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NeoGenomics (NEO) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqCM•Healthcare•Diagnostics & Research
D
WeakMetricSide Score: 53/100
ProfitabilityProfit17/25
GrowthGrowth19/25
Balance Sheet & Red FlagsBalance10/25
Cash & Earnings QualityCash7/25

Grade capped at D — Interest coverage below 1× (-21.9x) — earnings cannot cover interest. Strongest: Growth (19/25); weakest: Cash & Earnings Quality (7/25).

Price & Volume
Market Cap $2.05B

NeoGenomics, Inc. operates a network of cancer-focused testing laboratories in the United States and the United Kingdom. The company offers testing services to hospitals, academic centers, pathologists, oncologists, clinicians, pharmaceutical companies, and clinical laboratories. It also provides cytogenetics testing services to study normal and abnormal chromosomes and their relationship to diseases; fluorescence in-situ hybridization testing services that focus on detecting and locating the presence or absence of specific DNA sequences and genes on chromosomes; flow cytometry testing services to measure the characteristics of cell populations; and immunohistochemistry and digital imaging testing services to localize cellular proteins in tissue section, as well as to allow clients to visualize scanned slides, and perform quantitative analysis for various stains. In addition, the company offers molecular testing services, which focus on the analysis of DNA and/or RNA, and the structure and function of genes at the molecular level; morphologic analysis, which is the process of analyzing cells under the microscope by a pathologist for the purpose of diagnosis; and testing services in support of its pharmaceutical clients' oncology programs covering discovery and commercialization. The company was founded in 2001 and is headquartered in Fort Myers, Florida.

Moat Signals

Competitive analysis based on 59 quarters of fundamental data

Pricing Power

Weak Moat

Operating margins are under pressure, averaging -12.8%. The business may lack pricing power or face rising costs.'

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Risk Signals

Data-driven red flags and warnings across 59 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 5 of the last 8 quarters — earnings are not translating to cash.

Leverage Risk

Healthy

D/E ratio is 0.5 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Watch

5 of the last 8 quarters had negative FCF — inconsistent cash generation raises sustainability concerns.

Share Dilution

Watch

Shares outstanding rose 2.1% — mild dilution. Compare to earnings growth to assess net per-share impact.

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$766.29M
7Q
Q. Revenue
$201.66M
11%
TTM EBITDA
$-2.98M
3Q
TTM Op. Income
$-68.44M
3Q
Q. Op. Income
$-9.77M
79%
TTM Net Income
$-51.88M
3Q
Q. Net Income
$2.24M
105%
EPS
$0.02
106%
Shares Out.
$129.63M
7Q
$766.29M in TTM revenue grew 11.2% YoY, reaching $201.66M last quarter. TTM EBITDA of $-2.98M and TTM operating income of $-68.44M shows growth is flowing through. However, net income is negative at $51.88M — growth is not yet reaching the bottom line. Revenue is growing at a healthy pace — a signal to hold. Across the last 8 quarters, TTM revenue has risen for 7 consecutive quarters — a improving trend.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
45.6%
7%
EBITDA Margin
3.2%
119%
Op. Margin
-4.8%
82%
Net Margin
1.1%
104%
Op. margin of -4.8% is up 21.4% YoY — cost efficiency is improving. Net margin at 1.1% and gross margin of 45.6% — earnings take a bigger bite when COGS stays lean.. Over the past year, Operating margin is up 82% — a improving trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
2.7x
97%
P/B Ratio
2.6x
139%
P/S of 2.7x and P/B of 2.6x.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$1.35B
3%
Cash
$145.54M
3Q
Long-Term Debt
$374.24M
7Q
Book Value
$785.73M
7Q
D/E Ratio
0.5
7Q
Debt/EBITDA
58.1
With $1.35B in assets and $374.24M in long-term debt, the D/E of 0.5and book value of $785.73M — shows a conservative capital structure — the company has a strong financial cushion to weather downturns. Across the last 8 quarters, Debt/equity has risen for 7 consecutive quarters — a deteriorating trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$19.96M
2%
TTM Free Cash Flow
$-7.36M
62%
FCF Margin
-1.0%
65%
FCF / Net Income
0.1
23%
TTM FCF of $-7.36M on $19.96M in operating cash flow. The FCF / Net Income ratio of 0.1x indicates partial cash conversion — earnings quality needs attention. Over the past year, Free cash flow is up 62% — a deteriorating trend.

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Cash Generation

Weak Moat

Only 3 of the last 8 quarters had positive FCF — the business may require external capital to sustain operations.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~19.0% growth over the period. Strong demand durability.