forecast accurately and plan production accordingly.

 If
we are unable to compete successfully in the markets our clinical services operate in, we may be unable to increase or sustain our revenue
or achieve profitability.

 We
compete with physicians and the medical community who use traditional methods to diagnose gastrointestinal, endocrine and lung cancers
and to conduct clinical trials. In many cases, practice guidelines in the United States have recommended non-molecular testing like cytology
or diagnostic surgery to determine if a patient's condition is malignant or benign. As a result, we believe that we will need to
continue to educate physicians and the medical community on the value and benefits of our clinical services tests in order to impact
clinical practices. In addition, we face competition from other companies that offer diagnostic tests. Specifically, in regard to our
thyroid diagnostic tests, Veracyte, Inc. ("Veracyte") has thyroid nodule cancer diagnostic tests which are currently on the
market that compete with our ThyGeNEXT and ThyraMIR v2 tests. Quest Diagnostics Inc. currently offers
Veracyte's tests via a co-marketing agreement, and CBLPath, Inc. is offering a diagnostic test performed via the University of
Pittsburgh Medical Center (UPMC) that analyzes genetic alterations using next-generation sequencing mutation panel for pancreatic cysts.
While we do not believe we currently have significant direct competition for PancraGEN in the gastrointestinal market,
technology such as a next-generation sequencing mutation panel could in the future lead to increased competition.

 It
is also possible that we face future competition from laboratory developed tests, or LDTs, developed by commercial laboratories such
as Quest and/or other diagnostic companies developing new molecular diagnostic tests or technologies. Furthermore, we may be subject
to competition as a result of the new, unforeseen technologies that can be developed by our competitors in the gastrointestinal and endocrine
cancer molecular diagnostic testing space. To compete successfully, we must be able to demonstrate, among other things, that our test
results are accurate and cost effective, and we must secure a meaningful level of reimbursement for our tests. Since our clinical services
began in 2014, many of our potential competitors have stronger brand recognition and greater financial capabilities than we do. Others
may develop a test with a lower price than ours that could be viewed by physicians and payers as functionally equivalent to our molecular
diagnostic tests or offer a test at prices designed to promote market penetration, which could force us to lower the price of our clinical
services tests and affect our ability to achieve and maintain profitability. If we are unable to compete successfully against current
and future competitors, we may be unable to increase market acceptance of our clinical services tests and overall sales, which could
prevent us from increasing our revenue or achieving profitability and cause the market price of our common stock to decline. As we add
new clinical services tests and other products and services, we will likely face many of these same competitive risks that we do currently.

 If
we cannot license rights to use third-party technologies on reasonable terms, we may not be able to commercialize new products or services
in the future.

 In
the future, we may license third-party technology to develop or commercialize new products or offer new services. In return for the use
of a third-party's technology, we may agree to pay the licensor royalties based on sales of our solutions. Royalties are a component
of cost of revenue and affect the margins on our solutions. We may also need to negotiate licenses to patents and patent applications
after introducing a commercial product. Our business may suffer if we are unable to enter into the necessary licenses on acceptable terms,
or at all, if any necessary licenses are subsequently terminated, if the licensors fail to abide by the terms of the license or fail
to prevent infringement by third parties, or if the licensed patents or other rights are found to be invalid or unenforceable.

 Unfavorable
results of legal proceedings could have a material adverse effect on our business, financial condition and results of operations.

 We
are subject to various legal proceedings and claims that arise in or outside the ordinary course of business. The results of legal proceedings
cannot be predicted with certainty. Regardless of merit, litigation may be both time-consuming and disruptive to our operations and cause
significant expense and diversion of management attention. If we do not prevail in the legal proceedings, we may be faced with significant
monetary damages or injunctive relief against us that could have a material adverse effect on our business, financial condition and results
of operations.

 If
a catastrophe strikes our laboratory or if it becomes inoperable for any other reason, we will be unable to perform our testing and our
business will be harmed.

 The
laboratory and equipment we use to perform our tests and services would be costly to replace and could require substantial lead time
to replace and qualify for use if they became inoperable. Our facilities may be harmed or rendered inoperable by natural or man-made
disasters, including earthquakes, flooding, power outages, and health epidemics or pandemics, which may render it difficult or impossible
for us to perform our testing or services for some period of time or to receive and store samples. The inability to perform our tests
or services for even a short period of time, including due to disruption in staffing, supplies, distribution, or transport or temporary
closures may result in the loss of customers or harm our reputation, and we may be unable to regain those customers in the future. Although
we maintain insurance for damage to our property and the disruption of our business, this insurance may not be sufficient to cover all
of our potential losses and may not continue to be available to us on acceptable terms, if at all.

 If
we use hazardous materials in a manner that causes contamination or injury, we could be liable for resulting damages.

 We
are subject to federal, state and local laws, rules and regulations governing the use, discharge, storage, handling and disposal of biological
material, chemicals and waste. We cannot eliminate the risk of accidental contamination or injury to employees or third parties from
the use, storage, handling or disposal of these materials. In the event of contamination or injury, we could be held liable for any resulting
damages, remediation costs and any related penalties or fines, and any liability could exceed our resources or any applicable insurance
coverage we may have. The cost of compliance with these laws and regulations may become significant, and our failure to comply may result
in substantial fines or other consequences, and either could have a significant impact on our operating results.

 Security
breaches, loss of data and other disruptions to us or our third-party service providers could compromise sensitive information related
to our business or prevent us from accessing critical information and expose us to liability, which could adversely affect our business
and our reputation.

 Our
business requires that we and our third-party service providers collect and store sensitive data, including PHI, personally identifiable
information such as genetic information or credit card information about patients or other individuals, and our proprietary business
and financial information. We must comply with the HIPAA and HITECH privacy, security, and breach notification regulations with respect
to PHI in our capacity as a covered entity and business associate, and with consumer protection and consumer privacy laws that apply
to our processing of this sensitive data, which may increase our operational costs. Furthermore, the privacy, security, and breach notification
regulations implemented under HIPAA and HITECH as well as other federal and state consumer protection and consumer privacy laws and regulations
that may apply to us provide for significant fines and other penalties, including potential civil and criminal fines and penalties, for
non-compliance. We face a number of risks relative to our protection of, and our service providers' protection of, this critical
information, other personally identifiable information, and our proprietary business and financial information, including loss of access,
fraudulent modifications, inappropriate disclosure and inappropriate access, as well as risks associated with our ability to identify
and audit such events. The secure processing, storage, maintenance and transmission of this critical information is vital to our operations
and business strategy, and we devote significant resources to protecting such information. Although we take measures to protect sensitive
information from unauthorized access or disclosure, our information technology and infrastructure may be vulnerable to attacks by hackers
or viruses or otherwise breached due to employee error, malfeasance or other activities. If such event would occur and cause interruptions
in our operations, our networks would be compromised and the information we store on those networks could be accessed by unauthorized
parties, publicly disclosed, modified without our knowledge, lost or stolen. In 2017, we discovered malware installed on certain servers.
After an internal investigation, we do not believe that any PHI or other sensitive data on the affected servers was accessed or compromised.
We removed the malware and enhanced our cybersecurity procedures.

 Additionally,
we engage third-party contractors who, insofar as they are our business associates, are contractually and legally obligated to safeguard
and maintain the confidentiality of any PHI that they create, receive, maintain, transmit, use, or disclose on our behalf. Unauthorized
persons may be able to gain access to PHI stored by such third-party contractors, including in their computer networks. Any wrongful
use or disclosure of PHI by us or our third-party contractors, including disclosure due to data theft or unauthorized access to our or
our third-party contractors' computer networks, could subject us to fines or penalties that could adversely affect our business
and results of operations. Although HIPAA and HITECH and their implementing regulations do not expressly provide for a private right
of damages, they permit state attorneys general to bring civil actions and obtain damages on behalf of state residents for violations,
and enjoin further violations, of the privacy and security regulations implemented under HIPAA. We also could incur damages under state
laws to private parties for the wrongful use or disclosure of confidential health information or other private personal information by
us or our third-party contractors. Unauthorized access, loss, modification or dissemination could disrupt our operations, including our
ability to process tests, provide test results, bill payers or patients, process claims, provide customer assistance services, conduct
research and development activities, collect, process and prepare company financial information, provide information about our solution
and other patient and physician education and outreach efforts through our website, or manage the administrative aspects of our business
and damage our reputation, any of which could adversely affect our business. In addition, the interpretation and application of consumer,
health-related or other data protection laws in the United States are often uncertain, contradictory and in flux, particularly as more
states enact comprehensive consumer privacy laws. It is possible that these various laws may be interpreted and applied in a manner that
is inconsistent with our practices. Complying with these various laws could cause us to incur substantial costs or require us to change
our business practices, systems, and compliance procedures in a manner adverse to our business.

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

 We
are a small company with approximately 110 employees. We may increase the number of employees in the future depending on the progress
and growth of our business. Future growth will impose significant added responsibilities on members of management, including the need
to identify, attract, retain, motivate and integrate additional employees with the necessary skills to support the growing complexities
of our business. Rapid and significant growth may place strain on our administrative, financial and operational infrastructure. Our future
financial performance and our ability to sell or promote our existing tests and services and develop and commercialize new tests and
services 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:

 manage
 our clinical studies effectively;

 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 may need to
reduce the size of our organization in order to maintain profitability and we may experience difficulties in managing these reductions.

 Risks
Related to Regulation within our Markets

 If
we fail to comply with federal, state and foreign laboratory licensing requirements, we could lose the ability to perform our tests or
experience disruptions to our business.

 We
are subject to CLIA regulations, a Federal law that regulates clinical laboratories that perform testing on specimens derived from humans
for the purpose of providing information for the diagnosis, prevention or treatment of any disease, or impairment of, or the assessment
of the health of, human beings. CLIA regulations mandate specific personnel qualifications, facilities administration, quality systems,
inspections and proficiency testing. CLIA certification is also required in order for us to be eligible to bill federal and state healthcare
programs, as well as many private third-party payers, for our molecular diagnostic tests. To renew these certifications, we are subject
to survey and inspection every two years. Moreover, CLIA inspectors may make random inspections of our clinical reference laboratory.
We are also required to maintain State licenses to conduct testing in our Pittsburgh, Pennsylvania laboratory. Pennsylvania law requires
that we maintain a license and establish standards for the day-to-day operation of our clinical reference laboratory in Pittsburgh,
Pennsylvania. In addition, our Pittsburgh laboratory is required to be licensed by certain states, including California, Maryland, New
York and Rhode Island. New York law requires us to obtain test-specific approval before offering our tests as LDT. California, Maryland,
New York and Rhode Island laws also mandate proficiency testing for laboratories licensed under the laws of each respective State regardless
of whether such laboratories are located in California, Maryland, New York or Rhode Island. If we were unable to obtain or maintain our
CLIA certificate for our laboratory, whether as a result of revocation, suspension or limitation, we would no longer be able to perform
our current clinical services, which could have a material adverse effect on our business, financial condition and results of operations.
If we were to lose our licenses issued by States where we are required to hold licenses, if such licenses expired or were not renewed,
or if we failed to obtain and maintain a State license that we are required to hold, we may be subject to significant fines, penalties
and liability, and may be forced to cease testing (if Pennsylvania) or cease testing specimens from those States (if California, New
York, Maryland, or Rhode Island), which could have a material adverse effect on our business, financial condition and results of operations.
New molecular diagnostic tests we may develop may be subject to new requirements by governmental bodies, including state governments,
and we may not be able to offer our new molecular diagnostic tests in such jurisdictions until such requirements are met.

 Legislation
reforming the U.S. healthcare system may have a material adverse effect on our financial condition and operations.

 PPACA
made changes that significantly affected the pharmaceutical, medical device and clinical laboratory industries. For example, PPACA includes
coordination and promotion of research on comparative clinical effectiveness of different technologies and procedures, initiatives to
revise Medicare payment methodologies, such as bundling of payments across the continuum of care by providers and physicians, and initiatives
to promote quality indicators in payment methodologies. PPACA also includes significant new fraud and abuse measures, including required
disclosures of financial arrangements with physicians, lower thresholds for violations and increasing potential penalties for such violations.
The effect of PPACA and any potential changes that may be necessitated by the legislation is uncertain, any of which may potentially
affect our business.

 Our
current position is that we do not meet the definition of an "Applicable Manufacturer" under the Physician Payments Sunshine
Act of the PPACA and are therefore not subject to the disclosure requirements contained in PPACA. If the government were to reach a different
conclusion, our failure to disclose could result in significant monetary penalties and potential claims from certain third parties.

 PPACA,
as well as other healthcare reform measures that have been and may be adopted in the future, may result in more rigorous coverage criteria,
new payment methodologies and in additional downward pressure on the price that we receive for any approved product or service, and could
seriously harm our future revenues. Any reduction in reimbursement from Medicare or other government programs may result in a similar
reduction in payments from private payers. The implementation of cost containment measures or other healthcare reforms may compromise
our ability to generate revenue, attain profitability or commercialize our products. At the same time, there have been significant ongoing
efforts to repeal, revise, or replace PPACA; however, the U.S. Supreme Court upheld the surviving portions of the law in 2021.

 President
Biden has used executive orders to undo certain changes to the PPACA made by the Trump administration and has indicated it will advocate
for legislation to build on the PPACA. It is unknown what form any such changes or any law would take, and how or whether it may affect
our business in the future. We expect that changes or additions to the PPACA, the Medicare and Medicaid programs, and changes stemming
from other healthcare reform measures, especially with regard to healthcare access, financing or other legislation in individual states,
could have a material adverse effect on the healthcare industry.

 For
example, Medicare payment rates have been – and in the future, will continue to be, to varying extents, subject to sequestration.
Reductions resulting from the Congressional sequester are applied to total claim payments made; however, they do not currently result
in a rebasing of the negotiated or established Medicare or Medicaid reimbursement rates.

 State
legislation on reimbursement applies to Medicaid reimbursement and Managed Medicaid reimbursement rates within that state. Some states
have passed or proposed legislation that would revise reimbursement methodology for clinical laboratory payment rates under those Medicaid
programs.

 In
April 2014, President Obama signed the Protecting Access to Medicare Act, or PAMA, which included a substantial new payment system for
clinical laboratory tests under the CLFS. Under PAMA, CLFS payment rates are based upon the weighted median of private payor rates for
each type of laboratory test. To calculate these rates, PAMA requires CLIA-certified laboratories that receive a majority of their Medicare
revenue from payments made under the CLFS and the Physician Fee Schedule, and receive at least $12,500 in CLFS revenue, within the 6-month
reporting period, to report private payor rates and volumes for their tests with specific CPT codes based on final payments made during
a 6-month period of data collection (from January 1 through June 30 of the applicable year). For most laboratory tests, the CLFS is updated
every three years, but rates are updated annually for Advanced Diagnostic Laboratory Tests, or ADLTs. The first private payor rate-based
CLFS was based on data collected from January 1 through June 30, 2016, and became effective on January 1, 2018. CMS published final rules
implementing these changes in 2016 and 2018.

 Under
the revised Medicare Clinical Laboratory Fee Schedule, reimbursement for clinical laboratory testing was reduced for most tests in 2018,
2019, and 2020. PAMA (as revised) calls for further revisions of the Medicare Clinical Laboratory Fee Schedule for years after 2024,
based on surveys of market rates. Further reductions in reimbursement may result from such revisions.

 PAMA,
as amended by the Protecting Medicare and American Farmers from Sequester Cuts Act, among other laws, revised payment reductions and
the data reporting schedule for CDLTs that are not ADLTs. Under these laws, the next data reporting period is January 1, 2025 through
March 31, 2025, and will be based upon the data collected during the January 1, 2019 to June 30, 2019 period. Any reductions to payment
rates resulting from the new methodology are limited to 10% per test per year in each of the years 2018 through 2020 and to 15% per test
per year in each of the years 2025 through 2027. Payments will not be reduced for 2021 through 2024 for CDLTs.

 We
cannot predict whether future healthcare initiatives will be implemented at the federal or state level or in countries outside of the
United States in which we may do business, or the effect any future legislation or regulation will have on us. There is additional uncertainty
in light of the current Presidential administration. The taxes imposed by federal legislation, cost reduction measures and the expansion
in the role of the U.S. government in the healthcare industry may result in decreased revenue, lower reimbursement by payers for our
tests or reduced medical procedure volumes, all of which may adversely affect our business, financial condition and results of operations.

 Complying
with numerous statutes and regulations pertaining to our services is an expensive and time-consuming process, and any failure to comply
could result in substantial penalties.

 We
are subject to regulation by both the federal government and the governments of the states in which we conduct our operations. The federal
and state laws which may apply to us include, but are not limited to:

 The
 Food, Drug and Cosmetic Act, as supplemented by various other statutes;

 CLIA
 and state licensing requirements;

 Manufacturing
 and promotion laws;

 Medicare
 and Medicaid billing and payment regulations applicable to clinical laboratories;

 The
 Eliminating Kickbacks in Recovery Act of 2018 (EKRA), which, among other things, prohibits the solicitation, receipt, payment or
 offer of any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind,
 in return for referring a patient or patronage to a recovery home, clinical treatment facility, or laboratory for services covered
 by both government and private payers;

 The
 Federal Anti-Kickback Statute (and state equivalents), which, among other things, prohibits knowingly and willfully offering, paying,
 soliciting, or receiving remuneration, directly or indirectly, in exchange for or to induce either the referral of an individual,
 or the furnishing, arranging for, or recommending of an item or service that is reimbursable, in whole or in part, by a federal health
 care program;

 The
 Federal physician self-referral law, commonly referred to as the "Stark Law," (and state equivalents), which prohibits
 a physician from making a referral for, and an entity receiving the referral from billing for, certain designated health services
 covered by the Medicare program, including clinical laboratory services, if the physician or an immediate family member has a financial
 relationship with the entity providing the designated health services, unless the financial relationship falls within an applicable
 exception to the prohibition;

 HIPAA,
 which establishes comprehensive federal standards with respect to the privacy and security of PHI and requirements for the use of
 certain standardized electronic transactions, and amendments made in 2013 to HIPAA under the Health Information Technology for Economic
 and Clinical Health Act, which strengthen and expand HIPAA privacy and security compliance requirements, increase penalties for violators,
 extend enforcement authority to state attorneys general, and impose requirements for breach notification;

 The
 FTC Act and various state consumer privacy laws, which require regulated entities to take reasonable steps to safeguard the personal
 information of consumers, make certain disclosures about our data privacy and security practices to the public and certain state
 or federal regulators, minimize our use of personal information of consumers, and provide consumers with certain rights as to their
 personal data such as the right to correct or delete their personal information;

 The
 Federal Civil Monetary Penalties Law, which prohibits, among other things, the offering or transfer of remuneration to a Medicare
 or state healthcare program beneficiary if the person knows or should know it is likely to influence the beneficiary's selection
 of a particular provider, practitioner, or supplier of services reimbursable by Medicare or a state healthcare program, unless an
 exception applies;

 The
 Federal False Claims Act (and state equivalents), which imposes liability on any person or entity that, among other things, knowingly
 presents, or causes to be presented, a false or fraudulent claim for payment to the federal government;

 The
 federal transparency requirements under the PPACA, including the provisions commonly referred to as the Physician Payments Sunshine
 Act, and similar state laws that require certain manufacturers of drugs, devices, biologics and medical supplies that are reimbursable
 under Medicare, Medicaid or Children's Health Insurance Program to report annually to CMS information related to certain payments
 and other transfers of value, directly or indirectly, to physicians (defined to include doctors of medicine, osteopathy, dentists,
 optometrists, podiatrists and chiropractors), physician assistants, nurse practitioners, clinical nurse specialists, certified registered
 nurse anesthetists, anesthesiologist assistants, and certified nurse midwives, and teaching hospitals, and ownership and investment
 interests held by physicians and their immediate family members;

 The
 21st Century Cures Act information blocking provision prohibiting certain covered actors (including laboratories) from engaging in
 certain practices that are likely to interfere with the access, exchange, or use of electronic health information;

 Other
 federal and state fraud and abuse laws, prohibitions on self-referral and kickbacks, fee-splitting restrictions, prohibitions on
 the provision of products at no or discounted cost to induce physician or patient adoption, and false claims acts, transparency,
 reporting, and disclosure requirements, which may extend to services reimbursable by any third-party payer, including private insurers;

 The
 prohibition on reassignment of Medicare claims, which, subject to certain exceptions, precludes the reassignment of Medicare claims
 to any other party;

 The
 Protecting Access to Medicare Act of 2014, as amended, which requires us to report private payer rates and test volumes for specific
 CPT codes on a triennial basis and imposes penalties for failures to report, omissions, or misrepresentations;

 The
 rules regarding billing for diagnostic tests reimbursable by the Medicare program, which among other requirements, prohibit a physician
 or other supplier from marking up the price of the technical component or professional component of a diagnostic test ordered by
 the physician or other supplier if the test is performed by a physician who does not "share a practice" with the billing
 physician or other supplier; and

 State
 laws that prohibit other specified practices related to billing such as billing physicians for testing that they order, waiving coinsurance,
 co-payments, deductibles, and other amounts owed by patients, and billing a State Medicaid program at a price that is higher than
 what is charged to other payers.

 In
recent years U.S. Attorneys' Offices have increased scrutiny of the healthcare industry, as have Congress, the Department of Justice,
the Department of Health and Human Services' Office of the Inspector General and the Department of Defense. Many of these bodies
have all issued subpoenas and other requests for information to conduct investigations of, and commenced civil or criminal litigation
against, healthcare companies based on financial arrangements with health care providers, regulatory compliance, product promotional
practices and documentation, and coding and billing practices. Whistleblowers have filed numerous qui tam lawsuits against healthcare
companies under the federal and state False Claims Acts in recent years, in part because the whistleblower can receive a portion of the
government's recovery under such suits.

 The
growth of our business may increase the potential of violating these laws, regulations or our internal policies and procedures. The risk
of our being found in violation of these or other laws and regulations is further increased by the fact that many have not been fully
interpreted by the regulatory authorities or the courts, and their provisions are open to a variety of interpretations. Violations of
federal or state regulations may incur investigation or enforcement action by the FDA, Department of Justice, State agencies, or other
legal authorities, and may result in substantial civil, criminal, or other sanctions. Any action brought against us for violation of
these or other laws or regulations, even if we successfully defend against it, could cause us to incur significant legal expenses and
divert our management's attention from the operation of our business. If our operations are found to be in violation of any of
these laws and regulations, we may be subject to civil and criminal penalties, damages and fines, we could be required to refund payments
received by us, we could face possible exclusion from Medicare, Medicaid and other federal or state healthcare programs and we could
even be required to cease our operations. Any of the foregoing consequences could have a material adverse effect on our business, financial
condition and results of operations.

 A
failure to comply with federal and state laws and regulations pertaining to our payment practices could result in substantial penalties.

