UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2017

or

March 31, 2024

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from  to

Commission File Number: 001-35756

NEOGENOMICS, INC.

(Exact name of registrant as specified in its charter)

Nevada

74-2897368

(State or other jurisdiction of

(I.R.S. Employer

incorporation or organization)

(I.R.S. Employer Identification No.)

12701 Commonwealth Drive, Suite 9, 9490 NeoGenomics Way,

Fort Myers,

Florida33912

Florida

33913

(Address of principal executive offices)

(Zip Code)

(239) 768-0600

(Registrant’s telephone number, including area code)

 Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of each exchange on which registered
Common stock ($0.001 par value)NEOThe Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.   Yes  SNo  

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  S   No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

S

Accelerated filer

Non-accelerated filer

(Do not check if a smaller reporting company)

Smaller Reporting Company

Emerging Growth Company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   Yes     No  

S

As of November 7, 2017,April 26, 2024, the registrant had 80,409,557127,711,930 shares of Common Stock, par value $0.001 per share outstanding.





TABLE OF CONTENTS

4

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34

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37

38





FORWARD-LOOKING STATEMENTS

The information in this

This Quarterly Report on Form 10-Q contains “forward-looking statements” and information within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) relating to NeoGenomics, Inc., a Nevada corporation and its subsidiaries, NeoGenomics Laboratories, Inc., a Florida corporation (“NEO”, “NeoGenomics Laboratories”), NeoGenomics Bioinformatics Inc., a Florida corporation, and Clarient, Inc., a Delaware corporation and its wholly owned subsidiary, Clarient Diagnostic Services, Inc. (together “Clarient”) (collectively referred to as “we”, “us”, “our”, “NeoGenomics”, or the “Company”), which are subject to the “safe harbor” created by those sections.forward-looking statements. These forward-looking statements include, but aregenerally can be identified by the use of words such as “anticipate,” “believe,” “could,” “estimate,” “expect,” “forecast,” “goal,” “intends,” “may,” “plan,” “potential,” “project,” “will,” “would,” and similar expressions, although not limited to,all forward-looking statements concerning ourcontain these identifying words. These forward-looking statements address various matters, including the Company’s strategy, future operations, future financial position, future revenues, changing reimbursement levels from government payers and private insurers, projected costs, prospects and plans, and objectives of management. The words “anticipates,” “believes,” “estimates,” “expects,” “intends,” “may,” “plans,” “projects,” “will,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements. These forward-looking statements involve known and unknown risks and uncertainties that could cause our actual results, performance or achievements to differ materially from those expressed or implied by the forward-looking statements, including, without limitation, the risks set forth under “Risk Factors” and in Part I, Item 1A, “Risk Factors” contained in our Annual Report on Form 10-K as filed with the SECSecurities and Exchange Commission (the “SEC”) on March 14, 2017.  

Forward lookingFebruary 20, 2024, and in Part II, Item 1A, “Risk Factors” in this Quarterly Report on Form 10-Q.

The forward-looking statements include, but are not limited to, statements about:

Our ability to implement our business strategy;

The expected reimbursement levels from governmental payers and private insurers and proposed changes to those levels;

The application, to our business and the services we provide, of existing laws, rules and regulations, including without limitation, Medicare laws, anti-kickback laws, Health Insurance Portability and Accountability Act of 1996 regulations, state medical privacy laws, federal and state false claims laws and corporate practice of medicine laws;

Regulatory developmentsincluded in the United States including downward pressurethis Quarterly Report on health care reimbursement;

Our ability to maintain our license under the Clinical Laboratory Improvement Amendments of 1988 (“CLIA”);

Food and Drug Administration regulation of Laboratory Developed Tests (“LDTs”);

Failure to timely or accurately bill for our services;

Our ability to expand our operations and increase our market share;

Our ability to expand our service offerings by adding new testing capabilities;

Our ability to meet our future capital requirements;

Our ability to integrate future acquisitions and costs related to such acquisitions;

The impact of internalization of testing by customers;

Our ability to maintain service levels and compete with other diagnostic laboratories;

Our ability to hire and retain sufficient managerial, sales, clinical and other personnel to meet our needs;

Our ability to successfully scale our business, including expanding our facilities, our backup systems and infrastructure;

The accuracy of our estimates regarding reimbursement, expenses, future revenues and capital requirements.

Any forward-looking statement speaksForm 10-Q speak only as of the date on which such statement is made,of this report, and the Company undertakes no obligation to update any forward-looking statement or statements to reflect events or circumstances after the date on which such statement is made or to reflect the occurrence of unanticipated events. New factors emerge from time to time and it is not possible for management to predict all of such factors, nor can it assess the impact of each such factor on the business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements.




