NeoGenomics (NEO)


Market Price (11/1/2026): $17.375 | Market Cap: $2.2 BilSector: Health Care | Industry: Health Care Services

NeoGenomics (NEO)


Market Price (11/1/2026): $17.375
Market Cap: $2.2 Bil
Sector: Health Care
Industry: Health Care Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Advanced Diagnostics, Show more.

Weak multi-year price returns
2Y Excs Rtn is -0.4%, 3Y Excs Rtn is -66%

Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 11%

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -49 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -6.2%

Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 522x

Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3.6%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -6.7%

Key risks
NEO key risks include [1] persistent unprofitability and declining margins, Show more.

0 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Advanced Diagnostics, Show more.
1 Weak multi-year price returns
2Y Excs Rtn is -0.4%, 3Y Excs Rtn is -66%
2 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 11%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -49 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -6.2%
4 Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 522x
5 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3.6%
6 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -6.7%
7 Key risks
NEO key risks include [1] persistent unprofitability and declining margins, Show more.

NEO in ETFs

Weight = NEO's share of each fund

VTI0.00%
ITOT0.00%
IWM0.08%
IJR0.12%
VB0.03%
IHF0.27%
NUSC0.17%
SLYG0.15%
+16 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 10/1/2026

NeoGenomics (NEO) stock has gained about 15% since 7/31/2026 because of the following key factors:

1. Strong Third Quarter Fiscal 2026 Financial Results and Increased Full-Year Guidance.

NeoGenomics reported robust performance for fiscal Q3 2026 (ended September 30, 2026), with total revenue increasing 11% year-over-year to $209 million, surpassing analyst estimates of $206.6 million to $206.9 million. The company also achieved an adjusted earnings per share (EPS) of $0.07, beating consensus estimates of $0.05-$0.06. Following these results, management raised its full-year fiscal 2026 revenue guidance to a range of $807 million to $809 million, up from the previous range of $802 million to $806 million, and increased adjusted EBITDA guidance to approximately $60 million. This strong beat and raise signaled positive momentum and increased investor confidence.

2. Significant Growth in Next-Generation Sequencing (NGS) and Enhanced Profitability.

A core driver of the improved financial performance was the impressive growth in Next-Generation Sequencing (NGS) revenue, which surged 29% in fiscal Q3 2026. This focus on higher-value testing contributed to a substantial expansion of the adjusted gross margin by over 300 basis points, reaching 49% in the quarter. The company's strategy to shift towards more profitable testing modalities, while expanding its test volumes, indicates successful operational execution and improved financial health.

Show more
Updated on 10/1/2026

NeoGenomics (NEO) stock has gained about 15% since 7/31/2026 because of the following key factors:

1. Strong Third Quarter Fiscal 2026 Financial Results and Increased Full-Year Guidance.

NeoGenomics reported robust performance for fiscal Q3 2026 (ended September 30, 2026), with total revenue increasing 11% year-over-year to $209 million, surpassing analyst estimates of $206.6 million to $206.9 million. The company also achieved an adjusted earnings per share (EPS) of $0.07, beating consensus estimates of $0.05-$0.06. Following these results, management raised its full-year fiscal 2026 revenue guidance to a range of $807 million to $809 million, up from the previous range of $802 million to $806 million, and increased adjusted EBITDA guidance to approximately $60 million. This strong beat and raise signaled positive momentum and increased investor confidence.

2. Significant Growth in Next-Generation Sequencing (NGS) and Enhanced Profitability.

A core driver of the improved financial performance was the impressive growth in Next-Generation Sequencing (NGS) revenue, which surged 29% in fiscal Q3 2026. This focus on higher-value testing contributed to a substantial expansion of the adjusted gross margin by over 300 basis points, reaching 49% in the quarter. The company's strategy to shift towards more profitable testing modalities, while expanding its test volumes, indicates successful operational execution and improved financial health.

3. Expanded Medicare Coverage for RaDaR ST.

In August 2026, NeoGenomics' RaDaR ST assay received MolDX coverage for immunotherapy treatment response monitoring in late-stage solid tumors. This marks the third Medicare-covered indication for RaDaR ST, significantly broadening reimbursement and patient access to a key product in the company's oncology diagnostic solutions portfolio. This expansion is expected to accelerate growth in the Minimal Residual Disease (MRD) testing market.

4. Positive Analyst Upgrades and Price Target Revisions.

During the period, NeoGenomics saw multiple positive revisions from financial analysts. For example, on October 6, 2026, Needham raised its price target from $19 to $22, and BTIG upgraded the stock from Neutral to Buy with a $28 price target. Benchmark also increased its price target from $11 to $16 on July 24, 2026. These upgrades and increased price targets reflect a growing confidence among analysts in the company's future performance and strategic direction, contributing to positive investor sentiment.