 We
retain healthcare practitioners as key opinion leaders providing consultation in various aspects of our business, maintain a sales force,
and contract for marketing services. These arrangements, like any arrangement that includes compensation to a healthcare provider or
potential referral source, may trigger federal or state anti-kickback, Stark Law liability, and False Claims Act liability. There are
no guarantees that the federal or state governments will find that these arrangements are designed properly or that they do not trigger
liability under federal and state laws. Under existing laws, arrangements generally must be commercially reasonable and often compensation
must be fair market value. These terms require some subjective analysis. Safe harbors in the anti-kickback laws do not necessarily equate
to exceptions in the Stark Law, and there is no guarantee that the government will agree with our payment practices with respect to the
relationships between our laboratory and the healthcare providers, sales force members, or other parties. A failure to comply with Federal
and State laws and regulations pertaining to our payment practices could result in substantial penalties and adversely affect our business,
financial condition and results of operations.

 In
addition, federal law prohibits any entity from offering or transferring to a Medicare or Medicaid beneficiary any remuneration that
the entity knows or should know is likely to influence the beneficiary's selection of a particular provider, practitioner or supplier
of Medicare or Medicaid payable items or services, including waivers of copayments and deductible amounts (or any part thereof) and transfers
of items or services for free or for other than fair market value, unless an exception applies. Entities found in violation may be liable
for civil monetary penalties of up to $24,164 for each wrongful act, adjusted for inflation. Further, federal and state anti-kickback
statutes or similar laws may be implicated by arrangements with patients to waive, reduce, or limit copays or other payment amounts,
such as our Patient Assistance Program. Third-party payers, including commercial payers and government payers, may prohibit, limit, or
restrict certain financial arrangements with patients. Violation of these laws or payment policies could result in significant fines,
penalties, liability, recoupment, and exclusion from Medicare and Medicaid, which could have a material adverse effect on our business,
results of operations, financial condition and cash flows.

 In
2018, the U.S. enacted the Eliminating Kickbacks in Recovery Act, or EKRA, as part of the Substance Use-Disorder Prevention that Promotes
Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). EKRA is an all-payer anti-kickback law that makes it a
criminal offense to, among other things, pay any remuneration to induce referrals to, or in exchange for, an individual using the services
of a recovery home, a substance use clinical treatment facility, or laboratory. Although it appears that EKRA was intended to reach patient
brokering and similar arrangements to induce patronage of substance use recovery and treatment, the language in EKRA is broadly written.
The term "laboratory" is defined broadly and without reference to any connection to substance use disorder treatment. EKRA
is a criminal statute and violations can result in fines of up to $200,000, up to 10 years in prison, or both, per violation. As drafted,
EKRA does not clearly protect incentive compensation to sales employees, a practice that is common in the industry. A failure to comply
with EKRA could result in substantial penalties and other adverse consequences that adversely affect our business, financial condition
and results of operations.

 Our
business activities may be subject to the Foreign Corrupt Practices Act, or FCPA, and similar anti-bribery and anti-corruption laws.

 Our
business activities may be subject to the FCPA and similar anti-bribery or anti-corruption laws, regulations or rules of other countries
in which we operate, including the U.K. Bribery Act. The FCPA generally prohibits offering, promising, giving, or authorizing others
to give anything of value, either directly or indirectly, to a non-U.S. government official in order to influence official action, or
otherwise obtain or retain business. The FCPA also requires public companies to make and keep books and records that accurately and fairly
reflect the transactions of the corporation and to devise and maintain an adequate system of internal accounting controls. Our business
is heavily regulated and therefore involves significant interaction with public officials, potentially including officials of non-U.S.
governments. Additionally, in many other countries, the health care providers who prescribe pharmaceuticals are employed by their government,
and the purchasers of pharmaceuticals are government entities; therefore, our dealings with these prescribers and purchasers are subject
to regulation under the FCPA. Recently, the SEC and Department of Justice have increased their FCPA enforcement activities with respect
to pharmaceutical companies. There is no certainty that all of our employees, agents, contractors, or collaborators, or those of our
affiliates, will comply with all applicable laws and regulations, particularly given the high level of complexity of these laws. Violations
of these laws and regulations could result in fines, criminal sanctions against us, our officers, or our employees, the closing down
of our facilities, requirements to obtain export licenses, cessation of business activities in sanctioned countries, implementation of
compliance programs, and prohibitions on the conduct of our business. Any such violations could include prohibitions on our ability to
offer our products in one or more countries and could materially damage our reputation, our brand, our international expansion efforts,
our ability to attract and retain employees, and our business, prospects, operating results, and financial condition.

 Changes
in governmental regulation could negatively impact our business operations and increase our costs.

 The
pharmaceutical, biotechnology and healthcare industries are subject to a high degree of governmental regulation. Significant changes
in these regulations affecting our business could result in the imposition of additional restrictions on our business, additional costs
to us in providing our tests or services to our customers or otherwise negatively impact our business operations. Changes in governmental
regulations mandating price controls and limitations on patient access to our products could also reduce, eliminate or otherwise negatively
impact our sales. Additional changes may be forthcoming in light of the current Presidential administration.

 Risks
Relating To Our Intellectual Property

 If
we are unable to protect our intellectual property effectively, our business would be harmed.

 We
rely on patent protection as well as trademark, trade secret and other intellectual property rights protection and contractual restrictions
to protect our proprietary technology. If we fail to protect our intellectual property, third parties may be able to compete more effectively
against us and we may incur substantial litigation costs in our attempts to recover or restrict use of our intellectual property. While
we apply for patents covering our products and technologies and uses thereof, we may fail to apply for patents on important products
and technologies in a timely fashion or at all, or we may fail to apply for patents in relevant jurisdictions. Others could seek to design
around our current or future patented technologies. We may not be successful in defending any challenges made against our patents or
patent applications. Any successful third-party challenge to our patents could result in the unenforceability or invalidity of such patents
and increased competition to our business. The outcome of patent litigation, such as oppositions or post-grant reviews can be uncertain
and any attempt by us to enforce our patent rights against others may not be successful, or, if successful, may take substantial time
and result in substantial cost, and may divert our efforts and attention from other aspects of our business.

 Monitoring
unauthorized disclosure is difficult, and we do not know whether the steps we have taken to prevent such disclosure are, or will be,
adequate. If we were to enforce a claim that a third-party had illegally obtained and was using our trade secrets, it would be expensive
and time consuming, and the outcome would be unpredictable. Further, competitors could willfully infringe our intellectual property rights,
design around our protected technology or develop their own competitive technologies that arguably fall outside of our intellectual property
rights. Others may independently develop similar or alternative products and technologies or replicate any of our products and technologies.
If our intellectual property does not adequately protect us against competitors' products and methods, our competitive position
could be adversely affected, as could our business and the results of our operations. To the extent our intellectual property offers
inadequate protection, or is found to be invalid or unenforceable, we would be exposed to a greater risk of competition. If our intellectual
property does not provide adequate coverage of our competitors' products, our competitive position could be adversely affected,
as could our overall business. Both the patent application process and the process of managing patent disputes can be time consuming
and expensive.

 Changes
in U.S. patent law could diminish the value of patents in general, thereby impairing our ability to protect our molecular diagnostic
tests.

 As
is the case with other companies operating in our industry, our success is somewhat dependent on intellectual property, particularly
on obtaining and enforcing patents. Obtaining and enforcing patents of molecular diagnostics tests, like our molecular diagnostic tests
in our PancraGEN and miR Inform platforms (including ThyGeNEXT), involves both
technological and legal complexity, and is therefore costly, time-consuming and inherently uncertain. From time-to-time the U.S. Supreme
Court, other Federal courts, the U.S. Congress or the United States Patent and Trademark Office, or the USPTO, may change the standards
of patentability and any such changes could have a negative impact on our business. For instance, on October 30, 2008, the Court of Appeals
for the Federal Circuit issued a decision that methods or processes cannot be patented unless they are tied to a machine or involve a
physical transformation.

 The
U.S. Supreme Court later reversed that decision in Bilski v. Kappos, finding that the "machine-or-transformation"
test is not the only test for determining patent eligibility. The Court, however, declined to specify how and when processes are patentable.
On March 30, 2012, in the case Mayo Collaborative Services v. Prometheus Laboratories, Inc., the U.S. Supreme Court reversed the
Federal Circuit's application of Bilski and invalidated a patent focused on a process for identifying a proper dosage for an existing
therapeutic because the patent claim embodied a law of nature. On July 3, 2012, the USPTO released a memorandum entitled "2012
Interim Procedure for Subject Matter Eligibility Analysis of Process Claims Involving Laws of Nature," with guidelines for determining
patentability of diagnostic or other processes in line with the Mayo decision. On June 13, 2013, in Association for Molecular Pathology
v. Myriad Genetics, the Supreme Court held that a naturally occurring DNA segment is a product of nature and not patent eligible
merely because it has been isolated. The Supreme Court did not address the patentability of any innovative method claims involving the
manipulation of isolated genes. On March 4, 2014, the USPTO released a memorandum entitled "2014 Procedure for Subject Matter Eligibility
Analysis Of Claims Reciting Or Involving Laws Of Nature/Natural Principles, Natural Phenomena, And/Or Natural Products." This memorandum
provides guidelines for the USPTO's new examination procedure for subject matter eligibility under 35 U.S.C. § 101 for claims
embracing natural products or natural principles.

 On
June 12, 2015, the Federal Circuit issued a decision in Ariosa v. Sequenom holding that a method for detecting a paternally inherited
nucleic acid of fetal origin performed on a maternal serum or plasma sample from a pregnant female were unpatentable as directed to a
naturally occurring phenomenon. On July 30, 2015, the USPTO released a Federal Register Notice entitled, "July 2015 Update on Subject
Matter Eligibility," This Notice updated the USPTO guidelines for the USPTO's procedure for subject matter eligibility under
35 U.S.C. § 101 for claims embracing natural products or natural principles phenomenon. On May 4, 2016, the USPTO released life
science examples that were intended to be used in conjunction with the USPTO guidance on subject matter eligibility. Although the guidelines
and examples do not have the force of law, patent examiners have been instructed to follow them. On February 6, 2019, the Federal Circuit
for Court of Appeals issued a decision in Athena Diagnostics, Inc. v. Mayo Collaborative Servs., LLC, which relied on the decisions
from Mayo and Ariosa, to find a claim directed to a method for diagnosing neurotransmission or developmental disorders related to muscle
specific tyrosine kinase not eligible for patenting under 35 U.S.C. § 101. What constitutes a law of nature and a sufficient inventive
concept continues to remain uncertain, and it is possible that certain aspects of diagnostic tests will continue to be considered natural
laws and, therefore, ineligible for patent protection.

 Some
aspects of our technology involve processes that may be subject to this evolving standard and we cannot guarantee that any of our pending
or issued claims will be patentable or upheld as valid as a result of such evolving standards. In addition, patents we own or license
that issued before these recent cases may be subject to challenge in court or before the USPTO in view of these current legal standards.
Accordingly, the evolving interpretation and application of patent laws in the United States governing the eligibility of diagnostics
for patent protection may adversely affect our ability to obtain patents and may facilitate third-party challenges to any owned and licensed
patents. Changes in either the patent laws or in interpretations and application of patent laws may also diminish the value of our existing
intellectual property or intellectual property that we continue to develop. We cannot predict the breadth of claims that may be allowed
or enforceable in our patents or in third-party patents.

 We
may be involved in litigation related to intellectual property, which could be time-intensive and costly and may adversely affect our
business, operating results or financial condition.

 We
may receive notices of claims of direct or indirect infringement or misappropriation or misuse of other parties' proprietary rights
from time to time and some of these claims may lead to litigation. We cannot assume that we will prevail in such actions, or that other
actions alleging misappropriation or misuse by us of third-party trade secrets, infringement by us of third-party patents and trademarks
or other rights, or the validity of our patents, trademarks or other rights, will not be asserted or prosecuted against us. We might
not have been the first to make the inventions covered by each of our pending patent applications and we might not have been the first
to file patent applications for these inventions. No assurance can be given that other patent applications will not have priority over
our patent applications. If third parties bring these proceedings against our patents, we could incur significant costs and experience
management distraction. Litigation may be necessary for us to enforce our patents and proprietary rights or to determine the scope, coverage
and validity of the proprietary rights of others. Defending any litigation, and particularly patent litigation, is expensive and time-consuming,
and the outcome of any litigation or other proceeding is inherently uncertain and might not be favorable to us. It is also possible that
we might not be able to obtain licenses to technology that we require on acceptable terms or at all. In addition, if we resort to legal
proceedings to enforce our intellectual property rights or to determine the validity, scope and coverage of the intellectual property
or other proprietary rights of others, the proceedings could be burdensome and expensive, even if we were to prevail. Any litigation
that may be necessary in the future could result in substantial costs and diversion of resources and could have a material adverse effect
on our business, financial condition and operating results.

 In
the event of a successful claim of infringement against us, we may be required to pay damages and ongoing royalties, and obtain one or
more licenses from third parties, or be prohibited from selling our products. We may not be able to obtain these licenses on acceptable
terms, if at all. We could incur substantial costs related to royalty payments for licenses obtained from third parties, which could
negatively affect our financial results. In addition, our agreements with some of our customers, suppliers or other entities with whom
we do business require us to defend or indemnify these parties to the extent they become involved in infringement claims, including the
types of claims described above. If we are required or agree to defend or indemnify third parties in connection with any infringement
claims, we could incur significant costs and expenses that could have a material adverse effect on our business, financial condition,
and results of operations.

 Other
Risks Related to our Business

 Our
ability to use our net operating loss carryforwards may be limited and may result in increased future tax liability to us.

 We
incurred net losses from 2015-2022 and may never achieve sustained profitability. As of the fiscal year ended December 31, 2023, we had
U.S. federal and state net operating losses, or NOLs, of approximately $125.8 million and $60.8 million, respectively. Subject to the
final two sentences of this paragraph, the federal and state NOL carryforwards will begin to expire, if not utilized, beginning in 2028
for certain states. These NOL carryforwards could expire unused and be unavailable to offset future income tax liabilities. Under current
federal income tax law, federal NOLs incurred in tax years beginning after December 31, 2017 may be carried forward indefinitely, but
the deductibility of such federal NOLs is limited to 80% of Federal taxable income.

 To
the extent that we continue to generate taxable losses, unused losses will carry forward to offset future taxable income, if any. We
may be limited in the portion of NOL and tax credit carryforwards that we can use in the future to offset taxable income for U.S.
federal and state income tax purposes. Sections 382 and 383 of Internal Revenue Code of 1986, or the Code, limit the use of NOLs and
tax credits after a cumulative change in corporate ownership of more than 50% occurs within a three-year period. The limitation
could prevent us from using some or all of our NOLs and tax credits, as it places a formula limit of how much of our NOL and tax
credit carryforwards we would be permitted to use in a tax year. The amount of the annual limitation, if any, will be determined
based on the value of our company immediately prior to an ownership change. During the periods 2017 through 2019, the company
experienced greater than 50% changes in ownership and as a result, NOLs attributable to the pre-ownership change are subject to a
substantial annual limitation under Section 382 of the Code due to the ownership changes. The Company has adjusted their NOL
carryforwards to address the impact of the Section 382 ownership changes. Federal Net Operating Losses of $71.2 million are subject
to annual limitation for ownership changes and the Company is utilizing $1.0 million during the current year. The remaining $55.6
million of NOLs incurred post July 15, 2019 are not subject to any annual limitation and can be carried forward indefinitely.
Subsequent ownership changes may further affect the limitation in future years. In the event we have undergone or will undergo an
ownership change under Section 382 of the Code, if we earn net taxable income, our ability to use our pre-change NOL carryforwards
to offset U.S. federal taxable income may become subject to these limitations, which could potentially result in increased future
tax liability to us.

 Comprehensive
tax reform could adversely affect our business and financial condition.

 New
income, sales and use or other tax laws or regulations could be enacted at any time, which could adversely affect our business operations
and financial performance. Further, existing tax laws and regulations could be interpreted, modified or applied adversely to us. These
events could require us to pay additional taxes on a prospective or retroactive basis, as well as penalties, interest and other costs
for past amounts deemed to be due. New laws, or laws that are changed, modified or newly interpreted or applied, also could increase
our compliance, operating and other costs, as well as the costs of our products. For example, the Tax Cuts and Jobs Act of 2017 enacted
many significant changes to the U.S. tax laws, some of which were further modified by the Coronavirus Aid, Relief, and Economic Security
Act, and may be modified in the future by the current or a future presidential administration. In addition, it is uncertain if and to
what extent various states will conform to current federal law, or any newly enacted federal tax legislation. Changes in corporate tax
rates, the realization of net operating losses, and other deferred tax assets relating to our operations, the taxation of foreign earnings,
and the deductibility of expenses could have a material impact on the value of our deferred tax assets and could increase our future
tax expense.

 We
may acquire businesses or assets or make investments in other companies or testing, service or solution technologies that could harm
our operating results, dilute our stockholders' ownership, increase our debt or cause us to incur significant expense.

 As
part of our strategy, we may pursue acquisitions of synergistic businesses or other related assets. If we make any further acquisitions,
we may not be able to integrate these acquisitions successfully into our existing business, and we could assume unknown or contingent
liabilities. Any future acquisition by us also could result in significant write-offs or the incurrence of debt and contingent liabilities,
any of which could harm our operating results and financial condition. Integration of an acquired company or business will also likely
require management resources that otherwise would be available for ongoing development of our existing business. We may not identify
or complete these transactions in a timely manner, on a cost-effective basis, or at all, and we may not realize the anticipated benefits
of any acquisition. To finance any acquisitions or investments, we may choose to issue shares of our common stock as consideration, which
would dilute the ownership of our stockholders. If the price of our common stock is low or volatile, we may not be able to acquire other
companies for stock. Alternatively, it may be necessary for us to raise additional funds for these activities through public or private
financings. Additional funds may not be available on terms that are favorable to us, or at all. If these funds are raised through the
sale of equity or convertible debt securities, dilution to our stockholders could result. The holders of our Series B Preferred Stock
have the right to approve any public offering. Consummating an acquisition poses a number of risks including:

 we
 may not be able to accurately estimate the financial impact of an acquisition on our overall business;

 an
 acquisition may require us to incur debt or other obligations, incur large and immediate write-offs, issue capital stock potentially
 dilutive to our stockholders or spend significant cash, or may negatively affect our operating results and financial condition;

 if
 we spend significant funds or incur additional debt or other obligations, our ability to obtain financing for working capital or
 other purposes could decline;

 worse
 than expected performance of an acquired business may result in the impairment of intangible assets;

 we
 may be unable to realize the anticipated benefits and synergies from acquisitions as a result of inherent risks and uncertainties,
 including difficulties integrating acquired businesses or retaining key personnel, partners, customers or other key relationships,
 and risks that acquired entities may not operate profitably or that acquisitions may not result in improved operating performance;

 we
 may fail to successfully manage relationships with customers, distributors and suppliers;

 our
 customers may not accept new molecular diagnostic tests;

 we
 may fail to effectively coordinate sales and marketing efforts of our acquired businesses;

 we
 may fail to combine product offerings and product lines of our acquired businesses timely and efficiently;

 an
 acquisition may involve unexpected costs or liabilities, including as a result of pending and future shareholder lawsuits relating
 to acquisitions or exercise by stockholders of their statutory appraisal rights, or the effects of purchase accounting may be different
 from our expectations;

 an
 acquisition may involve significant contingent payments that may adversely affect our future liquidity or capital resources;

 accounting
 for contingent payments requires significant judgment and changes to the assumptions used in determining the fair value of our contingent
 payments could lead to significant volatility in earnings;

 acquisitions
 and subsequent integration of these companies may disrupt our business and distract our management from other responsibilities; and

 the
 costs of an unsuccessful acquisition may adversely affect our financial performance.

 Additional
risks of integration of an acquired business include:

 differing
 information technology, internal control, financial reporting and record-keeping systems;

 differences
 in accounting policies and procedures;

 unanticipated
 additional transaction and integration-related costs;

 facilities
 or operations of acquired businesses in remote locations and the inherent risks of operating in unfamiliar legal and regulatory environments;
 and

 new
 products, including the risk that any underlying intellectual property associated with such products may not have been adequately
 protected or that such products may infringe on the proprietary rights of others.

 If
our information technology or communications systems fail or we experience a significant interruption in their operation, our reputation,
business and results of operations could be materially and adversely affected.

 The
efficient operation of our business is dependent on our information technology and communications systems. Increasingly, we are also
dependent upon our ability to electronically interface with our customers. The failure of these systems to operate as anticipated could
disrupt our business and result in decreased revenue and increased overhead costs. In addition, we do not have complete redundancy for
all of our systems and our disaster recovery planning cannot account for all eventualities. Our information technology and communications
systems, including the information technology systems and services that are maintained by third party vendors, are vulnerable to damage
or interruption from natural disasters, fire, terrorist attacks, epidemics, pandemics including COVID-19, malicious attacks by computer
viruses or hackers, power loss, failure of computer systems, Internet, telecommunications or data networks. In 2017, we discovered malware
installed on certain clinical services servers. We do not believe that any data on the affected servers was accessed or compromised.
We removed the malware, and enhanced our cybersecurity procedures. Additionally, our services are largely dependent on our partially
internally developed and partially purchased Laboratory Information Management Systems or LIMS, which is our automated basis of managing
operations and storing data and customer information. If these systems or services become unavailable or suffer a security breach, or
are uneconomical or impossible to update and modify, we may expend significant resources to address these problems, and our reputation,
business and results of operations could be materially and adversely affected.

 Risks
Related To Our Common Stock Price

 The
price and trading volume of our common stock may be highly volatile and could be further affected by events not within our control, and
an investment in our common stock could suffer a decline in value.

2023, our common stock traded at a low of $0.62 and a high of $3.54. During 2022, our common stock traded at a low of $0.51 and a high
of $8.69. Volatility in our stock price or trading volume may be in response to various factors, some of which may be beyond our control.
In addition to the other factors discussed or incorporated by reference herein, factors that may cause fluctuations in our stock price
or trading volume, include, among others:

 general volatility in the trading markets;

 the impact of the delisting of our common stock from Nasdaq;

 adverse research and development results;

 significant fluctuations in our quarterly operating results;

 significant changes in our cash and cash equivalent reserves;

 our liquidity and ability to obtain additional capital, including the market's reaction to any announced capital-raising transactions;

 market assessments of any announced strategic transaction, including the likelihood that it would be completed and the timing for completion;

 potential negative market reaction to the terms or volume of any issuance of shares of our common stock, preferred stock or other securities to new investors, pursuant to strategic or capital-raising transactions or to employees, directors or other service providers;

 sales of substantial amounts of our common stock, or the perception that substantial amounts of our common stock may be sold, by stockholders in the public market;

 announcements regarding our business or the business of our competitors;

 announcements regarding our equity offerings;

 strategic actions by us or our competitors, such as acquisitions or restructurings;

 industry and/or regulatory developments;

 changes in revenue mix;

 changes in revenue and revenue growth rates for us and for the industries in which we operate;

 changes in accounting standards, policies, guidance, interpretations or principles;

 statements or changes in opinions, ratings or earnings estimates made, or the failure to make, by brokerage firms or industry analysts relating to the markets in which we operate or expect to operate; and

 general market and economic conditions.

 The
issuance of additional shares of our common stock in any future offerings could be dilutive to stockholders.

