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Neogenomics Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 28 April 2026: press release. Guidance figures: 1 raised, 10 kept. The quarter’s numbers.

Key takeaways

  • Revenue up 11% to $187 million: Consolidated revenue was $187 million, up 11%, with Clinical revenue up 14% as the driver. Source
  • NGS revenue grew 26%: Within Clinical revenue, next-generation sequencing (NGS) revenue grew 26%. Source
  • Net loss narrowed 34%: Net loss was $17 million, down $9 million or 34% from $26 million in the first quarter of 2025. Source
  • Full-year revenue guidance raised: The company revised full-year 2026 guidance, which was first issued on February 17, 2026, and raised the revenue range. Source
  • Revenue per test rose 8%: Average revenue per clinical test increased to $495, with 9% growth excluding Pathline tests. Source
  • RaDaR ST MRD assay launched clinically: RaDaR ST, a ctDNA assay for molecular residual disease, launched clinically in February; management estimates a $20 billion addressable market growing 30% annually. Source
  • Adjusted gross margin at 46.0%: Adjusted gross profit margin, excluding acquired intangible amortization and stock-based compensation, was 46.0% versus 46.8% a year earlier. Source

“We again delivered double-digit revenue growth while making meaningful strides in our efforts to bring the latest innovation in advanced cancer testing to the community setting”

Tony Zook, Chief Executive Officer of NeoGenomics

Guidance

AreaPeriodFigureAgainst last quarter
Consolidated revenue SourceFY2026$797-$803 millionRaised from $793-$801 million
Net loss (GAAP) SourceFY2026$(63) million to $(50) millionKept
Net loss per diluted share (GAAP) SourceFY2026$(0.48) to $(0.38)Kept
Adjusted EBITDA (non-GAAP) SourceFY2026$55-$57 millionKept
Adjusted net income (non-GAAP) SourceFY2026$21-$27 millionKept
Adjusted diluted EPS (non-GAAP) SourceFY2026$0.16 to $0.21Kept
Diluted shares assumed SourceFY2026130,000 thousand sharesKept
Depreciation SourceFY2026$36-$39 millionKept
Amortization of intangibles SourceFY2026$30 millionKept
Stock-based compensation SourceFY2026$40-$43 millionKept
Other one-time expenses SourceFY2026$7-$11 millionKept

What changed from last quarter

  • Guidance raised: FY2026 consolidated revenue guidance raised to $797-$803 million from $793-$801 million. Source
  • Guidance kept: FY2026 adjusted EBITDA guidance was kept at $55-$57 million. Source
  • New: The RaDaR ST MRD assay moved from imminent launch in the prior release to full clinical launch in February 2026. Source
  • New: The company announced a MolDX coverage decision for PanTracer LBx, its blood-based comprehensive genomic profiling test. Source
  • New: PanTracer Pro was introduced as a new addition to the PanTracer family for advanced-stage solid tumor testing workflows. Source

Results and growth drivers

  • Revenue up 11% to $187 million: Consolidated revenue was $187 million, up 11%, with Clinical revenue up 14% as the driver. Source
  • NGS revenue grew 26%: Within Clinical revenue, next-generation sequencing (NGS) revenue grew 26%. Source
  • Net loss narrowed 34%: Net loss was $17 million, down $9 million or 34% from $26 million in the first quarter of 2025. Source
  • Full-year revenue guidance raised: The company revised full-year 2026 guidance, which was first issued on February 17, 2026, and raised the revenue range. Source
  • Adjusted EBITDA rose 27%: Adjusted EBITDA was $9.0 million, up 27% from $7.1 million a year earlier. Source

Clinical volume and test pricing

  • Tests performed rose 6.0%: Clinical tests performed including Pathline were 345,679 in the quarter, up 6.0% from 326,163. Source
  • Revenue per test rose 8%: Average revenue per clinical test increased to $495, with 9% growth excluding Pathline tests. Source
  • Excluding Pathline, test volume rose 2.8%: Excluding Pathline, clinical tests performed were 335,155, up 2.8%, and average revenue per test was $501, up 9.2%. Source

“The full clinical launch of our RaDaR® ST MRD assay in February represents an important advancement in residual disease monitoring”

Tony Zook, Chief Executive Officer of NeoGenomics

Products and launches

  • RaDaR ST MRD assay launched clinically: RaDaR ST, a ctDNA assay for molecular residual disease, launched clinically in February; management estimates a $20 billion addressable market growing 30% annually. Source
  • PanTracer LBx gets MolDX coverage: The company announced a MolDX coverage decision for PanTracer LBx, a blood-based test for therapy selection and trial enrollment in advanced solid tumors. Source
  • PanTracer Pro introduced: PanTracer Pro was introduced to help clinicians with molecular testing workflows for advanced-stage solid tumors. Source
  • PanTracer Tissue volumes grew over two years: Management said PanTracer Tissue has seen growth in test volumes over the past two years. Source

Margins and operating costs

  • Adjusted gross margin at 46.0%: Adjusted gross profit margin, excluding acquired intangible amortization and stock-based compensation, was 46.0% versus 46.8% a year earlier. Source
  • Gross profit up 10% to $81 million: Consolidated gross profit was $81 million, up 10%; GAAP gross margin was 43.3% versus 43.6%. Source
  • Operating expenses down 2%: Operating expenses were $99 million, down $2 million or 2% from the first quarter of 2025. Source

“These important additions further differentiate our portfolio, advancing our objective to deliver long-term predictable revenue growth while helping community providers achieve optimal outcomes for their patients.”

Tony Zook, Chief Executive Officer of NeoGenomics

Earnings per share and adjusted measures

  • GAAP diluted loss per share $0.13: GAAP basic and diluted net loss per share was $(0.13), compared with $(0.20) in the first quarter of 2025. Source
  • Adjusted diluted EPS $0.01: Adjusted diluted EPS was $0.01, compared with nil in the first quarter of 2025, on 129,166 thousand diluted shares. Source
  • Adjusted net income of $1.4 million: Adjusted net income was $1.4 million, compared with an adjusted net loss of $0.5 million in the first quarter of 2025. Source

Cash flow and balance sheet

  • Cash and equivalents $146 million: Cash, cash equivalents and marketable securities totaled $146 million at quarter end, down from $159.6 million at December 31, 2025. Source
  • Operating cash use narrowed: Net cash used in operating activities was $8.1 million, compared with $25.3 million in the first quarter of 2025. Source
  • Capital expenditure $5.0 million: Purchases of property and equipment were $5.0 million in the quarter, compared with $4.5 million a year earlier. Source
  • Convertible notes carried at $342 million: Convertible senior notes, net, were $342.2 million at March 31, 2026, compared with $341.9 million at December 31, 2025. Source

Non-recurring costs and legal matters

  • Severance in acquisition integration costs: Acquisition and integration related expenses were $806 thousand in the quarter, and these include severance costs. Source
  • Other significant expenses $0.4 million: Other significant expenses of $402 thousand covered executive retention, severance and fees for non-recurring legal matters. Source
  • Prior-year CEO transition and IP costs: The first quarter of 2025 included $2.2 million of CEO transition costs and $3.0 million of IP litigation costs, which did not recur in 2026. Source

Figures management reported

FigureReported
Clinical tests performed, including Pathline Source345,679, up 6.0% from 326,163
Clinical tests performed, excluding Pathline Source335,155, up 2.8% from 326,163
Average revenue per clinical test, including Pathline Source$495, up 7.8%
NGS revenue growth Source26%

Earlier plans management reported on

  • Not stated: The prior release described the RaDaR ST clinical launch as imminent; this release reports the full clinical launch in February. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.