10-K annual report · filed Feb 17, 2026

NEOGENOMICS INC (NEO) FY2025 10-K Annual Report

Short answer

NEOGENOMICS INC (NEO) filed its fiscal 2025 10-K annual report with the SEC on Feb 17, 2026. It reported revenue of $727M (+10.1% year over year) and net income of −$108M.

  • Top risk flagged: FDA potential regulation of Laboratory Developed Tests requiring clinical trials and approvals, risking operational disruptions and costs

FY2025 key financial metrics · XBRL

Revenue
$727M
+10.1% YoY
Net income
−$108M
−37.2% YoY
Operating margin
-15.9%
−2.0 pp YoY
Gross margin
43.2%
−0.7 pp YoY
ROE
-12.9%
−4.2 pp YoY
Operating cash flow
$5M
−25.5% YoY

Source: XBRL data from the NEOGENOMICS INC (NEO) FY2025 10-K on SEC EDGAR. USD.

NEOGENOMICS INC FY2025 10-K analysis

AI summary of each section, grounded in the filing text

Business Overview

  • Core business: oncology-focused diagnostic testing and consultative services, including molecular and precision cancer testing
  • Emphasis on growth in therapy selection and Molecular Residual Disease (MRD) testing with launches under a 2026 launch excellence program
  • Strategic expansion into community oncology market leveraging partnerships for accelerated topline growth
  • Largest molecular testing panels include PanTracer and Neo Comprehensive portfolios with NGS capabilities; Inivata acquisition (2021) bolsters liquid biopsy MRD tech
  • 2026 focus on driving operational efficiency via automation, customer experience improvements, and culture with enhanced collaboration and accountability

Management Discussion & Analysis

  • Revenue $727.3M in 2025, up 10.1% YoY or $66.8M, driven by higher test volumes, higher value tests, reimbursement, and Pathline acquisition
  • Gross profit $314.3M, margin 43.2% in 2025 vs 43.9% in 2024, a 0.7% margin decline mainly from Pathline acquisition and rising costs
  • Best segment: clinical molecular and NGS testing driving growth; worst segment: lower non-clinical revenue due to macro clinical trial trends
  • Adjusted EBITDA $43.4M in 2025, up 9.5% or $3.7M YoY; G&A $273.3M (37.6% of revenue) increased 5.2% or $13.6M; sales & marketing $92.0M up 8.7%
  • No restructuring charges in 2025 vs $6.7M in 2024; R&D expense $37.1M (5.1% of revenue), up 19%; expecting increased R&D investment going forward
  • Management plans to grow via precision diagnostics, therapy selection, MRD testing, community oncology expansion, and efficiency through automation
  • Regulatory risk: FDA LDT oversight uncertain after 2025 court ruling vacating FDA rule; potential future FDA changes could increase compliance costs
  • No significant expected 2026 revenue impact from regulatory changes; continued investments in test menu expansion, IT, automation, and sales force growth

Risk Factors

  • FDA potential regulation of Laboratory Developed Tests requiring clinical trials and approvals, risking operational disruptions and costs
  • Global conflicts and political unrest posing business disruption risks with no specific regional revenue exposure disclosed
  • Capacity constraints risk from inability to scale personnel and systems impacting turnaround times and client retention
  • Intense competition from Quest Diagnostics, Guardant Health, and Myriad Genetics increasing price pressure and market share risk
  • Servicing $2028 Convertible Notes may strain cash flow and limit financial flexibility impacting operational funding

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