 The
issuance of additional shares of our common stock in any future offerings could be dilutive to stockholders. In order to raise additional
capital, such securities may be at prices that are not the same as the price per share in previous offerings. We cannot assure investors
that we will be able to sell shares or other securities in any other offering at a price per share that is equal to or greater than the
price per share paid by investors in previous offerings, and investors purchasing shares or other securities in the future could have
rights superior to existing stockholders. Moreover, to the extent that we issue options or warrants to purchase, or securities convertible
into or exchangeable for, shares of our common stock in the future (including our Series B Preferred Stock), and those options, warrants
or other securities are exercised, converted or exchanged, stockholders may experience further dilution.

 The
delisting of our common stock from Nasdaq and potential delisting from OTCQX has adversely affected our common stock
and business and financial condition.

 On
February 25, 2020, our common stock was delisted from the Nasdaq Capital Market ("Nasdaq") and commenced trading on the OTCQX
 Best Market tier of the OTC Markets Group Inc. (the "OTCQX"), an electronic quotation service operated by OTC Markets
Group Inc.

 Trading
in stock quoted on the OTCQX is often thin, volatile, and characterized by wide fluctuations in trading prices, due to many factors that
may have little to do with the issuer's operations, results or business prospects. The availability of buyers and sellers represented
by this volatility could lead to a market price for our Common Stock that is unrelated to operating performance. Moreover, the OTCQX
is not a stock exchange, and trading of securities quoted on the OTCQX is often more volatile than the trading of securities listed on
a stock exchange like Nasdaq or the New York Stock Exchange. The OTCQX quotation system may provide less liquidity than Nasdaq.

 Prices
for securities traded solely on the OTCQX quotation system may be difficult to obtain, and holders of our common stock may be unable
to resell their shares at or near their original acquisition price or at any price. Further, our delisting from Nasdaq and commencement
of trading on the OTCQX has and may continue to have negative implications, including an adverse effect on the price of our common stock,
increased volatility in our common stock, the loss of federal preemption of state securities laws, greater difficulty in raising capital
through the public or private sale of equity securities, deterring broker-dealers from making a market in or otherwise seeking or generating
interest in our common stock, a loss of current or future coverage by certain sell-side analysts, deterring certain institutions and
persons from investing in our securities at all and a loss of confidence of our customers, collaborators, vendors, suppliers and employees,
which could harm our business and future prospects.

 On
December 28, 2023, we received notice from the OTCQX indicating that the Company's market capitalization has been below the required
$5 million for 30 consecutive calendar days preceding the date of such notice, and that the Company no longer meets the standards for
continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies section 3.2.b.2. On March 20, 2024 we received notice from the OTCQX indicating that the Company's market capitalization has
stayed above the required $5 million for ten consecutive trading days preceding the date of such notice, and that the Company currently
satisfies the standards for continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies.

 The
risks associated with penny stock classification could affect the marketability of the Company's common stock and stockholders
could find it difficult to sell their shares.

 If
the Company's shares of Common Stock do not maintain a trading price of $5.00 or more per share, the Company's common stock
will be subject to "penny stock" rules as defined in Exchange Act Rule 3a51-1. The SEC adopted rules that regulate broker-dealer
practices in connection with transactions in penny stocks. Transaction costs associated with purchases and sales of penny stocks are
likely to be higher than those for other securities. Penny stocks generally are equity securities with a price of less than $5.00.

 The
penny stock rules require a broker-dealer, prior to a transaction in a penny stock not otherwise exempt from the rules, to deliver a
standardized risk disclosure document that provides information about penny stocks and the nature and level of risks in the penny stock
market. The broker-dealer also must provide the customer with current bid and offer quotations for the penny stock, the compensation
of the broker-dealer and its salesperson in the transaction, and monthly account statements showing the market value of each penny stock
held in the customer's account. The bid and offer quotations, and the broker-dealer and salesperson compensation information, must
be given to the customer orally or in writing prior to effecting the transaction and must be given to the customer in writing before
or with the customer's confirmation.

 In
addition, the penny stock rules require that prior to a transaction in a penny stock not otherwise exempt from such rules; the broker-dealer
must make a special written determination that the penny stock is a suitable investment for the purchaser and receive the purchaser's
written agreement to the transaction. These disclosure requirements may have the effect of reducing the level of trading activity in
the secondary market for the Company's common stock and stockholders may find it more difficult to sell their shares.

 Risks
Relating to Being a Public Company

 We
will continue to incur increased costs and demands on management as a result of compliance with laws and regulations applicable to public
companies, which could harm our operating results.

 As
a public company, we are incurring significant legal, accounting and other expenses. In addition to being required to comply with certain
requirements of the Sarbanes-Oxley Act of 2002 (the Sarbanes-Oxley Act), we are required to comply with certain requirements of the Dodd
Frank Wall Street Reform and Consumer Protection Act, as well as rules and regulations subsequently implemented by the SEC, including
the establishment and maintenance of effective disclosure and financial controls and changes in corporate governance practices. We expect
that compliance with these requirements will continue to increase our legal and financial compliance costs and will make some activities
more time consuming and costly. In addition, we expect that our management and other personnel will continue to need to divert attention
from operational and other business matters to devote substantial time to these public company requirements.

 For
example, in 2020, our Audit Committee conducted an independent investigation in accordance with Section 10A of the Exchange Act into
complaints of certain employment and billing and compliance matters and concluded that the allegations made in the complaints were unsubstantiated
and that there was no evidence of any illegal acts. The completion of the investigation caused us to be late in filing our Quarterly
Report on Form 10-Q for the quarter ended June 30, 2020.

 We
also spent considerable management time in connection with our restatement of previously issued financial statements contained in our
Annual Reports on Form 10-K for the years ended December 31, 2014 through 2019 as well as the financial statements contained in the Quarterly
Reports on Form 10-Q for each quarterly period within those fiscal years as well as the quarterly periods ended March 31, 2020 and June
30, 2020. This was due to evaluating and recording an impairment charge and amortization expense relating to our BarreGen asset, as disclosed
in Item 9A of our Report on Form 10-K for the fiscal year 2021.

the Sarbanes-Oxley Act requires, among other things, that we maintain effective internal control over financial reporting and
disclosure controls and procedures. In particular, we must perform system and process evaluation and testing of our internal control
over financial reporting to allow management to report on the effectiveness of our internal control over financial reporting, as
required by Section 404 of the Sarbanes-Oxley Act. In addition, if we lose our status as a "smaller reporting company,"
we will be required to have our independent registered public accounting firm attest to the effectiveness of our internal control
over financial reporting. Our compliance with Section 404 of the Sarbanes-Oxley Act, as applicable, requires us to incur substantial
accounting expense and expend significant management efforts. We currently do not have an internal audit group, and we will need to
continue to hire additional accounting and financial staff with appropriate public company experience and technical accounting
knowledge. If we or our independent registered public accounting firm identify deficiencies in our internal control over financial
reporting that are deemed to be material weaknesses, such as the material weakness described in Item 9A of this report, the market
price of our stock could decline and we could be subject to sanctions or investigations by the SEC or other regulatory authorities,
which would require additional financial and management resources.

 If
we are unable to maintain and implement effective internal controls over financial reporting, investors may lose confidence in the accuracy
and completeness of our reported financial information and the market price of our common stock may be negatively affected.

 As
a public company, we are required to maintain internal control over financial reporting and to report any material weaknesses in
such internal control. See the material weakness described in Item 9A. Section 404 of the Sarbanes-Oxley Act of 2002 requires that
we evaluate and determine the effectiveness of our internal control over financial reporting and provide a management report on our
internal controls on an annual basis. If we have material weaknesses in our internal control over financial reporting, we may not
detect errors on a timely basis and our financial statements may be materially misstated. We will need to maintain and enhance these
processes and controls as we grow, and we will require additional management and staff resources to do so. Additionally, even if we
conclude our internal controls are effective for a given period, we may in the future identify one or more material weaknesses in
our internal controls, in which case our management will be unable to conclude that our internal control over financial reporting is
effective. Even if our management concludes that our internal control over financial reporting is effective, our independent
registered public accounting firm may conclude that there are material weaknesses with respect to our internal controls or the level
at which our internal controls are documented, designed, implemented or reviewed.

 If
we are unable to conclude that our internal control over financial reporting is effective, investors could lose confidence in the accuracy
and completeness of our financial disclosures, which could cause the price of our common stock to decline. Irrespective of compliance
with Section 404, any failure of our internal control over financial reporting could have a material adverse effect on our reported operating
results and harm our reputation. Internal control deficiencies could also result in a restatement of our financial results.

 Risks
Relating to Our Corporate Structure and Our Common Stock

 We
have a substantial number of authorized shares of common and preferred stock available for future issuance that could cause dilution
of our stockholders' interest, adversely impact the rights of holders of our common stock and cause our stock price to decline.

 We
have a total of 100,000,000 shares of common stock and 5,000,000 shares of preferred stock authorized for issuance. As of December 31,
2023, we had 95,648,555 shares of common stock and 4,953,000 shares of preferred stock available for issuance. As of December 31, 2023,
we have reserved 692,688 shares of our common stock for issuance under our 2019 Equity Incentive Plan and 1,000,007 shares of our common
stock for issuance under our Employee Stock Purchase Plan and 1,677,248 additional shares available for future grants of awards under
our 2019 Equity Incentive Plan. As of December 31, 2023, the aggregate number of shares of common stock that may be issued through conversion
of all of the outstanding Series B Preferred Stock is 7,833,334. Provided that we have a sufficient number of unreserved authorized capital
stock available, we may seek financing that could result in the issuance of additional shares of our capital stock and/or rights to acquire
additional shares of our capital stock. We may also make acquisitions that result in issuances of additional shares of our capital stock.
Those additional issuances of capital stock could result in substantial dilution of our existing stockholders. Furthermore, the book
value per share of our common stock may be reduced. This reduction would occur if the exercise price of any issued warrants, the conversion
price of any convertible notes or the conversion ratio of any issued preferred stock is lower than the book value per share of our common
stock at the time of such exercise or conversion. Additionally, new investors in any subsequent issuances of our securities could gain
rights, preferences and privileges senior to those of holders of common stock.

 The
addition of a substantial number of shares of our common stock into the market or the registration of any of our other securities under
the Securities Act may significantly and negatively affect the prevailing market price for our common stock. The future sales of shares
of our common stock issuable upon the exercise of outstanding warrants and options may have a depressive effect on the market price of
our common stock, as such warrants and options would be more likely to be exercised at a time when the price of our common stock is greater
than the exercise price.

 Any
weakness in our disclosure controls and procedures and our internal controls could have a material adverse effect on us.

 As
discussed in "Item 9A-Controls and Procedures," our senior management has identified material weaknesses in our disclosure
controls and procedures and our internal controls over financial reporting. We cannot assure you that additional material weaknesses
will not be identified in the future. Any such failure could adversely affect our ability to report financial results on a timely and
accurate basis, which could have other material effects on our business, reputation, results of operations, financial condition or liquidity.
Material weaknesses in internal controls over financial reporting or disclosure controls and procedures could also cause investors to
lose confidence in our reported financial information which could have an adverse effect on the trading price of our securities.

 We
have anti-takeover defenses that could delay or prevent an acquisition and could adversely affect the price of our common stock.

 Our
certificate of incorporation, as amended, and amended and restated bylaws include provisions, such as providing for three classes of
directors, which may make it more difficult to remove our directors and management and may adversely affect the price of our common stock.
In addition, our certificate of incorporation, as amended, authorizes the issuance of "blank check" preferred stock, which
allows our Board to create one or more classes of preferred stock with rights and preferences greater than those afforded to the holders
of our common stock without separate shareholder approval. This provision could have the effect of delaying, deterring or preventing
a future takeover or a change in control, unless the takeover or change in control is approved by our Board. We are also subject to laws
that may have a similar effect. For example, Section 203 of the General Corporation Law of the State of Delaware prohibits us from engaging
in a business combination with an interested stockholder for a period of three years from the date the person became an interested stockholder
unless certain conditions are met. As a result of the foregoing, it will be difficult for another company to acquire us and, therefore,
could limit the price that possible investors might be willing to pay in the future for shares of our common stock. In addition, the
rights of our common stockholders are subject to, and may be adversely affected by, the rights of holders of our Series B Preferred Stock
as well as any class or series of preferred stock that may be issued in the future and by the rights of holders of warrants issued in
the future.

 We
may be subject to securities litigation, which is expensive and could divert our management's attention.

 The
market price of our securities may be volatile, and in the past companies that have experienced volatility in the market price of their
securities have been subject to securities class action litigation. We may be the target of this type of litigation in the future. Securities
litigation against us could result in substantial costs and divert our management's attention from other business concerns, which
could seriously harm our business.

 The
indemnification rights provided to our directors, officers and employees may result in substantial expenditures by us and may discourage
lawsuits against its directors, officers, and employees.

 Our
certificate of incorporation, as amended, contains provisions permitting us to enter into indemnification agreements with our directors,
officers, and employees. The foregoing indemnification obligations could result in us incurring substantial expenditures to cover the
cost of settlement or damage awards against directors and officers, which we may be unable to recoup. These provisions and resultant
costs may also discourage us from bringing a lawsuit against our directors and officers for breaches of their fiduciary duties and may
similarly discourage the filing of derivative litigation by our stockholders against our directors and officers even though such actions,
if successful, might otherwise benefit us and our stockholders.

 ITEM
 1B.

 UNRESOLVED
 STAFF COMMENTS

 None.

 ITEM
 1C.

 CYBERSECURITY

 Cyber
Risk Management and Strategy

 We
have developed and maintain processes designed to assess, identify, and manage cybersecurity risks from potential unauthorized occurrences
on or through our information technology systems that may result in adverse effects on the confidentiality, integrity, and availability
of these systems and the data residing therein. The scope of these processes includes risks that may be associated with both our internally
managed information technology ("IT") systems and key business functions and sensitive data operated or managed by or maintained
at third-party service providers. These processes are managed and monitored by a dedicated information technology team, which is led
by our head of IT, and include mechanisms, controls, technologies, systems, and other processes designed to prevent or mitigate data
loss, theft, misuse, or other security incidents or vulnerabilities affecting the data and maintain a stable information technology environment.
We constantly monitor our information technology environment for abnormal behavior, conduct penetration and vulnerability testing, data
recovery testing, security audits, and ongoing risk assessments, including due diligence on our key technology vendors and other third
party service providers that have access to the personal information we collect, use, store, and transmit. We also conduct periodic employee
trainings on cyber and information security, among other topics. We leverage standard industry tools from a software and hardware perspective
and maintain a cybersecurity risk insurance policy.

 We
consider cybersecurity, along with other significant risks that we face, within our overall enterprise risk management framework. In
the last fiscal year, we have not identified risks from known cybersecurity threats, including as a result of any prior cybersecurity
incidents, which have materially affected us, but we face certain ongoing cybersecurity risks threats that, if realized, are reasonably
likely to materially affect us.

 Governance
Related to Cybersecurity Risks

 The
Board of Directors, as a whole and at the committee level, has oversight for the most significant risks facing us and for our processes
to identify, prioritize, assess, manage, and mitigate those risks. The Compliance Committee, which is comprised solely of independent
directors, has been designated by our Board to oversee cybersecurity risks. The Compliance Committee receives periodic updates on cybersecurity
and information technology matters and related risk exposures. The Board also receives updates from management and the Compliance Committee
on cybersecurity risks on at least an annual basis.

 Our
Vice President of Information Technology has over 10 years of experience managing information technology and cybersecurity matters. The
Vice President of Information Technology, together with our senior leadership team, are responsible for assessing and managing cybersecurity
risks and they work collaboratively across our company to implement policies and procedures designed to protect our information and systems
from cybersecurity threats and to respond promptly to any material cybersecurity incidents in accordance with our incident response plans.
A cross-functional team is responsible for responding to cybersecurity incidents.

 ITEM
 2.

 PROPERTIES

 Our
corporate headquarters are located in Parsippany, New Jersey. Our Parsippany, New Jersey lease is month-to-month. Our diagnostic laboratory
facility is located in Pittsburgh, Pennsylvania where we lease approximately 21,400 square feet. Our Pittsburgh, Pennsylvania lease runs
through June 30, 2028.

 Accordingly,
we believe that our current facilities are adequate for our current and foreseeable operations and that suitable additional space will
be available if needed.

 ITEM
 3.

 LEGAL
 PROCEEDINGS

 We
are not currently a party to any material legal proceedings. We may from time to time become involved in legal proceedings arising in
the ordinary course of business.

 ITEM
 4.

 MINE
 SAFETY DISCLOSURES

 Not
applicable.

 PART
II

 ITEM
 5.

 MARKET
 FOR OUR COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

 Market

 Effective
February 25, 2021, our common stock was delisted from The Nasdaq Capital Market and began trading on the OTCQX Best Market under the
symbol "IDXG." OTCQX Best Market quotations reflect inter-dealer prices and may not necessarily represent actual transactions.

 On
December 28, 2023, we received notice from the OTCQX indicating that the Company's market capitalization has been below the required
$5 million for 30 consecutive calendar days preceding the date of such notice, and that the Company no longer meets the standards for
continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies section 3.2.b.2. On March 20, 2024 we received notice from the OTCQX indicating that the Company's market capitalization has
stayed above the required $5 million for ten consecutive trading days preceding the date of such notice, and that the Company currently
satisfies the standards for continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies.

 Holders
of Record

 We
had 191 stockholders of record as of February 29, 2024. Not reflected in the number of stockholders of record are persons who beneficially
own shares of common stock held in nominee or street name.

 Dividends

 We
have not declared any cash dividends and do not intend to declare or pay any cash dividends in the foreseeable future. Future earnings,
if any, will be used to finance the future operation and growth of our businesses.

 Unregistered
Sales of Equity Securities

 None.

 Use
of Proceeds

 None.

 Repurchases

 None.

 ITEM
 6.

 RESERVED

 ITEM
 7.

 MANAGEMENT'S
 DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 The
following Management's Discussion and Analysis of Financial Condition and Results of Operations should be read in conjunction with
our consolidated financial statements and the related notes appearing elsewhere in this Annual Report on Form 10-K. This discussion
and analysis includes certain forward-looking statements that involve risks, uncertainties and assumptions. You should review the Risk
Factors sections of this Form 10-K for a discussion of important factors that could cause actual results to differ materially from the
results described in or implied by such forward-looking statements. See Forward-Looking Statement Information at the beginning of this
Form 10-K.

 Company
Overview

 We
are a fully integrated commercial company that provides molecular diagnostics, bioinformatics and pathology services for evaluation of
risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. We develop
and commercialize genomic tests and related first line assays principally focused on early detection of patients with indeterminate biopsies
and at high risk of cancer using the latest technology.

 Strategic
Disposition of Pharma Business

 On
August 31, 2022, the Company and Interpace Pharma Solutions, Inc. (the "Subsidiary") entered into an Asset Purchase Agreement
(the "Purchase Agreement") with Flagship Biosciences, Inc. (the "Purchaser") pursuant to which the Purchaser
agreed to (i) acquire substantially all of the assets of the Subsidiary used in Subsidiary's business of complex molecular analysis
for the early diagnosis and treatment of cancer and supporting the development of targeted therapeutics (the "Business")
and (ii) assume and pay certain liabilities related to the purchased assets as set forth in the Purchase Agreement (collectively, the
"Transaction"). The Transaction closed on August 31, 2022.

 As
consideration for the Transaction, under the Purchase Agreement, the Company received a total purchase price of approximately $6.2 million
after working capital and other adjustments ($0.5 million of which was deposited into escrow), subject to the assumption by the Purchaser
of certain specified liabilities. In addition, subject to the terms and conditions set forth in the Purchase Agreement, Purchaser was
obligated to pay the Company an earnout of up to $2.0 million based on revenue for the period beginning September 1, 2021 and ending
August 31, 2022. The Company received an earnout payment of approximately $1.0 million in September 2022 which is the fully settled amount
and there will be no further earnout payments in the future. In the third quarter of 2023, the $0.5 million funds in escrow were released
to the Company.

 The
Purchase Agreement includes a one-year commitment of the Company not to compete with the Business, recruit or hire any former employees
of the Subsidiary who accept employment with the Purchaser in connection with the Transaction, or divert or attempt to divert from Purchaser
any business to be performed from any of the contracts or agreements with customers as set forth in the Purchase Agreement. The Purchase
Agreement also contains customary representations and warranties, post-closing covenants and mutual indemnification obligations for,
among other things, any inaccuracy or breach of any representation or warranty and any breach or non-fulfillment of any covenant.

 In
connection with the Transaction, on August 31, 2022, the Company, the Subsidiary and the Purchaser entered into a Shared Services Agreement
(the "Shared Services Agreement") pursuant to which the Company agreed to provide, or cause its affiliates to provide, to
the Purchaser certain services set forth in the Shared Services Agreement on a transitional basis and subject to the terms and conditions
set forth in the Shared Services Agreement (the "Services"). As consideration for the Services provided by the Company, the
Purchaser is paying the Company the amounts specified for each Service as set forth in the Shared Services Agreement. The Company's
obligations to provide the Services will terminate with respect to each Service as set forth in the Shared Services Agreement.

 The
Purchaser is identified as a related party of the Company and is as an affiliate of both Ampersand, a private equity investor in the
Company, and BroadOak, a secured lender to the Company. Ampersand and BroadOak have each provided equity financing to the Purchaser,
collectively own a majority of the Purchaser's outstanding equity securities and are represented on its Board of Directors.

 The
Company is using the remaining net proceeds of the Transaction to fund its future business activities and for general working capital
purposes. As a result of the sale, the gain on sale and all operations from the Subsidiary have been classified as discontinued operations
for all periods presented.

 Impact
of Our Reliance on CMS and Novitas

 In
January 2022, CMS stated they would no longer reimburse for the use of the Company's ThyGeNEXT and ThyraMIR
 tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. However, on February
28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating
that the January 2022 billing policy reimbursement change for ThyGeNEXT (0245U) and ThyraMIR (0018U)
tests has been retroactively reversed to January 1, 2022. In May 2022, the Company was notified by CMS/NCCI that processing of claims
for dates of service after January 1, 2022 would be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified
that Novitas re-priced ThyGeNEXT (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20,
2022, the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price of $806.59. As a result of the ThyGeNEXT
 pricing change, the Company reduced its NRV rates for ThyGeNEXT Medicare billing to reflect the $806.59 pricing
for tests performed during the second quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1,
2022, the Company recorded an NRV adjustment of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the
first quarter of 2022. During July 2022, the Company began implementing cost-savings initiatives including a reduction in headcount and
incidental expenses and a freeze on all non-essential travel and hiring. In August 2022, the Company sold its Pharma Solutions business.
Effective January 1, 2023, the gapfill price for ThyGeNEXT was set at $1,266.07.

along with many laboratories, we may be affected by the Proposed LCD DL39365, which is currently under consideration by our local Medicare
Administrative Contractor, Novitas. If finalized, this Proposed LCD, which governs "Genetic Testing for Oncology," could
impact the existing Medicare coverage for one of our molecular tests, PancraGEN. On June 5, 2023 we announced that Novitas
issued the final LCD of Genetic Testing for Oncology (L39365) which, if finalized, would have established non-coverage for the Company's
widely used PancraGEN test effective July 17, 2023. On July 6, 2023, Novitas announced that it would not be implementing
the final Genetic Testing for Oncology LCD (L39365) as scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed
LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023.
In response, the Company participated in a public meeting presentation and submitted detailed written comments supporting the use of
PancraGEN. The timing and content of any final implemented LCD is uncertain at this time; the process could potentially
take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, we are able to continue offering
PancraGEN and the related Point2 fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas
ultimately restricts coverage for the PancraGEN test, the Company's liquidity could be negatively impacted.