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Stock Movement Drivers

Fundamental Drivers

The 13.7% change in NEO stock from 7/31/2026 to 10/31/2026 was primarily driven by a 9.7% change in the company's P/S Multiple.
(LTM values as of)731202610312026Change
Stock Price ($)15.2917.3813.7%
Change Contribution By: 
Total Revenues ($ Mil)7667882.8%
P/S Multiple2.62.89.7%
Shares Outstanding (Mil)1301290.8%
Cumulative Contribution13.7%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2026 to 10/31/2026
ReturnCorrelation
NEO13.7% 
Market (SPY)1.2%29.6%
Sector (XLV)13.7%12.9%

Fundamental Drivers

The 87.7% change in NEO stock from 4/30/2026 to 10/31/2026 was primarily driven by a 76.9% change in the company's P/S Multiple.
(LTM values as of)430202610312026Change
Stock Price ($)9.2617.3887.7%
Change Contribution By: 
Total Revenues ($ Mil)7467885.6%
P/S Multiple1.62.876.9%
Shares Outstanding (Mil)1291290.5%
Cumulative Contribution87.7%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2026 to 10/31/2026
ReturnCorrelation
NEO87.7% 
Market (SPY)5.4%16.8%
Sector (XLV)27.2%20.0%

Fundamental Drivers

The 77.9% change in NEO stock from 10/31/2025 to 10/31/2026 was primarily driven by a 60.4% change in the company's P/S Multiple.
(LTM values as of)1031202510312026Change
Stock Price ($)9.7717.3877.9%
Change Contribution By: 
Total Revenues ($ Mil)70978811.1%
P/S Multiple1.82.860.4%
Shares Outstanding (Mil)128129-0.1%
Cumulative Contribution77.9%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 10/31/2026
ReturnCorrelation
NEO77.9% 
Market (SPY)11.7%25.5%
Sector (XLV)29.8%26.4%

Fundamental Drivers

The 24.0% change in NEO stock from 10/31/2023 to 10/31/2026 was primarily driven by a 42.8% change in the company's Total Revenues ($ Mil).
(LTM values as of)1031202310312026Change
Stock Price ($)14.0217.3824.0%
Change Contribution By: 
Total Revenues ($ Mil)55278842.8%
P/S Multiple3.22.8-11.0%
Shares Outstanding (Mil)125129-2.5%
Cumulative Contribution24.0%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2023 to 10/31/2026
ReturnCorrelation
NEO24.0% 
Market (SPY)86.9%30.3%
Sector (XLV)55.5%26.3%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
NEO Return-37%-73%75%2%-29%48%-68%
Peers Return33%-34%3%-1%44%38%78%
S&P 500 Return27%-19%24%23%16%13%106%

Monthly Win Rates [3]
NEO Win Rate33%17%58%42%42%70% 
Peers Win Rate65%35%47%50%53%62% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
NEO Max Drawdown-49%-82%-41%-27%-74%-46% 
Peers Max Drawdown-25%-43%-32%-29%-33%-29% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: LH, DGX, GH, MYGN, TMO. See NEO Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 10/30/2026 (YTD)

How Low Can It Go

EventNEOS&P 500
2025 US Tariff Shock
  % Loss-49.7%-18.8%
  % Gain to Breakeven98.9%23.1%
  Time to Breakeven251 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-29.9%-9.5%
  % Gain to Breakeven42.6%10.5%
  Time to Breakeven35 days24 days
2020 COVID-19 Crash
  % Loss-40.5%-33.7%
  % Gain to Breakeven68.1%50.9%
  Time to Breakeven112 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-23.2%-19.2%
  % Gain to Breakeven30.2%23.8%
  Time to Breakeven16 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-11.8%-3.7%
  % Gain to Breakeven13.3%3.9%
  Time to Breakeven1 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-12.3%-12.2%
  % Gain to Breakeven14.0%13.9%
  Time to Breakeven17 days62 days

Compare to LH, DGX, GH, MYGN, TMO

In The Past

NeoGenomics's stock fell -49.7% during the 2025 US Tariff Shock. Such a loss loss requires a 98.9% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventNEOS&P 500
2025 US Tariff Shock
  % Loss-49.7%-18.8%
  % Gain to Breakeven98.9%23.1%
  Time to Breakeven251 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-29.9%-9.5%
  % Gain to Breakeven42.6%10.5%
  Time to Breakeven35 days24 days
2020 COVID-19 Crash
  % Loss-40.5%-33.7%
  % Gain to Breakeven68.1%50.9%
  Time to Breakeven112 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-23.2%-19.2%
  % Gain to Breakeven30.2%23.8%
  Time to Breakeven16 days105 days
2014-2016 Oil Price Collapse
  % Loss-33.2%-6.8%
  % Gain to Breakeven49.7%7.3%
  Time to Breakeven126 days15 days
2013 Taper Tantrum
  % Loss-39.7%-0.2%
  % Gain to Breakeven65.7%0.2%
  Time to Breakeven65 days1 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-27.3%-17.9%
  % Gain to Breakeven37.6%21.8%
  Time to Breakeven35 days123 days
2010 Eurozone Sovereign Debt Crisis / Flash Crash
  % Loss-26.1%-15.4%
  % Gain to Breakeven35.2%18.2%
  Time to Breakeven181 days125 days
2008-2009 Global Financial Crisis
  % Loss-46.2%-53.4%
  % Gain to Breakeven85.7%114.4%
  Time to Breakeven77 days1085 days
Summer 2007 Credit Crunch
  % Loss-30.0%-8.6%
  % Gain to Breakeven42.9%9.5%
  Time to Breakeven714 days47 days

Compare to LH, DGX, GH, MYGN, TMO

In The Past

NeoGenomics's stock fell -49.7% during the 2025 US Tariff Shock. Such a loss loss requires a 98.9% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About NeoGenomics (NEO)

NeoGenomics, Inc. (NEO) is a specialized oncology testing company that operates a global network of cancer-focused laboratories across the United States, Europe, and Asia. The company primarily provides comprehensive diagnostic and prognostic testing services tailored for various cancer types, serving both clinical and pharmaceutical clients.

