NeoGenomics FY Conference Summary Company Overview - **Company**: NeoGenomics (NasdaqCM:NEO) - **Date of Conference**: November 19, 2025 Key Points Financial Performance - **Strong Quarter**: NeoGenomics reported a strong quarter with overall revenue growth of 12% [3][5] - **Clinical Business Growth**: Clinical business, representing over 90% of total business, saw volume increase by 15% and revenue increase by 18% [3][5] - **NGS Growth**: Next-Generation Sequencing (NGS) revenue grew by 24%, primarily driven by volume rather than price [3][5] - **Average Unit Price (AUP)**: AUP increased by 3%-4% quarter over quarter and sequentially [4][5] Product Developments - **NGS Product Penetration**: Five key NGS products now represent 24% of overall clinical revenue, with expectations for continued growth [4][6] - **PanTracer Family**: Rebranding of solid tumor therapy selection portfolio under the PanTracer family has simplified messaging and improved market reception [8][9] - **MRD Market Re-entry**: NeoGenomics plans to formally launch Radar ST in the clinical setting next year, which is expected to drive future growth [5][41] Market Strategy - **Community Focus**: The company targets community oncologists, aiming to address their specific needs and pain points [12][29] - **Desiloing Model**: A new sales strategy using data triangulation to identify high-volume therapy selection test prescribers has shown a 2x improvement in closing rates [33][34] - **Pathline Integration**: The integration of Pathline lab into NeoGenomics is expected to enhance service offerings and drive growth in the Northeast region [36][39] Future Outlook - **Growth Drivers for 2026**: Anticipated growth from existing NGS portfolio, Pathline integration, and Radar ST launch [72][74] - **Pharma Business Recovery**: Expected erosion in the pharma business through 2025, with a return to growth anticipated in 2027 [59][60] - **Margin Improvement**: Focus on higher-value tests and operational efficiencies, including LIMS integration and automation, is expected to enhance margins [66][68] Additional Insights - **Market Feedback**: Positive early feedback from clinical customers regarding Radar ST, particularly concerning its sensitivity and specificity [46][49] - **Turnaround Times**: Improvements in turnaround times for assays are being implemented, with expectations to outperform previous benchmarks [50][51] - **Strategic Partnerships**: Potential partnerships in the breast cancer testing space are being explored to enhance market presence [48] Conclusion - NeoGenomics is positioned for continued growth with a strong focus on NGS and MRD markets, alongside strategic integration efforts and community-focused sales strategies. The company remains optimistic about its future performance while being cautious about overpromising results.

Financial Data and Key Metrics Changes - Total revenue for Q3 2025 was $188 million, representing a year-over-year growth of 12% [11][18] - Clinical revenue increased by 18% year-over-year, while non-clinical revenue declined by 27% [18] - Adjusted EBITDA was $12.2 million, marking the ninth consecutive quarter of positive earnings [21] - Average revenue per clinical test (AUP) increased by 3% year-over-year, with a sequential increase of 4% from Q2 [19][20] Business Line Data and Key Metrics Changes - Clinical business revenue grew by 15% excluding the Pathline acquisition, driven by effective execution of the commercial strategy [11] - NGS revenue grew by 24% year-over-year, accounting for 33% of total clinical revenue year-to-date [19] - Non-clinical revenue accounted for less than 9% of total revenue in Q3, consistent with expectations [12] Market Data and Key Metrics Changes - The therapy selection and MRD markets represent over $40 billion of addressable market opportunity, both growing rapidly [10] - MRD cancer surveillance and monitoring is estimated to be a $30 billion market, growing at a 30% CAGR with less than 10% market penetration [14] Company Strategy and Development Direction - The company is focused on advancing NGS and MRD long-term growth initiatives, including the launch of the RaDaR ST MRD assay [6][10] - The acquisition of Pathline enhances the company's presence in the Northeast, allowing for faster turnaround times and a broader test menu [8] - The company aims to consolidate send-out testing to simplify operational workflows and improve patient experience [9] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about significant opportunities in cancer testing, particularly in community settings where 80% of cancer care is delivered [7] - The company anticipates continued strong clinical performance and growth in NGS and MRD markets [17] - Full-year consolidated revenue guidance is revised to $720 million-$726 million, representing growth of 9%-10% over 2024 [22][23] Other Important Information - The company received a favorable court ruling regarding the RaDaR ST MRD assay, allowing for broader commercialization [12][13] - Cash flow from operations was positive at $9 million, with total