3


Glossary
Throughout this Quarterly Report on Form 10-Q, we may use certain abbreviations, acronyms and terms which are described below:
ACAThe Patient Protection and Affordable Care Act
ACLAAmerican Clinical Laboratory Association
AKSAnti-Kickback Statute
CAPCollege of American Pathologists
CDxCompanion Diagnostic
CLIAClinical Laboratory Improvement Amendments of 1988
CMSCenters for Medicare and Medicaid Services
CROContract research organizations
DHSDesignated health services
FCAThe federal False Claims Act
FDAU.S. Federal Drug Administration
FISHFluorescence In-Situ Hybridization
GAAPU.S generally accepted accounting principles
GDPRThe European Union’s General Data Protection Regulation
HIPAAThe Health Insurance Portability and Accountability Act of 1996
IHCImmunohistochemistry
LDTLaboratory developed tests
LIMSLaboratory Information Management System
MolDxMolecular Diagnostic Services Program
MRDMinimal residual disease
NGSNext-generation sequencing
OIGThe Office of Inspector General of the Department of Health and Human Services
PCRPolymerase chain reaction
PHIProtected health information
4


PART I — FINANCIALFINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

NEOGENOMICS, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(unaudited)

data)
(unaudited)
March 31, 2024
December 31, 2023
ASSETS
Current assets
Cash and cash equivalents$331,914 $342,488 
Marketable securities, at fair value52,916 72,715 
Accounts receivable, net140,279 131,227 
Inventories20,320 24,156 
Prepaid assets19,155 17,987 
Other current assets9,312 8,239 
Total current assets573,896 596,812 
Property and equipment (net of accumulated depreciation of $167,584 and $158,211, respectively)87,865 92,012 
Operating lease right-of-use assets86,578 91,769 
Intangible assets, net364,764 373,128 
Goodwill522,766 522,766 
Other assets4,470 4,742 
Total non-current assets1,066,443 1,084,417 
Total assets$1,640,339 $1,681,229 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable$18,336 $20,334 
Accrued compensation34,609 53,161 
Accrued expenses and other liabilities18,134 15,069 
Current portion of operating lease liabilities4,487 5,610 
Contract liabilities1,144 2,130 
Total current liabilities76,710 96,304 
Long-term liabilities
Convertible senior notes, net538,923 538,198 
Operating lease liabilities64,773 67,871 
Deferred income tax liabilities, net23,490 24,285 
Other long-term liabilities13,033 13,034 
Total long-term liabilities640,219 643,388 
     Total liabilities$716,929 $739,692 
Commitments and contingencies (Note 11)
Stockholders’ equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 127,434,786 and 127,369,142 shares issued and outstanding, respectively)$127 $127 
Additional paid-in capital1,198,729 1,190,139 
Accumulated other comprehensive loss(1,330)(1,674)
Accumulated deficit(274,116)(247,055)
     Total stockholders’ equity$923,410 $941,537 
     Total liabilities and stockholders’ equity$1,640,339 $1,681,229 

 

 

 

 

 

 

 

 

 

ASSETS

 

September 30, 2017

 

 

December 31, 2016

 

Current assets

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

12,211

 

 

$

12,525

 

Accounts receivable (net of allowance for doubtful accounts of $10,937 and

   $13,699, respectively)

 

 

62,723

 

 

 

55,512

 

Inventories

 

 

6,088

 

 

 

6,253

 

Other current assets

 

 

4,725

 

 

 

4,535

 

Total current assets

 

 

85,747

 

 

 

78,825

 

Property and equipment (net of accumulated depreciation of $37,496 and

$27,102, respectively)

 

 

34,549

 

 

 

34,036

 

Intangible assets, net

 

 

76,330

 

 

 

77,064

 

Goodwill

 

 

147,019

 

 

 

147,019

 

Other assets

 

 

250

 

 

 

174

 

Total assets

 

$

343,895

 

 

$

337,118

 

LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

 

 

Accounts payable

 

$

14,823

 

 

$

16,782

 

Accrued compensation

 

 

11,805

 

 

 

8,351

 

Accrued expenses and other liabilities

 

 

5,000

 

 

 

4,247

 

Short-term portion of capital leases

 

 

4,687

 

 

 

4,891

 

Short-term portion of loans

 

 

3,799

 

 

 

3,842

 

Total current liabilities

 

 

40,114

 

 

 

38,113

 

Long-term liabilities

 

 

 

 

 

 

 

 

Long-term portion of capital leases

 

 

4,583

 

 

 

5,378

 

Long-term portion of loans, net

 

 

67,531

 

 

 

70,259

 

Revolving credit facility, net

 

 

24,461

 

 

 

21,799

 

Deferred income tax liability, net

 

 

7,548

 

 

 

14,973

 

Total long-term liabilities

 

 

104,123

 

 

