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NEOGENOMICS INC

For the period ended Mar 31, 2025. Filed Apr 29, 2025.

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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Mar 31, 2025 · Filed Apr 29, 2025

NEO$16.96-3.6%Stored close · as of Nov 10, 2026

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Item 1. Financial Statements (unaudited)

ITEM 1. FINANCIAL STATEMENTS

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)

(unaudited)March 31, 2025December 31, 2024
ASSETS
Current assets
Cash and cash equivalents$346,194$367,012
Marketable securities, at fair value11,88619,832
Accounts receivable, net151,208150,540
Inventories29,77226,748
Prepaid assets22,98020,165
Other current assets11,89211,722
Total current assets573,932596,019
Property and equipment (net of accumulated depreciation of $198,695 and $189,990, respectively)89,60394,103
Operating lease right-of-use assets77,80379,583
Intangible assets, net331,319339,681
Goodwill522,766522,766
Other assets6,0075,886
Total non-current assets1,027,4981,042,019
Total assets$1,601,430$1,638,038
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable$16,211$21,607
Accrued compensation39,48762,443
Accrued expenses and other liabilities18,62812,624
Current portion of operating lease liabilities3,0753,381
Current portion of convertible senior notes, net201,131200,777
Contract liabilities1,163409
Total current liabilities279,695301,241
Long-term liabilities
Operating lease liabilities59,86160,841
Convertible senior notes, net340,714340,335
Deferred income tax liabilities, net20,97021,510
Other long-term liabilities11,92111,772
Total long-term liabilities433,466434,458
Total liabilities$713,161$735,699
Commitments and contingencies (Note 11)
Stockholders’ equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 128,356,327 and 128,145,333 shares issued and outstanding, respectively)$128$128
Additional paid-in capital1,239,9011,228,198
Accumulated other comprehensive loss(56)(206)
Accumulated deficit(351,704)(325,781)
Total stockholders’ equity$888,269$902,339
Total liabilities and stockholders’ equity$1,601,430$1,638,038

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

Three Months Ended March 31,
20252024
NET REVENUE$168,035$156,240
COST OF REVENUE94,78990,771
GROSS PROFIT73,24665,469
Operating expenses:
General and administrative68,20765,797
Research and development10,1817,620
Sales and marketing22,68320,221
Restructuring charges—2,398
Total operating expenses101,07196,036
LOSS FROM OPERATIONS(27,825)(30,567)
Interest income(3,721)(4,834)
Interest expense1,6181,685
Other (income) expense, net(65)263
Loss before taxes(25,657)(27,681)
Income tax expense (benefit)266(620)
NET LOSS$(25,923)$(27,061)
NET LOSS PER SHARE
Basic$(0.20)$(0.21)
Diluted$(0.20)$(0.21)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING
Basic127,376126,111
Diluted127,376126,111

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(in thousands)

Three Months Ended March 31,
20252024
NET LOSS$(25,923)$(27,061)
OTHER COMPREHENSIVE INCOME:
Net unrealized gain on marketable securities, net of tax150344
Total other comprehensive income, net of tax150344
COMPREHENSIVE LOSS$(25,773)$(26,717)

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(unaudited, in thousands, except share data)

Common Stock · Additional Paid-In Capital · Accumulated Other Comprehensive Loss · Accumulated Deficit · Total
Shares · Amount
Balance, December 31, 2024128,145,333$128$1,228,198$(206)$(325,781)$902,339
Issuance of common stock for ESPP132,961—1,424——1,424
Issuance of restricted stock, net of forfeitures70,829—(530)——(530)
Issuance of common stock for stock options7,204—58——58
Stock issuance fees and expenses——(3)——(3)
Stock-based compensation expense——10,754——10,754
Net unrealized gain on marketable securities, net of tax———150—150
Net loss————(25,923)(25,923)
Balance, March 31, 2025128,356,327$128$1,239,901$(56)$(351,704)$888,269
Common Stock · Additional Paid-In Capital · Accumulated Other Comprehensive Loss · Accumulated Deficit · Total
Shares · Amount
Balance, December 31, 2023127,369,142$127$1,190,139$(1,674)$(247,055)$941,537
Issuance of common stock for ESPP70,278—917——917
Issuance of restricted stock, net of forfeitures(17,398)—(199)——(199)
Issuance of common stock for stock options12,764—102——102
Stock issuance fees and expenses——(4)——(4)
Stock-based compensation expense——7,774——7,774
Net unrealized gain on marketable securities, net of tax———344—344
Net loss————(27,061)(27,061)
Balance, March 31, 2024127,434,786$127$1,198,729$(1,330)$(274,116)$923,410