cash at $164 million [21] Q&A Session Summary Question: How comfortable is the company with the guidance and the latest on PanTracer LBx? - Management believes they are in a good position to meet Q4 expectations and confirmed that PanTracer LBx does not need approval from MolDX to meet guidance [26][27] Question: What are the growth drivers expected for 2026? - Growth drivers for 2026 are expected to be similar to 2025, with strong clinical performance and ongoing NGS growth [31] Question: Where is the company seeing the most wins on the customer side for NGS? - Most growth is coming from community oncology practices, with strong performance from the PanTracer family of products [38] Question: What is the expected impact of the LIMS rollout? - The LIMS project is expected to deliver operational efficiencies starting in 2026, with significant benefits in 2027 and beyond [42][44] Question: How is the company addressing the challenges in the pharma business? - The company is focusing on execution excellence and leveraging new products like RaDaR and PanTracer LBx to improve relevance in the pharma space [54][56]

Financial Data and Key Metrics Changes - Total revenue for Q3 2025 was $188 million, representing a year-over-year growth of 12% [11][18] - Clinical revenue increased by 18% year-over-year, while non-clinical revenue declined by 27% [18] - Adjusted EBITDA was $12.2 million, marking the ninth consecutive quarter of positive earnings [18] - Average revenue per clinical test (AUP) increased by 3% year-over-year, with a sequential increase of $15 [19][20] Business Line Data and Key Metrics Changes - Clinical business revenue growth was 15% excluding the Pathline acquisition, driven by effective execution of the commercial strategy [11] - NGS revenue grew by 24% year-over-year, accounting for 33% of total clinical revenue year-to-date [19] - Total test volumes increased by 15% in Q3, with a same-store revenue growth of 15% [18][19] Market Data and Key Metrics Changes - The therapy selection and MRD markets represent over $40 billion of addressable market opportunity, both growing rapidly [10] - MRD cancer surveillance and monitoring is estimated to be a $30 billion addressable market, growing at a 30% CAGR [14] Company Strategy and Development Direction - The company is focused on advancing NGS and MRD long-term growth initiatives, including the launch of the Radar ST MRD assay [6][10] - The acquisition of Pathline enhances the company's presence in the Northeast, allowing for faster turnaround times and a broader test menu [8] - The company aims to consolidate send-out testing to simplify operational workflows and improve patient experience [9] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about significant opportunities in cancer testing, particularly in community settings where 80% of cancer care is delivered [7] - The company anticipates continued strong clinical performance and growth in NGS and MRD markets [17] - Full-year consolidated revenue guidance is revised to a range of $720 to $726 million, representing growth of 9% to 10% over 2024 [22][23] Other Important Information - The company has received Moldex approval for Radar ST in subsets of head and neck and breast cancer, preparing for a robust launch in Q1 2026 [13] - The LIMS project is expected to deliver operational efficiencies starting in 2026 and 2027 [22][44] Q&A Session Summary Question: How comfortable is the company with the guidance and the latest on PanTracer LBx? - Management believes they are in a good position to meet Q4 expectations and confirmed that PanTracer LBx does not require approval to meet guidance [27][32] Question: What is the growth outlook for MRD and its reimbursement? - Management expects MRD to contribute to revenue in 2026, with a slow revenue build anticipated [33][34] Question: Where is the company seeing wins in the NGS business? - Most growth is coming from community oncology practices, with strong performance from the PanTracer family of products [38][41] Question: What are the expected benefits from the LIMS rollout? - The LIMS system will simplify operations, improve turnaround times, and enhance customer experience, with benefits expected to materialize in 2026 and beyond [42][46] Question: How is the company addressing the challenges in the pharma business? - The company is focusing on execution excellence and leveraging new products like Radar ST and PanTracer LBx to regain traction in the pharma segment [54][56]