Through its Clinical Services segment, NeoGenomics offers a wide array of sophisticated testing methodologies, including cytogenetics, fluorescence in-situ hybridization (FISH), flow cytometry, immunohistochemistry (IHC), and molecular testing. These services analyze chromosomes, DNA, RNA, cellular proteins, and cell populations to aid in cancer diagnosis, prognosis, and treatment decisions. Additionally, its Pharma Services segment supports pharmaceutical companies by providing testing services throughout their oncology drug discovery and commercialization processes.

NeoGenomics' diverse customer base includes hospitals, reference laboratories, pathologists, oncologists, and other clinicians who rely on its precise diagnostic insights. Furthermore, the company partners with pharmaceutical firms and researchers, offering crucial laboratory support for the development and advancement of new cancer therapies.

AI Analysis | Feedback

NeoGenomics is like the LabCorp or Quest Diagnostics specifically for advanced cancer testing.

Think of NeoGenomics as a 'forensic lab' for cancer, uncovering critical biological clues for doctors and drug developers.

AI Analysis | Feedback

  • Cytogenetics Testing: Services that study normal and abnormal chromosomes and their relationship to diseases.
  • Fluorescence In-Situ Hybridization (FISH) Testing: Services for detecting and locating specific DNA sequences and genes on chromosomes.
  • Flow Cytometry Testing: Services that measure the characteristics of cell populations for diagnostic purposes.
  • Immunohistochemistry (IHC) & Digital Imaging: Services to localize cellular proteins in tissue sections, along with digital slide visualization and quantitative analysis.
  • Molecular Testing: Services focused on the analysis of DNA/RNA and the structure and function of genes at the molecular level.
  • Morphologic Analysis: Pathologist-led analysis of cells under a microscope for diagnostic purposes.
  • Anatomic Pathology Reference Services: Comprehensive anatomic pathology testing services provided as a reference laboratory.
  • Pharmaceutical Oncology Support Services: Testing and support services for pharmaceutical clients' oncology programs, spanning discovery through commercialization.

AI Analysis | Feedback

NeoGenomics (NEO) sells primarily to other companies and organizations, rather than directly to individuals. Based on the provided description, its major customers fall into the following categories:

  • Hospitals
  • Reference labs
  • Pathologists
  • Oncologists
  • Clinicians
  • Pharmaceutical firms
  • Researchers

AI Analysis | Feedback

Major Suppliers:

  • Roche (RHHBY)
  • Thermo Fisher Scientific (TMO)
  • Abbott Laboratories (ABT)

AI Analysis | Feedback

Tony Zook, Chief Executive Officer

Tony Zook became CEO of NeoGenomics in April 2025. Prior to his appointment as CEO, he served on NeoGenomics' Board of Directors for two years, chairing the Compensation Committee and serving on the Audit and Technology committees. He brings extensive experience as a brand and marketing executive, focusing on the intersection of commercial and research and development within organizations. Previously, Mr. Zook was the Chief Executive Officer of Innocoll Biotherapeutics. He also held the role of Executive Vice President, Commercial Operations at AstraZeneca (AZ), where he was responsible for global profit and loss for all of AZ's brands and markets, overseeing the commercialization of 10 brands, each exceeding $1 billion in sales. At AZ, he was also responsible for MedImmune, the global biologics business, and chaired the Commercial Investment Board. Earlier in his career at AZ, he held positions including CEO of North America and VP of Sales, and was involved in the integrations of Astra US, Astra Merck, and Zeneca. Mr. Zook spent 14 years with Berlex Laboratories in various roles.

Abhishek Jain, Chief Financial Officer

Abhishek Jain joined NeoGenomics as Executive Vice President on January 12, 2026, and officially transitioned to Chief Financial Officer on March 2, 2026. He possesses over 25 years of global finance and operational leadership experience across the life sciences and diagnostics sectors. Most recently, he served as Chief Financial Officer at CareDx from September 2022 to August 2025, where he was instrumental in guiding the company back to profitable growth, enhancing financial discipline, and strategically allocating resources for long-term value creation. Prior to CareDx, Mr. Jain spent nearly two decades at Agilent Technologies, progressing through various global finance and operational leadership positions. His roles at Agilent included Global Controller for the company's sales and marketing organization, managing a $5 billion orders portfolio, and Head of Agilent Corporate. Mr. Jain is a Certified Public Accountant (inactive) and a Chartered Accountant from the Institute of Chartered Accountants of India.

Warren Stone, President and Chief Operating Officer

Warren Stone was appointed President and Chief Operating Officer of NeoGenomics in April 2025. He joined the company in November 2022 as President, Clinical Services, and was later promoted to Chief Commercial Officer in April 2024. Mr. Stone is recognized as a highly accomplished enterprise leader with extensive global experience in the life science and diagnostic sectors. Before joining NeoGenomics, he served as President of Americas at Ortho Clinical Diagnostics (now QuidelOrtho) and as Senior Vice President at MilliporeSigma. He has over 25 years of experience in general management and cross-functional commercial roles.