 Impact
of the ongoing military conflict between Russia and Ukraine and the war between Israel and Hamas.

 In
February 2022, Russian military forces invaded Ukraine, and although the length, impact, and outcome of the ongoing war in Ukraine is
highly unpredictable, this war has led, and could continue to lead, to significant market and other disruptions, including instability
in financial markets, supply chain interruptions, political and social instability, and increases in cyberattacks, intellectual property
theft, and espionage. We are actively monitoring the situation in Ukraine and assessing its impact on our business.

 We
have no way to predict the progress or outcome of the war in Ukraine or its impacts in Ukraine, Russia, or Belarus as the war, and any
resulting government reactions, are rapidly developing and beyond our control.

on October 7, 2023, Hamas, a U.S. designated Foreign Terrorist Organization, launched terrorist attacks against Israel. Israel then declared
war on Hamas and there is currently an armed conflict in Israel and the Gaza Strip and elsewhere in the Middle East. The extent and duration
of the wars in Ukraine and Israel/Gaza expanding geopolitical tensions and any resulting market disruptions could be significant and
could potentially have a substantial impact on the global economy and our business for an unknown period of time. Any of the above-mentioned
factors could materially adversely affect our business, financial condition, and results of operations.

 We
are also monitoring other macro-economic and geopolitical developments such as inflation and cybersecurity risks so that the Company
can be prepared to react to new developments as they arise.

services

 Our
clinical services business commercializes clinically useful molecular diagnostic tests and molecular pathology services. We commercialize
genomic tests and related first-line assays principally focused on risk-stratification of cancer using the latest technology to help
personalize medicine and improve patient diagnosis and management. Our tests and services provide mutational analysis of genomic material
contained in suspicious cysts, nodules, and lesions with the goal of better informing surgery or surveillance treatment decisions in
patients suspected of thyroid, pancreatic, and other cancers. The molecular diagnostic tests we offer enable healthcare providers to
stratify cancer risk, helping to avoid unnecessary surgical treatment in patients at low risk, while also helping to identify patients
that would benefit from increased surveillance or surgical intervention.

 Our
mission is to assist healthcare providers in the diagnosis, triage, and treatment of patients through advanced diagnostics. Our laboratory
is licensed pursuant to federal law under Clinical Laboratory Improvement Amendments of 1988 ("CLIA") and are accredited
by College of American Pathologists ("CAP") and our products are approved by New York State. We are leveraging our laboratory
to refine and commercialize our assays and products. We aim to provide physicians and patients with diagnostic options for detecting
genomic and other molecular alterations that are associated with gastrointestinal, endocrine, and other cancers. Our customers consist
primarily of physicians, hospitals, and clinics.

 We
currently have five commercialized molecular diagnostic tests in the marketplace: PancraGEN, a pancreatic cyst and pancreaticobiliary
solid lesion genomic test that helps physicians better risk-stratify pancreaticobiliary cancers using our proprietary PathFinderTG
 platform and full integration of clinical factors PanDNA, an alternate reporting option of the PathFinderTG
platform, which provides physicians the "molecular only" information provided within PancraGEN; ThyGeNEXT,
an expanded oncogenic mutation panel that helps "rule-in" and "rule-out" malignancy in thyroid nodules
ThyraMIR v2, used in combination with ThyGeNEXT, which further stratifies thyroid nodules for malignancy
risk utilizing a proprietary microRNA gene expression classifier; and RespriDx a genomic test that also utilizes our
PathFinderTG platform, to help physicians differentiate metastatic or recurrent lung cancer from the presence of newly
formed primary lung cancer.

 The
global esoteric molecular diagnostics market is estimated to be $25.9 billion (USD) in 2023 and is expected to grow to $54.9 billion
(USD) by 2030 with a Compound Annual Growth rate or CAGR of 11.3% between 2023 and 2030, according to Coherent Market Insights (Report
Code: CMI6261, published November 2023).

 We
believe that the molecular diagnostics market offers significant growth and strong patient value given the substantial opportunity it
affords to lower healthcare costs by helping to reduce unnecessary surgeries and ensuring the appropriate frequency of monitoring. We
are keenly focused on growing our test volumes, securing additional insurance coverage and reimbursement, maintaining and growing our
current reimbursement and supporting revenue growth for our molecular diagnostic tests, introducing related first line product and service
extensions, as well as expanding our business by developing and promoting synergistic products in our markets.

 OTCQX

 On
February 24, 2021, the Company was approved to have its common stock quoted on the OTCQX Best Market tier of the OTC
Markets Group Inc. (the "OTCQX"), an electronic quotation service operated by OTC Markets Group Inc. The trading of the Company's
common stock commenced on OTCQX at the open of business on February 25, 2021 under the trading symbol IDXG.

 On
December 28, 2023, we received notice from the OTCQX indicating that the Company's market capitalization has stayed below the required
$5 million for 30 consecutive calendar days preceding the date of such notice, and that the Company no longer meets the standards for
continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies section 3.2.b.2. On March 20, 2024 we received notice from the OTCQX indicating that the Company's market capitalization has
stayed above the required $5 million for ten consecutive trading days preceding the date of such notice, and that the Company currently
satisfies the standards for continued qualification for the OTCQX U.S. tier under the OTCQX Rules for U.S. Companies.

 DESCRIPTION
OF REPORTING SEGMENTS

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

 CRITICAL
ACCOUNTING POLICIES

 We
prepare our consolidated financial statements in accordance with U.S. generally accepted accounting principles, or ("GAAP").
The preparation of financial statements and related disclosures in conformity with GAAP requires management to make judgments, estimates
and assumptions at a specific point in time that affect the amounts reported in our consolidated financial statements and disclosed in
the accompanying notes. These assumptions and estimates are inherently uncertain. Outlined below are accounting policies, which are important
to our financial position and results of operations and require our management to make significant judgments in their application. Some
of those judgments can be subjective and complex. Management's estimates are based on historical experience, information from third-party
professionals, facts and circumstances available at the time and various other assumptions that are believed to be reasonable. Actual
results could differ from those estimates. Additionally, changes in estimates could have a material impact on our consolidated results
of operations in any one period. For a summary of all of our significant accounting policies, including the accounting policies discussed
below, see Note 1, Nature of Business and Significant Accounting Policies, to our consolidated financial statements included in
this Annual Report on Form 10-K.

 Revenue
and Cost of Revenue

 The
Company's revenue is primarily generated from the performance of its proprietary molecular diagnostic tests for its clinical customers.
Prior to the disposition of our Pharma business in August 2022, we also generated revenue from DNA-based testing services in support
of clinical trials for its pharma services customers. The Company's performance obligation is fulfilled upon completion, review
and release of test results and subsequent billing to the third-party payer, hospital or service provider.

 Revenue
Recognition

 ASC
606 Revenue Recognition

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

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

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

 Our
lease terms include all non-cancelable periods and may include options to extend (or to not terminate) the lease when it is reasonably
certain that we will exercise that option. Leases with terms of twelve months or less at the commencement date are expensed on a straight-line
basis over the lease term and do not result in the recognition of an asset or liability. See Note 8, Leases.

Taxes

taxes are based on income for financial reporting purposes calculated using our expected annual effective rate and reflect a current
tax liability or asset for the estimated taxes payable or recoverable on the current year tax return and expected annual changes in deferred
taxes.

 We
account for income taxes using the asset and liability method. This method requires recognition of deferred tax assets and liabilities
for expected future tax consequences of temporary differences that currently exist between tax bases and financial reporting bases of
our assets and liabilities based on enacted tax laws and rates. Deferred tax expense (benefit) is the result of changes in the deferred
tax asset and liability. A valuation allowance is established, when necessary, to reduce the deferred income tax assets when it is more
likely than not that all or a portion of a deferred tax asset will not be realized.

 We
operate in multiple tax jurisdictions and provide taxes in each jurisdiction where we conduct business and are subject to taxation. The
breadth of our operations and the complexity of the various tax laws require assessments of uncertainties and judgments in estimating
the ultimate taxes we will pay. The final taxes paid are dependent upon many factors, including negotiations with taxing authorities
in various jurisdictions, outcomes of tax litigation and resolution of proposed assessments arising from federal and state audits. We
have established estimated liabilities for uncertain federal and state income tax positions. Uncertain tax positions are recognized in
the financial statements when it is more likely than not (for example, a likelihood of more than fifty percent) that a position taken
or expected to be taken in a tax return would be sustained upon examination by tax authorities that have full knowledge of all relevant
information. A recognized tax position is then measured as the largest amount of benefit that is greater than fifty percent likely to
be realized upon ultimate settlement. We adjust our accruals for unrecognized tax benefits as facts and circumstances change, such as
the progress of a tax audit. We believe that any potential audit adjustments will not have a material adverse effect on our financial
condition or liquidity. However, any adjustments made may be material to our consolidated results of operations or cash flows for a reporting
period. Penalties and interest, if incurred, would be recorded as a component of current income tax expense.

 Significant
judgment is also required in evaluating the need for and magnitude of appropriate valuation allowances against deferred tax assets. We
currently have significant deferred tax assets resulting from net operating loss carryforwards and deductible temporary differences.
The realization of these assets is dependent on generating future taxable income. We perform an analysis quarterly to determine whether
the expected future income will more likely than not be sufficient to realize the deferred tax assets. Our recent operating results and
projections of future income weighed heavily in our overall assessment. The existing and forecasted levels of pretax earnings for financial
reporting purposes are not sufficient to generate future taxable income and realize our deferred tax assets and, as a result, we established
a full federal and state valuation allowance for the net deferred tax assets at December 31, 2023 and 2022, as we determined that it
was more likely than not that these assets would not be realized.

 The
NOL carry forwards are subject to review and possible adjustment by the Internal Revenue Service and state tax authorities. NOL, and
tax credit carry forwards may become subject to an annual limitation in the event of certain cumulative changes in the ownership interest
of significant stockholders over a three year period in excess of 50%, as defined under Sections 382 and 383 of the Code as well as similar
state tax provisions. The amount of the annual limitation, if any, will be determined based on the value of our company immediately prior
to an ownership change. Subsequent ownership changes may further affect the limitation in future years. Additionally, U.S. tax laws limit
the time during which these carry forwards may be applied against future taxes, therefore, we may not be able to take full advantage
of these carry forwards for federal income tax purposes. During 2021, the Company completed a 382 assessment of the available NOLs under
Section 382 and determined that the Company underwent an ownership change on September 30, 2017 and July 15, 2019, and as a result, NOLs
attributable to the pre-ownership change are subject to a substantial annual limitation under Section 382 of the Code due to the multiple
ownership changes. The Company has adjusted their NOL carryforwards to address the impact of the 382 ownership change.

 Stock
Compensation Costs

 The
compensation cost associated with the granting of stock-based awards is based on the grant date fair value of the stock award. We recognize
the compensation cost, net of estimated forfeitures, over the shorter of the vesting period or the period from the grant date to the
date when retirement eligibility is achieved. Forfeitures are initially estimated based on historical information and subsequently updated
over the life of the awards to ultimately reflect actual forfeitures. As a result, changes in forfeiture activity can influence the amount
of stock compensation cost recognized from period-to-period.

 We
primarily use the Black-Scholes option pricing model to determine the fair value of stock options. The determination of the fair value
of stock-based payment awards is made on the date of grant and is affected by our stock price as well as assumptions made regarding a
number of complex and subjective variables. These assumptions include: our expected stock price volatility over the term of the awards;
actual and projected employee stock option exercise behaviors; the risk-free interest rate; and expected dividend yield.

 Changes
in the valuation assumptions could result in a significant change to the cost of an individual award. However, the total cost of an award
is also a function of the number of awards granted, and as result, we have the ability to manage the cost and value of our equity awards
by adjusting the number of awards granted.

RESULTS OF OPERATIONS

 The
following table sets forth the selected statements of operations data ($ in thousands) as a percentage of revenue for the periods indicated.
The trends illustrated in this table may not be indicative of future operating results.

 Years Ended December 31,

 2023

 2023

 2022

 2022

 % to

 % to

 revenue

 revenue

 Revenue, net

 $
 40,214

 100.0
 %

 $
 31,838

 100.0
 %

 Cost of revenue

 16,310

 40.6
 %

 13,607

 42.7
 %

 Gross profit

 23,904

 59.4
 %

 18,231

 57.3
 %

 Operating expenses:

 Sales and marketing

 10,233

 25.4
 %

 9,125

 28.7
 %

 Research and development

 1.6
 %

 2.2
 %

 General and administrative

 9,363

 23.3
 %

 10,973

 34.5
 %

 Acquisition
 related amortization expense

 2.1
 %

 1,270

 4.0
 %

 in fair value of contingent consideration

 0.0
 %

 (223
)

 -0.7
 %

 Total operating expenses

 21,100

 52.5
 %

 21,848

 68.6
 %

 Operating income (loss)

 2,804

 7.0
 %

 (3,617
)

 -11.4
 %

 Interest accretion expense

 (112
)

 -0.3
 %

 (158
)

 -0.5
 %

 Note payable interest expense

 (896
)

 -2.2
 %

 (850
)

 -2.7
 %

 Other expense, net

 (667
)

 -1.7
 %

 (1,211
)

 -3.8
 %

 Income (loss) from continuing operations before tax

 1,129

 2.8
 %

 (5,836
)

 -18.3
 %

 Provision for income taxes

 0.0
 %

 0.1
 %

 Income (loss) from continuing operations

 1,112

 2.8
 %

 (5,865
)

 -18.4
 %

 Loss from discontinued operations, net of tax

 (310
)

 -0.8
 %

 (16,093
)

 -50.5
 %

 Net income (loss)

 $

 2.0
 %

 $
 (21,958
)

 -69.0
 %

 Revenue,
net

revenue for the year ended December 31, 2023 increased by $8.4 million, or 26%, to $40.2 million, compared to $31.8 million for the year
ended December 31, 2022. The increase in net revenue was largely driven by increased test volumes as compared to the prior year as well
as improved collections.

 Cost
of revenue

cost of revenue for the year ended December 31, 2023 increased by $2.7 million, or 20%, to $16.3 million, compared to $13.6 million for
the year ended December 31, 2022. This increase was primarily driven by the increased test volumes discussed above.

 Gross
Profit

gross profit for the year ended December 31, 2023 increased $5.7 million, or 31%, to $23.9 million, compared to $18.2 million for the
year ended December 31, 2022. The increase can be attributed to the increase in revenue.

 Sales
and marketing expense

 Sales
and marketing expense was $10.2 million for the year ended December 31, 2023 and $9.1 million for the year ended December 31, 2022. As
a percentage of revenue, sales and marketing expense decreased to 25% from 29% in the comparable prior year period due to the higher
revenue for the year ended December 31, 2023.

 Research
and development

 Research
and development expense was $0.6 million for the year ended December 31, 2023 and $0.7 million for the year ended December 31, 2022.
As a percentage of revenue, research and development expense decreased to 1.6% from 2.2% in the prior year period.

 General
and administrative

 General
and administrative expense for the year ended December 31, 2023 was $9.4 million as compared to $11.0 million for the year ended December
31, 2022. The decrease can be primarily attributed to a decrease in employee compensation costs compared to the prior year. As a percentage
of net revenue, general and administrative expense was 23% for the year ended December 31, 2023 as compared to 34% for the year ended
December 31, 2022.

 Acquisition
related amortization expense

the years ended December 31, 2023 and December 31, 2022, we recorded amortization expense of approximately $0.9 million and $1.3 million,
respectively, which is related to intangible assets associated with our acquisitions.

in fair value of contingent consideration

the year ended December 31, 2023, there was a $7,000 increase in the contingent consideration liability. During the year ended December
31, 2022, there was a $0.2 million decrease in the contingent consideration liability.

income (loss)

income from continuing operations was $2.8 million for the year ended December 31, 2023 as compared to an operating loss of $3.6 million
for the year ended December 31, 2022. The operating income was primarily attributable to the increases in revenue and gross profit discussed
above.

 Other
expense, net

the years ended December 31, 2023 and December 31, 2022, there were other expenses, net of approximately $0.7 million and $1.2 million,
respectively. The amounts are primarily related to the fair value adjustments recorded on the note payable.

 Provision
for income taxes

tax expense was approximately $17,000 for the year ended December 31, 2023 and $29,000 for the year ended December 31, 2022. Income tax
expense for both periods was primarily driven by Texas Gross Receipts Tax.

 Loss
from discontinued operations, net of tax

 We
had a loss from discontinued operations of $0.3 million for the year ended December 31, 2023 as compared to a loss from discontinued
operations of $16.1 million for the year ended December 31, 2022. The loss for the year ended December 31, 2022 was primarily attributed
to the impairment of goodwill and intangible assets associated with the disposition of the Pharma business in August 2022 as well as
eight months of Pharma operating losses before the disposition.

 Non-GAAP
Financial Measures

 In
addition to the United States generally accepted accounting principles, or GAAP, results provided throughout this document, we have provided
certain non-GAAP financial measures to help evaluate the results of our performance. We believe that these non-GAAP financial measures,
when presented in conjunction with comparable GAAP financial measures, are useful to both management and investors in analyzing our ongoing
business and operating performance. We believe that providing the non-GAAP information to investors, in addition to the GAAP presentation,
allows investors to view our financial results in the way that management views financial results.

 In
this 10-K, we discuss Adjusted EBITDA, a non-GAAP financial measure. Adjusted EBITDA is a metric used by management to measure cash flow
of the ongoing business. Adjusted EBITDA is defined as income or loss from continuing operations, plus depreciation and amortization,
acquisition related expenses, non-cash stock-based compensation, interest and taxes, and other non-cash expenses including asset impairment
costs, change in fair value of contingent consideration, change in fair value of notes payable, and warrant liability. The table below
includes a reconciliation of this non-GAAP financial measure to the most directly comparable GAAP financial measure.

 Reconciliation
of Adjusted EBITDA (Unaudited)

 ($
in thousands)

 Years Ended

 December 31,

 2023

 2022

 Income (loss) from continuing operations (GAAP Basis)

 $
 1,112

 $
 (5,865
)

 Depreciation and amortization

 1,026

 1,429

 Stock-based compensation

 1,237

 Tax expense

 Interest accretion expense

 Financing interest and related costs

 Interest income

 (53
)

 -

 Mark to market on warrant liability

 -

 (71
)

 Change in fair value of note payable

 1,224

 Change in fair value of contingent consideration

 (223
)

 Adjusted EBITDA

 $
 4,467

 $
 (1,232
)

 LIQUIDITY
AND CAPITAL RESOURCES

 In
October 2021, the Company entered into a Loan and Security Agreement with BroadOak, providing for a term loan in the aggregate principal
amount of $8,000,000 (the "Term Loan" or "BroadOak Loan Agreement"). Funding of the Term Loan took place on November
1, 2021. The Term Loan was scheduled to mature upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest
at the rate of 9% per annum. The Term Loan is secured by a security interest in substantially all of the Company's and its subsidiaries'
assets and is subordinate to the Company's $7,500,000 revolving credit facility with Comerica Bank. The Term Loan has an origination
fee of 3% of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal amount of the Term Loan if the change
of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20% of the original principal amount of
the Term Loan if the change of control occurs after the first anniversary but on or prior to the second anniversary of the funding of
the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control occurs after the second anniversary
of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date. Upon receipt of the term loan, the proceeds were
used to repay in full at their maturity the notes extended by Ampersand and 1315 Capital discussed above. See Note 13, Notes Payable,
 for more details. In May 2022, the Company issued a Convertible Note to BroadOak, pursuant to which BroadOak funded a term loan in
the aggregate principal amount of $2.0 million. See Note 13, Notes Payable, for more details.

 On
October 24, 2023, the Company entered into a Second Amendment to the Loan and Security Agreement with BroadOak. The primary changes
to the original agreement were as follows:

 The
 Company made a one-time payment in an aggregate amount equal to $2,500,000, on October 30, 2023 and applied the payment in full
 satisfaction of the $3,000,000 Terminal Payment (as defined in the BroadOak Loan Agreement). See Note 13, Notes Payable, regarding
 the Terminal Payment.

 Effective
 November 1, 2023, the interest rate under the BroadOak Loan Agreement is to be reduced from 9% to 8% through the maturity date of
 October 31, 2024 or earlier, upon the occurrence of a change in control ("Loan Maturity Date").

 The
 Company has the option to request an extension of the Loan Maturity Date in writing no less than sixty days prior to the Loan Maturity
 Date. If BroadOak agrees to the extension, the Loan Maturity Date would automatically be extended.

 On March 29, 2024, the Company
entered into a Third Amendment to the Loan and Security Agreement with BroadOak, extending the loan maturity date to June 30, 2025. See Note 20, Subsequent Events, for more details.

 The
BroadOak Loan Agreement contains affirmative and negative restrictive covenants, including restrictions on certain mergers, acquisitions,
investments and encumbrances which could adversely affect our ability to conduct our business. The BroadOak Loan Agreement also contains
customary events of default.

 In
January 2022, the Company's registration statement for a rights offering filed with the Securities and Exchange Commission (SEC)
became effective; however, the rights offering was subsequently terminated later in January 2022 when the Company announced that the
Centers for Medicare & Medicaid Services, or CMS, issued a new billing policy whereby CMS will no longer reimburse for the use of
the Company's ThyGeNEXT and ThyraMIR tests when billed together by the same provider/supplier for
the same beneficiary on the same date of service. On February 28, 2022, the Company announced that the National Correct Coding Initiative
(NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT
 (0245U) and ThyraMIR (0018U) tests has been retroactively reversed to January 1, 2022. In May 2022, the Company
was notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be completed beginning July 1, 2022.
However, on June 9, 2022, the Company was notified that Novitas re-priced ThyGeNEXT (0245U) from $2,919 to $806.59 retroactively
effective to January 1, 2022. On July 20, 2022, the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price
for ThyGeNEXT of $806.59. As a result of the ThyGeNEXT pricing change, the Company reduced its net realizable
value, or NRV rates for ThyGeNEXT Medicare billing to reflect the $806.59 pricing for tests performed during the second
quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1, 2022, the Company recorded an NRV adjustment
of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the first quarter of 2022. Effective January 1, 2023,
the gapfill price for ThyGeNEXT was set at $1,266.07.

 In
October 2021, we entered into the Comerica Loan Agreement with Comerica, providing for a revolving credit facility of up to $7,500,000
(the "Credit Facility"). The Company is using the proceeds of the Credit Facility for working capital and other general corporate
purposes.