 

112,409

 

Total liabilities

 

 

144,237

 

 

 

150,522

 

Commitments and contingencies - see Note I

 

 

 

 

 

 

 

 

Redeemable convertible preferred stock

 

 

 

 

 

 

 

 

Series A Redeemable Convertible Preferred Stock, $0.001 par value, (50,000,000 shares authorized; 6,600,000 shares issued and outstanding)

 

 

30,125

 

 

 

22,873

 

Stockholders' equity

 

 

 

 

 

 

 

 

Common stock, $0.001 par value, (250,000,000 shares authorized; 80,346,946 and 78,571,158 shares issued and outstanding, respectively)

 

 

80

 

 

 

79

 

Additional paid-in capital

 

 

229,006

 

 

 

216,104

 

Accumulated deficit

 

 

(59,553

)

 

 

(52,460

)

Total stockholders’ equity

 

 

169,533

 

 

 

163,723

 

Total liabilities, redeemable convertible preferred stock and stockholders' equity

 

$

343,895

 

 

$

337,118

 



See the accompanying notes to the unaudited consolidated financial statements

Consolidated Financial Statements.

5



NEOGENOMICS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

data)

(unaudited)

 

 

For the Three Months Ended September 30,

 

 

For the Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

NET REVENUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical testing

 

$

56,186

 

 

$

55,739

 

 

$

172,668

 

 

$

166,674

 

Pharma Services

 

 

6,866

 

 

 

5,022

 

 

 

18,150

 

 

 

16,919

 

Total Revenue

 

 

63,052

 

 

 

60,761

 

 

 

190,818

 

 

 

183,593

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COST OF REVENUE

 

 

34,242

 

 

 

33,416

 

 

 

103,634

 

 

 

100,471

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GROSS PROFIT

 

 

28,810

 

 

 

27,345

 

 

 

87,184

 

 

 

83,122

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General and administrative

 

 

23,267

 

 

 

19,025

 

 

 

66,743

 

 

 

55,810

 

Research and development

 

 

1,270

 

 

 

967

 

 

 

3,080

 

 

 

3,719

 

Sales and marketing

 

 

6,577

 

 

 

5,958

 

 

 

18,466

 

 

 

18,084

 

Loss on sale of Path Logic

 

 

1,058

 

 

 

 

 

 

1,058

 

 

 

 

Total operating expenses

 

 

32,172

 

 

 

25,950

 

 

 

89,347

 

 

 

77,613

 

INCOME (LOSS) FROM OPERATIONS

 

 

(3,362

)

 

 

1,395

 

 

 

(2,163

)

 

 

5,509

 

Interest expense, net

 

 

1,398

 

 

 

1,468

 

 

 

4,173

 

 

 

4,509

 

Income (loss) before taxes

 

 

(4,760

)

 

 

(73

)

 

 

(6,336

)

 

 

1,000

 

Income tax (benefit) expense

 

 

340

 

 

 

(6

)

 

 

(539

)

 

 

500

 

NET INCOME (LOSS)

 

 

(5,100

)

 

 

(67

)

 

 

(5,797

)

 

 

500

 

Deemed dividends on preferred stock

 

 

912

 

 

 

1,840

 

 

 

2,734

 

 

 

5,520

 

Amortization of preferred stock beneficial conversion feature

 

 

1,739

 

 

 

3,727

 

 

 

5,122

 

 

 

11,180

 

NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS

 

$

(7,751

)

 

$

(5,634

)

 

$

(13,653

)

 

$

(16,200

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET LOSS PER SHARE ATTRIBUTABLE TO COMMON STOCKHOLDERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

(0.10

)

 

$

(0.07

)

 

$

(0.17

)

 

$

(0.21

)

Diluted

 

$

(0.10

)

 

$

(0.07

)

 

$

(0.17

)

 

$

(0.21

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

79,617

 

 

 

78,145

 

 

 

79,208

 

 

 

77,224

 

Diluted

 

 

79,617

 

 

 

78,145

 

 

 

79,208

 

 

 

77,224

 


 Three Months Ended March 31,
 20242023
NET REVENUE  
Clinical Services$134,535 $114,869 
Advanced Diagnostics21,705 22,351 
Total net revenue156,240 137,220 
COST OF REVENUE90,771 82,406 
GROSS PROFIT65,469 54,814 
Operating expenses:
General and administrative65,797 61,549 
Research and development7,620 7,395 
Sales and marketing20,221 16,259 
Restructuring charges2,398 4,684 
Total operating expenses96,036 89,887 
LOSS FROM OPERATIONS(30,567)(35,073)
Interest income(4,834)(3,224)
Interest expense1,685 1,757 
Other expense (income), net263 114 
Loss before taxes(27,681)(33,720)
Income tax benefit(620)(2,925)
NET LOSS$(27,061)$(30,795)
NET LOSS PER SHARE
Basic$(0.21)$(0.25)
Diluted$(0.21)$(0.25)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING
Basic126,111 125,026 
Diluted126,111 125,026 

See the accompanying notes to the unaudited consolidated financial statements.