Elizabeth Floegel, Chief Digital and Information Officer

Elizabeth Floegel serves as the Chief Digital and Information Officer at NeoGenomics. She brings significant experience in leading digital transformation and technology innovation within the healthcare industry. In her role, Ms. Floegel is crucial in advancing NeoGenomics' digital strategy, utilizing AI and automation to enhance operational efficiency and improve outcomes. Prior to her current position, she was a member of NeoGenomics' Board of Directors, where she served on the Audit and Compliance Committees.

Gary Passman, Chief Culture Officer

Gary Passman is the Chief Culture Officer at NeoGenomics, where he is responsible for the company's strategy concerning its people and fostering an engaging culture that supports all teammates and customers. He holds a Bachelor of Arts in economics and a Master's degree in human resource management from Rutgers University. Mr. Passman joined NeoGenomics in 2008 as Director of Human Resources, was appointed Vice President, Human Resources in 2015, and became Chief Culture Officer in 2016.

AI Analysis | Feedback

The key risks to NeoGenomics (NEO) include:

  1. Financial Health and Profitability Challenges: NeoGenomics is currently operating at a loss, with declining gross margins and inconsistent revenue growth over the past five years. The company's Altman Z-Score also indicates a potential risk of financial distress. High debt levels further increase financial risk, as the company's debt exceeds its cash on the balance sheet. This ongoing unprofitability and financial pressure can limit the company's ability to invest in growth initiatives.
  2. Intense Competition and Technology Adoption: The oncology diagnostic market is highly competitive and rapidly evolving, particularly in next-generation sequencing (NGS) and liquid biopsy. NeoGenomics faces significant competition from well-established players and emerging companies like Guardant Health and Natera, who possess large financial resources and aggressive sales strategies. The company has previously faced challenges in offering the most technologically advanced NGS tests, which led to a decrease in revenue as customers sought testing elsewhere. Continuous innovation and successful commercialization of new products, such as the RaDaR ST assay, are crucial to maintain and gain market share.
  3. Regulatory and Reimbursement Risks: As a company in the healthcare sector, NeoGenomics is subject to a complex and evolving regulatory environment, particularly concerning Laboratory Developed Tests (LDTs). Changes in regulations could impact the company's operations and test offerings. Furthermore, the process of obtaining and maintaining adequate reimbursement for specialized molecular diagnostic panels can be challenging, leading to payment bottlenecks, delays, or lower-than-expected payments from insurers and Medicare. While NeoGenomics recently secured Medicare coverage for its PanTracer LBx test, the broader risk of reimbursement complexities remains a significant factor influencing revenue and profitability.

AI Analysis | Feedback

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AI Analysis | Feedback

NeoGenomics, Inc. operates in several significant addressable markets within cancer diagnostics across the globe and specifically in the U.S.

Oncology Molecular Diagnostics (including Molecular Testing)

  • The global oncology molecular diagnostics market size is projected to reach approximately USD 7.11 billion by 2034. Another estimate places the global market at around USD 10.93 billion by 2035, growing from USD 3.90 billion in 2026.
  • In 2024, the global oncology molecular diagnostics market was valued at USD 3.75 billion, with projections to reach USD 6.35 billion by 2030.
  • The U.S. oncology molecular diagnostics market is anticipated to grow from USD 810 million in 2024 to USD 2.57 billion by 2034.
  • North America is a dominant region in the global oncology molecular diagnostics market, holding a 44.69% revenue share in 2024.

Immunohistochemistry (IHC) Testing

  • The global immunohistochemistry market size was estimated at USD 2.40 billion in 2024 and is projected to reach USD 3.50 billion by 2030.
  • Other estimates for the global market size include USD 4.11 billion by 2033 and USD 5.11 billion by 2030, growing from USD 3.55 billion in 2025.
  • North America held the largest revenue share in the global immunohistochemistry market in 2024, with over 37.77%.

Flow Cytometry Testing

  • The global flow cytometry market size was estimated at USD 4.68 billion in 2024 and is projected to reach USD 7.01 billion by 2030.
  • Another report values the global market at USD 6.40 billion in 2024, expected to reach USD 14.71 billion by 2032.
  • North America dominated the flow cytometry market in 2024 with a 41.35% revenue share.

Molecular Cytogenetics (including Cytogenetics and FISH Testing)

  • The global molecular cytogenetics market size was estimated at USD 2.40 billion in 2024 and is projected to reach USD 6.39 billion by 2033.
  • The global molecular cytogenetics market is also projected to grow from USD 1.78 billion in 2026 to USD 3.67 billion by 2034.
  • North America held the dominant share of the global molecular cytogenetics market in 2024. The U.S. market is estimated to reach USD 0.64 billion in 2026.

Fluorescence In Situ Hybridization (FISH) Testing

  • The global fluorescent in situ hybridization (FISH) market size was valued at USD 1.14 billion in 2024 and is expected to reach USD 2.14 billion by 2032.
  • The global molecular FISH testing market was valued at US$ 731.4 million in 2023 and is projected to hit US$ 1.37 billion by 2032.
  • The global market for FISH in cancer diagnostics is anticipated to reach USD 2.5 billion by 2025.

Solid Tumor MRD (Minimal Residual Disease) Cancer Monitoring

  • NeoGenomics is entering a rapidly growing solid tumor MRD cancer monitoring market, which is estimated to be over $20 billion.