 The
amount that could be borrowed under the Credit Facility was the lower of (i) the revolving limit of $7,500,000 (the "Revolving
Line") and (ii) 80% of the Company's eligible accounts receivable plus an applicable non-formula amount consisting of $2,000,000
of additional availability at close not based upon the Company's eligible accounts receivable, with such additional availability
reducing by $250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility were limited to $5,000,000
until 80% of the Company's and its subsidiaries' customers are paying into a collection account or segregated governmental
account with Comerica. The Revolving Line also included, at the Company's option, credit card services with a sublimit of $300,000.
Borrowings on the Revolving Line were subject to an interest rate equal to prime plus 0.50%, with prime being the greater of (x) Comerica's
stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5% per annum. The Company was also required to pay
an unused facility fee quarterly in arrears in an amount equal to 0.25% per annum on the average unused but available portion of the
Revolving Line for such quarter. See Note 18, Revolving Line of Credit, for more details. Comerica had a first priority security
interest in substantially all of the Company's and its subsidiaries' assets.

 On
October 6, 2023, effective September 30, 2023, the Company entered into a Fifth Amendment to its Loan and Security Agreement (the "Fifth
Amendment to the Comerica Loan Agreement") with Comerica Bank providing for a revolving credit facility of up to $5,000,000. This
agreement was terminated in February 2024.

 The
Fifth Amendment to the Comerica Loan Agreement contained affirmative and negative restrictive covenants that are applicable whether or
not any amounts are outstanding under the Comerica Loan Agreement. These restrictive covenants, which included restrictions on certain
mergers, acquisitions, investments, encumbrances, etc. The Comerica Loan Agreement also contained financial covenants requiring specified
minimum liquidity and minimum adjusted EBITDA thresholds. As of December 31, 2023 the Company had a zero balance on the line of credit.

 On
August 31, 2022, the Company closed on the sale of its Pharma Solutions business for a total sale price of $6.2 million after a post-closing
working capital adjustment. See Note 4, Discontinued Operations.

 For
the year ended December 31, 2023, we had operating income from continuing operations of $2.8 million. As of the year ended December 31,
2023, we had cash and cash equivalents of $3.5 million, total current assets of $10.3 million, net of restricted cash, and current liabilities
of $17.5 million. As of March 22, 2024, we had approximately $2.8 million of cash on hand, net of restricted cash.

the year ended December 31, 2023, net cash provided by operating activities was $3.8 million. The main component of cash provided by
operating activities was net income of $0.8 million, and non-cash expenses of $2.5 million. During the year ended December 31, 2022,
net cash used in operating activities was $7.7 million. The main component of cash used in operating activities was our net loss of $22.0
million, partially offset by depreciation and amortization expense of $2.6 million and non-cash impairment charges of $12.4 million.

the year ended December 31, 2023, there was net cash used in investing activities of $0.1 million. During the year ended December 31,
2022, net cash provided from investing activities was $6.2 million, which primarily pertained to the net proceeds received from the sale
of our Pharma Solutions business unit.

 For
the year ended December 31, 2023, cash used in financing activities was $5.0 million, of which $2.5 million was from the repayment on
the Revolving Line and $2.5 million was the terminal payment made to BroadOak. See Note 13, Notes Payable, for more details. For
the year ended December 31, 2022, cash provided from financing activities was $3.0 million, of which $1.0 million was from the drawdown
on the Revolving Line and $2.0 million was the Convertible Debt agreement entered into with BroadOak. See Note 13, Notes Payable,
 for more details.

 We
generated positive cash flows from operations for the year ending December 31, 2023. We intend to meet our ongoing capital needs by using
our available cash as well as through targeted margin improvement; collection of accounts receivable; containment of costs; and the potential
use of other financing options and other strategic alternatives.

 The
Company continues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt
financings, strategic alliances, business development and other sources in order to provide additional liquidity. With the Company's
delisting of its common stock from Nasdaq in February 2021, our ability to raise additional capital on terms acceptable to the Company
has been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable
to the Company.

along with many laboratories, we may be affected by the Proposed LCD DL39365, which is currently under consideration by our local Medicare
Administrative Contractor, Novitas. If finalized, this Proposed LCD, which governs "Genetic Testing for Oncology," could
impact the existing Medicare coverage for one of our molecular tests, PancraGEN. On June 5, 2023 we announced that Novitas
issued the final LCD of Genetic Testing for Oncology (L39365) which, if finalized, would have established non-coverage for the Company's
widely used PancraGEN test effective July 17, 2023. On July 6, 2023, Novitas announced that it would not be implementing
the final Genetic Testing for Oncology LCD (L39365) as scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed
LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023.
In response, the Company participated in a public meeting presentation and submitted detailed written comments supporting the use of
PancraGEN. The timing and content of any final implemented LCD is uncertain at this time; the process could potentially
take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, we are able to continue offering
PancraGEN and the related Point2 fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas
ultimately restricts coverage for the PancraGEN test, the Company's liquidity could be negatively impacted.

 As
of December 31, 2023, contractual obligations with terms exceeding one year and estimated minimum future rental payments required by
non-cancelable operating leases with initial or remaining lease terms exceeding one year are as follows:

 Less than

 1 to 3

 3 to 5

 After

 Total

 1 Year

 Years

 Years

 5 Years

 Operating lease obligations

 $
 2,400

 $

 $
 1,000

 $

 $
 -

 Total

 $
 2,400

 $

 $
 1,000

 $

 $
 -

 ITEM
 7A.

 QUANTITATIVE
 AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 We
are a "smaller reporting company" for purposes of the disclosure requirements of Item 305 of Regulation S-K and, therefore,
we are not required to provide this information.

 ITEM
 8.

 FINANCIAL
 STATEMENTS AND SUPPLEMENTARY DATA

 Financial
statements and the financial statement schedule specified by this Item 8, together with the report thereon of EisnerAmper LLP are presented
following Item 15 of this Annual Report on Form 10-K.

 ITEM
 9.

 CHANGES
 IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURES

 None.

 ITEM
 9A.

 CONTROLS
 AND PROCEDURES

 Disclosure
Controls and Procedures

 Our
principal executive officer and principal financial officer evaluated the effectiveness of our disclosure controls and procedures as
of December 31, 2023. The term "disclosure controls and procedures," as defined in Rules 13a-15(e) and 15d-15(e) under
the Securities Exchange Act of 1934, as amended, or the Exchange Act, means controls and other procedures of a company that are
designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange
Act is recorded, processed, summarized and reported, within the time periods specified in the Securities and Exchange
Commission's rules and forms. Management recognizes that any controls and procedures, no matter how well designed and
operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in
evaluating the cost-benefit relationship of possible controls and procedures. Disclosure controls and procedures include, without
limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it
files or submits under the Exchange Act is accumulated and communicated to the company's management, including its principal
executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure. Based on this
evaluation, management identified a material weakness in the Company's internal control over financial reporting in the fourth
quarter of 2023 related to properly identifying the timing of when revenue should be recognized as stated in the revenue
recognition policy. Based on that evaluation, our
principal executive officer and principal financial officer concluded that our disclosure controls and procedures were not effective
as of the end of the period covered by this Annual Report on Form 10-K as a result of the identified material control
weakness.

 Remediation Plan -
The Company plans to amend its control activities designed to mitigate the significant risk identified, including updating its
procedures regarding the testing of revenue recognition, specifically to review the procedures identifying the timing differences to ensure revenue is recorded in the period earned.
The Company believes implementation of these processes and appropriate testing of their effectiveness will remediate this material
control weakness.

 Management's
Annual Report on Internal Control over Financial Reporting

 Our
management is responsible for establishing and maintaining adequate internal control over financial reporting as such term is defined
in Exchange Act Rule 13a-15(f). Internal control over financial reporting is a process designed under the supervision and with the participation
of our management, including our principal executive officer and principal financial officer, 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. All internal control systems, no matter how well designed, have inherent
limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial
statement preparation and presentation.

 As
of December 31, 2023, under the supervision and with the participation of our management, including our principal executive officer and
principal financial officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on
the framework in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway
Commission. Based on this assessment, our management concluded that, as of December 31, 2023, our internal control over financial reporting
was not effective based on those criteria.

 Changes
in Internal Control over Financial Reporting

 There
has been no change in our internal control over financial reporting during the fourth quarter of the fiscal year ended December 31, 2023.

 ITEM
 9B.

 OTHER
 INFORMATION

 On
March 29, 2024, the Company entered into a Third Amendment to Loan and Security Agreement with BroadOak. The primary changes to the Second
Amendment to Loan and Security Agreement were as follows:

 The
 maturity date was extended to June 30, 2025.

 Beginning
 April 1, 2024, the Company will make $500,000 monthly payments with the remaining loan balance due on the new maturity date.

 ITEM
 9C.

 DISCLOSURE
 REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

 Not
applicable.

 PART
III

 ITEM
 10.

 DIRECTORS,
 EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

 relating to directors and executive officers of the registrant that is responsive to Item 10 of this Annual Report on Form 10-K will
 be included in an amendment hereto or will be included in our Proxy Statement for our 2024 annual meeting of stockholders and such
 information is incorporated by reference herein.

 ITEM
 11.

 EXECUTIVE
 COMPENSATION

 relating to executive compensation of the registrant that is responsive to Item 11 of this Annual Report on Form 10-K will be included
 in an amendment hereto or will be included in our Proxy Statement for our 2024 annual meeting of stockholders and such information
 is incorporated by reference herein.

 ITEM
 12.

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

 relating to security ownership of certain beneficial owners and management of the registrant that is responsive to Item 12 of this
 Annual Report on Form 10-K will be included in an amendment hereto or will be included in our Proxy Statement for our 2024 annual
 meeting of stockholders and such information is incorporated by reference herein.

 ITEM
 13.

 CERTAIN
 RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

 relating to certain relationships and related transactions of the registrant that is responsive to Item 13 of this Annual Report
 on Form 10-K will be included in an amendment hereto or will be included in our Proxy Statement for our 2024 annual meeting of stockholders
 and such information is incorporated by reference herein.

 ITEM
 14.

 PRINCIPAL
 ACCOUNTANT FEES AND SERVICES

 relating to principal accounting fees and services of the registrant that is responsive to Item 14 of this Annual Report on Form
 10-K will be included in an amendment hereto or will be included in our Proxy Statement for our 2024 annual meeting of stockholders
 and such information is incorporated by reference herein.

 PART
IV

 ITEM
 15.

 EXHIBITS,
 FINANCIAL STATEMENT SCHEDULES

 (a)

 The
 following documents are filed as part of this Form 10-K:

 (1)

 Financial
 Statements – See Index to Financial Statements on page F-1 of this Form 10-K.

 (2)

 Financial
 Statement Schedule

II: Valuation and Qualifying Accounts

 All
other schedules are omitted because they are not applicable or the required information is shown in the financial statements or notes
thereto.

 (3)

 Exhibits

 Exhibit

 No.

 2.1

 Asset Purchase Agreement, dated August 13, 2014, by and between Interpace Diagnostics, LLC and Asuragen, Inc., incorporated by reference to Exhibit 2.2 of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on November 5, 2014.

 2.2

 Asset Purchase Agreement, dated August 31, 2022 by and among Interpace Biosciences, Inc., Interpace Pharma Solutions, Inc. and Flagship Biosciences, Inc., incorporated by reference to Exhibit 2.1 of the Company's Current Report on Form 8-K filed with the SEC on September 7, 2022.

 3.1+

 Conformed version of Certificate of Incorporation of Interpace Biosciences, Inc., as amended by the Certificate of Amendment, effective January 15, 2020, and the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, filed January 17, 2020, incorporated by reference to Exhibit 3.1 of the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on April 22, 2020, as amended from time to time.

 3.2

 Amended and Restated Bylaws of Interpace Biosciences, Inc., incorporated by reference to Exhibit 3.2 of the Company's Current Report on Form 8-K, filed with the SEC on November 14, 2019.

 4.1

 Description of Securities, incorporated by reference to Exhibit 4.1 of the Company's Annual Report on Form 10-K, filed with the SEC on April 1, 2021.

 4.2

 Specimen Certificate Representing the Common Stock, incorporated by reference to Exhibit 4.1 of the Company's Registration Statement on Form S-3 (File No. 333-227728), filed with the SEC on October 5, 2018.

 10.1*

 Amended and Restated 2004 Stock Award and Incentive Plan, incorporated by reference to Annex A of the Company's definitive proxy statement, filed with the SEC on August 14, 2017.

 10.2*

 Form of Restricted Stock Unit Agreement for Employees, incorporated by reference to Exhibit 10.1 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, filed with the SEC on May 15, 2018.

 Exhibit

 No.

 10.3*

 Form of Restricted Stock Unit Agreement for Directors, incorporated by reference to Exhibit 10.2 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, filed with the SEC on May 15, 2018.

 10.4*

 Form of Non-Qualified Stock Option Agreement, incorporated by reference to Exhibit 10.3 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, filed with the SEC on May 15, 2018.

 10.5*

 Form of Incentive Stock Option Agreement, incorporated by reference to Exhibit 10.4 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, filed with the SEC on May 15, 2018.

 10.6*

 Interpace Diagnostics Group, Inc. 2019 Equity Incentive Plan, incorporated by reference to Exhibit 4.1 of the Company's quarterly report on Form 10-Q for the quarter ended September 30, 2019, filed with the SEC on November 14, 2019.

 10.7*

 Amendment to the Interpace Biosciences, Inc. 2019 Equity Incentive Plan, incorporated by reference to Exhibit 10.8 of the Company's quarterly report on Form 10-Q for the quarter ended March 31, 2020, filed with the SEC on June 26, 2020.

 10.8*

 Form of Restricted Stock Unit Grant Notice and Restricted Stock Unit Agreement under the 2019 Equity Incentive Plan, incorporated by reference to Exhibit 4.3 of the Company's quarterly report on Form 10-Q for the quarter ended September 30, 2019, filed with the SEC on November 14, 2019.

 10.9*

 Form of Interpace Biosciences, Inc. 2019 Equity Incentive Plan Restricted Stock Unit And Restricted Stock Unit Agreement, incorporated by reference to Exhibit 10.9 of the Company's quarterly report on Form 10-Q for the quarter ended March 31, 2020, filed with the SEC on June 26, 2020.

 10.10*

 Form of Stock Option Grant Notice and Stock Option Agreement under the 2019 Equity Incentive Plan, incorporated by reference to Exhibit 4.4 of the Company's quarterly report on Form 10-Q for the quarter ended September 30, 2019, filed with the SEC on November 14, 2019.

 10.11*

 Interpace Diagnostics Group, Inc. Employee Stock Purchase Plan, incorporated by reference to Exhibit 4.2 of the Company's quarterly report on Form 10-Q for the quarter ended September 30, 2019, filed with the SEC on November 14, 2019.

 10.12*

 Incentive Stock Option Agreement between Interpace Diagnostics Group, Inc. and Jack E. Stover, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on October 20, 2016.

 10.13*

 Employment Agreement, dated November 23, 2020, between Thomas W. Burnell and Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on November 25, 2020.

 10.14*

 Employment Agreement, dated July 24, 2023, between Christopher McCarthy and Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on August 2, 2023.

 10.15*

 Form of Indemnification Agreement by and between Interpace Diagnostics Group, Inc. and its directors and executive officers, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on August 8, 2016.

 10.16*

 Form of Indemnification Agreement by and between Interpace Biosciences, Inc. and Indemnitee, incorporated by reference to Exhibit 10.2 of the Company's Current Report on Form 8-K, filed with the SEC on January 17, 2020.

 10.17*

 Agreement, dated January 21, 2022, between Dr. Vijay Aggarwal and Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on January 27, 2022.

 10.18

 License Agreement, dated August 13, 2014, by and between Interpace Diagnostics, LLC and Asuragen, Inc., incorporated by reference to Exhibit 10.31 of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on November 5, 2014.

 Exhibit

 No.

 10.19

 CPRIT License Agreement, dated August 13, 2014, by and between Interpace Diagnostics, LLC and Asuragen, Inc., incorporated by reference to Exhibit 10.32 of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on November 5, 2014.

 10.20

 Supply Agreement, dated August 13, 2014, by and between Interpace Diagnostics, LLC and Asuragen, Inc., incorporated by reference to Exhibit 10.33 of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on November 5, 2014.

 10.21

 Guaranty, dated August 13, 2014 by the Company in favor of Asuragen, Inc., incorporated by reference to Exhibit 10.34 of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on November 5, 2014.

 10.22

 Lease Agreement, dated March 31, 2017, by and between Saddle Lane Realty, LLC and the Company, incorporated by reference to Exhibit 10.53 of the Company's Registration Statement on Form S-1 (333-218140), as amended on June 13, 2017.

 10.23

 First Amendment, dated September 26, 2017, by and between Saddle Lane Realty, LLC and Interpace Diagnostics Corporation, incorporated by reference to Exhibit 10.36 of the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on April 22, 2020, as amended from time to time.

 10.24

 Amendment No. 2 to Lease, dated March 15, 2018, between Saddle Lane Realty, LLC and Interpace Diagnostics Corporation, incorporated by reference to Exhibit 10.45 of the Company's Annual Report on Form 10-K for the year ended December 31, 2017, filed with the SEC on March 23, 2018.

 10.25

 Fourth Lease Amendment (the "Amendment") by and between Interpace Biosciences, Inc. and Saddle Lane Realty, LLC, dated as of October 31, 2022, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K filed with the SEC on November 4, 2022.

 10.26

 Securities Purchase Agreement, dated July 15, 2019, by and between Interpace Diagnostics Group, Inc. and Ampersand 2018 Limited Partnership, incorporated by reference to Exhibit 10.2 of the Company's Current Report on Form 8-K, filed with the SEC on July 19, 2019.

 10.27

 Form of Voting Agreement, incorporated by reference to Exhibit 10.4 of the Company's Current Report on Form 8-K, filed with the SEC on July 19, 2019.

 10.28

 Securities Purchase and Exchange Agreement, dated January 10, 2020, by and among Interpace Biosciences, Inc., 1315 Capital II, L.P. and Ampersand 2018 Limited Partnership, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on January 14, 2020.

 10.29

 Amended and Restated Investor Rights Agreement, dated as of January 15, 2020, by and among Interpace Biosciences, Inc., 1315 Capital II, L.P. and Ampersand 2018 Limited Partnership, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on January 17, 2020.

 10.30

 Support Agreement, dated April 2, 2020, by and between 1315 Capital II, L.P. and Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.2 of the Company's quarterly report on Form 10-Q for the quarter ended June 30, 2020, filed with the SEC on October 19, 2020.

 Exhibit

 No.

 10.31

 Loan and Security Agreement by and between Comerica Bank, Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated October 13, 2021, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on October 19, 2021.

 10.32

 Subordination Agreement by and between Ampersand 2018 Limited Partnership, 1315 Capital II. L.P., Comerica Bank Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated October 13, 2021, incorporated by reference to Exhibit 10.2 of the Company's Current Report on Form 8-K, filed with the SEC on October 19, 2021.

 10.33

 Loan and Security Agreement by and between BroadOak Fund V, L.P., Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated October 29, 2021, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on November 3, 2021.

 10.34

 Second Amendment to Loan and Security Agreement by and between BroadOak Fund V, L.P., Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated October 24, 2023, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on October 27, 2023.

 10.35

 First Amendment to Loan and Security Agreement by and between Comerica Bank, Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated November 1, 2021, incorporated by reference to Exhibit 10.2 of the Company's Current Report on Form 8-K, filed with the SEC on November 3, 2021.

 10.36

 Subordination and Intercreditor Agreement by and between Comerica Bank, BroadOak Fund V, L.P., Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated as of November 1, 2021, incorporated by reference to Exhibit 10.3 of the Company's Current Report on Form 8-K, filed with the SEC on November 3, 2021.

 10.37*

 Amendment to the Interpace Biosciences, Inc. 2019 Equity Incentive Plan, incorporated by reference to Exhibit 10.1 of the Company's Current Report on Form 8-K, filed with the SEC on November 15, 2022.

 10.38*

 Amendment to the Interpace Biosciences, Inc. Employee Stock Purchase Plan, incorporated by reference to Exhibit 10.2 of the Company's Current Report on Form 8-K, filed with the SEC on November 15, 2022.

 10.39+

 Third Amendment to Loan and Security Agreement by and between BroadOak Fund V, L.P., Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated March 29, 2024.

 16.1

 Letter from BDO USA, LP dated April 13, 2022, incorporated by reference to Exhibit 16.1 of the Company's Current Report on Form 8-K, filed with the SEC on April 14, 2022.

 21.1

 Subsidiaries of the Registrant, incorporated by reference to Exhibit 21.1 of the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on April 22, 2020, as amended from time to time.

 23.1

 Consent of EisnerAmper, LLP, filed herewith.

 31.1

 Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.

 31.2

 Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.

 32.1

 Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.

 32.2

 Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.

 INS

 SCH

 CAL

 DEF

 LAB

 PRE

 Cover

 *

 Denotes
 compensatory plan, compensation arrangement or management contract.

 +

 Filed herewith.

 ITEM
 16.

 Form
 10-K Summary

 The
Company has opted to not provide a summary.

 SIGNATURES

 Pursuant
to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report
to be signed on its behalf by the undersigned, thereunto duly authorized.

 Date:

 /s/
 Thomas W. Burnell

 Thomas
 W. Burnell

 President
 and Chief Executive Officer

 Pursuant
to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed by the following persons on behalf
of the registrant and in the capacities indicated and on the dates indicated.

 Name

 Title

 Date

 /s/
 Thomas W. Burnell

 President,
 Chief Executive Officer and Director

 Thomas
 W. Burnell

 (Principal
 Executive Officer)

 /s/
 Christopher McCarthy

 Chief
 Financial Officer

 Christopher
 McCarthy

 (Principal
 Financial and Accounting Officer)

 /s/
 Stephen J. Sullivan

 Stephen
 J. Sullivan

 /s/
 Joseph Keegan

 Joseph
 Keegan

 /s/
 Vijay Aggarwal

 Vijay
 Aggarwal

 /s/
 Fortunato Ron Rocca

 Fortunato
 Ron Rocca

Biosciences, Inc.

to Consolidated Financial Statements

 and
Financial Statement Schedules

 Page

 Report
 of Independent Registered Public Accounting Firm (EisnerAmper LLP; Philadelphia, PA; PCAOB ID # 274)

 Financial Statements

 Balance Sheets at December 31, 2023 and 2022

 Statements of Operations for the years ended December 31, 2023 and 2022

 Statements of Stockholders' Deficit for the years ended December 31, 2023 and 2022

 Statements of Cash Flows for the years ended December 31, 2023 and 2022

 Notes
 to Consolidated Financial Statements

 II. Valuation and Qualifying Accounts

 F- 1

 Report
of Independent Registered Public Accounting Firm

 To
the Board of Directors and Stockholders of

Biosciences, Inc.

 Opinion
on the Financial Statements

 We
have audited the accompanying consolidated balance sheets of Interpace Biosciences, Inc. and Subsidiaries (the "Company")
as of December 31, 2023 and 2022, and the related consolidated statements of operations, stockholders' deficit, and cash flows
for each of the years then ended, and the related notes and the financial statement schedule identified in Item 15 (collectively referred
to as the "financial statements"). In our opinion, the financial statements present fairly, in all material respects, the
consolidated financial position of the Company as of December 31, 2023 and 2022, and the consolidated results of their operations and
their cash flows for each of the years then ended, in conformity with accounting principles generally accepted in the United States of
America.

 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 audit 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.

 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.

