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NeoGenomics Inc. (NEO)
NASDAQ:NEO
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NeoGenomics (NEO) AI Stock Analysis

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NEO

NeoGenomics

(NASDAQ:NEO)

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Neutral 60 (OpenAI - 5.2)
Rating:60Neutral
Price Target:
$16.00
▲(15.19% Upside)
Action:Reiterated
Date:07/30/26
The score is driven primarily by improving financial trajectory but still-weak profitability and free cash flow, alongside a strong technical uptrend. The latest earnings call was supportive (raised revenue guidance and EBITDA growth plan), while valuation remains constrained by ongoing losses (negative P/E) and no dividend yield data.
Positive Factors
Top-line Growth
Sustained revenue scaling over multiple years demonstrates durable demand for NeoGenomics' oncology testing mix and commercial traction across clinical and pharma segments. Growing top line supports capacity investments, improves operating leverage potential and underpins multi‑year margin recovery if mix and pricing trends persist.
Negative Factors
Ongoing Losses
Despite revenue gains, persistent negative operating and net margins indicate NeoGenomics has yet to deliver consistent profitability. Continued losses constrain internal capital generation, depress returns on equity, and require ongoing external financing or dilution until margins sustainably turn positive and free cash flow becomes reliably positive.
Read all positive and negative factors
Positive Factors
Negative Factors
Top-line Growth
Sustained revenue scaling over multiple years demonstrates durable demand for NeoGenomics' oncology testing mix and commercial traction across clinical and pharma segments. Growing top line supports capacity investments, improves operating leverage potential and underpins multi‑year margin recovery if mix and pricing trends persist.
Read all positive factors

NeoGenomics Key Performance Indicators (KPIs)

Any
Any
Net Revenue by Customer Type
Net Revenue by Customer Type
Shows how NeoGenomics' net revenue is split across customer groups—hospitals, reference labs, pharma/biotech and clinical-trial partners—revealing where growth is coming from, concentration risk or customer dependence, and sensitivity to pricing, reimbursement, or drug-development cycles.
Chart InsightsThe business is shifting from pharma/nonclinical toward reimbursed clinical revenue: client direct billing and commercial insurance shares have become the growth engines while reported pharma services disappeared after 2023 (a reporting/divestiture change that explains the nonclinical decline). NGS-driven mix shift (NGS ≈1/3 of clinical) and new PanTracer/RaDaR adoption underpin continued payer-driven growth, but near‑term margin and cash realization depend on commercial reimbursement timing and the company’s ability to sustain NGS momentum.
Data provided by:The Fly

NeoGenomics (NEO) vs. SPDR S&P 500 ETF (SPY)

NeoGenomics Business Overview & Revenue Model

Company Description
NeoGenomics, Inc. specializes in providing cancer-focused diagnostic and testing services through an extensive network of laboratories located across the United States, Europe, and Asia. The company operates through two distinct divisions: Clinica...
How the Company Makes Money
NeoGenomics primarily makes money by performing and billing for oncology-related laboratory tests and associated professional services, and by providing laboratory services to biopharmaceutical customers. Its key revenue streams generally include:...