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

Three Months Ended March 31,
20252024
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss$(25,923)$(27,061)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation9,3669,905
Amortization of intangibles8,3628,362
Stock-based compensation10,7547,774
Non-cash operating lease expense1,5842,401
Amortization of convertible debt discount687678
Amortization of debt issue costs4847
Impairment of assets—145
Other adjustments37(57)
Changes in assets and liabilities, net
Accounts receivable, net(668)(9,052)
Inventories(3,024)3,836
Prepaid and other assets(3,105)(1,976)
Operating lease liabilities(1,090)(1,432)
Deferred income tax liabilities, net(541)(795)
Accrued compensation(22,957)(18,552)
Accounts payable and other liabilities1,143(138)
Net cash used in operating activities(25,327)(25,915)
CASH FLOWS FROM INVESTING ACTIVITIES
Proceeds from maturities of marketable securities8,06020,110
Purchases of property and equipment(4,500)(5,585)
Net cash provided by investing activities3,56014,525
CASH FLOWS FROM FINANCING ACTIVITIES
Issuance of common stock, net949816
Net cash provided by financing activities949816
Net change in cash and cash equivalents(20,818)(10,574)
Cash and cash equivalents, beginning of period367,012342,488
Cash and cash equivalents, end of period$346,194$331,914
Supplemental disclosure of cash flow information:
Interest paid$1$431
Income taxes paid$—$89
Supplemental disclosure of non-cash investing and financing information:
Purchases of property and equipment included in accounts payable$1,376$831

Note 1. Nature of the Business

NeoGenomics, Inc., a Nevada corporation (the “Company” or “NeoGenomics”), and its subsidiaries provide a wide range of oncology diagnostic testing and consultative services which includes technical laboratory services and professional interpretation of laboratory test results by licensed physicians who specialize in pathology and oncology. The Company operates a network of cancer-focused testing laboratories in the United States and the United Kingdom.

Note 2. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying interim Condensed Consolidated Financial Statements (“Consolidated Financial Statements”) are unaudited and have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial information. All intercompany transactions and balances have been eliminated in the accompanying Consolidated Financial Statements.

The accounting policies of the Company are the same as those set forth in Note 2. Summary of Significant Accounting Policies, to the audited Consolidated Financial Statements contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, except for new accounting standards discussed under Recent Accounting Pronouncements.

Unaudited Interim Financial Information

Certain information and footnote disclosures normally included in the Company’s annual audited Consolidated Financial Statements and accompanying notes have been condensed or omitted in the accompanying interim Consolidated Financial Statements and footnotes. Accordingly, the accompanying interim unaudited Consolidated Financial Statements included herein should be read in conjunction with the audited Consolidated Financial Statements and accompanying notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024.

The results of operations presented in this Quarterly Report on Form 10-Q are not necessarily indicative of the results of operations that may be expected for any future periods. In the opinion of management, these unaudited Consolidated Financial Statements include all adjustments and accruals, consisting only of normal, recurring adjustments that are necessary for a fair statement of the results of all interim periods reported herein.

Use of Estimates

The Company prepares its Consolidated Financial Statements in conformity with GAAP. These principles require management to make estimates, judgments and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, together with amounts disclosed in the related notes to the Consolidated Financial Statements. Actual results and outcomes may differ from management’s estimates, judgments and assumptions. Significant estimates, judgments and assumptions used in these Consolidated Financial Statements include, but are not limited, to those related to revenues, accounts receivable and related allowances, contingencies, useful lives and recovery of long-term assets and intangible assets, income taxes and valuation allowances, stock-based compensation, and impairment analysis of goodwill. These estimates, judgments, and assumptions are reviewed periodically and the effects of material revisions in estimates are reflected on the Consolidated Financial Statements prospectively from the date of the change in estimate.

Segment Reporting

The Company has historically reported its activities intwo reportable segments, (1) Clinical Services and (2) Advanced Diagnostics. In the fourth quarter of 2024, the Company simplified its operational approach, bringing itstwo primary segments under a single segment. Please refer to Note 12. Segment Information, for further information about the segment.

Sales and Marketing Expenses

Sales and marketing expenses are primarily attributable to employee-related costs including sales management, sales representatives, sales and marketing consultants, and marketing and customer service personnel in the Clinical Services segment. Advertising costs are expensed at the time they are incurred and were immaterial for the three months ended March 31, 2025 and 2024.

Accounting Pronouncements Pending Adoption

In November 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income (Topic 220): Expense Disaggregation Disclosures. This update requires entities to disaggregate operating expenses into specific categories, such as purchases of inventory, compensation, depreciation, and amortization, to provide enhanced transparency into the nature and function of expenses. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026, with early adoption permitted. ASU 2024-03 may be applied retrospectively or prospectively. The Company is currently evaluating the impact of this standard on its financial statement presentation and disclosures.

In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This update requires entities to consistently categorize and provide greater disaggregation of information in the rate reconciliation and to further disaggregate income taxes paid by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. ASU 2023-09 may be applied retrospectively or prospectively. The enhanced disclosures required by ASU 2023-09 will be included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025. The Company is currently evaluating the impact of this standard on its annual disclosures.

Note 3. Fair Value Measurements

Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. A fair value hierarchy has been established based on three levels of inputs, of which the first two are considered observable and the last unobservable.

Level 1: Quoted prices in active markets for identical assets or liabilities. These are typically obtained from real-time quotes for transactions in active exchange markets involving identical assets.

Level 2: Inputs, other than quoted prices included within Level 1, which are observable for the asset or liability, either directly or indirectly. These are typically obtained from readily available pricing sources for comparable instruments.

Level 3: Unobservable inputs, where there is little or no market activity for the asset or liability. These inputs reflect the reporting entity’s own assumptions of the data that market participants would use in pricing the asset or liability, based on the best information available in the circumstances.