 Critical
Audit Matter

 The
critical audit matter communicated below is a matter arising from the current period audit of the financial statements that was communicated
or required to be communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the financial
statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of the critical audit matter
does not alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit
matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

 Variable
Consideration in Revenue

 As
described in Note 1 to the consolidated financial statements, the Company's clinical services derive revenue from the performance
of its proprietary assays or tests. The Company's performance obligation is fulfilled upon the completion, review and release of
test results to the customer. The Company subsequently bills third-party payers or direct-bill payers for the tests performed. Revenue
is recognized based on the estimated transaction price or net realizable value, which is determined based on historical collection rates
by each payer category for each proprietary test offered by the Company. To the extent the transaction price includes variable consideration,
the Company estimates the amount of variable consideration that should be included in the transaction price using the expected value
method based on historical experience.

 We
identified the estimation of the variable consideration as a critical audit matter due to the significant judgement and estimation required
by management in their assessment. This led to a high degree of auditor subjectivity and significant audit effort was required in performing
our procedures and evaluating audit evidence relating to estimates and assumptions made by management.

 Addressing
the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated
financial statements. Our procedures included, among other things, (i) obtaining an understanding of management's process and evaluating
the design of controls related to revenue recognition; (ii) assessing the reasonableness of management's estimates of variable
consideration utilizing the expected value method based on its historical experience; (iii) comparing the Company's estimates of
variable consideration to the history of cash ultimately received from its payors; and (iv) testing the historical accuracy of cash collections
used in the Company's assumptions relating to variable consideration.

 /s/
EisnerAmper LLP

 We
have served as the Company's auditor since 2022.

 EISNERAMPER
LLP

 Philadelphia,
Pennsylvania

 F- 2

BALANCE SHEETS

 (in
thousands, except share and per share data)

 31,

 31,

 2023

 2022

 ASSETS

 assets:

 Cash
 and cash equivalents

 $
 3,498

 $
 4,828

 receivable

 4,983

 5,032

 Other
 current assets

 1,841

 2,294

 Total
 current assets

 10,322

 12,154

 and equipment, net

 Other
 intangible assets, net

 -

 lease right of use assets

 1,864

 2,439

 Other
 long-term assets

 Total
 assets

 $
 13,021

 $
 15,979

 LIABILITIES
 AND STOCKHOLDERS' DEFICIT

 liabilities:

 payable

 $
 1,544

 $
 1,050

 salary and bonus

 1,969

 1,456

 Other
 accrued expenses

 8,201

 8,419

 Note
 payable at fair value, current

 5,100

 -

 Line
 of credit - current

 -

 2,500

 liabilities of discontinued operations

 Total
 current liabilities

 17,474

 14,283

 Contingent
 consideration

 -

 lease liabilities, net of current portion

 1,472

 1,848

 Note
 payable at fair value

 4,243

 11,165

 Other
 long-term liabilities

 4,968

 4,701

 Total
 liabilities

 28,157

 32,515

 Commitments
 and contingencies (Note 11)

 -

 -

 Redeemable
 preferred stock, $.01 par value; 5,000,000 shares authorized, 47,000 shares Series B issued and outstanding

 46,536

 46,536

 Stockholders'
 deficit:

 Common
 stock, $.01 par value; 100,000,000 shares authorized; 4,447,489 and 4,367,830 shares issued, respectively; 4,351,445 and 4,296,710
 shares outstanding, respectively

 Additional
 paid-in capital

 188,146

 187,516

 Accumulated
 deficit

 ( 248,215
)

 ( 249,017
)

 stock, at cost ( 96,044 and 71,120 shares, respectively)

 ( 2,008
)

 ( 1,976
)

 Total
 stockholders' deficit

 ( 61,672
)

 ( 63,072
)

 Total
 liabilities and stockholders' deficit

 ( 33,515
)

 ( 30,557
)

 Total
 liabilities, preferred stock and stockholders' deficit

 $
 13,021

 $
 15,979

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

 F- 3

STATEMENTS OF OPERATIONS

 (in
thousands, except for per share data)

 2023

 2022

 For
 The Years

 Ended
 December 31,

 2023

 2022

 Revenue,
 net

 $
 40,214

 $
 31,838

 Cost
 of revenue

 16,310

 13,607

 Gross
 profit

 23,904

 18,231

 expenses:

 Sales
 and marketing

 10,233

 9,125

 Research
 and development

 General
 and administrative

 9,363

 10,973

 Acquisition
 related amortization expense

 1,270

 in fair value of contingent consideration

 ( 223
)

 Total
 operating expenses

 21,100

 21,848

 income (loss) from continuing operations

 2,804

 ( 3,617
)

 Interest
 accretion expense

 ( 112
)

 ( 158
)

 Note
 payable interest expense

 ( 896
)

 ( 850
)

 Other
 expense, net

 ( 667
)

 ( 1,211
)

 (loss) from continuing operations before tax

 1,129

 ( 5,836
)

 Provision
 for income taxes

 (loss) from continuing operations

 1,112

 ( 5,865
)

 Loss
 from discontinued operations, net of tax

 ( 310
)

 ( 16,093
)

 Net
 income (loss)

 $

 $
 ( 21,958
)

 Basic
 net income (loss) per share of common stock:

 From
 continuing operations

 $
 0.26

 $
 ( 1.38
)

 From
 discontinued operations

 ( 0.07
)

 ( 3.80
)

 Net
 income (loss) per basic share of common stock

 $
 0.19

 $
 ( 5.18
)

 Diluted
 net income (loss) per share of common stock:

 From
 continuing operations

 $
 0.25

 $
 ( 1.38
)

 From
 discontinued operations

 ( 0.07
)

 ( 3.80
)

 Net
 income (loss) per diluted share of common stock

 $
 0.18

 $
 ( 5.18
)

 Weighted
 average number of common shares and common share equivalents outstanding:

 Basic

 4,317

 4,238

 Diluted

 4,364

 4,238

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

 F- 4

STATEMENTS OF STOCKHOLDERS' DEFICIT

 (in
thousands)

 Additional

 Common
 Stock

 Stock

 Paid
 in

 Accumulated

 Capital

 Deficit

 Total

 -December 31, 2021

 4,228,169

 $

 32,757

 $
 ( 1,868
)

 $
 186,106

 $
 ( 227,059
)

 $
 ( 42,418
)

 Issuance
 of common stock

 139,652

 -

 -

 -

 stock purchased

 -

 38,363

 ( 108
)

 -

 -

 ( 108
)

 Exercise
 of warrants

 -

 -

 -

 -

 -

 -

 Stock-based
 compensation expense

 -

 -

 -

 -

 1,304

 -

 1,304

 Net
 loss

 -

 -

 -

 -

 -

 ( 21,958
)

 ( 21,958
)

 -December 31, 2022

 4,367,830

 $

 71,120

 $
 ( 1,976
)

 $
 187,516

 $
 ( 249,017
)

 $
 ( 63,072
)

 4,367,830

 $

 71,120

 $
 ( 1,976
)

 $
 187,516

 $
 ( 249,017
)

 $
 ( 63,072
)

 Issuance
 of common stock

 79,659

 -

 -

 -

 -

 -

 -

 stock purchased

 -

 24,924

 ( 32
)

 -

 -

 ( 32
)

 Stock-based
 compensation expense

 -

 -

 -

 -

 -

 Net
 income

 -

 -

 -

 -

 -

 Net
 income (loss)

 -

 -

 -

 -

 -

 -December 31, 2023

 4,447,489

 $

 96,044

 $
 ( 2,008
)

 $
 188,146

 $
 ( 248,215
)

 $
 ( 61,672
)

 4,447,489

 $

 96,044

 $
 ( 2,008
)

 $
 188,146

 $
 ( 248,215
)

 $
 ( 61,672
)

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

 F- 5

STATEMENTS OF CASH FLOWS

 (in
thousands)

 2023

 2022

 For
 The Years Ended December 31,

 2023

 2022

 Cash
 Flows From Operating Activities

 Net
 income (loss)

 $

 $
 ( 21,958
)

 Adjustments
 to reconcile net income (loss) to net cash provided by (used in) operating activities:

 Depreciation
 and amortization

 1,026

 2,560

 Interest
 accretion expense

 Goodwill
 impairment

 -

 8,433

 Intangible
 asset impairment

 -

 3,964

 Amortization
 of deferred financing fees

 Stock-based
 compensation

 1,258

 Amortization on operating lease right of use asset

 ESPP
 expense

 -

 in fair value of note payable

 1,223

 income taxes

 -

 ( 93
)

 in fair value of contingent consideration

 ( 223
)

 Other
 gains and expenses, net

 -

 ( 71
)

 Other
 changes in operating assets and liabilities:

 receivable

 ( 133
)

 Other
 current assets

 ( 89
)

 ( 216
)

 Other
 long-term assets

 -

 payable

 ( 735
)

 salaries and bonus

 ( 1,421
)

 liabilities

 ( 936
)

 ( 549
)

 lease liabilities

 ( 376
)

 ( 1,142
)

 Long-term
 liabilities

 Net
 cash provided by (used in) operating activities

 3,789

 ( 7,692
)

 Cash
 Flows From Investing Activity

 Proceeds
 from sale of Interpace Pharma Solutions, net

 6,528

 Purchase
 of property and equipment

 ( 470
)

 ( 322
)

 Net
 cash (used in) provided by investing activities

 ( 87
)

 6,206

 Cash
 Flows From Financing Activities

 Issuance
 of common stock, net of expenses

 -

 Payment
 of BroadOak terminal payment

 ( 2,500
)

 -

 Proceeds
 from convertible debt issuance

 -

 2,000

 Payments on line of credit

 ( 2,500
)

 -

 Borrowings on line of credit

 -

 1,000

 Cash
 paid for repurchase of restricted shares

 ( 32
)

 ( 108
)

 Net
 cash (used in) provided by financing activities

 ( 5,032
)

 3,000

 Net
 (decrease) increase in cash and cash equivalents

 ( 1,330
)

 1,514

 Cash
 and cash equivalents from continuing operations – beginning

 4,828

 2,922

 Cash
 and cash equivalents from discontinued operations – beginning

 -

 Cash
 and cash equivalents – beginning

 $
 4,828

 $
 3,314

 Cash
 and cash equivalents from continuing operations – ending

 $
 3,498

 $
 4,828

 Cash
 and cash equivalents from discontinued operations – ending

 -

 -

 Cash
 and cash equivalents – ending

 $
 3,498

 $
 4,828

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

 F- 6

 1.
 Nature of Business and Significant Accounting Policies

 Nature
of Business

Biosciences, Inc. ("Interpace" or the "Company") is a company that provides molecular diagnostics, bioinformatics
and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient
diagnosis and management. The Company develops and commercializes genomic tests and related first line assays principally focused on
early detection of patients with indeterminate biopsies and at high risk of cancer using the latest technology.

 Principles
of Consolidation

 The
accompanying consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles ("GAAP").
The consolidated financial statements include the accounts of Interpace Biosciences, Inc. fka Interpace Diagnostics Group, Inc., Interpace
Diagnostics Corporation, and Interpace Diagnostics, LLC.

 Discontinued
operations include the Company's wholly-owned subsidiaries: Group DCA, LLC ("Group DCA"), InServe Support Solutions
(Pharmakon), TVG, Inc. (TVG, dissolved December 31, 2014) its Commercial Services ("CSO") business unit and its Interpace
Pharma Solutions business ("Pharma Solutions") which was sold on August 31, 2022. All significant intercompany balances and
transactions have been eliminated in consolidation.

 The
Company has one reporting segment: the Company's clinical services business. The Company's current reporting segment structure
is reflective of the way the Company's management views the business, makes operating decisions and assesses performance. This
structure allows investors to better understand Company performance, better assess prospects for future cash flows, and make more informed
decisions about the Company.

 Accounting
Estimates

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

 Cash
and Cash Equivalents

 Cash
and cash equivalents include unrestricted cash accounts, money market investments and highly liquid investment instruments with original
maturity of three months or less at the date of purchase.

Receivable, Net

 The
Company's accounts receivables represent unconditional rights to consideration and are generated using its proprietary tests. The
Company's clinical services are fulfilled upon completion of the test, review and release of the test results. In conjunction with
fulfilling these services, the Company bills the third-party payer or direct-bill payer. Contractual adjustments represent the difference
between the list prices and the reimbursement rates set by third party payers, including Medicare, commercial payers, and amounts billed
to direct-bill payers. Specific accounts may be written off after several appeals, which in some cases may take longer than twelve months.
No allowance for credit losses has been recorded during the periods presented. The opening accounts receivable balance as of January
1, 2022, was $ 4.7 million.

 F- 7

 Other
current assets

 Other
current assets consisted of the following as of December 31, 2023 and 2022:

of Other Current Assets

 31, 2023

 31, 2022

 Lab
 supplies

 $
 1,227

 $
 1,224

 Prepaid
 expenses

 Funds
 in escrow

 -

 Other

 Total
 other current assets

 $
 1,841

 $
 2,294

and Equipment, net

and equipment are stated at cost less accumulated depreciation and amortization. Depreciation and amortization is recognized on a straight-line
basis, using the estimated useful lives of: five to twelve years for furniture and fixtures; two to five years for office and computer
equipment; three to twelve years for lab equipment; and leasehold improvements are amortized over the shorter of the estimated service
lives or the terms of the related leases which are currently one to five years. Repairs and maintenance are charged to expense as incurred.
Upon disposition, the asset and related accumulated depreciation and amortization are removed from the related accounts and any gains
or losses are reflected in operations.

 Software
Costs

 Internal-Use
Software - It is the Company's policy to capitalize certain costs incurred in connection with developing or obtaining internal-use
software. Capitalized software costs are included in property and equipment on the consolidated balance sheet and amortized over the
software's useful life, generally three to seven years. Software costs that do not meet capitalization criteria are expensed immediately.

 See
Note 6, Property and Equipment, for further information.

 Long-Lived
Assets, including Finite-Lived Intangible Assets

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

 The
Company reviews the recoverability of long-lived assets and finite-lived intangible assets whenever events or changes in circumstances
indicate that the carrying value of such assets may not be recoverable. If the sum of the expected future undiscounted cash flows is
less than the carrying amount of the related asset group, an impairment loss is recognized by reducing the recorded value of the asset
group to its fair value. This analysis requires estimates of the amount and timing of projected cash flows and, where applicable, judgments
associated with, among other factors, the appropriate discount rate. Such estimates are critical in determining whether any impairment
charge should be recorded and the amount of such charge if an impairment loss is deemed to be necessary. There were no asset impairment losses recorded in 2023 and the Company recorded an impairment charge of $ 3.8 million
for finite-lived intangible assets associated with the Company's sale of its Pharma Solutions business in 2022.

 Contingencies

 In
the normal course of business, the Company is subject to various contingencies. Contingencies are recorded in the consolidated financial
statements when it is probable that a liability will be incurred and the amount of the loss is reasonably estimable, or otherwise disclosed,
in accordance with ASC 450, Contingencies. Significant judgment is required in both the determination of probability and the determination
as to whether a loss is reasonably estimable. In the event the Company determines that a loss is not probable, but is reasonably possible,
and it becomes possible to develop what the Company believes to be a reasonable range of possible loss, then the Company will include
disclosures related to such matter as appropriate and in compliance with ASC 450. To the extent there is a reasonable possibility that
the losses could exceed the amounts already accrued, the Company will, when applicable, adjust the accrual in the period the determination
is made, disclose an estimate of the additional loss or range of loss, indicate that the estimate is immaterial with respect to its financial
statements as a whole or, if the amount of such adjustment cannot be reasonably estimated, disclose that an estimate cannot be made.
The Company is not currently involved in any legal proceedings of a material nature and, accordingly, the Company has not accrued estimated
costs related to any legal claims.

 F- 8

 Revenue
Recognition

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

 We
regularly review the ultimate amounts received from the third-party and direct-bill payers and related estimated reimbursement rates
and adjust the net realizable values ("NRV's") and related contractual allowances accordingly. If actual collections
and related NRV's vary significantly from our estimates, we will adjust the estimates of contractual allowances, which affects
net revenue in the period such variances become known.

 Financing
and Payment

 For
non-Medicare claims, our payment terms vary by payer category. Payment terms for direct-payers in our clinical services are typically
thirty days and in our pharma services, up to sixty days. Commercial third-party-payers are required to respond to a claim within a time
period established by their respective state regulations, generally between thirty to sixty days. However, payment for commercial third-party
claims may be subject to a denial and appeal process, which could take up to two years in some instances where multiple appeals are submitted.
The Company generally appeals all denials from commercial third-party payers. We bill Medicare directly for tests performed for Medicare
patients and must accept Medicare's fee schedule for the covered tests as payment in full.

 Cost
of revenue

 Cost
of revenue consists primarily of the costs associated with operating our laboratories and other costs directly related to our tests.
Personnel costs, which constitute the largest portion of cost of services, include all labor related costs, such as salaries, bonuses,
fringe benefits and payroll taxes for laboratory personnel. Other direct costs include, but are not limited to, laboratory supplies,
certain consulting expenses, royalty expenses, and facility expenses.

 Stock-Based
Compensation

 The
compensation cost associated with the granting of stock-based awards is based on the grant date fair value of the stock award. The Company
recognizes the compensation cost, net of estimated forfeitures, over the shorter of the vesting period or the period from the grant date
to the date when retirement eligibility is achieved. Forfeitures are initially estimated based on historical information and subsequently
updated over the life of the awards to ultimately reflect actual forfeitures. As a result, changes in forfeiture activity can influence
the amount of stock compensation cost recognized from period to period. The Company primarily uses the Black-Scholes option-pricing model
to determine the fair value of stock options. The determination of the fair value of stock-based payment awards is made on the date of
grant and is affected by the Company's stock price as well as assumptions made regarding a number of complex and subjective variables.
These assumptions include: expected stock price volatility over the term of the awards; actual and projected employee stock option exercise
behaviors; the risk-free interest rate; and expected dividend yield. The fair value of restricted stock units, or RSUs, and restricted
shares is equal to the closing stock price on the date of grant.

 See
Note 14, Stock-Based Compensation, for further information.

 F- 9

Stock

stock purchases are accounted for under the cost method whereby the entire cost of the acquired stock is recorded as treasury stock.
Upon reissuance of shares, the Company records any difference between the weighted-average cost of such shares and any proceeds received
as an adjustment to additional paid-in capital.

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

 Our
lease terms include all non-cancelable periods and may include options to extend (or to not terminate) the lease when it is reasonably
certain that we will exercise that option. Leases with terms of twelve months or less at the commencement date are expensed on a straight-line
basis over the lease term and do not result in the recognition of an asset or liability. See Note 8, Leases.

taxes

taxes are based on income for financial reporting purposes calculated using the Company's annual tax rate and reflect a current
tax liability or asset for the estimated taxes payable or recoverable on the current year tax return and expected annual changes in deferred
taxes. Any interest or penalties on income tax are recognized as a component of income tax expense.

 The
Company accounts for income taxes using the asset and liability method. This method requires recognition of deferred tax assets and liabilities
for expected future tax consequences of temporary differences that currently exist between tax basis and financial reporting basis of
the Company's assets and liabilities based on enacted tax laws and rates. Deferred tax expense (benefit) is the result of changes
in the deferred tax asset and liability. A valuation allowance is established, when necessary, to reduce the deferred income tax assets
when it is more likely than not that all or a portion of a deferred tax asset will not be realized.

 The
Company operates in multiple tax jurisdictions and pays or provides for the payment of taxes in each jurisdiction where it conducts business
and is subject to taxation. The breadth of the Company's operations and the complexity of the tax law require assessments of uncertainties
and judgments in estimating the ultimate taxes the Company will pay. The final taxes paid are dependent upon many factors, including
negotiations with taxing authorities in various jurisdictions, outcomes of tax litigation and resolution of proposed assessments arising
from federal and state audits. Uncertain tax positions are recognized in the financial statements when it is more likely than not (i.e.,
a likelihood of more than fifty percent) that a position taken or expected to be taken in a tax return would be sustained upon examination
by tax authorities that have full knowledge of all relevant information. A recognized tax position is then measured as the largest amount
of benefit that is greater than fifty percent likely to be realized upon ultimate settlement. The Company adjusts accruals for unrecognized
tax benefits as facts and circumstances change, such as the progress of a tax audit. However, any adjustments made may be material to
the Company's consolidated results of operations or cash flows for a reporting period. Penalties and interest, if incurred, would
be recorded as a component of current income tax expense.

 Significant
judgment is also required in evaluating the need for and magnitude of appropriate valuation allowances against deferred tax assets. Deferred
tax assets are regularly reviewed for recoverability. The Company currently has significant deferred tax assets resulting from net operating
loss carryforwards and deductible temporary differences, which should reduce taxable income in future periods, if generated. The realization
of these assets is dependent on generating future taxable income.

 F- 10

(Loss) per Share

 Basic
earnings per common share are computed by dividing net income by the weighted average number of shares outstanding during the year including
any unvested share-based payment awards that contain nonforfeitable rights to dividends. Diluted earnings per common share are computed
by dividing net income by the sum of the weighted average number of shares outstanding and dilutive common shares under the treasury
method. Unvested share-based payment awards that contain nonforfeitable rights to dividends or dividend equivalents (whether paid or
unpaid), are participating securities and are included in the computation of earnings per share pursuant to the two-class method. As
a result of the losses incurred in 2022, the potentially dilutive common shares have been excluded from the earnings per share computation
for this period because its inclusion would have been anti-dilutive. Additionally, preferred shares have been excluded in the denominator
of the earnings per share computation, on an if-converted basis, as such shares would have been anti-dilutive.

 Reclassifications

 The Company reclassified certain prior period balances to conform to the current year presentation.

 2.
 Recent Accounting Standards

 Accounting
Pronouncements Adopted

 The
FASB issued new guidance under ASC Topic 326, Financial Instruments Credit Losses. The guidance changes the allowance on accounts receivable
from an incurred method to an expected method. The Company adopted ASC Topic 326 on January 1, 2023 which requires the Company to look at its history of write-offs to come up with an expected loss rate and apply that
to its current accounts receivable balance. It had no material effect on
the consolidated financial statements.

 Accounting
Pronouncements Pending

 In
August 2020, the FASB issued ASU 2020-06, Debt – Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging
– Contracts in Entity's Own Equity (Subtopic 815 – 40), ("ASU 2020-06"). ASU 2020-06 simplifies the accounting
for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts on
an entity's own equity. The ASU 2020-06 amendments are effective for fiscal years beginning after December 15, 2023, and interim
periods within those fiscal years. Early adoption is permitted. The Company does not expect this will have any impact on its consolidated
financial statements.

 In
December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This ASU requires public
entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income
taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption
permitted. The Company is currently evaluating the impact the adoption of this standard on its financial statements.

 3.
 Liquidity

 In
October 2021, the Company entered into a $ 7.5 million revolving credit facility with Comerica Incorporated ("Comerica") (the
"Comerica Loan Agreement"). See Note 18, Revolving Line of Credit, and Note 20, Subsequent Events for more details and for
updates to the revolving credit facility. Also in October 2021, the Company entered into an $ 8.0 million term loan with BroadOak Fund
V, L.P. ("BroadOak") (the "BroadOak Loan Agreement"), the proceeds of which were used to repay in full at their
maturity the existing secured promissory note with Ampersand Capital Partners ("Ampersand") (the "Ampersand Note")
and 1315 Capital II, L.P ("1315 Capital") (the "1315 Capital Note"). In May 2022, the Company entered into a
Subordinated Convertible Promissory Note agreement with BroadOak for an additional $ 2.0 million (the "Convertible Note"),
which was converted into a subordinated term loan and was added to the outstanding BroadOak Loan Agreement balance. See Note 13, Notes
Payable, for more details.