NeoGenomics Earnings Call Summary

Earnings Call Date:Apr 28, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Nov 10, 2026
Earnings Call Sentiment Positive
The call conveyed a predominantly positive operational and financial trajectory: consistent double-digit top-line growth, strong NGS performance (+26% YoY) with favorable mix shift (NGS now ~1/3 of clinical revenue), adjusted EBITDA expansion (+27% YoY), early commercial and reimbursement wins (PanTracer MolDX approval, RaDaR ST launch), and an increase to full-year revenue guidance. Offsetting risks include a meaningful nonclinical decline (-15% YoY), first-quarter gross margin headwinds (–80 bps) from acquisition and pre-approval launch timing, freight/fuel cost pressure, payer coverage timing for new products, and the need to refinance a sizable convertible in 2028. On balance, the positive growth, margin recovery plans, product launches, and improved cash flow prospects outweigh the near-term headwinds.
Positive Updates
Top-line Revenue Growth
Total Q1 revenue of $186.7M, up 11% year-over-year, exceeding guidance; clinical revenue $171.2M, up 14% year-over-year.
Negative Updates
Nonclinical Revenue Weakness
Nonclinical revenue declined 15% year-over-year to $15.5M, driven primarily by expected softness in pharma services despite double-digit growth in ODS; management expects nonclinical to be down low-to-mid single digits for 2026.
Read all updates
Q1-2026 Updates
Negative
Top-line Revenue Growth
Total Q1 revenue of $186.7M, up 11% year-over-year, exceeding guidance; clinical revenue $171.2M, up 14% year-over-year.
Read all positive updates
Company Guidance
NeoGenomics raised 2026 revenue guidance to $797–803 million (prior $793–801M), implying a $800M midpoint, and reiterated adjusted EBITDA guidance of $55–57 million (≈27–31% YoY growth); underlying assumptions include RaDaR ST revenue in the mid-single‑million range, PanTracer Liquid revenue in the mid-single‑millions following March MolDX approval, and nonclinical revenue down low‑ to mid‑single digits. The company delivered a Q1 base of $186.7M total revenue (+11% YoY) and $171.2M clinical (+14%), with volumes +6% and AUP +8% (same‑store revenue $167.9M, +12% driven by +3% volumes and +9% AUP); NGS revenue grew 26% and now represents ~1/3 of clinical. Q1 adjusted EBITDA was $9M (+27%) with adjusted EBITDA margin up ~60 bps, adjusted gross profit +$7M and adjusted gross margin 46% (down ~80 bps, with ~150 bps headwind from Pathline and pre‑MolDX PanTracer Liquid); full‑year gross margin expansion is expected to be ~100 bps. Management also guided quarterly cadence of ~9% YoY growth in Q2 (raised from 8–9%), 9–10% in Q3 and >10% in Q4, plans to add ~25 sales reps by Q3, ended Q1 with $146M cash and used $8.1M in operating cash, and plans to refinance the $342M convertible due Jan 2028 in H2.

NeoGenomics Financial Statement Overview

Summary
Strong revenue scaling (2021 $484M to 2025 $727M; $766M TTM) and improving trajectory, including positive operating cash flow in TTM (~$22M) and manageable leverage (D/E ~0.57 TTM). However, profitability remains the key drag (TTM EBIT margin ~-7%, net margin ~-6.8%) and free cash flow is still slightly negative (TTM about -$7M).
Income Statement
46
Neutral
Balance Sheet
58
Neutral
Cash Flow
44
Neutral
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue766.29M727.33M660.57M591.64M509.73M484.33M
Gross Profit328.90M282.54M290.10M244.60M187.90M187.06M
EBITDA12.89M-38.69M-1.51M-17.61M-82.33M46.50M
Net Income-51.88M-108.03M-78.73M-87.97M-144.25M-8.35M
Balance Sheet
Total Assets1.35B1.36B1.64B1.68B1.74B1.87B
Cash, Cash Equivalents and Short-Term Investments145.54M159.62M386.84M415.20M437.99M515.39M
Total Debt448.37M472.28M605.33M611.68M610.93M612.79M
Total Liabilities565.65M523.27M735.70M739.69M742.01M761.50M
Stockholders Equity785.73M836.56M902.34M941.54M998.02M1.11B
Cash Flow
Free Cash Flow-7.36M-21.78M-34.04M-30.70M-96.88M-90.86M
Operating Cash Flow22.05M5.23M7.02M-1.95M-65.99M-26.72M
Investing Cash Flow-19.90M-12.34M12.86M76.71M517.00K-632.37M
Financing Cash Flow-11.39M-200.29M4.65M4.55M11.83M725.28M

NeoGenomics Technical Analysis

Technical Analysis Sentiment
Positive
Last Price13.89
Price Trends
50DMA
13.29
Positive
100DMA
10.83
Positive
200DMA
10.99
Positive
Market Momentum
MACD
0.77
Negative
RSI
65.36
Neutral
STOCH
83.93
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NEO, the sentiment is Positive. The current price of 13.89 is below the 20-day moving average (MA) of 14.80, above the 50-day MA of 13.29, and above the 200-day MA of 10.99, indicating a bullish trend. The MACD of 0.77 indicates Negative momentum. The RSI at 65.36 is Neutral, neither overbought nor oversold. The STOCH value of 83.93 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for NEO.