Consolidated Financial Statements.

6



NEOGENOMICS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(in thousands)
(unaudited)

Three Months Ended March 31,
20242023
NET LOSS$(27,061)$(30,795)
OTHER COMPREHENSIVE GAIN:
Net unrealized gain on marketable securities, net of tax344 1,065 
   Total other comprehensive gain, net of tax344 1,065 
COMPREHENSIVE LOSS$(26,717)$(29,730)


See the accompanying notes to the unaudited Consolidated Financial Statements.

7


NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(in thousands, except share data)
(unaudited)

Common StockAdditional Paid-In CapitalAccumulated Other Comprehensive LossAccumulated DeficitTotal
SharesAmount
Balance, December 31, 2023127,369,142 $127 $1,190,139 $(1,674)$(247,055)$941,537 
Issuance of common stock for ESPP70,278 — 917 — — 917 
Issuance of restricted stock, net of forfeitures(17,398)— (199)— — (199)
Issuance of common stock for stock options12,764 — 102 — — 102 
Stock issuance fees and expenses— — (4)— — (4)
Stock-based compensation expense— — 7,774 — — 7,774 
Net unrealized gain on marketable securities, net of tax— — — 344 — 344 
Net loss— — — — (27,061)(27,061)
Balance, March 31, 2024127,434,786 $127 $1,198,729 $(1,330)$(274,116)$923,410 


Common StockAdditional Paid-In CapitalAccumulated Other Comprehensive LossAccumulated DeficitTotal
SharesAmount
Balance, December 31, 2022126,913,992 $127 $1,160,882 $(3,899)$(159,087)$998,023 
Issuance of common stock for ESPP96,733 — 811 — — 811 
Issuance of restricted stock, net of forfeitures114,738 — (147)— — (147)
Issuance of common stock for stock options75,028 — 751 — — 751 
Stock issuance fees and expenses— — (4)— — (4)
Stock-based compensation expense— — 4,758 — — 4,758 
Net unrealized gain on marketable securities, net of tax— — — 1,065 — 1,065 
Net loss— — — — (30,795)(30,795)
Balance, March 31, 2023127,200,491 $127 $1,167,051 $(2,834)$(189,882)$974,462 

See the accompanying notes to the unaudited Consolidated Financial Statements.

8


NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

For the Nine Months Ended September 30,

 

CASH FLOWS FROM OPERATING ACTIVITIES

 

2017

 

 

2016

 

Net income (loss)

 

$

(5,797

)

 

$

500

 

Adjustments to reconcile net income (loss) to net cash provided by

operating activities:

 

 

 

 

 

 

 

 

Depreciation

 

 

11,739

 

 

 

11,550

 

Amortization of intangibles

 

 

5,201

 

 

 

5,454

 

Amortization of debt issue costs

 

 

330

 

 

 

532

 

Loss on sale of Path Logic

 

 

1,058

 

 

 

-

 

Stock based compensation – options, restricted stock and warrants

 

 

5,812

 

 

 

4,024

 

Provision for bad debts

 

 

13,026

 

 

 

8,183

 

Changes in assets and liabilities, net:

 

 

 

 

 

 

 

 

(Increase) in accounts receivable, net of write-offs

 

 

(20,916

)

 

 

(9,424

)

(Increase) in inventories

 

 

(37

)

 

 

(844

)

(Increase) in prepaid expenses

 

 

(406

)

 

 

(1,482

)

(Increase) in other current assets

 

 

(98

)

 

 

(46

)

Increase in accounts payable and other liabilities

 

 

2,366

 

 

 

3,271

 

Net cash provided by operating activities

 

 

12,278

 

 

 

21,718

 

CASH FLOWS FROM INVESTING ACTIVITIES

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

(10,167

)

 

 

(5,328

)

Net cash used in investing activities

 

 

(10,167

)

 

 

(5,328

)

CASH FLOWS FROM FINANCING ACTIVITIES

 

 

 

 

 

 

 

 

Advances from revolving credit facility, net

 

 

2,496

 

 

 

 

Repayment to revolving credit facility

 

 

 

 

 

(10,044

)

Repayment of capital lease obligations/loans

 

 

(4,126

)

 

 

(3,874

)

Repayment on term loan, net

 

 

(2,816

)

 

 

(413

)

Proceeds from the exercise of options, warrants and ESPP shares, net of transaction expenses

 

 

2,218

 

 

 

3,456

 

Payments of equity issue costs

 

 

