NeoGenomics
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NeoGenomics (NEO) investor relations material

NeoGenomics Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary28 Jul, 2026

Executive summary

  • Q2 2026 revenue rose 11–11.2% year-over-year to $201.7–$202 million, led by 14% clinical growth and 26% NGS growth, with net income of $2–$2.2 million reversing a prior-year loss.

  • Adjusted EBITDA increased 36% to $14–$14.5 million, and adjusted net income was $7 million, up from $4 million a year ago.

  • Commercial strategy was enhanced with a dedicated pathology and oncology team, and RaDaR ST submission was made to MolDx for Medicare reimbursement.

  • Raised $316 million via convertible senior notes due 2032, retiring $274–$276 million of 2028 notes, and repurchased $25 million in common stock.

  • Settled a DOJ matter for $10 million, impacting Q3 cash from operations.

Financial highlights

  • Adjusted gross margin expanded by 260 basis points year-over-year to 48–48.1%.

  • Adjusted gross profit increased 18–19% to $92–$96.9 million.

  • Operating expenses were $101.6–$102 million, down 3–19% year-over-year, mainly due to prior-year impairment charges.

  • Generated $20 million in operating cash and invested $8 million in capital purchases.

  • Cash and equivalents at quarter end were $145.5–$146 million.

Outlook and guidance

  • Full-year 2026 revenue guidance raised to $802–$806 million, with adjusted EBITDA guidance of $56–$58 million.

  • Clinical business expected to grow in low teens, NGS in mid-20% range, and non-clinical business projected to decline high single digits.

  • Gross margin improvement of 100–150 basis points anticipated for full year 2026.

  • Adjusted EBITDA expected to grow over 30% year-over-year at the midpoint.

  • Net loss for 2026 expected to narrow to $42–$34 million, a 61–69% improvement.

Drivers of the revenue per clinical test growth
Status of the three RaDaR ST MolDx submissions
Dedicated pathology and oncology team strategy
RaDaR ST's strategy for the $20B MRD market
Commercial reorganization into dual ecosystems
Lab of the Future initiatives for margin growth
Rationale for 2032 note issuance and repurchases
Impact of LDT rule vacatur on future compliance
Strategy for MRD and PanTracer market adoption
Commercial reorganization impact on execution
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