 At
December 31, 2023, the Company has a $ 10 million principal balance of notes payable that required the principal to be paid on or before
the maturity date of October 31, 2024. In March 2024, the Company had the terms of the Loan Agreement updated. See Note 20, Subsequent
Events, for more details.

 F- 11

 Along
with many laboratories, the Company may be affected by the Proposed Local Coverage Determination ("LCD") DL39365, which is
currently under consideration by Novitas. If finalized, this Proposed LCD, which governs "Genetic Testing for Oncology,"
could impact the existing Medicare coverage for one of our molecular tests, PancraGEN. On June 5, 2023 the Company announced
that Novitas issued the final LCD of Genetic Testing for Oncology (L39365) which if finalized, would have established non-coverage for
the Company's widely used PancraGEN test effective July 17, 2023. On July 6, 2023, Novitas announced that it would
not be implementing the final Genetic Testing for Oncology LCD (L39365) as scheduled on July 17, 2023. Novitas then issued a new virtually
identical proposed LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded
LCD on July 27, 2023. In response, the Company participated in a public meeting presentation and submitted detailed written comments
supporting the use of PancraGEN. The timing and content of any final implemented LCD is uncertain at this time; the process
could potentially take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, the Company is
able to continue offering PancraGEN and the related Point2 fluid chemistry tests for amylase, CEA, and
glucose. In the event Novitas ultimately restricts coverage for the PancraGEN test, the Company's liquidity could
be negatively impacted.

 For
the year ended December 31, 2023, the Company had operating income from continuing operations of $ 2.8 million. As of December 31, 2023,
the Company had cash and cash equivalents of $ 3.5 million, total current assets of $ 10.3 million and current liabilities of $ 17.5 million.
As of March 22, 2024, the Company had approximately $ 2.8 million of cash on hand.

 The
Company intends to meet its ongoing capital needs by using its available cash, as well as through targeted margin improvement; collection
of accounts receivable; containment of costs; and the potential use of other financing options and other strategic alternatives.

 The
Company continues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt
financings, strategic alliances, business development and other sources in order to provide additional liquidity. With the delisting
of its common stock from Nasdaq in February 2021, the Company's ability to raise additional capital on terms acceptable to it has
been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable
to it.

 With
the improvement in operating cash flows associated with the disposition of the Pharma Solutions business, and the Company's improved
operating performance, as of the date of this filing, the Company anticipates that current cash and cash equivalents and forecasted
cash receipts will be sufficient to meet its anticipated cash requirements through the next twelve months from the date of issuance of the consolidated financial statements.

 4.
 Discontinued Operations

 On
August 31, 2022, the Company entered into an Asset Purchase Agreement (the "Purchase Agreement") with Flagship Biosciences,
Inc. (the "Purchaser") pursuant to which the Purchaser agreed to (i) acquire substantially all of the assets of Interpace
Pharma Solutions, Inc. used in its business of complex molecular analysis for the early diagnosis and treatment of cancer and supporting
the development of targeted therapeutics (the "Business") and (ii) assume and pay certain liabilities related to the purchased
assets (collectively, the "Transaction"). The Transaction closed on August 31, 2022.

 As
consideration for the Transaction, Interpace received a total sale price of approximately $ 6.2 million after working capital and other
adjustments ($ 0.5 million of which has been deposited into escrow). In addition, the Purchaser paid the Company an earnout of approximately
$ 1.0 million based on revenue for the period beginning September 1, 2021 and ending August 31, 2022. In the third quarter of 2023, the
$ 0.5 million funds in escrow were released to the Company.

 The
Purchase Agreement includes a one-year commitment of Interpace not to compete with the Business, recruit or hire any former employees
of the Subsidiary who accept employment with the Purchaser in connection with the Transaction, or divert or attempt to divert from Purchaser
any business to be performed from any of the contracts or agreements with customers as set forth in the Purchase Agreement. The Purchase
Agreement also contains customary representations and warranties, post-closing covenants and mutual indemnification obligations for,
among other things, any inaccuracy or breach of any representation or warranty and any breach or non-fulfillment of any covenant.

 F- 12

 In
connection with the Transaction, on August 31, 2022, Interpace and Purchaser entered into a Shared Services Agreement (the "Shared
Services Agreement") pursuant to which Interpace agreed to provide, or cause its affiliates to provide, to the Purchaser certain
services set forth in the Shared Services Agreement on a transitional basis and subject to the terms and conditions set forth in the
Shared Services Agreement (the "Services"). As consideration for the Services provided by Interpace, Purchaser will pay Interpace
the amounts specified for each Service as set forth in the Shared Services Agreement. The Company's obligations to provide the
Services will terminate with respect to each Service as set forth in the Shared Services Agreement.

 The
Purchaser is identified as a related party as an affiliate of Ampersand and an affiliate of BroadOak and have each provided equity financing
to the Purchaser. Collectively, they own a majority of the Purchaser's outstanding equity securities and are represented on its
Board of Directors.

 The
Company intends to use the remaining net proceeds to fund its future business activities and for general working capital purposes. As
a result of the sale, the gain on sale and all operations from Interpace Pharma Solutions have been classified as discontinued operations
for all periods presented.

 A
reconciliation of the accounting for the Company's Pharma Solutions business in 2023 and 2022 is as follows:

of Sale of Business

 2023

 2022

 Gain
 (loss) on Sale

 2023

 2022

 Purchase
 price

 $
 -

 $
 7,000

 Earnout
 received

 -

 1,043

 Working
 capital adjustment, net

 ( 117
)

 ( 766
)

 Less:
 transaction costs

 -

 ( 307
)

 Total
 net consideration

 $
 ( 117
)

 $
 6,970

 Assets
 and liabilities disposed of, net (1)

 -

 ( 6,970
)

 Gain
 (loss) on sale

 $
 ( 117
)

 $
 -

 (1)

 includes
 goodwill and intangible assets written down prior to the Transaction. The goodwill write-down was approximately $ 8.4 million and
 the write-down of intangible assets was approximately $ 3.8 million.

 The
components of assets and liabilities classified as discontinued operations consist of the following as of December 31, 2023 and December
31, 2022:

of Components of Assets and Liabilities and Revenue Classified as Discontinued Operations

 31,

 31,

 2023

 2022

 salary and bonus

 $
 -

 $

 Other
 (1)

 liabilities of discontinued operations

 (1)

 Includes
 $ 660 and $ 766 of liabilities related to the former Commercial Services business unit for the periods ending December 31, 2023 and
 December 31, 2022, respectively.

 F- 13

 The
table below presents the significant components of its former Pharma Solutions and Commercial Services business units' results
included within loss from discontinued operations, net of tax in the consolidated statements of operations for the years ended December
31, 2023 and 2022.

 2023

 2022

 For
 The Years Ended

 31,

 2023

 2022

 Revenue,
 net

 $
 -

 $
 5,678

 Loss
 from discontinued operations

 ( 43
)

 ( 15,968
)

 tax expense

 Loss
 from discontinued operations, net of tax

 $
 ( 310
)

 $
 ( 16,093
)

 The
income tax expense for the years ended December 31, 2023 and December 31, 2022 primarily pertained to the interest accrued on uncertain
tax position liabilities.

 Cash
used from discontinued operations, operating activities, for the year ended December 31, 2023 was approximately $ 0.1 million. There was
cash provided by discontinued operations, investing activities, for the year ended December 31, 2023 of $ 0.4 million which pertained
to the net proceeds released from escrow for the Pharma Solutions sale net of final working capital adjustments. Cash used from discontinued
operations, operating activities, for the year ended December 31, 2022 was approximately $ 2.8 million. There was cash provided by discontinued
operations, investing activities, for the year ended December 31, 2022 of $ 6.5 million which pertained to the net proceeds received from
the Pharma Solutions sale. Depreciation and amortization expense within discontinued operations for the year ended December 31, 2022
was $ 1.1 million. There was no depreciation and amortization expense within discontinued operations for the year ended December 31, 2023.

 5.
 Fair Value Measurements

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

 Level
 1:

 Valuations
 for assets and liabilities traded in active markets from readily available pricing sources for market transactions involving identical
 assets or liabilities.

 Level
 2:

 Valuations
 for assets and liabilities traded in less active dealer or broker markets. Valuations are obtained from third-party pricing services
 for identical or similar assets or liabilities.

 Level
 3:

 Valuations
 for assets and liabilities include certain unobservable inputs in the assumptions and projections used in determining the fair value
 assigned to such assets or liabilities.

 F- 14

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

of Financial Instrument Measured On Recurring Basis

 Fair
 Value Measurements

 As
 of December 31, 2023

 As
 of December 31, 2023

 Carrying

 Fair
 Value

 Level

 Level

 Level

 Liabilities:

 Contingent
 consideration:

 Asuragen
 (1)

 $

 $

 $
 -

 $
 -

 $

 Note
 payable:

 BroadOak
 loan

 10,000

 9,343

 -

 -

 9,343

 $
 10,453

 $
 9,796

 $
 -

 $
 -

 $
 9,796

 Fair
 Value Measurements

 As
 of December 31, 2022

 As
 of December 31, 2022

 Carrying

 Fair
 Value

 Level

 Level

 Level

 Liabilities:

 Contingent
 consideration:

 Asuragen
 (1)

 $
 1,088

 $
 1,088

 $
 -

 $
 -

 $
 1,088

 Note
 payable:

 BroadOak
 loan

 10,000

 11,165

 -

 -

 11,165

 $
 11,088

 $
 12,253

 $
 -

 $
 -

 $
 12,253

 (1) (2)

 See
 Note 10, Accrued Expenses and Other Long-Term Liabilities

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

 F- 15

 The
Company records the BroadOak loan at fair value. The fair value of the loan is determined by a probability-weighted approach regarding
the loan's change in control feature. See Note 13, Notes Payable, for more details. The fair value measurement is based
on the estimated probability of a change in control and thus represents a Level 3 measurement.

of Fair Value, Assets Measured On Recurring Basis, Unobservable Input Reconciliation

 Adjustment

 December 31,

 2022

 Payments

 Transferred

 to

 Expenses

 Accretion/

 Interest

 to
Fair Value/

 Mark to

 Market

 December 31,

 2023

 Asuragen

 $
 1,088

 $
 -

 $
 ( 754
)

 $

 $

 $

 BroadOak
 loan

 11,165

 ( 2,500
)

 -

 -

 9,343

 $
 12,253

 $
 ( 2,500
)

 $
 ( 754
)

 $

 $

 $
 9,796

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

 6.
 Property and Equipment

and equipment consisted of the following as of December 31, 2023 and 2022:

of Property and Equipment

 2023

 2022

 31,

 2023

 2022

 Furniture
 and fixtures

 $

 $

 Lab
 and office equipment

 2,510

 2,243

 Computer
 equipment

 Internal-use
 software

 Leasehold
 improvements

 and equipment

 3,334

 2,859

 Less
 accumulated depreciation and amortization

 ( 2,544
)

 ( 2,379
)

 Net
 property and equipment

 $

 $

 Depreciation
and amortization expense from continuing operations was approximately $ 0.2
million for the years ended December 31, 2023 and 2022, respectively. There was zero
internal-use software amortization expense included in depreciation and amortization expense in 2023 and 2022, and $ 0.1
million of internal use unamortized software costs at December 31, 2023 and zero at December 31, 2022. The costs were unamortized as they were not in use at December 31, 2023.

 F- 16

 7.
 Intangible Assets

 The
net carrying value of the identifiable intangible assets from all acquisitions within continuing operations as of December 31, 2023 and
December 31, 2022 are as follows:

of Identifiable Intangible Assets Carrying Value

 As of

 December 31, 2023

 As of

 December 31, 2022

 Life

 Carrying

 Carrying

 (Years)

 Asuragen
 acquisition:

 Thyroid

 $
 8,519

 $
 8,519

 RedPath
 acquisition:

 Pancreas
 test

 16,141

 16,141

 Barrett's
 test

 6,682

 6,682

 CLIA
 Lab

 2.3

 Total

 $
 31,951

 $
 31,951

 Accumulated
 Amortization

 ( 31,951
)

 ( 31,090
)

 Net
 Carrying Value

 $
 -

 $

 Amortization
expense from continuing operations was approximately $ 0.9 million and $ 1.3 million for the years ended December 31, 2023 and 2022, respectively.
The Company's identifiable intangible assets were fully amortized as of December 31, 2023.

 8.

 The
Company leases facilities and certain equipment under agreements classified as operating leases, which expire at various dates
through June 2028. Substantially all of the property leases provide for increases based upon use of utilities and landlord's
operating expenses as well as pre-defined rent escalations. Total operating lease expense from continuing operations under these
agreements for the years ended December 31, 2023 and 2022 was approximately $ 0.8
million and $ 0.9
million, respectively. Total cash paid under these agreements for the years ended December 31, 2023 and 2022 was approximately
$ 0.8
million and $ 0.9
million, respectively.

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

of Lease related Assets and Liabilities

 Classification on the

 Balance Sheet

 31, 2023

 31, 2022

 Assets

 lease assets

 lease right of use assets

 1,864

 2,439

 Total
 lease assets

 $
 1,864

 $
 2,439

 Liabilities

 lease liabilities

 Other
 accrued expenses

 Total
 current lease liabilities

 $

 $

 Noncurrent

 lease liabilities

 lease liabilities, net of current portion

 1,472

 1,848

 Total
 long-term lease liabilities

 1,472

 1,848

 Total
 lease liabilities

 $
 1,849

 $
 2,426

 F- 17

 The
weighted average remaining lease term for the Company's operating leases was 4.3 years as of December 31, 2023 and 5.0 years as
of December 31, 2022 and the weighted average discount rate for those leases was 11.8 % and 11.7 % as of December 31, 2023 and December
31, 2022, respectively. The Company's operating lease expenses are recorded within "Cost of revenue" and "General
and administrative expenses."

 The
table below reconciles the undiscounted cash flows to the lease liabilities recorded on the Company's Consolidated Balance Sheet
as of December 31, 2023:

of Maturities of Operating Lease Liabilities

 2024

 $

 2025

 2026

 2027-2028

 Total
 minimum lease payments

 2,400

 Less:
 amount of lease payments representing effects of discounting

 Present
 value of future minimum lease payments

 1,849

 Less:
 current obligations under leases

 Long-term
 lease obligations

 $
 1,472

 9.
 Retirement Plans

 The
Company offers an employee 401(k) saving plan. Under the Interpace Biosciences, Inc. 401(k) Plan, employees may contribute up to 50 %
of their pre- or post-tax base compensation. The Company currently offers a safe harbor matching contribution equal to 100 % of the first
 3 % of the participant's contributed base salary plus 50 % of the participant's base salary contributed exceeding 3 % but not
more than 5 %. Participants are not allowed to invest any of their 401(k) funds in the Company's common stock. The Company's
total contribution expense from continuing operations related to the 401(k) plan for the years ended December 31, 2023 and December 31,
2022 was approximately $ 0.3 million in both periods.

 10.
 Accrued Expenses and Other Long-Term Liabilities

 Other
accrued expenses consisted of the following as of December 31, 2023 and 2022:

of Other Accrued Expenses

 31, 2023

 31, 2022

 royalties

 $
 6,268

 $
 4,909

 Contingent
 consideration

 lease liability

 sales and marketing - diagnostics

 lab costs - diagnostics

 professional fees

 Taxes
 payable

 Unclaimed
 property

 All
 others

 Total
 other accrued expenses

 $
 8,201

 $
 8,419

 Other
long-term liabilities consisted of uncertain tax positions as of December 31, 2023 and 2022.

 F- 18

 11.
 Commitments and Contingencies

 Litigation

 From
time to time, the Company may become involved in various lawsuits and legal proceedings which arise in the ordinary course of business.
When the Company is aware of a claim or potential claim, it assesses the likelihood of any loss or exposure. If it is probable that a
loss will result and the amount of the loss can be reasonably estimated, the Company will record a liability for the loss. In addition
to the estimated loss, the recorded liability includes probable and estimable legal costs associated with the claim or potential claim.
Litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may
harm the Company's business. There is no pending litigation involving the Company at this time.

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

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

 12.
 Mezzanine Equity

 Redeemable
Preferred Stock

 On
January 10, 2020, the Company entered into a Securities Purchase and Exchange Agreement (the "Securities Purchase and Exchange
Agreement") with 1315 Capital and Ampersand (collectively, the "Investors") pursuant to which the Company agreed to
sell to the Investors an aggregate of $ 20.0 million in Series B Preferred Stock of the Company, at an issuance price per share of $ 1,000
("New Investment Shares"). Pursuant to the Securities Purchase and Exchange Agreement, 1315 Capital agreed to purchase 19,000
shares of Series B Preferred Stock at an aggregate purchase price of $ 19.0 million and Ampersand agreed to purchase 1,000 shares of Series
B Preferred Stock at an aggregate purchase price of $ 1.0 million.

 In
addition, the Company agreed to exchange $ 27.0 million of the Company's existing Series A convertible preferred stock, par value
$ 0.01 per share, held by Ampersand (the "Series A Preferred Stock"), represented by 270 shares of Series A Preferred Stock
with a stated value of $ 100,000 per share, which represents all of the Company's issued and outstanding Series A Preferred Stock,
for 27,000 newly issued shares of Series B Preferred Stock (such shares of Series B Preferred Stock, the "Exchange Shares"
and such transaction, the "Exchange"). Following the Exchange, no shares of Series A Preferred Stock remained designated,
authorized, issued or outstanding. The Series B Preferred Stock has a conversion price of $ 6.00.

 Voting

 On
any matter presented to the stockholders of the Company for their action or consideration at any meeting of stockholders of the Company
(or by written consent of stockholders in lieu of meeting), each holder of outstanding shares of Series B Preferred Stock will be entitled
to cast the number of votes equal to the number of whole shares of the Company's common stock into which the shares of Series B
Preferred Stock held by such holder are convertible as of the record date for determining stockholders entitled to vote on such matter.
Except as provided by law or by the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred
Stock (the "Certificate of Designation"), holders of Series B Preferred Stock will vote together with the holders of common
stock as a single class and on an as-converted to common stock basis.

 F- 19

Designation Rights

 The
Certificate of Designation also provides each Investor with the following director designation rights: for so long such Investor holds
at least sixty percent (60%) of the Series B Preferred Stock issued to it on the Issuance Date (as defined therein), such Investor will
be entitled to elect two directors to the Company's Board of Directors (the "Board"), provided that one of the directors
qualifies as an "independent director" under Rule 5605(a)(2) of the listing rules of the Nasdaq Stock Market (or any successor
rule or similar rule promulgated by another exchange on which the Company's securities are then listed or designated) ("Independent
Director"). However, if at any time such Investor holds less than sixty percent (60%), but at least forty percent (40%), of the
Series B Preferred Stock issued to them on the Issuance Date, such Investor would only be entitled to elect one director to the Board.
Any director elected pursuant to the terms of the Certificate of Designation may be removed without cause by, and only by, the affirmative
vote of the holders of Series B Preferred Stock. A vacancy in any directorship filled by the holders of Series B Preferred Stock may
be filled only by vote or written consent in lieu of a meeting of such holders of Series B Preferred Stock or by any remaining director
or directors elected by such holders of Series B Preferred Stock.

 On
November 15, 2023, Edward Chan, a director designated by 1315 Capital to the Board, provided notice to the Company of his resignation
from the Board, effective immediately. Further, on December 7, 2023, Robert Gorman, a director designated by Ampersand to the Board,
provided notice to the Company of his resignation as a director and as Chairman of the Board, effective immediately.

 Conversion

 The
Certificate of Designation provides that from and after the Issuance Date and subject to the terms of the Certificate of Designation,
each share of Series B Preferred Stock is convertible, at any time and from time to time, at the option of the holder into a number of
shares of common stock equal to dividing the amount equal to the greater of the Stated Value of such Series B Preferred Stock, plus any
dividends declared but unpaid thereon, or such amount per share as would have been payable had each such share been converted into common
stock immediately prior to a liquidation, by six dollars ($ 6.00) (subject to adjustment in the event of any stock dividend, stock split,
combination, or other similar recapitalization affecting such shares). The aggregate number of shares of common stock that may be issued
through conversion of all of the New Investment Shares and Exchange Shares is 7,833,334 shares (subject to appropriate adjustment in
the event of any stock dividend, stock split, combination or other similar recapitalization affecting such shares).

 Mandatory
Conversion

 If
the Company consummates the sale of shares of common stock to the public in a firm-commitment underwritten public offering pursuant to
an effective registration statement under the Securities Act pursuant to which the price of the common stock in such offering is at least
equal to twelve dollars ($ 12.00) (subject to adjustment in the event of any stock dividend, stock split, combination, or other similar
recapitalization affecting such shares) and such offering does not include warrants (or any other convertible security) and results in
at least $ 25,000,000.00 in proceeds, net of the underwriting discount and commissions, to the Company, and the common stock continues
to be listed for trading on the Nasdaq Capital Market or another exchange, all outstanding shares of Series B Preferred Stock will automatically
be converted into shares of common stock, at the then effective Series B Conversion Ratio (as defined in the Certificate of Designation).

 Liquidation

 Upon
any voluntary or involuntary liquidation, dissolution or winding up of the Company or Deemed Liquidation (as defined in the Certificate
of Designation) (a "Liquidation"), the holders of shares of Series B Preferred Stock then outstanding will be entitled to
be paid out of the assets of the Company available for distribution to its stockholders (on a pari passu basis with the holders of any
class or series of preferred stock ranking on liquidation on a parity with the Series B Preferred Stock), and before any payment will
be made to the holders of common stock or any other class or series of preferred stock ranking on liquidation junior to the Series B
Preferred Stock by reason of their ownership thereof, an amount per share of Series B Preferred Stock equal to the greater of (i) the
Stated Value of such share of Series B Preferred Stock, plus any dividends declared but unpaid thereon, or (ii) such amount per share
as would have been payable had each such share been converted into common stock immediately prior to such Liquidation.

 F- 20

 As
of December 31, 2023 and December 31, 2022, there were 47,000 Series B issued and outstanding shares of preferred stock, respectively.

 13.
 Notes Payable

 BroadOak
Loan

 On
October 29, 2021, the Company and its subsidiaries entered into the BroadOak Loan Agreement, providing for a term loan in the aggregate
principal amount of $ 8,000,000 (the "Term Loan"). Funding of the Term Loan took place on November 1, 2021. The Term Loan
was scheduled to mature upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest at the rate of 9 %
per annum. The Term Loan is secured by a security interest in substantially all of the Company's and its subsidiaries' assets
and was subordinate to the Company's $ 7,500,000 revolving credit facility with Comerica Bank. See Note 18, Revolving Line of Credit.
 The Term Loan had an origination fee of 3 % of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal
amount of the Term Loan if the change of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20%
of the original principal amount of the Term Loan if the change of control occurs after the first anniversary but on or prior to the
second anniversary of the funding of the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control
occurs after the second anniversary of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date.