Assets and Liabilities that are Measured at Fair Value on a Recurring Basis

The Company measures certain financial assets at fair value on a recurring basis, including its marketable securities and certain cash equivalents. The Company considers all securities available-for-sale, including those with maturity dates beyond 12 months, and therefore these securities are classified within current assets on the Consolidated Balance Sheets as they are available to support current operational liquidity needs. The money market accounts are valued based on quoted market prices in active markets and are included in cash and cash equivalents on the Consolidated Balance Sheets. The marketable securities are generally valued based on other observable inputs for those securities (including market corroborated pricing or other models that utilize observable inputs such as interest rates and yield curves) based on information provided by independent third-party pricing entities, except for U.S. Treasury securities which are valued based on quoted market prices in active markets.

The following tables set forth the amortized cost, gross unrealized gains, gross unrealized losses and fair values of the Company’s marketable securities accounted for as available-for-sale securities as of March 31, 2025 and December 31, 2024 (in thousands):

(in thousands)Amortized CostGross Unrealized GainsGross Unrealized LossesFair Value
Financial Assets:
Short-term marketable securities:
Municipal bonds$6,016$—$(79)$5,937
Corporate bonds5,997—(48)5,949
Total$12,013$—$(127)$11,886
(in thousands)Amortized CostGross Unrealized GainsGross Unrealized LossesFair Value
Financial Assets:
Short-term marketable securities:
Municipal bonds$9,587$—$(151)$9,436
Corporate bonds10,523—(127)10,396
Total$20,110$—$(278)$19,832

The Company had $1.1 million and $1.3 million of accrued interest receivable at March 31, 2025 and December 31, 2024, respectively, included inother current assets on its Consolidated Balance Sheets related to its marketable securities. There wereno realized gains or losses on marketable securities for the three months ended March 31, 2025 and 2024.

The following tables set forth the fair value of available-for-sale marketable securities by contractual maturity at March 31, 2025 and December 31, 2024.

(in thousands)One Year or LessOver One Year Through Five YearsOver Five YearsTotal
Financial Assets:
Marketable Securities:
Municipal bonds$5,937$—$—$5,937
Corporate bonds5,949——5,949
Total$11,886$—$—$11,886
(in thousands)One Year or LessOver One Year Through Five YearsOver Five YearsTotal
Financial Assets:
Marketable Securities:
Municipal bonds$9,436$—$—$9,436
Corporate bonds10,396——10,396
Total$19,832$—$—$19,832

The following tables set forth the Company’s cash equivalents and marketable securities accounted for as available-for-sale securities that were measured at fair value on a recurring basis based on the fair value hierarchy as of March 31, 2025 and December 31, 2024.

(in thousands)Level 1Level 2Level 3Total
Financial Assets:
Cash equivalents:
Money market funds$342,381$—$—$342,381
Marketable securities:
Municipal bonds5,937——5,937
Corporate bonds—5,949—5,949
Total$348,318$5,949$—$354,267
(in thousands)Level 1Level 2Level 3Total
Financial Assets:
Cash equivalents:
Money market funds$364,815$—$—$364,815
Marketable securities:
Municipal bonds9,436——9,436
Corporate bonds—10,396—10,396
Total$374,251$10,396$—$384,647

There were no transfers of financial assets or liabilities into or out of Level 1, Level 2, or Level 3 for the three months ended March 31, 2025 and 2024.

Assets and Liabilities that are Measured at Fair Value on a Nonrecurring Basis

The carrying value of cash, certain cash equivalents, accounts receivable, net, other current assets, accounts payable, accrued expenses and other liabilities, and contract liabilities are considered reasonable estimates of their respective fair values at March 31, 2025 and December 31, 2024 due to their short-term nature.

The Company also measures certain non-financial assets at fair value on a nonrecurring basis, primarily intangible assets, goodwill, long-lived assets in connection with periodic evaluations for potential impairment. The Company estimates the fair value of these assets using primarily unobservable inputs and as such, these are considered Level 3 fair value measurements.

Note 4. Goodwill and Intangible Assets

The following table summarizes the carrying amounts of goodwill by segment at March 31, 2025 and December 31, 2024 (in thousands):

March 31, 2025December 31, 2024
Goodwill$522,766$522,766

Intangible assets consisted of the following (in thousands):

AmortizationPeriod (years)CostAccumulatedAmortizationNet
Customer Relationships7 - 15$143,101$77,896$65,205
Developed Technology10 - 15310,22681,088229,138
Marketing Assets4549549—
Trademarks1531,4737,94423,529
Trademark - Indefinite lived—13,447—13,447
Total$498,796$167,477$331,319
AmortizationPeriod (years)CostAccumulatedAmortizationNet
Customer Relationships7 - 15$143,101$75,423$67,678
Developed Technology10 - 15310,22675,758234,468
Marketing Assets454951435
Trademarks1531,4737,42024,053
Trademark - Indefinite lived—13,447—13,447
Total$498,796$159,115$339,681

The Company records amortization expense within cost of revenue and general and administrative expense on the Consolidated Statement of Operations. The following table summarizes the amortization expense for the three months ended March 31, 2025 and 2024 (in thousands):

Three Months Ended March 31,
20252024
Amortization of intangibles included in cost of revenue$4,910$4,910
Amortization of intangibles included in general and administrative expenses3,4523,452
Total amortization of intangibles$8,362$8,362

The estimated amortization expense related to amortizable intangible assets for each of the following periods as of March 31, 2025 is as follows (in thousands):

Remainder of 2025$24,981
202633,308
202732,758
202832,758
202932,758
Thereafter161,309
Total$317,872

Note 5. Debt

2028 Convertible Senior Notes

On January 11, 2021, the Company completed the sale of $345.0 million of Convertible Senior Notes with a stated interest rate of 0.25% and a maturity date of January 15, 2028 (the “2028 Convertible Notes”), unless earlier converted, redeemed, or repurchased.