(197

)

 

 

 

Net cash (used in) financing activities

 

 

(2,425

)

 

 

(10,875

)

Net change in cash and cash equivalents

 

 

(314

)

 

 

5,515

 

Cash and cash equivalent, beginning of period

 

 

12,525

 

 

 

23,420

 

Cash and cash equivalents, end of period

 

$

12,211

 

 

$

28,935

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

Interest paid

 

$

3,879

 

 

$

3,993

 

Income taxes paid

 

$

272

 

 

$

228

 

Supplemental disclosure of non-cash investing and financing information:

 

 

 

 

 

 

 

 

Equipment acquired under capital lease/loan obligations

 

$

3,240

 

 

$

4,907

 

Deemed dividends on preferred stock

 

$

2,734

 

 

$

5,520

 

Amortization of preferred stock beneficial conversion feature

 

$

5,122

 

 

$

11,180

 

Purchase of customer list through issuance of restricted stock

 

$

4,466

 

 

$

-

 

 Three Months Ended March 31,
20242023
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss$(27,061)$(30,795)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation9,905 9,048 
Amortization of intangibles8,362 8,783 
Non-cash stock-based compensation7,774 4,758 
Non-cash operating lease expense2,401 2,330 
Amortization of convertible debt discount678 669 
Amortization of debt issue costs47 46 
Impairment of assets145 923 
Other adjustments(57)(31)
Changes in assets and liabilities, net
Accounts receivable, net(9,052)870 
Inventories3,836 (200)
Prepaid and other assets(1,976)(1,187)
Operating lease liabilities(1,432)(1,722)
Deferred income tax liabilities, net(795)(3,035)
Accrued compensation(18,552)(7,250)
Accounts payable and other liabilities(138)4,101 
Net cash used in operating activities(25,915)(12,692)
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of marketable securities— (6,756)
Proceeds from maturities of marketable securities20,110 40,425 
Purchases of property and equipment(5,585)(9,927)
Net cash provided by investing activities14,525 23,742 
CASH FLOWS FROM FINANCING ACTIVITIES
Repayment of equipment financing obligations— (32)
Issuance of common stock, net816 1,411 
Net cash provided by financing activities816 1,379 
Net change in cash and cash equivalents(10,574)12,429 
Cash and cash equivalents, beginning of period342,488 263,180 
Cash and cash equivalents, end of period$331,914 $275,609 


Supplemental disclosure of cash flow information:
Interest paid$431 $432 
Income taxes paid, net$89 $— 
Supplemental disclosure of non-cash investing and financing information:
Purchases of property and equipment included in accounts payable$831 $1,174 


See the accompanying notes to the unaudited consolidated financial statements.

6

Consolidated Financial Statements.
9

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

(unaudited)

Note A –1. Nature of the Business and Basis of Presentation

NeoGenomics, Inc., a Nevada corporation (the “Parent”“Company,” or “NeoGenomics”), and its subsidiaries NeoGenomics Laboratories, Inc.,provide a Florida corporation (“NEO” or, “NeoGenomics Laboratories”), NeoGenomics Bioinformatics Inc.,wide range of oncology diagnostic testing and consultative services which includes technical laboratory services and professional interpretation of laboratory test results by licensed physicians who specialize in pathology and oncology. The Company operates a Florida corporation, Path Labs LLC., a Delaware limited liability company (“PathLogic”) and Clarient Inc., a Delaware corporation, and its wholly owned subsidiary Clarient Diagnostic Services, Inc. (together, “Clarient”), (collectively referred to as “we”, “us”, “our”, “NeoGenomics”, or the “Company”), operates as a certified “high complexity” clinical laboratorynetwork of cancer-focused testing laboratories in accordance with the federal government’s Clinical Laboratory Improvement Act, as amended (“CLIA”), and is dedicated to the delivery of clinical diagnostic services to pathologists, oncologists, urologists, hospitals, and other laboratories throughout the United States and Europe.  

the United Kingdom.

Note 2. Summary of Significant Accounting Policies
Basis of Presentation
The accompanying interim consolidated financial statementsConsolidated Financial Statements are unaudited and have been prepared in accordance with generally accepted accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information. These accompanying interim consolidated financial statements include the accounts of the Parent and its subsidiaries. All intercompany transactions and balances have been eliminated in the accompanying interim consolidated financial statements.

Consolidated Financial Statements.