Financial Data and Key Metrics Changes - In Q2 2025, the company reported revenue of approximately $1,060 million, reflecting a year-over-year decline of about 3% on both constant currency and reported basis [20][21] - Non-GAAP operating margin was 23.8%, an increase of 160 basis points year-over-year, while non-GAAP EPS was $1.19, growing 9% year-over-year and exceeding guidance [5][28][29] - Non-GAAP gross margin was 69.4%, stable year-over-year, with a favorable product mix contributing to improved performance [27] Business Line Data and Key Metrics Changes - Sequencing consumables revenue was approximately flat year-over-year at $740 million, with high throughput consumables showing over 10% sequential growth [21][22] - The transition to the NovaSeq X platform is progressing, with over 80% of sequencing volumes for research customers already transitioned, and clinical customers at approximately 55% [22] - Sequencing instruments revenue was down approximately 18% year-over-year, primarily due to budget constraints from research customers [24] Market Data and Key Metrics Changes - Clinical markets now account for roughly 60% of total sequencing consumables, driven by comprehensive genomic profiling and sequencing-intensive applications [5][21] - Greater China revenue was $63 million, slightly ahead of expectations but down $12 million from 2024, with ongoing discussions with regulators regarding export restrictions [20][32] Company Strategy and Development Direction - The company aims for high single-digit revenue growth and to expand non-GAAP operating margin to 26% by 2027, focusing on growing the core sequencing business and expanding services [9][31] - The acquisition of Somologic for $350 million is expected to enhance the company's capabilities in proteomics, integrating it into their multiomics strategy [30][12] Management's Comments on Operating Environment and Future Outlook - Management expressed caution for the second half of 2025 due to ongoing funding uncertainties in the U.S. research market, despite raising guidance for total company revenue growth [16][17] - The clinical segment is expected to continue driving growth, with significant opportunities in oncology and genetic disease testing [80] Other Important Information - The company repurchased approximately 4.5 million shares for $380 million, with plans to continue share repurchases throughout the year [29][30] - The company ended the quarter with approximately $1,160 million in cash and equivalents, maintaining a gross leverage of approximately 1.7x [30] Q&A Session Summary Question: Guidance change and its components - The guidance increase was attributed to FX and increased expectations for consumables, while instrumentation expectations were reduced due to research market constraints [40][44] Question: Customer behavior in anticipation of competition - The company focuses on customer engagement and innovation to remain competitive, with ongoing efforts to understand customer needs [48][50] Question: Pull forward in customer orders - No significant pull forward was observed in Q2, with a normal quarter reported; however, increased backlog was noted for future orders [56][57] Question: Clinical customer spending patterns - Clinical customers are expected to continue investing in expanding their portfolios, with a gradual transition to the NovaSeq X platform [78][82] Question: Trajectory of X placements - The company anticipates continued placements of NovaSeq X instruments, with expectations of 50-60 placements per quarter [90]

Financial Data and Key Metrics Changes - The company reported revenues of $168 million for Q1 2025, an increase of 8% compared to the prior year, aligning with the previous guidance of 8% to 10% growth [24][29] - Adjusted EBITDA improved by 102% year-over-year to $7 million, marking the seventh consecutive quarter of positive adjusted EBITDA [24][10] - Total clinical revenue increased by $15 million or 11.3% in the quarter, while non-clinical revenue declined by $3.4 million or 15.8% [25][26] Business Line Data and Key Metrics Changes - Clinical testing volumes grew by 8% year-over-year, with NGS (Next Generation Sequencing) revenue growth of 18% [11][24] - Five new NGS products launched accounted for 22% of total clinical revenue in Q1 [11][12] - The company expects to achieve 25% annual growth in NGS, supported by an expanded sales force and upcoming product launches [12][13] Market Data and Key Metrics Changes - The NGS market is projected to grow at an annual rate of 10% to 15%, with the company aiming to grow above this rate [11] - The non-clinical business, which includes pharma, is expected to decline this year due to macroeconomic factors affecting R&D spending [15][27] Company Strategy and Development Direction - The company plans to focus on innovation through R&D, business development, and commercialization of new products to enhance patient care options [6][7] - The acquisition of Pathline is expected to accelerate growth and establish a local presence in the Northeast, contributing $12 million to $14 million in revenue for 2025 [8][29] - The company aims to leverage its strong position in community oncology and enhance its test offerings to drive incremental business [7][13] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the company's strong performance and the potential for growth in the community oncology market [36][40] - There are anticipated headwinds in the pharma sector, but clinical revenue growth is expected to offset these challenges [27][45] - The company is focused on integrating Pathline and optimizing operations to realize synergies in the second half of the