The last reported sales price of the Company’s common stock was not greater than or equal to 130.0% of the conversion price of the 2028 Convertible Notes on at least 20 of the last 30 consecutive trading days of the quarter ended December 31, 2024. Based on the terms of the 2028 Convertible Notes, the holders could not have converted all or a portion of their 2028 Convertible Notes in the first quarter of 2025. The last reported sales price of the Company’s common stock was not greater than or equal to 130.0% of the conversion price of the 2028 Convertible Notes on at least 20 of the last 30 consecutive trading days of the quarter ended March 31, 2025. Based on the terms of the 2028 Convertible Notes, the holders cannot convert all or a portion of their 2028 Convertible Notes in the second quarter of 2025. The value of the 2028 Convertible Notes, if-converted, does not exceed the principal amount based on a closing stock price of $9.49 on March 31, 2025.

The interest expense recognized on the 2028 Convertible Notes includes $0.2 million, $0.4 million and $8,600 for the contractual coupon interest, the amortization of the debt discount and the amortization of the debt issuance costs, respectively, for the three months ended March 31, 2025. The interest expense recognized on the 2028 Convertible Notes includes $0.2 million, $0.4 million and $8,500 for the contractual coupon interest, the amortization of the debt discount and the amortization of the debt issuance costs, respectively, for the three months ended March 31, 2024. The effective interest rate on the 2028 Convertible Notes is 0.70%, which includes the interest on the 2028 Convertible Notes and amortization of the debt discount and debt issuance costs. The 2028 Convertible Notes bear interest at a rate of 0.25% per annum, payable semi-annually in arrears on January 15 and July 15 of each year, beginning on July 15, 2021.

At March 31, 2025, the estimated fair value (Level 2) and net carrying amount of the 0.25% Convertible Senior Notes due 2028 was $297.1 million and $340.7 million, respectively. At December 31, 2024, the estimated fair value (Level 2) and net carrying amount of the 0.25% Convertible Senior Notes due 2028 was $284.8 million and $340.3 million, respectively.

2025 Convertible Senior Notes

On May 4, 2020, the Company completed the sale of $201.3 million of Convertible Senior Notes with a stated interest rate of 1.25% and a maturity date of May 1, 2025 (the “2025 Convertible Notes”), unless earlier converted, redeemed, or repurchased. As of June 30, 2024, the 2025 Convertible Notes were classified as current liabilities on the Consolidated Balance Sheets.

The last reported sales price of the Company’s common stock was not greater than or equal to 130.0% of the conversion price of the 2025 Convertible Notes on at least 20 of the last 30 consecutive trading days of the quarter ended December 31, 2024. Based on the terms of the 2025 Convertible Notes, the holders could not have converted all or a portion of their 2025 Convertible Notes in the first quarter of 2025. The last reported sales price of the Company’s common stock was not greater than or equal to 130.0% of the conversion price of the 2025 Convertible Notes on at least 20 of the last 30 consecutive trading days of the quarter ended March 31, 2025. Based on the terms of the 2025 Convertible Notes, the holders cannot convert all or a portion of their 2025 Convertible Notes in the second quarter of 2025. The value of the 2025 Convertible Notes, if-converted, does not exceed the principal amount based on a closing stock price of $9.49 on March 31, 2025.

The interest expense recognized on the 2025 Convertible Notes includes $0.6 million, $0.3 million and $39,000 for the contractual coupon interest, the amortization of the debt discount and the amortization of the debt issuance costs, respectively, for the three months ended March 31, 2025. The interest expense recognized on the 2025 Convertible Notes includes $0.6 million, $0.3 million and $38,000 for the contractual coupon interest, the amortization of the debt discount and the amortization of the debt issuance costs, respectively, for the three months ended March 31, 2024. The effective interest rate on the 2025 Convertible Notes is 1.96%, which includes the interest on the 2025 Convertible Notes and amortization of the debt discount and debt issuance costs. The 2025 Convertible Notes bear interest at a rate of 1.25% per annum, payable semi-annually in arrears on May 1 and November 1 of each year, which began on November 1, 2020.

At March 31, 2025, the estimated fair value (Level 2) and net carrying amount of the 1.25% Convertible Senior Notes due 2025 was $200.7 million and $201.1 million, respectively. At December 31, 2024, the estimated fair value (Level 2) and net carrying amount of the 1.25% Convertible Senior Notes due 2025 was $197.7 million and $200.8 million, respectively.