NeoGenomics Risk Analysis

NeoGenomics disclosed 43 risk factors in its most recent earnings report. NeoGenomics reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

NeoGenomics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$855.39M-42.46-4.15%3.18%-100.37%
60
Neutral
$1.96B-7.71-6.31%11.19%50.58%
53
Neutral
$2.94B-6.61-15.88%19.44%82.94%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$985.15M-13.85-5.88%-11.46%58.54%
48
Neutral
$455.38M-5.87-7.87%6.83%-69.59%
47
Neutral
$270.12M-2.39-32.59%-3.16%72.02%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NEO
NeoGenomics
16.57
10.75
184.71%
MYGN
Myriad Genetics
3.26
-2.93
-47.33%
OPK
Opko Health
1.37
0.07
5.38%
FLGT
Fulgent Genetics
19.14
-1.47
-7.13%
CSTL
Castle Biosciences
32.03
12.87
67.17%
GRAL
GRAIL Inc
69.48
36.79
112.54%

NeoGenomics Corporate Events

Business Operations and StrategyLegal Proceedings
NeoGenomics Resolves DOJ Investigation, Refocuses on Cancer Care
Positive
Jul 20, 2026
On June 20, 2026, NeoGenomics finalized a civil settlement with the U.S. Department of Justice, acting on behalf of the OIG-HHS, resolving a government investigation into consulting services provided to certain health care providers for laboratory...
Business Operations and StrategyExecutive/Board Changes
NeoGenomics Adds Data-Focused Independent Director to Board
Positive
Jun 25, 2026
On June 23, 2026, NeoGenomics’ board expanded from nine to ten members and appointed veteran healthcare data executive Carolyn S. Starrett as an independent director, a move disclosed in a June 25, 2026 press release. Starrett, who previousl...
Business Operations and StrategyStock BuybackPrivate Placements and Financing
NeoGenomics Announces New Convertible Notes and Share Buyback
Neutral
Jun 22, 2026
NeoGenomics, on June 22, 2026, detailed a financing transaction in which it sold new convertible senior notes to initial purchasers under Securities Act exemptions and set an initial maximum conversion rate that could yield up to 30,147,733 common...
Business Operations and StrategyStock BuybackPrivate Placements and Financing
NeoGenomics Prices New 2032 Convertible Senior Notes Offering
Positive
Jun 17, 2026
On June 17, 2026, NeoGenomics announced the pricing of a $275 million private offering of 0.75% convertible senior notes due 2032 to qualified institutional buyers, with an option for initial purchasers to buy an additional $41.25 million, and exp...
Business Operations and StrategyStock BuybackPrivate Placements and Financing
NeoGenomics Launches Convertible Notes Offering and Repurchase Plan
Neutral
Jun 15, 2026
On June 15, 2026, NeoGenomics announced it had commenced a private offering of $275 million in convertible senior notes due 2032, targeted at qualified institutional buyers under Rule 144A, with an option for initial purchasers to buy up to an add...
Business Operations and StrategyShareholder Meetings
NeoGenomics Shareholders Approve Expanded Equity Incentive Plan
Positive
May 22, 2026
On May 21, 2026, NeoGenomics, Inc. held its annual meeting of stockholders, where investors approved an amendment to the 2023 Equity Incentive Plan to add 5,000,000 authorized shares for equity awards. Stockholders also re-elected nine directors t...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 30, 2026