year [29][30] Other Important Information - The company ended Q1 with cash and marketable securities of $358 million, a decrease of 7% year-over-year, and expects to maintain sufficient liquidity for investments [28][29] - The company is committed to increasing R&D investments to drive future product innovation [27][31] Q&A Session Summary Question: Can you discuss the last thirty days at the helm and any areas needing attention? - Management confirmed strong performance and positive interactions with the team, noting no surprises but areas for continued focus [36][39] Question: Can you unpack the NGS products driving clinical revenue? - Several new products contribute significantly, with a focus on community oncology, and investments in sales resources align with product launches [40][42] Question: What are the expectations for the pharma business this year? - The pharma segment is expected to decline similarly to last year, but clinical revenue growth will help offset this [45][46] Question: How will the Pathline acquisition impact revenue and integration? - Pathline is expected to contribute to revenue growth in the future, with integration efforts ongoing [29][30] Question: What is the timeline for the next-gen MRD product? - The timeline for the next-gen MRD product is set for 2026, with opportunities for acceleration through partnerships [66][67] Question: How will the sales force maturity impact revenue? - The sales force is expected to reach full productivity in 6 to 9 months, with leverage anticipated in the second half of the year [88][91]

Financial Data and Key Metrics Changes - The company reported revenues of $168 million for Q1 2025, an increase of 8% year-over-year, and adjusted EBITDA of $7.1 million, reflecting over 100% improvement compared to the previous year [10][24][30] - Clinical testing volumes increased by 8% year-over-year, with a 3% increase in revenue per test [10][24] - Adjusted gross margins improved by 146 basis points to 47%, with adjusted gross profits up 11% to $79 million [24] Business Line Data and Key Metrics Changes - Clinical revenue grew by $15 million or 11.3% in Q1 2025, while non-clinical revenue declined by $3.4 million or 15.8% [25][26] - Next Generation Sequencing (NGS) revenue grew by 18%, with five new NGS products launched that accounted for 22% of total clinical revenue [12][24] Market Data and Key Metrics Changes - The NGS market is estimated to grow at an annual rate of 10% to 15%, with the company expecting to grow above this rate [12] - The non-clinical business, which includes pharma, is expected to decline this year due to macroeconomic factors affecting R&D spending [17][26] Company Strategy and Development Direction - The company aims to enhance its oncology solutions by expanding its test menu and focusing on community oncology settings, where 80% of cancer patients are treated [9][10] - The acquisition of Pathline is expected to accelerate growth and improve market presence in the Northeast [9][10][30] - The company plans to invest more in innovation through R&D and commercialization of new products [8][10] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the company's strong performance and the potential for growth in clinical revenue, despite headwinds in the pharma sector [39][46] - The company anticipates that the integration of Pathline will yield positive results in 2026 and beyond, despite short-term challenges [26][30] Other Important Information - The company ended Q1 2025 with cash and marketable securities of $358 million, a decrease of 7% year-over-year [29] - The company expects to pay off its convertible notes due in May 2025 using existing cash and marketable securities [29] Q&A Session Summary Question: Can you discuss the last thirty days at the helm and any areas needing attention? - Management confirmed strong performance and positive interactions with the team, with no unexpected surprises [39] Question: Can you elaborate on the NGS products driving clinical revenue? - Several new products contribute to the 22% of clinical revenue, with a focus on community oncology [41] Question: What are the expectations for the pharma business this year? - The pharma business is expected to decline similarly to last year, but clinical revenue growth is anticipated to offset this [46] Question: How is the company planning to manage cash flow and investments? - The company expects to produce positive free cash flow in 2026 and has sufficient liquidity for investments [56] Question: What is the timeline for the PANTRASER liquid biopsy launch? - The launch is expected to simplify the ordering process and drive concurrent testing, particularly for lung cancer [61] Question: What are the expectations for average revenue per test moving forward? - The average revenue per test may be impacted by the addition of Pathline, but progress is expected on a modality basis [77] Question: How long does it take for the sales force to reach full productivity? - Typically, it takes six to nine months for new sales personnel to reach full productivity [86]