Note 6. Stock-Based Compensation

The Company recorded stock-based compensation on the Consolidated Statement of Operations for the three months ended March 31, 2025 and 2024 as follows (in thousands):

Three Months Ended March 31,
20252024
Cost of revenue$416$395
General and administrative8,7836,663
Research and development597171
Sales and marketing958545
Total stock-based compensation$10,754$7,774

Stock Options

A summary of the stock option activity under the Company’s plans for the three months ended March 31, 2025 is as follows:

Number ofSharesWeighted Average Exercise Price
Outstanding at December 31, 20245,231,262$16.14
Granted1,836,888$12.54
Exercised(7,204)$8.10
Forfeited(287,813)$35.21
Outstanding at March 31, 20256,773,133$14.36
Vested and expected to vest at March 31, 20256,773,133$14.36
Exercisable at March 31, 20251,927,691$15.89

The fair value of each stock option award granted during the three months ended March 31, 2025 was estimated as of the grant date using a Black-Scholes model with the following assumptions:

Three Months EndedMarch 31, 2025
Expected term (in years)5.2 - 6.5
Risk-free interest rate (%)4.0% - 4.4%
Expected volatility (%)56.0% - 66.7%
Dividend yield (%)—
Weighted average grant date fair value per share$7.15

As of March 31, 2025, there was approximately $20.8 million of unrecognized stock-based compensation expense related to stock options that will be recognized over a weighted-average period of approximately 1.7 years.

Restricted Stock

A summary of the restricted stock activity under the Company’s plans for the three months ended March 31, 2025 is as follows:

Number of RestrictedSharesWeighted Average Grant Date Fair Value
Nonvested at December 31, 20242,164,071$14.25
Granted1,486,932$12.12
Vested(161,984)$15.02
Forfeited(24,873)$14.32
Nonvested at March 31, 20253,464,146$13.30

As of March 31, 2025, there was approximately $25.9 million of unrecognized stock-based compensation expense related to restricted stock that will be recognized over a weighted-average period of approximately 1.5 years.

Performance-Based Restricted Stock Units

For PSUs subject to a performance condition, compensation cost is recognized straight-line over the requisite service period if the achievement of the performance condition is probable. As of March 31, 2025, the Company has determined it is probable that the performance condition will be met. For PSUs subject to a market condition, compensation cost is recognized straight-line over the requisite service period, regardless of when, if ever, the market condition is satisfied.

A summary of the PSU activity under the Company’s plans for the three months ended March 31, 2025 is as follows:

Number of Stock UnitsWeighted Average Grant Date Fair Value
Nonvested at December 31, 2024647,084$19.35
Granted—$—
Vested—$—
Forfeited—$—
Nonvested at March 31, 2025647,084$19.35

As of March 31, 2025, there was approximately $7.3 million of unrecognized stock-based compensation expense related to nonvested PSUs that will be recognized over a weighted-average period of approximately 1.7 years.

Note 7. Revenue Recognition

The Company’s specialized clinical services are performed based on a written test requisition form or electronic equivalent. The performance obligation is satisfied and revenues are recognized at the point in time the clinical services have been performed and the results have been delivered to the ordering physician. These clinical services are billed to various payers, including client direct billing, commercial insurance, Medicare and other government payers, and patients. Revenue is recorded for all payers based on the amount expected to be collected, which considers implicit price concessions. Implicit price concessions represent differences between amounts billed and the estimated consideration the Company expects to receive based on negotiated discounts, historical collection experience, and other anticipated adjustments, including anticipated payer denials.

For the Company's pharmaceutical development services, the Company generally enters into contracts with pharmaceutical and biotech clients as well as other CROs to provide research and clinical trial services. Such services also include validation studies and assay development. The Company records revenue on a unit-of-service basis based on the number of units completed towards the satisfaction of a performance obligation. In addition, certain contracts include upfront fees and the revenue for those contracts is recognized over time as services are performed.

Additional offerings within the Company's portfolio include oncology data solutions, which involves the licensing of de-identified data to pharmaceutical and biotech clients in the form of either retrospective records or prospective deliveries of data. Revenue is recognized at a point in time upon delivery of retrospective data or over time for prospective data feeds. The Company negotiates billing schedules and payment terms on a contract-by-contract basis. Contract terms generally provide for payments based on a unit-of-service arrangement and are primarily short-term.

Amounts collected in advance of services being provided are deferred as contract liabilities on the Consolidated Balance Sheets. The associated revenue is recognized and the contract liability is reduced as the contracted services are subsequently performed. Contract assets are established for revenue recognized but not yet billed. These contract assets are reduced once the client is invoiced and a corresponding receivable is recorded. Additionally, the Company incurs sales commissions in the process of obtaining contracts with clients. Sales commissions that are payable upon contract award are recognized as assets and amortized over the expected contract term. The amortization of commission expense is based on the weighted average contract duration for all commissionable awards in the respective business in which the commission expense is paid, which approximates the period over which goods and services are transferred to the client. For short-term contracts, the Company applies the practical expedient which allows costs to obtain a contract to be expensed when incurred, if the amortization period of the assets that would otherwise have been recognized is one year or less. Contract assets and capitalized commissions are included in other current assets and other assets on the Consolidated Balance Sheets.

Most contracts are terminable by the clients, either immediately or according to advance notice terms specified within the contracts. All contracts require payment of fees to the Company for services rendered through the date of termination and may require payment for subsequent services necessary to conclude the study or close out the contract.

The following table summarizes the values of contract assets, capitalized commissions and contract liabilities (in thousands):

March 31, 2025December 31, 2024
Current contract assets (1)$—$100
Total contract assets$—$100
Current capitalized commissions (1)$219$206
Long-term capitalized commissions (2)2411
Total capitalized commissions$243$217
Current contract liabilities$1,163$409
Long-term contract liabilities (3)299336
Total contract liabilities$1,462$745

(1) Recorded within other current assets on the Consolidated Balance Sheets.