Overall Cancer Diagnostics Market

  • The global cancer diagnostics market size was valued at USD 17.24 billion in 2025 and is projected to grow to USD 38.27 billion by 2034.
  • Another estimate places the global cancer diagnostics market size at USD 110.11 billion in 2024, expected to reach USD 199.32 billion by 2032.
  • North America held the largest share of the global cancer diagnostics market in 2025, at 36.81%.

Cancer-focused Genetic Testing Services

  • The global cancer-focused genetic testing service market size is likely to reach USD 8.47 billion by 2024 and is projected to reach USD 19.3 billion by the end of 2034.
  • The global market size was valued at USD 7.78 billion in 2023 and is expected to exceed USD 16.51 billion by 2033.

AI Analysis | Feedback

NeoGenomics (NASDAQ: NEO) anticipates several key drivers to fuel its revenue growth over the next 2-3 years:

  1. New Product Launches and Adoption: The company expects significant revenue growth from the full clinical launch and adoption of its RaDaR ST minimal residual disease (MRD) assay, particularly from 2027 onwards, addressing a rapidly growing market. Additionally, the continued adoption of the PanTracer family (Tissue, Liquid, Pro) for therapy selection is projected to be a key contributor to growth.
  2. Increased Adoption of High-Value Clinical Testing: NeoGenomics is strategically shifting its focus towards higher-value, therapy-guided testing, including Next-Generation Sequencing (NGS), which has demonstrated strong growth rates (23% in Q4 2025 and 22% for full-year 2025). This shift is expected to drive Average Unit Price (AUP) expansion, which management forecasts as the primary revenue driver.
  3. Sales Force Expansion: To support the uptake of new products and indications, NeoGenomics plans to expand its sales force from 140 to approximately 165 representatives by the end of the year.
  4. Payer Coverage Expansion and Reimbursement Initiatives: Securing timely reimbursement approvals, especially MolDX coverage for PanTracer Liquid and broader RaDaR indications, is critical for sustained momentum. The company's strategic reimbursement initiatives and managed care pricing increases are already contributing to higher average revenue per clinical test.
  5. Operational Efficiencies and Technology Upgrades: Benefits from the implementation of a single Laboratory Information Management System (LIMS) are anticipated to become more pronounced in 2027 and 2028. Furthermore, the utilization of automation and artificial intelligence (AI) is expected to enhance operational efficiencies and contribute to gross margin expansion.

AI Analysis | Feedback

Outbound Investments

  • NeoGenomics completed the acquisition of Pathline, LLC in March 2025, expanding its commercial presence in the Northeast U.S. and enhancing its oncology testing services, particularly in molecular and hematology-oncology testing.
  • In January 2020, NeoGenomics acquired the Oncology Division assets of Human Longevity, Inc. for $37 million, which significantly enhanced its Next Generation Sequencing capabilities for pharmaceutical customers.
  • NeoGenomics has a history of growth through acquisitions, with 2 acquisitions in 2021 and an average of 0.6 acquisitions per year between 2020 and 2025.

Inbound Investments

  • Institutional investors have made significant investments, with FIRST LIGHT ASSET MANAGEMENT, LLC adding over 3 million shares in Q3 2025 (estimated at $23.78 million) and MILLENNIUM MANAGEMENT LLC adding over 2.6 million shares in Q3 2025 (estimated at $20.5 million).
  • BlackRock, Inc. held a substantial stake in NeoGenomics as of late 2025.

Capital Expenditures

  • Capital expenditures were approximately $27 million in 2025, $41 million in 2024, $29 million in 2023, and $19 million in 2022.
  • In the most recent 12 months, capital expenditures were -$27.01 million.
  • The company's capital expenditures in the most recent quarter totaled -$8.31 million.

Better Bets vs. NeoGenomics (NEO)

Peer Outperformance in Health Care Services

NEO has trailed 95% of its 19 Health Care Services peers over 5Y. Among the peers that beat it are RDNT, DGX and CRVL. Health Care Services ranks 2nd of 10 industries in Health Care by median 5Y return. That makes it one of the strongest corners of the sector.
Share of Health Care Services constituents that NEO has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
81%
of 21 industry peers · 77.9% return
3Y
37%
of 19 industry peers · 26.2% return
5Y
5%
of 19 industry peers · -62.2% return
Health Care Services peers with revenue growth within 4pp of NEO's that beat it on at least 2 of 3 windows, and by at least 20pp over 5Y. Growth is matched by construction, so the gap is largely a re-rating gap. The multiple column is the context for it.
Ticker Name Rev Growth 3Y Avg P/E 1Y3Y5Y 5Y Gap
NEO NeoGenomics 11.1% -69.2x 77.9%26.2%-62.2% —
RDNT RadNet 14.1% -270.7x -3.3%175.4%136.4% +199pp
DGX Quest Diagnostics 8.5% 24.5x 45.5%101.1%89.0% +151pp
CRVL CorVel 10.4% 36.2x 11.2%26.5%34.6% +97pp
ADUS Addus HomeCare 13.9% 21.8x 7.4%55.3%34.3% +96pp
SHC Sotera Health 7.7% 31.7x 9.3%41.0%-26.5% +36pp
Price returns, excluding dividends. P/E shown for context only and not used for matching.
Median price return by industry across the Health Care sector, ranked by 5Y. Health Care Services is NEO's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 6 10.9%56.8%98.5% CAH 480% · MCK 390% · COR 186%
Health Care Services ← 20 33.8%44.0%12.4% HIMS 255% · RDNT 136% · DGX 89%
Managed Health Care 8 34.4%-1.2%-3.6% OSCR 76% · HQY 55% · ELV 4%
Health Care Facilities 25 12.1%18.2%-5.4% THC 281% · NHC 236% · EHC 182%
Health Care Equipment 50 0.7%10.2%-17.8% GKOS 420% · UFPT 360% · PLSE 148%
Pharmaceuticals 61 -15.0%9.2%-34.9% LQDA 1102% · KNSA 788% · LLY 482%
Health Care Supplies 11 15.5%2.3%-39.9% LNTH 329% · HAE 74% · MMSI 28%
Life Sciences Tools & Services 107 -8.1%-1.9%-66.4% NTRA 262% · AXGN 225% · MEDP 188%
Biotechnology 363 -25.0%-26.2%-81.1% DNTH 1187% · ELVN 1129% · TRVI 1054%
Health Care Technology 21 -23.8%-48.9%-82.4% VEEV -1% · DOCS -53%
Median of constituents with a full price history over each window. Top names are limited to companies above $2B market cap.