The accounting policies of the Company are the same as those set forth in Note 2. Summary of Significant Accounting Policies, to the audited Consolidated Financial Statements contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, except for new accounting standards discussed under Recent Accounting Pronouncements.
Unaudited Interim Financial Information
Certain information and footnote disclosures normally included in the Company’s annual audited consolidated financial statementsConsolidated Financial Statements and accompanying notes have been condensed or omitted in these accompanying interim consolidated financial statements.Consolidated Financial Statements and footnotes. Accordingly, the accompanying interim consolidated financial statementsunaudited Consolidated Financial Statements included herein should be read in conjunction with the audited consolidated financial statementsConsolidated Financial Statements and accompanying notes included in the Company’s annual reportAnnual Report on Form 10-K for the year ended December 31, 2016, filed with the SEC on March 14, 2017.  

2023.

The results of operations presented in this quarterly reportQuarterly Report on Form 10-Q are not necessarily indicative of the results of operations that may be expected for any future periods. In the opinion of management, these unaudited consolidated financial statementsConsolidated Financial Statements include all adjustments and accruals, consisting only of normal, recurring adjustments that are necessary for a fair statement of the results of all interim periods reported herein.

We have one reportable operating segment

Use of Estimates
The Company prepares its Consolidated Financial Statements in conformity with GAAP. These principles require management to make estimates, judgments and assumptions that delivers testing servicesaffect the reported amounts of assets, liabilities, revenues and expenses, together with amounts disclosed in the related notes to hospitals, pathologists, oncologists, other clinicians,the Consolidated Financial Statements. Actual results and researchers, which represents 100%outcomes may differ from management’s estimates, judgments and assumptions. Significant estimates, judgments and assumptions used in these Consolidated Financial Statements include, but are not limited, to those related to revenues, accounts receivable and related allowances, contingencies, useful lives and recovery of long-term assets and intangible assets, income taxes and valuation allowances, stock-based compensation, impairment analysis of goodwill, and restructuring reserves. These estimates, judgments, and assumptions are reviewed periodically and the effects of material revisions in estimates are reflected on the Consolidated Financial Statements prospectively from the date of the Company’s consolidated assets, net revenueschange in estimate.
Sales and net income (loss)Marketing Expenses
Sales and marketing expenses are primarily attributable to employee-related costs including sales management, sales representatives, sales and marketing consultants, and marketing and customer service personnel in the Clinical Services segment. Advertising costs are expensed at the time they are incurred and were immaterial for the three and nine months ended September 30, 2017March 31, 2024 and 2016.  We have evaluated our segments based2023.
Restructuring charges
Restructuring charges relate to a restructuring program to improve execution and drive efficiency across the organization. Restructuring charges consist of severance and other employee costs, costs for optimizing the Company’s geographic presence, and consulting and other costs. For further details on howthe Company’s restructuring activities, please refer to Note 8. Restructuring.
Accounting Pronouncements Pending Adoption
In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This update requires entities to consistently categorize and provide greater disaggregation of information in the rate reconciliation and to further disaggregate income taxes paid by jurisdiction. ASU 2023-09 is effective for fiscal years beginning
10

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
after December 15, 2024, with early adoption permitted. ASU 2023-07 may be applied retrospectively or prospectively. The Company is currently evaluating the planned adoption date and the impact of this standard on its annual disclosures.
In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. This update requires entities to disclose significant segment expenses by reportable segment if they are regularly provided to the Chief Operating Decision Maker (“CODM”), our Chief Executive Officer, reviews performance(CODM) and makes decisionsincluded in managing the Company.  At September 30, 2017, we provided services within the United Stateseach reported measure of segment profit or loss and Europerequires disclosure of other segment items by reportable segment and had assets located within the United States and Europe.

We have two primary typesa description of customers, clinical and pharma.  Our clinical customers include community based pathology practices, oncology groups, hospitals and academic centers.  Our pharma customers include pharmaceutical companies to whom we provide testing and other services to support their studies and clinical trials.  As we grow, we continue to assess the information available to the CODM.  Currently, discrete financial information is not available to the CODM about the separate financial performance of our clinical and our pharma customers.  As we continue to grow and focus separately on the two customer types we will routinely assess the information available and reviewed by the CODM and determine if we meet the criteria for having separate segments.

Correction of Immaterial Accounting Error

The Company performed an internal analysis in the third quarter of 2017 which identified an immaterial error in the revenue reported in our Form 10-K for the year ended December 31, 2016, Form 10-Q for the quarter ended March 31, 2017 and Form 10-Q for the three and six months ended June 30, 2017.  We have concluded that the error identified was not material to any prior annual or interim periods.  We assessed the extent of this error and it was corrected in the third quarter of 2017, resulting in a reduction of revenue, and thus a corresponding reduction in accounts receivable of $2.4 million and $0.6 million for the three and nine months ended September 30, 2017, respectively. See Item 4. Controls and Procedures for additional details regarding this error.