(2) Recorded within other assets on the Consolidated Balance Sheets.

(3) Recorded within other long-term liabilities on the Consolidated Balance Sheets.

Revenue recognized related to contract liability balances outstanding at the beginning of the period was $0.1 million and $1.1 million for the three months ended March 31, 2025 and 2024, respectively. Amortization of capitalized commissions was $0.1 million and $0.3 million for the three months ended March 31, 2025 and 2024, respectively.

Disaggregation of Revenue

The Company considered various factors in determining appropriate levels of homogeneous data for its disaggregation of revenue, including the nature, amount, timing, and uncertainty of revenue and cash flows. The categories align with the types of clients due to similarities of billing method, level of reimbursement, and timing of cash receipts. Unbilled amounts are accrued and allocated to payer categories based on historical experience. In future periods actual billings by payer category may differ from accrued amounts.

The following table details the disaggregation of net revenue for the three months ended March 31, 2025 (in thousands):

Three Months Ended March 31,
20252024
Client direct billing$122,038$112,188
Commercial insurance24,85723,604
Medicare and other government21,10120,369
Self-Pay3979
Total net revenue$168,035$156,240

Note 8. Restructuring

In 2022, the Company embarked on a restructuring program to improve execution and drive efficiency across the organization. This program is a framework for identifying, prioritizing and executing operational improvements. Restructuring charges incurred consist of severance and other employee costs, costs for optimizing the Company’s geographic presence (“Facility Footprint Optimization”), and consulting and other costs.

The Company completed this restructuring program in 2024. For the three months ended March 31, 2024 restructuring charges were comprised of $0.7 million in severance and other employee costs, $1.0 million in Facility Footprint Optimization costs, and $0.7 million of consulting and other costs. There were no such charges for the three months ended March 31, 2025.

At December 31, 2024, the Company had $0.9 million current liabilities remaining related to the restructuring program. At March 31, 2025, current liabilities related to the restructuring program were immaterial.

Note 9. Income Taxes

At the end of each interim period, management estimates the annual effective tax rate based on forecasted pre-tax results of the Company’s global operations and applies such rate to its ordinary quarterly earnings to calculate income tax expense related to ordinary income. The tax effects of items significant, unusual and infrequent in nature are discretely calculated and recognized in the period during which they occur. These discrete items often relate to changes in tax laws, excess tax benefits/deficiencies related to share-based compensation or adjustments to previously reported tax expense/benefits.

Management assesses the recoverability of its deferred tax assets as of the end of each quarter, weighing available positive and negative evidence, and is required to establish and maintain a valuation allowance for these assets if it is more likely than not that some or all of the deferred income tax assets will not be realized. The weight given to the evidence is commensurate with the extent to which the evidence can be objectively verified. If negative evidence exists, positive evidence is necessary to support the conclusion that a valuation allowance is not needed. A cumulative loss in recent years, commonly defined as a three-year cumulative loss position, is a significant piece of negative evidence that is difficult to overcome.

As of March 31, 2025, the Company’s U.S. operations are in a three-year cumulative loss position. Management determined that sufficient objectively verifiable positive evidence does not exist to overcome the negative evidence of the Company’s U.S. cumulative loss position. Accordingly, the Company’s estimated annual effective tax rate applied to the Company’s pre-tax loss for the three months ended March 31, 2025, includes the unfavorable impact of a partial valuation allowance against the majority of the Company’s forecasted U.S. net operating loss and tax credit carryforwards.

As of March 31, 2025, the Company’s U.K. operations are in a three-year cumulative loss position. The reversal of U.K. deferred tax liabilities will provide a source of realization to support a portion of the U.K. deferred tax assets, and therefore a valuation has been established for those deferred tax assets. Accordingly, the Company’s estimated annual effective tax rate applied to the Company’s pre-tax loss for the three months ended March 31, 2025, includes the favorable impact of recognizing a component of the U.K. benefit.

Full valuation allowances have been established for loss jurisdictions (Singapore and China), which are not included in the computation of the estimated annual effective tax rate for 2025.

For the period ended March 31, 2025, the Company has recorded tax expense, despite being in a consolidated financial loss position. This is due to a valuation allowance being recorded against U.S. deferred tax assets that are estimated to not be realized because of limitations on U.S. net operating losses created after 2017, which are limited to 80% utilization. As such, even though the U.K. continues to benefit from realization of certain deferred tax assets, the U.S. is expected to create a tax provision that exceeds the U.K. benefit.

Note 10. Net Loss Per Share

The Company presents both basic earnings per share (“EPS”) and diluted EPS. Basic EPS excludes potential dilution and is computed by dividing net loss by the weighted-average number of shares of common stock outstanding for the period. Diluted EPS reflects the potential dilution that could occur if stock options were exercised, stock awards vested and if the 2028 Convertible Notes and 2025 Convertible Notes were converted. The potential dilution from stock awards is accounted for using the treasury stock method based on the average market value of the Company’s common stock. The potential dilution from conversion of the 2028 Convertible Notes and 2025 Convertible Notes is accounted for using the if-converted method, which requires that all of the shares of the Company’s common stock issuable upon conversion of the 2028 Convertible Notes and the 2025 Convertible Notes will be included in the calculation of diluted EPS assuming conversion of the 2028 Convertible Notes and the 2025 Convertible Notes at the beginning of the reporting period (or at time of issuance, if later).