Latest Trefis Analyses

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

NEOLHDGXGHMYGNTMOMedian
NameNeoGenom.Labcorp Quest Di.Guardant.Myriad G.Thermo F. 
Mkt Price17.38361.66252.26176.306.34695.26214.28
Mkt Cap2.229.327.723.40.6257.225.6
Rev LTM78814,59411,8411,18380747,3516,512
Op Inc LTM-491,6451,728-470-908,863798
FCF LTM-291,2871,375-241-147,596636
FCF 3Y Avg-221,1701,264-271-687,161574
CFO LTM41,8151,951-18589,324911
CFO 3Y Avg111,6691,744-235-368,692840

Growth & Margins

NEOLHDGXGHMYGNTMOMedian
NameNeoGenom.Labcorp Quest Di.Guardant.Myriad G.Thermo F. 
Rev Chg LTM11.1%6.0%9.1%42.7%-3.2%8.3%8.7%
Rev Chg 3Y Avg11.1%6.6%8.5%32.6%5.1%3.0%7.5%
Rev Chg Q11.4%6.9%10.0%44.3%-10.5%9.1%9.6%
QoQ Delta Rev Chg LTM2.8%1.7%2.4%9.5%-2.7%2.2%2.3%
Op Inc Chg LTM47.0%20.6%12.5%-2.1%-18.1%10.1%11.3%
Op Inc Chg 3Y Avg18.3%12.0%15.3%4.6%16.9%6.7%13.6%
Op Mgn LTM-6.2%11.3%14.6%-39.7%-11.2%18.7%2.5%
Op Mgn 3Y Avg-10.8%10.0%14.0%-58.3%-11.3%18.2%-0.4%
QoQ Delta Op Mgn LTM1.7%-0.1%0.4%1.7%-3.5%0.4%0.4%
CFO/Rev LTM0.5%12.4%16.5%-15.7%1.0%19.7%6.7%
CFO/Rev 3Y Avg1.6%12.2%16.2%-29.3%-4.4%19.6%6.9%
FCF/Rev LTM-3.6%8.8%11.6%-20.3%-1.8%16.0%3.5%
FCF/Rev 3Y Avg-3.1%8.5%11.7%-33.2%-8.5%16.1%2.7%

Valuation

NEOLHDGXGHMYGNTMOMedian
NameNeoGenom.Labcorp Quest Di.Guardant.Myriad G.Thermo F. 
Mkt Cap2.229.327.723.40.6257.225.6
P/S2.82.02.319.80.75.42.6
P/Op Inc-45.817.816.1-49.8-6.629.04.7
P/EBIT-67.820.215.8-52.1-6.327.34.7
P/E-69.229.224.6-51.7-5.336.49.6
P/CFO522.016.214.2-126.578.127.621.9
Total Yield-1.4%4.2%5.4%-1.9%-18.7%3.0%0.8%
Dividend Yield0.0%0.8%1.3%0.0%0.0%0.3%0.1%
FCF Yield 3Y Avg-1.4%5.1%5.9%-5.1%-6.4%3.2%0.9%
D/E0.20.20.20.10.40.20.2
Net D/E0.10.20.20.00.20.10.1

Returns

NEOLHDGXGHMYGNTMOMedian
NameNeoGenom.Labcorp Quest Di.Guardant.Myriad G.Thermo F. 
1M Rtn-2.3%18.7%9.6%0.9%56.2%6.6%8.1%
3M Rtn13.6%17.2%8.7%8.8%121.7%21.2%15.4%
6M Rtn84.1%42.1%31.9%101.3%32.1%48.4%45.2%
12M Rtn77.8%43.8%45.8%89.5%-21.1%23.0%44.8%
3Y Rtn26.2%82.4%101.4%572.6%-59.7%59.1%70.8%
1M Excs Rtn-3.3%17.7%8.6%-0.1%55.1%5.5%7.0%
3M Excs Rtn7.8%16.0%7.3%9.1%108.0%19.3%12.6%
6M Excs Rtn77.0%34.9%24.8%94.2%25.0%41.3%38.1%
12M Excs Rtn56.6%34.8%34.4%131.7%-32.2%12.6%34.6%
3Y Excs Rtn-65.7%3.1%27.7%503.6%-141.7%-22.7%-9.8%

Comparison Analyses

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Single Segment727661592510 
Advanced Diagnostics    80
Clinical Services    404
Total727661592510484