Note B – Recently Adopted and Issued Accounting Guidance

Adopted

In January 2017, the FASB issuedits composition. ASU No. 2017-01, Business Combinations.  This standard clarifies the definition of a business and provides guidance on when transactions should be accounted for as acquisitions of assets and when they should be accounted for as acquisitions of businesses.  The Company early adopted this standard on July 1, 2017 and applied this guidance to the customer list

7


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

that was acquired on August 1, 2017.  The customer list acquired was not determined to meet the definition of a business under this standard and was therefore determined to be an asset acquisition.  

In March 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-09, Improvements to Employee Share-Based Payment Accounting. The standard update required excess tax benefits and tax deficiencies to be recorded directly through earnings as a component of income tax expense. Under previous GAAP, these differences were generally recorded in additional paid-in capital and thus had no impact on net income. The change impacted the computation of diluted earnings per share, and the cash flows associated with those items are now classified as operating activities on the condensed statements of consolidated cash flows.  Entities were permitted to make an accounting policy election for the impact of forfeitures on the recognition of expense for share-based payment awards. Forfeitures could be estimated, as required under previous GAAP, or recognized when they occur.  

The Company adopted this ASU on January 1, 2017 using the transition method prescribed for each applicable provision:

Based on the implementation guidance, previously unrecognized excess tax benefits should be on a modified retrospective basis beginning in the period the guidance is adopted.  Accordingly, the Company recorded an increase in deferred tax assets and an offsetting cumulative-effect adjustment to retained earnings of $6.6 million as of January 1, 2017 for excess tax benefits not previously recognized.

Based on the implementation guidance, all excess tax benefits and tax deficiencies related to share based compensation will be reported in net income (loss) on a prospective basis.  For the nine months ended September 30, 2017, no income (loss) was reported.  

The Company has elected to retrospectively adopt the requirement to present cash flows related to excess tax benefits as cash flows from operating activities.  This adoption had no effect on cash flows for the nine months ended September 30, 2017.

The Company has elected to recognize forfeitures in compensation cost as they occur.

Issued

In August 2017 the FASB issued ASU 2017-12, Derivatives and Hedging.  This standard refines hedge accounting to better align an entity’s risk management activities and financial reporting for hedging relationships through changes to both the designation and measurement guidance for qualifying hedging relationships and the presentation of hedge results.   This update2023-07 is effective forannual periods beginning after December 15, 2018 and interim periods within those annual periods.  Early adoption is permitted.  The Company does not expect the adoption of ASU 2017-12 to have a material effect on its consolidated financial statements.

In May 2017, the FASB issued ASU 2017-09, Compensation – Stock Compensation.  This standard provides guidance related to the scope of stock option modification accounting, to reduce diversity in practice and reduce cost and complexity regarding existing guidance. This update is effective for annual periods beginning after December 15, 2017.  Early adoption is permitted. The Company does not expect the adoption of ASU 2017-09 to have a material effect on its consolidated financial statements.

In January 2017 the FASB issued ASU No. 2017-04, Intangibles – Goodwill and Other:  Simplifying the Test for Goodwill Impairment.  This standard eliminates Step 2 of the goodwill impairment test. Instead, an entity should perform its annual or interim goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit’s fair value; however, the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. This update is effective for annual and interim periods beginning after December 15, 2021.  Early adoption is permitted for interim or annual goodwill impairment tests performed after January 1, 2017.  The Company does not expect the adoption of ASU 2017-04 to have a material effect on its consolidated financial statements.  

In August 2016, the FASB issued “ASU” 2016-15, Statement of Cash Flows – Classification of Certain Cash Receipts and Cash Payments.  This standard clarifies how specific cash receipts and cash payments are classified and presented in the statement of cash flows. This update is effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2017.  Early adoption is permitted.  The Company does not expect the adoption of ASU 2016-15 to have a material effect on its consolidated financial statements.  

In February 2016, the FASB issued ASU No. 2016-02, Leases. The updaterequires organizations to recognize lease assets2023 and lease liabilities on the balance sheet for those leases classified as operating leases under previous GAAP. ASU 2016-02 requires that a

8


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

lessee should recognize a liability to make lease payments (the lease liability) and a right-of-use asset representing its right to use the underlying asset for the lease term on the balance sheet. ASU 2016-02 is effective forinterim periods within fiscal years beginning after December 15, 2018 and interim2024, with early adoption permitted. ASU 2023-07 should be applied retrospectively to all prior periods within those periods.  The adoption of this ASU will resultpresented in an increase on the balance sheet for lease liabilities and right-of-use assets.financial statements. The Company is currently evaluating the quantitativeplanned adoption date and the impact that adopting ASU 2016-02 will have on its consolidated financial statements.