The following table shows the calculations (in thousands, except net loss per share amounts):

Three Months Ended March 31,
20252024
NET LOSS$(25,923)$(27,061)
Basic weighted average shares outstanding127,376126,111
Diluted weighted average shares outstanding127,376126,111
Basic net loss per share$(0.20)$(0.21)
Diluted net loss per share$(0.20)$(0.21)

The following potential dilutive shares were excluded from the calculation of diluted net loss per share because their effect would be anti-dilutive (in thousands):

Three Months Ended March 31,
20252024
Stock options223557
Restricted stock awards1,2091,031
2025 Convertible Notes5,5385,538
2028 Convertible Notes5,2155,215

In addition,647,084 shares of PSU awards are excluded from the computation of diluted EPS for the three months ended March 31, 2025 as the contingency had not been satisfied.

In connection with the 2028 Convertible Notes offering, on January 11, 2021, the Company entered into separate, privately negotiated convertible note hedge transactions (collectively, the “Capped Call Transactions”) with option counterparties pursuant to capped call confirmations at a cost of approximately $29.3 million. The potential effect of the Capped Call Transactions was excluded from the calculation of diluted net loss per share in the three months ended March 31, 2025 as the Company’s common stock closing price of $9.49 on March 31, 2025 did not exceed the conversion price of $85.75 per share. The Capped Call Transactions are not reflected in diluted net loss per share as they are anti-dilutive.

Note 11. Commitments and Contingencies

Legal Proceedings

On January 20, 2021, Natera, Inc. filed a patent infringement complaint against the Company’s subsidiary Inivata Limited and its subsidiary Inivata, Inc. in U.S. District Court for the district of Delaware, alleging Inivata’s InVisionFirst®-Lung cancer diagnostic test of infringingtwo patents. Natera then filed a second patent infringement complaint on December 20, 2022 against Inivata Limited and Inivata, Inc. alleging that RaDaR® minimal residual disease test infringesone patent. The case is in discovery and the jury trial has been scheduled for October 6, 2025. On March 6, 2024, the parties stipulated to stay both Delaware cases until the North Carolina litigation is resolved. On March 7, 2024, the district court judge in Delaware ordered the cases stayed.

On July 29, 2023, Natera filed a complaint in the Middle District of North Carolina alleging NeoGenomics' RaDaR® test infringes ontwo patents, U.S. Patent No. 11,530,454 (“the ‘454 Patent”), and U.S. Patent No. 11,519,035 (“the ‘035 Patent”). On July 31, 2023, Natera moved for a preliminary injunction. On December 27, 2023, the district court issued a preliminary injunction prohibiting the Company from making, using, selling or offering the RaDaR®1.0 assay on the basis of a likelihood of infringement of the ‘035 Patent. Natera posted a $10 million bond with the court on January 12, 2024 and the preliminary injunction went into effect. The injunction specifically allows patients already using RaDaR® 1.0 to continue their use. In addition, the order explicitly allows research projects and studies that are in progress, as well as clinical trials that are in progress or have been approved, to continue. On December 28, 2023, NeoGenomics appealed the preliminary injunction to the Federal Circuit. On July 12, 2024, the Federal Circuit affirmed the injunction. On September 23, 2024, the Federal Circuit issued a Stipulated Permanent Injunction on the same terms as the preliminary injunction, consented to by both the Company and Natera and based on the partial settlement agreement entered into by the Company and Natera. The litigation related to the ‘454 Patent is in discovery and the trial is expected for October 2025. The Company recorded the settlement entered into by the Company and Natera within general and administrative expense on the Consolidated Statement of Operations, the impact of which was immaterial. On December 6, 2024, the Middle District of North Carolina granted Natera’s motion to amend its complaint to add counts alleging infringement of U.S. Patent No. 11,319,596 (“the ‘596 Patent”). On December 31, 2024, in response to the order to amend to include the ‘596 Patent, the Company filed a motion to deposetwo witnesses, which was subsequently granted by the court. The Company believes that it has good and substantial defenses to the claims alleged in these suits, but there is no guarantee that the Company will prevail. At the time of filing the outcome of these matters is not estimable or probable.

On December 16, 2022, a purported shareholder class action captioned Daniel Goldenberg v. NeoGenomics, Inc., Douglas VanOort, Mark Mallon, Kathryn McKenzie, and William Bonello was filed in the United States District Court for the Southern District of New York, naming the Company and certain of the Company’s current and former officers as defendants (“the Goldenberg Matter”). This lawsuit was filed by a stockholder who claims to be suing on behalf of anyone who purchased or otherwise acquired the Company’s securities between February 27, 2020 and April 26, 2022. The lawsuit alleges that material misrepresentations and/or omissions of material fact were made in the Company’s public disclosures in violation of Sections 10(b) and 20(a) of the Exchange Act and Rule 10b-5 promulgated thereunder. The alleged improper disclosures relate to statements regarding the Company’s menu of tests, business operations and compliance with health care laws and regulations. The Company filed a motion to dismiss the Goldenberg Matter on February 5, 2024 and the plaintiff filed its opposition to the motion on March 21, 2024. The parties are awaiting the court's ruling on the motion to dismiss. The plaintiff seeks unspecified monetary damages on behalf of the putative class and an award of costs and expenses, including attorney’s fees and expert fees. On April 27, 2023, a shareholder of the Company filed a shareholder derivative action on behalf of the Company captioned Puskarich v. VanOort, et al. in Clark County Nevada, naming certain of the Company’s current and former officers and directors as defendants. The allegations are substantially similar to the allegations asserted in the Goldenberg Matter. Substantially similar shareholder derivative actions were subsequently filed in Lee County, Florida and in the United States District Court for the Southern District of New York, captioned Wong v. VanOort, et al. and Mellema v. VanOort, et al., respectively. The court in each of these cases stayed the proceedings pending the outcome of the Goldenberg Matter. The Company believes that it has valid defenses to the claims alleged in the lawsuits, but there is no guarantee that the Company will prevail. At the time of filing the outcome of these matters is not estimable or probable.