Operating Income by Segment
$ Mil2025202420232022
Single Segment-116-92-108-158
Total-116-92-108-158


Net Income by Segment
$ Mil2025202420232022
Single Segment-108-79-88-144
Total-108-79-88-144


Price Behavior

Price Behavior
Market Price$17.38 
Market Cap ($ Bil)2.2 
First Trading Date03/16/2004 
Distance from 52W High-12.7% 
   50 Days200 Days
DMA Price$17.68$12.78
DMA Trendupup
Distance from DMA-1.7%36.0%
 3M1YR
Volatility53.0%53.4%
Downside Capture107.7262.60
Upside Capture178.46121.16
Correlation (S&P 500)24.6%26.0%
NEO Betas & Captures as of 10/31/2026

 1M2M3M6M1Y3Y
Beta1.510.811.460.801.061.27
Up Beta3.680.350.300.841.611.51
Down Beta2.112.221.390.470.800.90
Up Capture67%30%218%178%141%170%
Bmk +ve Days12182862130427
Stock +ve Days13223269135378
Down Capture137%52%132%9%72%108%
Bmk -ve Days10253664121325
Stock -ve Days9213255112363

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with NEO
NEO69.4%53.4%1.17-
Sector ETF (XLV)30.2%16.4%1.4126.2%
Equity (SPY)10.9%12.8%0.5226.3%
Gold (GLD)-2.0%28.6%-0.089.3%
Commodities (DBC)48.2%20.6%1.79-15.5%
Real Estate (VNQ)10.2%13.7%0.4516.5%
Bitcoin (BTCUSD)-30.0%43.5%-0.7011.5%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with NEO
NEO-17.3%70.2%0.03-
Sector ETF (XLV)8.7%15.3%0.3730.4%
Equity (SPY)12.2%17.1%0.5338.0%
Gold (GLD)16.2%19.0%0.689.7%
Commodities (DBC)9.2%19.5%0.351.7%
Real Estate (VNQ)0.9%18.9%-0.0633.8%
Bitcoin (BTCUSD)4.9%51.6%0.2820.6%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with NEO
NEO8.3%58.7%0.38-
Sector ETF (XLV)12.0%16.8%0.5935.1%
Equity (SPY)15.2%17.9%0.7240.3%
Gold (GLD)11.4%16.5%0.568.0%
Commodities (DBC)8.2%18.1%0.376.4%
Real Estate (VNQ)5.3%20.7%0.2133.7%
Bitcoin (BTCUSD)61.8%66.2%1.0213.1%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date10152026
Short Interest: Shares Quantity14.2 Mil
Short Interest: % Change Since 93020260.5%
Average Daily Volume2.4 Mil
Days-to-Cover Short Interest6.0 days
Basic Shares Quantity128.6 Mil
Short % of Basic Shares11.1%

Earnings Returns History

Updated 11/1/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
10/28/2026-0.3%  
7/28/202614.0%21.6%29.6%
4/28/2026-0.7%-1.8%13.0%
2/17/20260.5%-12.4%-27.3%
10/28/2025-2.4%-3.7%21.5%
7/29/2025-18.7%-12.2%3.7%
4/29/2025-34.0%-21.4%-25.6%
2/18/2025-14.0%-22.5%-33.4%
...
SUMMARY STATS   
# Positive111113
# Negative131210
Median Positive14.2%15.6%13.2%
Median Negative-3.8%-11.0%-20.6%
Max Positive25.4%54.2%63.1%
Max Negative-34.0%-22.5%-34.5%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
10/28/2026-0.3%  
7/28/202614.0%21.6%29.6%
4/28/2026-0.7%-1.8%13.0%
2/17/20260.5%-12.4%-27.3%
10/28/2025-2.4%-3.7%21.5%
7/29/2025-18.7%-12.2%3.7%
4/29/2025-34.0%-21.4%-25.6%
2/18/2025-14.0%-22.5%-33.4%
11/5/20245.6%15.6%27.4%
7/29/202418.0%10.7%12.0%
4/30/2024-8.5%1.9%-9.1%
2/20/202412.1%9.7%5.7%
11/6/202314.2%9.8%24.2%
8/8/2023-3.0%-11.8%-9.7%
5/8/202318.5%24.2%13.2%
2/23/202324.6%24.2%36.0%
11/8/202225.4%54.2%63.1%
8/9/202214.2%26.2%0.4%
4/27/2022-3.8%-9.2%-27.6%
2/23/2022-1.1%12.4%-6.6%
11/4/2021-17.6%-8.1%-34.5%
8/6/2021-2.0%-10.2%7.7%
5/5/2021-11.8%-18.0%-15.7%
2/24/20212.5%-2.6%-10.0%
SUMMARY STATS   
# Positive111113
# Negative131210
Median Positive14.2%15.6%13.2%
Median Negative-3.8%-11.0%-20.6%
Max Positive25.4%54.2%63.1%
Max Negative-34.0%-22.5%-34.5%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202610/28/202610-Q
06/30/202607/28/202610-Q
03/31/202604/28/202610-Q
12/31/202502/17/202610-K
09/30/202510/28/202510-Q
06/30/202507/29/202510-Q
03/31/202504/29/202510-Q
12/31/202402/18/202510-K
09/30/202411/05/202410-Q
06/30/202407/30/202410-Q
03/31/202404/30/202410-Q
12/31/202302/20/202410-K
09/30/202311/06/202310-Q
06/30/202308/08/202310-Q
03/31/202305/09/202310-Q
12/31/202202/24/202310-K
Collapse to Preview
Report DateFiling DateFiling
09/30/202610/28/202610-Q
06/30/202607/28/202610-Q
03/31/202604/28/202610-Q
12/31/202502/17/202610-K
09/30/202510/28/202510-Q
06/30/202507/29/202510-Q
03/31/202504/29/202510-Q
12/31/202402/18/202510-K
09/30/202411/05/202410-Q
06/30/202407/30/202410-Q
03/31/202404/30/202410-Q
12/31/202302/20/202410-K
09/30/202311/06/202310-Q
06/30/202308/08/202310-Q
03/31/202305/09/202310-Q
12/31/202202/24/202310-K
09/30/202211/08/202210-Q
06/30/202208/09/202210-Q
03/31/202205/09/202210-Q
12/31/202102/25/202210-K
09/30/202111/04/202110-Q
06/30/202108/09/202110-Q
03/31/202105/06/202110-Q
12/31/202002/25/202110-K
09/30/202010/29/202010-Q
06/30/202007/31/202010-Q
03/31/202004/29/202010-Q
12/31/201902/28/202010-K