 The
BroadOak Loan Agreement contains affirmative and negative restrictive covenants that are applicable from and after the date of the Term
Loan advance. These restrictive covenants, which include restrictions on certain mergers, acquisitions, investments, encumbrances, etc.,
could adversely affect our ability to conduct our business. The BroadOak Loan Agreement also contains customary events of default.

 In
connection with the BroadOak Loan Agreement, the Company and its subsidiaries entered into that certain First Amendment to Loan and Security
Agreement and Consent with Comerica, dated as of November 1, 2021 (the "Comerica Amendment"), pursuant to which Comerica
consented to the Company's and its subsidiaries' entry into the BroadOak Loan Agreement, and amended that certain Loan and
Security Agreement among Comerica, the Company and its subsidiaries (the "Comerica Loan Agreement") to, among other things,
permit the indebtedness, liens and encumbrances contemplated by the BroadOak Loan Agreement.

 As
a condition for BroadOak to extend the Term Loan to the Company and its subsidiaries, the Company's existing creditor, Comerica,
and BroadOak entered into that certain Subordination and Intercreditor Agreement, dated as of November 1, 2021, pursuant to which BroadOak
agreed to subordinate all of the indebtedness and obligations of the Company and its subsidiaries owing to BroadOak to all of the indebtedness
and obligations of the Company and its subsidiaries owing to Comerica (the "Intercreditor Agreement"). BroadOak further agreed
to subordinate all of its respective security interests in assets or property of the Company and its subsidiaries to Comerica's
security interests in such assets or property. The Intercreditor Agreement provides that it is solely for the benefit of BroadOak and
Comerica and is not for the benefit of the Company or any of its subsidiaries.

 The
Company concluded that the Note met the definition of a "recognized financial liability" which is an acceptable financial
instrument eligible for the fair value option under ASC 825-10-15-4, and did not meet the definition of any of the financial instruments
listed within ASC 825-10-15-5 that are not eligible for the fair value option. The Note is not convertible and does not have any component
recorded to shareholders' equity. Accordingly, the Company elected the fair value option for the Note.

 On
October 24, 2023, the Company entered into a Second Amendment to Loan and Security Agreement ("Amendment") with BroadOak.
The primary changes to the original BroadOak Loan Agreement were as follows:

 The
 Company made a one-time payment in an aggregate amount equal to $ 2,500,000, on October 30, 2023 and applied the payment in full satisfaction
 of the $ 3,000,000 Terminal Payment (as defined in the BroadOak Loan Agreement). See above regarding the Terminal Payment.

 Effective
 November 1, 2023, the interest rate under the BroadOak Loan Agreement was reduced from 9 % to 8 % through the maturity date of October
 31, 2024 or earlier, upon the occurrence of a change in control ("Loan Maturity Date").

 F- 21

 The
 Company has the option to request an extension of the Loan Maturity Date in writing no less than sixty days prior to the Loan Maturity
 Date. If BroadOak agrees to the extension, the Loan Maturity Date would automatically be extended.

 The Second Amendment was treated as a debt
modification which is accounted for prospectively. Since the BroadOak Loan is carried at fair value under the fair value option, the Second
Amendment did not result in any extinguishment gain or loss upon amendment, and the impact of the revised terms was incorporated into
the Company's fourth quarter 2023 fair value calculation.

 In
March 2024, the Company entered into a Third Amendment of the BroadOak Loan Agreement. See Note 20, Subsequent Events, for more
details.

 14.
 Stock-Based Compensation

 The
Company's stock-incentive program is a long-term retention program that is intended to attract, retain and provide incentives for
talented employees, officers and directors, and to align stockholder and employee interests. Currently, the Company is able to grant
options, stock appreciation rights ("SARs") and restricted shares from the Interpace Biosciences, Inc. 2019 Equity Incentive
Plan. No new grants may be made under the Company's prior stock incentive plan, the Interpace Diagnostics Group, Inc. (now known
as Interpace Biosciences, Inc.) Amended and Restated 2004 Stock Award and Incentive Plan (the "2004 Plan"). Unless earlier
terminated by action of the Company's board of directors, the 2004 Plan will remain in effect until such time as no stock remains
available for delivery and the Company has no further rights or obligations under the 2004 Plan with respect to outstanding awards thereunder.

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

 The
Company primarily uses the Black-Scholes option-pricing model to determine the fair value of stock options. The determination of the
fair value of stock-based payment awards on the date of grant using an option-pricing model is affected by the Company's stock
price as well as assumptions regarding a number of complex and subjective variables. These variables include the Company's expected
stock price volatility over the term of the awards, actual and projected employee stock option exercise behaviors, risk-free interest
rate and expected dividends. Expected volatility is based on historical volatility. As there is no trading volume for the Company's
options, implied volatility is not representative of the Company's current volatility so the historical volatility of the Company's
common stock is determined to be more indicative of the Company's expected future stock performance. The expected life is determined
using the safe-harbor method. The Company expects to use this simplified method for valuing employee options until more detailed information
about exercise behavior becomes available over time. The Company bases the risk-free interest rate on U.S. Treasury zero-coupon issues
with remaining terms similar to the expected term on the options. The Company does not anticipate paying any cash dividends in the foreseeable
future and therefore uses an expected dividend yield of zero in the option valuation model. The Company estimates forfeitures at the
time of grant and revise those estimates in subsequent periods if actual forfeitures differ from those estimates. The Company uses historical
data to estimate pre-vesting option forfeitures and records stock-based compensation expense only for those awards that are expected
to vest. The Company recognizes compensation cost, net of estimated forfeitures, arising from the issuance of stock options on a straight-line
basis over the vesting period of the grant.

 The
Company began an employee stock purchase plan in 2020 and recognized approximately $ 46,000 in expense related to that plan for the year
ended December 31, 2022. The Company suspended its plan in July 2022 as there were no shares available in the original authorized shares
pool. In November 2022, the shareholders approved an increase to the pool of an additional one million shares.

 As
of December 31, 2023, we have reserved 692,688 shares of our common stock for issuance under our 2019 Equity Incentive Plan, 1,000,007
shares of our common stock for issuance under our Employee Stock Purchase Plan and 1,677,248 additional shares available for future grants
of awards under our 2019 Equity Incentive Plan.

 F- 22

 The
estimated compensation cost associated with the granting of restricted stock and restricted stock units is based on the fair value of
the Company's common stock on the date of grant. The Company recognizes the compensation cost, net of estimated forfeitures, arising
from the issuance of restricted stock and restricted stock units on a straight-line basis over the shorter of the vesting period or the
period from the grant date to the date when retirement eligibility is achieved.

 There
were no stock options granted in 2023. The following table provides the weighted average assumptions used in determining the fair value
of the stock options granted during the year ended December 31, 2022:

of Stock Options, Valuation Assumptions

 31, 2022

 Risk-free
 interest rate

 1.75
 %

 Expected
 life

 6.0
 years

 Expected
 volatility

 129.88
 %

 Dividend
 yield

 -

 The
weighted-average fair value of stock options granted during the year ended December 31, 2022 was estimated to be $ 4.50. There were no
options exercised in 2023 or 2022.

 Stock-based
compensation from continuing operations for the years ended December 31, 2023 and 2022 is as follows:

of Share-Based Compensation Arrangements by Share-Based Payment Award

 2023

 2022

 RSUs
 and restricted stock

 $

 $

 Performance-based
 awards

 Options

 Total
 stock-based compensation expense

 $

 $
 1,191

 A
summary of stock option activity for the year ended December 31, 2023, and changes during such year, is presented below:

of Stock Option Activity

 Weighted-

 Weighted-Average

 Average

 Remaining

 Aggregate

 Grant

 Contractual

 Intrinsic

 Price

 Period
 (in years)

 Value

 Outstanding
 at January 1, 2023

 527,844

 $
 6.46

 7.57

 $
 -

 Granted

 -

 -

 -

 -

 Forfeited
 or expired

 ( 72,000
)

 6.07

 -

 -

 Outstanding
 at December 31, 2023

 455,844

 6.52

 6.47

 -

 Exercisable
 at December 31, 2023

 336,826

 6.95

 6.29

 -

 Vested
 and expected to vest

 376,509

 6.79

 6.45

 -

 F- 23

 A
summary of the change in of the Company's non-vested options for the year ended December 31, 2023 is presented below:

of Non Vested Option Activity

 Weighted-
 Average Grant Date Fair Value

 Nonvested
 at January 1, 2023

 257,764

 $
 4.63

 Granted

 -

 -

 Vested

 ( 129,574
)

 4.70

 Forfeited

 ( 9,172
)

 4.56

 Nonvested
 at December 31, 2023

 119,018

 $
 4.55

 The
aggregate fair value of options vested during the years ended December 31, 2023 and 2022 was $ 0.6 million and $ 0.7 million, respectively.
The weighted-average grant date fair value of options vested during the year ended December 31, 2022 was $ 5.02.

 A
summary of the Company's non-vested shares of restricted stock and restricted stock units for the year ended December 31, 2023,
and changes during such year, is presented below:

of Share-Based Compensation, Restricted Stock and Restricted Stock Units Activity

 Weighted-

 Average

 Average

 Remaining

 Aggregate

 Grant
 Date

 Vesting

 Intrinsic

 Fair
 Value

 Period
 (in years)

 Value

 Nonvested
 at January 1, 2023

 249,005

 $
 3.47

 0.98

 $
 258,965

 Granted

 87,500

 1.32

 -

 -

 Vested

 ( 79,659
)

 4.30

 -

 -

 Forfeited

 ( 20,002
)

 6.52

 -

 -

 Nonvested
 at December 31, 2023

 236,844

 $
 2.14

 0.84

 $
 255,792

 The
aggregate fair value of restricted stock units vested during each of the years ended December 31, 2023 and 2022 was $ 0.3 million and
$ 0.6 million, respectively.

 As
of December 31, 2023, there was approximately $ 0.3 million of total unrecognized compensation cost, net of estimated forfeitures, related
to unvested stock options and restricted stock units which will be expensed over the next three years.

 15.
 Revenue Sources

 The
Company's clinical services customers consist primarily of physicians, hospitals and clinics. Its revenue channels include Medicare,
Medicare Advantage, Medicaid, Client Billings (hospitals, etc.), and commercial payers. The following sets forth the net revenue generated
by revenue channel accounting for more than 10% of the Company's revenue from continuing operations during the years ended December
31, 2023 and 2022, respectively. For the years ended December 31, 2023 and December 31, 2022, revenue from Medicare was approximately
 37 % and 45 % of total revenue, respectively.

of Revenue by Major Customers

 Years
 Ended December 31,

 Customer

 2023

 2022

 Medicare

 $
 14,830

 $
 14,413

 Commercial
 Payors

 $
 11,797

 $
 7,154

 Client
 Billings

 $
 7,711

 $
 5,679

 Medicare
 Advantage

 $
 5,512

 $
 4,384

 F- 24

 16.
 Income Taxes

 The
provision for income taxes on continuing operations for the years ended December 31, 2023 and 2022 is comprised of the following:

of Components of Income Tax Expense (Benefit)

 2023

 2022

 Current:

 $
 -

 $
 -

 State

 Total
 current

 Deferred:

 -

 -

 State

 -

 -

 Total
 deferred

 -

 -

 Provision
 for income taxes

 $

 $

 The
Company performs an analysis each year to determine whether the expected future income will more likely than not be sufficient to realize
the deferred tax assets. The Company's recent operating results and projections of future income weighed heavily in the Company's
overall assessment. As a result of this analysis, the Company continues to maintain a full valuation allowance against its federal and
state net deferred tax assets at December 31, 2023 as the Company believes that it is more likely than not that these assets will not
be realized.

 The
tax effects of significant items comprising the Company's deferred tax assets and (liabilities) as of December 31, 2023 and 2022
are as follows:

of Deferred Tax Assets and Liabilities

 2023

 2022

 tax assets:

 net operating loss carryforwards

 $
 26,429

 $
 26,713

 State
 net operating loss carryforwards

 3,780

 3,639

 Compensation

 2,021

 2,059

 Allowances
 and reserves

 Intangible
 assets

 3,201

 3,584

 State
 taxes

 1,049

 Credit
 carryforward

 163(j)
 interest

 1,411

 1,279

 revenue

 Capitalized

 Valuation
 allowance

 ( 38,654
)

 ( 38,256
)

 Gross deferred tax assets

 tax liability:

 and equipment

 ( 17
)

 ( 650
)

 ( 4

)

 ( 3
)

 tax liability-net valuation allowance

 $
 -

 $
 -

 F- 25

 The
Company's deferred tax asset and deferred tax liabilities are included within Other long-term liabilities, within the consolidated
balance sheet as of December 31, 2023 and 2022. Federal tax attribute carryforwards at December 31, 2023, consist primarily of approximately
$ 125.8 million of federal net operating losses. In addition, the Company has approximately $ 60.8 million of state net operating losses
carryforwards post 382 ownership change. The utilization of the federal carryforwards as an available offset to future taxable income
is subject to limitations under federal income tax laws. Under current federal income tax law, federal NOLs incurred in tax years beginning
after December 31, 2017 may be carried forward indefinitely, but the deductibility of such federal NOLs is limited to 80% of Federal
Taxable Income, and current state net operating losses not utilized begin to expire this year.

 The
NOL carry forwards are subject to review and possible adjustment by the Internal Revenue Service and state tax authorities. NOL, and
tax credit carry forwards may become subject to an annual limitation in the event of certain cumulative changes in the ownership
interest of significant stockholders over a three-year period in excess of 50%, as defined under Sections 382 and 383 of the
Internal Revenue Code of 1986, as amended, or the Code, as well as similar state tax provisions. The amount of the annual
limitation, if any, will be determined based on the value of our company immediately prior to an ownership change. Subsequent
ownership changes may further affect the limitation in future years. Additionally, U.S. tax laws limit the time during which these
carry forwards may be applied against future taxes, therefore, we may not be able to take full advantage of these carry forwards for
federal income tax purposes. During 2021, the Company completed a 382 assessment of the available NOLs under Section 382 and
determined that the Company underwent an ownership change on March 30, 2017 and July 15, 2019 and as a result, NOLs attributable to
the pre-ownership change are subject to a substantial annual limitation under Section 382 of the Internal Revenue Code due to the
multiple ownership changes. The Company has adjusted their NOL carryforwards to address the impact of the 382 ownership change.
Federal Net Operating Losses of $ 71.2
million are subject to annual limitation for ownership changes and the Company is utilizing $ 1.0
million during the current year. The remaining $ 55.6
million of NOLs incurred post July 15, 2019 are not subject to any annual limitation and can be carried forward
indefinitely.

 A
reconciliation of the difference between the federal statutory tax rates and the Company's effective tax rate from continuing operations
is as follows:

of Effective Income Tax Rate Reconciliation

 2023

 2022

 statutory rate

 21.0
 %

 21.0
 %

 State
 income tax rate, net of Federal tax benefit

 1.4
 %

 3.6
 %

 Meals
 and entertainment

 2.1
 %

 ( 0.4
 %)

 Valuation
 allowance

 ( 23.0
 %)

 ( 24.7
 %)

 Effective
 tax rate

 1.5
 %

 ( 0.5
 %)

 The
following table summarizes the change in uncertain tax benefit reserves for the two years ended December 31, 2023:

of Unrecognized Tax Benefits Reserves Roll Forward

 Unrecognized

 Tax
 Benefits

 of unrecognized benefits as of January 1, 2022

 $

 Additions
 for tax positions of prior years

 -

 as of January 1, 2023

 $

 Additions
 for tax positions of prior years

 -

 as of December 31, 2023

 $

 As
of both December 31, 2023 and 2022, the total amount of gross unrecognized tax benefits was $ 0.9 million. The total amount of unrecognized
tax benefits that, if recognized, would affect the effective tax rate as of both December 31, 2023 and 2022 was $ 0.9 million.

 F- 26

 The
Company recognized interest and penalties of $ 0.2 million related to uncertain tax positions in income tax expense during each of the
years ended December 31, 2023 and 2022. At December 31, 2023 and 2022, accrued interest and penalties, net were $ 4.0 million and $ 3.8
million, respectively, and are included in the Other long-term liabilities in the consolidated balance sheets.

 The
Company and its subsidiaries file a U.S. Federal consolidated income tax return and consolidated and separate income tax returns in numerous
states and local tax jurisdictions. The following tax years remain subject to examination as of December 31, 2023:

of Tax Years Subject to Examination

 Jurisdiction

 Tax
 Years

 2019 – 2023

 State
 and Local

 2018
 – 2023

 To
the extent there was a failure to file a tax return in a previous year; the statute of limitation will not begin until the return is
filed. There were no examinations in process by the Internal Revenue Service as of December 31, 2023.

 17.
 Basic and Diluted Net Income (Loss) per Share

 A
reconciliation of the number of shares used in the calculation of basic and diluted earnings per share for the years ended December 31,
2023 and 2022 are as follows (rounded to thousands):

of Weighted Average Number of Shares

 Years
 Ended December 31,

 2023

 2022

 Basic
 weighted average number of common shares

 4,317

 4,238

 Potential
 dilutive effect of stock-based awards

 -

 Diluted
 weighted average number of common shares

 4,364

 4,238

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

of Anti-dilutive Securities Excluded from Computation of Earnings Per Share

 Years
 Ended December 31,

 2023

 2022

 Options

 Restricted
 stock units (RSUs)

 18.
 Revolving Line of Credit

 On
October 13, 2021, the Company and its subsidiaries entered into the Comerica Loan Agreement with Comerica, providing for a revolving
credit facility of up to $ 7,500,000 (the "Credit Facility"). The Company may use the proceeds of the Credit Facility for
working capital and other general corporate purposes.

 The
amount that may be borrowed under the Credit Facility is the lower of (i) the revolving limit of $ 7,500,000 (the "Revolving Line")
and (ii) 80 % of the Company's eligible accounts receivable plus an applicable non-formula amount consisting of $ 2,000,000 of additional
availability at close not based upon the Company's eligible accounts receivable, with such additional availability reducing by
$ 250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility are limited to $ 5,000,000 until
 80 % of the Company's and its subsidiaries' customers are paying into a collection account or segregated governmental account
with Comerica. The Revolving Line can also include, at the Company's option, credit card services with a sublimit of $ 300,000.
Borrowings on the Revolving Line are subject to an interest rate equal to prime plus 0.50 %, with prime being the greater of (x) Comerica's
stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5 % per annum. The Company is also required to pay an
unused facility fee quarterly in arrears in an amount equal to 0.25 % per annum on the average unused but available portion of the Revolving
Line for such quarter.

 F- 27

 In
April 2022, Comerica waived certain covenants specifically relating to the Company receiving financial statements with a going concern
comment or qualification. In April 2022 and August 2022, Comerica waived certain covenants specifically relating to failure to maintain
bank accounts outside of Comerica in an aggregate amount not to exceed $ 0.5 million during the transition period. Additionally, in August
2022, Comerica waived certain covenants relating to failure to segregate collections made from government account debtors from collections
made from all other account debtors and customers.

 The
Comerica Loan Agreement contains affirmative and negative restrictive covenants that are applicable whether or not any amounts are outstanding
under the Comerica Loan Agreement. These restrictive covenants, which include restrictions on certain mergers, acquisitions, investments,
encumbrances, etc., could adversely affect our ability to conduct our business. The Comerica Loan Agreement also contained financial
covenants requiring specified minimum liquidity and minimum revenue thresholds, which the Company was in compliance with as of December
31, 2023, and also contained customary events of default.

 As of December 31, 2023, the balance
of the revolving line was zero.

 On
October 6, 2023, effective September 30, 2023, the Company entered into a Fifth Amendment to its Loan and Security Agreement (the "Fifth
Amendment to the Comerica Loan Agreement") with Comerica Bank providing for a revolving credit facility of up to $ 5,000,000. This
agreement was originally scheduled to expire on September 30, 2024 but has since been terminated. The Company could have used the proceeds of
the Credit Facility for working capital and other general corporate purposes. The amount that could have been borrowed under the Credit Facility
was the lower of (i) the revolving limit of $ 5,000,000 and (ii) 80 % of the Company's eligible accounts receivable plus up to but
not exceeding $ 1.5 million in the Company's Medicare accounts (excluding Medicare Advantage thyroid accounts). Borrowings on the
Revolving Line were subject to an interest rate equal to the Term Secured Overnight Financing Rate ("SOFR") Screen Rate plus
one-tenth of one percent.

 The
Fifth Amendment to the Comerica Loan Agreement contained affirmative and negative restrictive covenants that were applicable whether
or not any amounts are outstanding under the Comerica Loan Agreement. These restrictive covenants, which included restrictions on
certain mergers, acquisitions, investments, encumbrances, etc., could have adversely affected our ability to conduct our business. The
Comerica Loan Agreement also contained financial covenants requiring specified minimum liquidity and minimum adjusted EBITDA
thresholds. Pursuant to the Fifth Amendment to the Comerica Loan Agreement, Comerica consented to waive a covenant constituting an
event of default under the Comerica Loan Agreement regarding a going concern qualification issued in connection with the
Company's 2022 fiscal year audit.

 See
Note 20, Subsequent Events, for updates on the current status of the Comerica line.

 F- 28

 19.
 Supplemental Cash Flow Information

 Supplemental
Disclosure of Other Cash Flow Information

 (in
thousands)

 Supplemental
Cash Flow Information

 Years
 Ended

 31,

 2023

 2022

 Cash
 paid for taxes

 $

 $

 Cash
 paid for interest

 $
 1,092

 $

 Supplemental
Disclosures of Non Cash Activities

 (in
thousands)

 Years
 Ended

 31,

 2023

 2022

 Purchase
 of property and equipment included in accounts payable

 $

 $
 -

 Conversion
 of convertible debt into notes payable

 -

 2,000

 20.
 Subsequent Events

 Line
of Credit

 In
February 2024, the Company ended the Comerica Loan Agreement. The Company did not owe anything outstanding on the Line at the time of
termination and does not owe anything further to Comerica Bank.

 BroadOak Amendment

 On March 29, 2024, the Company entered into a Third Amendment to Loan and Security Agreement with BroadOak. The primary
changes to the Second Amendment to Loan and Security Agreement were as follows:

 The maturity date was extended to June 30, 2025.

 Beginning April 1, 2024, the Company will make $ 500,000 monthly payments with the remaining loan balance due on the new maturity date.

 F- 29

 VALUATION
AND QUALIFYING ACCOUNTS

 YEARS
ENDED DECEMBER 31, 2023 AND 2022

 ($
in thousands)

 Additions

 at

 (Reductions)

 (1)

 at

 Beginning

 Charged
 to

 Deductions

 end

 of
 Period

 Operations

 Other

 of
 Period

 2022

 Allowance
 for doubtful accounts

 $

 -

 ( 72
)

 $
 -

 Allowance
 for doubtful notes

 $

 -

 -

 $

 Tax
 valuation allowance

 $
 33,170

 -

 5,086

 $
 38,256

 2023

 Allowance
 for doubtful notes

 $

 -

 -

 $

 Tax
 valuation allowance

 $
 38,256

 -

 $
 38,654

 (1)

 Includes
 payments and actual write offs, as well as changes in estimates in the reserves.

 F- 30