Regulatory Matter

With the assistance of outside counsel, the Company voluntarily conducted an internal investigation that focused on the compliance of certain consulting and service agreements with federal healthcare laws and regulations, including those relating to fraud, waste and abuse. Based on this internal investigation, the Company voluntarily notified the Office of Inspector General of the U.S. Department of Health and Human Services (“OIG”) of the Company’s internal investigation in November 2021. The Company’s interactions with regulatory authorities and the Company’s related review of this matter are ongoing. The Company has a reserve of $11.2 million in other long-term liabilities as of March 31, 2025 and December 31, 2024 on the Consolidated Balance Sheets for potential damages and liabilities primarily associated with the federal healthcare program revenue received by the Company in connection with the agreements at issue that were identified during the course of this internal investigation. This reserve reflects management’s best estimate of the minimum probable loss associated with this matter. As a result of the internal investigation and ongoing interactions with regulatory authorities, the Company may accrue additional reserves for any related potential damages and liabilities arising out of this matter. The Company was notified on June 30, 2022, that the Department of Justice (“DOJ”) will be participating in the investigation of this matter. At this time, the Company is unable to predict the duration, scope, result or related costs associated with any further investigation, including by the OIG, DOJ, or any other governmental authority, or what penalties or remedial actions they may seek. Accordingly, at this time, the Company is unable to estimate a range of possible loss in excess of the amount reserved. Any determination that the Company’s operations or activities are not in compliance with existing laws or regulations, however, could result in the imposition of civil or criminal fines, penalties, disgorgement, restitution, equitable relief, exclusion from participation in federal healthcare programs or other losses or conduct restrictions, which could be material to the Company’s financial results or business operations.

Note 12. Segment Information

The Company has historically reported its activities intwo reportable segments, (1) Clinical Services and (2) Advanced Diagnostics. In the fourth quarter of 2024, the Company simplified its operational approach, bringing itstwo primary segments under a single segment. This decision was driven by an analysis of the Company's reporting structure, the information available to the Chief Operating Decision Maker (“CODM”), and the strategic decisions being made by management. The Company provides services to a diverse client base, which includes community-based pathology and oncology practices, hospital pathology labs, reference labs, academic centers, and pharmaceutical companies. Revenue is derived from clients by providing clinical cancer testing, interpretation and consultative services, molecular and NGS testing, comprehensive technical and professional services offering, clinical trials and research, validation laboratory services, and oncology data solutions.

The Company's Chief Executive Officer serves as the CODM. The CODM usesnet loss, as reported on the Consolidated Statements of Operations, to monitor budget versus actual results to evaluate profitability and allocate resources. The CODM is regularly provided with financial information, including revenue and expenses, in a format consistent with the Consolidated

Statements of Operations. The CODM does not review assets at a different level or category than those disclosed in the Consolidated Balance Sheets. For further details regarding segment reporting policies and changes in reporting structure, please refer to Note 2. Summary of Significant Accounting Policies.

The following table summarizes segment information for thethree months ended March 31, 2025, and 2024 (in thousands):

Three Months Ended March 31,
20252024
Net revenue$168,035$156,240
Less:
Amortization8,3628,362
Depreciation9,3669,906
Stock-based compensation10,7547,774
Other cost of revenue(1)85,81781,000
Other general and administrative(1)50,74950,743
Other research and development(1)9,1026,955
Other sales and marketing(1)21,71019,669
Restructuring charges—2,398
Loss from operations(27,825)(30,567)
Interest income(3,721)(4,834)
Interest expense1,6181,685
Other expense (income)(65)263
Loss before taxes(25,657)(27,681)
Income tax expense (benefit)266(620)
Net loss$(25,923)$(27,061)

(1)Excludes amounts related to amortization, depreciation, and stock-based compensation, as applicable.

Note 13. Subsequent Events

On April 4, 2025, the Company closed on the acquisition of Pathline, LLC (“Pathline”), a CLIA/CAP/NYS-certified laboratory based in New Jersey. The acquisition consideration is comprised of an initial purchase price of $8.0 million and contingent consideration if Pathline completes validation of certain flow cytometry panels to receive conditional approval from the New York State Department of Health for clinical laboratory permits. If validation is completed within 90 days, the Company will pay $2.0 million in contingent consideration, $1.0 million if completed within 180 days, and no additional amount thereafter. Pathline's financial results are not material to the Company's consolidated financial position or results, and accordingly no pro forma financial information is presented.

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