Recent Forward Guidance

Updated 10/29/2026

Latest: Q3 2026 Earnings Reported 10/28/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 GAAP Net LossReported-32.00 Mil-31.00 Mil-30.00 Mil   
2026 GAAP Net Loss Per Diluted ShareReported-0.25-0.24-0.23   
2026 Consolidated RevenueReported807.00 Mil808.00 Mil809.00 Mil   
2026 Revenue GrowthReported11.0%11.0%11.0%   
2026 Adjusted EBITDAReported 60.00 Mil    
2026 Adjusted EBITDA GrowthReported 38.0%    
2026 Adjusted Net IncomeReported27.00 Mil27.50 Mil28.00 Mil   
2026 Adjusted Diluted EPSReported0.210.220.22   
2026 Adjusted Diluted Shares OutstandingReported 129.50 Mil    


Prior: Q2 2026 Earnings Reported 7/28/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Net lossReported-42.00 Mil-38.00 Mil-34.00 Mil48.7% RaisedGuidance: -56.50 Mil for 2026
2026 Consolidated revenueReported802.00 Mil804.00 Mil806.00 Mil0.5% RaisedGuidance: 800.00 Mil for 2026
2026 Adjusted EBITDAReported56.00 Mil57.00 Mil58.00 Mil1.8% RaisedGuidance: 56.00 Mil for 2026
2026 Adjusted diluted EPSReported0.170.190.2   

Q1 2026 Earnings Reported 4/28/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Net lossReported-63.00 Mil-56.50 Mil-50.00 Mil0 AffirmedGuidance: -56.50 Mil for 2026
2026 Consolidated revenueReported797.00 Mil800.00 Mil803.00 Mil0.4% RaisedGuidance: 797.00 Mil for 2026
2026 Adjusted EBITDAReported55.00 Mil56.00 Mil57.00 Mil0 AffirmedGuidance: 56.00 Mil for 2026

Q4 2025 Earnings Reported 2/17/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Net lossReported-63.00 Mil-56.50 Mil-50.00 Mil-49.6% Higher NewActual: -112.00 Mil for 2025
2026 Consolidated revenueReported793.00 Mil797.00 Mil801.00 Mil10.2% Higher NewActual: 723.00 Mil for 2025
2026 Adjusted EBITDAReported55.00 Mil56.00 Mil57.00 Mil31.8% Higher NewActual: 42.50 Mil for 2025

Insider Activity

Updated 9/3/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Aunan, Greg DChief Accounting OfficerDirectSell806202616.0720,000321,40082,809Form
2Tetrault, Lynn A DirectSell617202611.105,30758,908955,876Form
3Tetrault, Lynn A DirectSell611202611.295,30759,9161,032,154Form
4Stone, WarrenPres & Chief Operating OfficerDirectSell121202612.5022,128276,6821,520,838Form
5Olivo, Alicia CEVP, GC & Business DevelopmentDirectSell1128202512.0020,916250,992372,996Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Aunan, Greg DChief Accounting OfficerDirectSell806202616.0720,000321,40082,809Form
2Tetrault, Lynn A DirectSell617202611.105,30758,908955,876Form
3Tetrault, Lynn A DirectSell611202611.295,30759,9161,032,154Form
4Stone, WarrenPres & Chief Operating OfficerDirectSell121202612.5022,128276,6821,520,838Form
5Olivo, Alicia CEVP, GC & Business DevelopmentDirectSell1128202512.0020,916250,992372,996Form
6Olivo, Alicia CEVP, GC & Business DevelopmentDirectSell1020202510.004,91849,180430,220Form

Investor Activity (13F)

Updated Nov 1, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
First Light Asset Management, LLC$72.2 Mil6.5%35Hold13F
Greenhouse Funds LLLP$67.5 Mil3.2%28ADD +5.3%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Greenhouse Funds LLLP$67.5 Mil3.2%28ADD +5.3%13F
Active Manager
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
First Light Asset Management, LLC$72.2 Mil6.5%35Hold13F
Greenhouse Funds LLLP$67.5 Mil3.2%28ADD +5.3%13F
Core Cache Last Updated: 10/31/2026