In May 2014, the FASB issued ASU 2014-09, Revenues from Contracts with Customers. This standard update calls for a number of revisions in the revenue recognition rules. In August 2015, the FASB deferred the effective date of this ASU to the first quarter of 2018, with optional early adoption beginning in the first quarter of 2017.  The ASU can be applied using a full retrospective method or a modified retrospective method of adoption.  The Company expects to adopt this ASU in the first quarter of 2018 using a full retrospective method of adoption.  We anticipate the adoption of this standard on its annual disclosures.

Note 3. Fair Value Measurements
Fair value is defined as the exchange price that would be received for an asset or paid to impact our Pharma Services revenue, specificallytransfer a liability (an exit price) in the timingprincipal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value must maximize the use of revenue recognitionobservable inputs and minimize the use of unobservable inputs. A fair value hierarchy has been established based on three levels of inputs, of which the first two are considered observable and the last unobservable.
Level 1: Quoted prices in active markets for our long term researchidentical assets or liabilities. These are typically obtained from real-time quotes for transactions in active exchange markets involving identical assets.
Level 2: Inputs, other than quoted prices included within Level 1, which are observable for the asset or liability, either directly or indirectly. These are typically obtained from readily available pricing sources for comparable instruments.
Level 3: Unobservable inputs, where there is little or no market activity for the asset or liability. These inputs reflect the reporting entity’s own assumptions of the data that market participants would use in pricing the asset or liability, based on the best information available in the circumstances.
Assets and clinical trials contracts.  ManyLiabilities that are Measured at Fair Value on a Recurring Basis
The Company measures certain financial assets at fair value on a recurring basis, including its marketable securities and certain cash equivalents. The Company considers all securities available-for-sale, including those with maturity dates beyond 12 months, and therefore these securities are classified within current assets on the Consolidated Balance Sheets as they are available to support current operational liquidity needs. The money market accounts are valued based on quoted market prices in active markets and are included in cash and cash equivalents on the Consolidated Balance Sheets. The marketable securities are generally valued based on other observable inputs for those securities (including market corroborated pricing or other models that utilize observable inputs such as interest rates and yield curves) based on information provided by independent third-party pricing entities, except for U.S. Treasury securities which are valued based on quoted market prices in active markets.
The following tables set forth the amortized cost, gross unrealized gains, gross unrealized losses and fair values of the Company’s marketable securities accounted for as available-for-sale securities as of March 31, 2024 and December 31, 2023.
March 31, 2024
(in thousands)Amortized CostGross Unrealized GainsGross Unrealized LossesFair Value
Financial Assets:
Short-term marketable securities:
     U.S. Treasury securities$7,490 $— $(13)$7,477 
     Agency bonds2,471 — (45)2,426 
     Municipal bonds12,658 — (518)12,140 
     Asset-backed securities3,119 — (5)3,114 
     Corporate bonds28,322 — (563)27,759 
Total$54,060 $— $(1,144)$52,916 

11

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
December 31, 2023
(in thousands)Amortized CostGross Unrealized GainsGross Unrealized LossesFair Value
Financial Assets:
Short-term marketable securities:
     U.S. Treasury securities$15,437 $— $(64)$15,373 
     Yankee bonds2,601 — (13)2,588 
     Agency bonds6,056 — (56)6,000 
     Municipal bonds12,694 — (597)12,097 
     Asset-backed securities4,971 — (37)4,934 
     Corporate bonds32,442 — (719)31,723 
Total$74,201 $— $(1,486)$72,715 

The Company had $1.6 million and $1.7 million of accrued interest receivable at March 31, 2024 and December 31, 2023, respectively, included in other current assets on its Consolidated Balance Sheets related to its marketable securities. There were no realized gains or losses on marketable securities for the three months ended March 31, 2024 and 2023.
The following tables set forth the fair value of available-for-sale marketable securities by contractual maturity at March 31, 2024 and December 31, 2023.
March 31, 2024
(in thousands)One Year or LessOver One Year Through Five YearsOver Five YearsTotal
Financial Assets:
Marketable Securities:
     U.S. Treasury securities$7,477 $— $— $7,477 
     Agency bonds2,426 — — 2,426 
     Municipal bonds6,417 5,723 — 12,140 
     Asset-backed securities3,114 — — 3,114 
     Corporate bonds22,026 5,733 — 27,759 
Total$41,460 $11,456 $— $52,916 

December 31, 2023
(in thousands)One Year or LessOver One Year Through Five YearsOver Five YearsTotal
Financial Assets:
Marketable Securities:
     U.S. Treasury securities$15,373 $— $— $15,373 
     Yankee bonds2,588 — — 2,588 
     Agency bonds6,000 — — 6,000 
     Municipal bonds3,528 8,569 — 12,097 
     Asset-backed securities4,934 — — 4,934 
     Corporate bonds23,062 8,661 — 31,723 
Total$55,485 $17,230 $— $72,715 

The following tables set forth the Company’s cash equivalents and marketable securities accounted for as available-for-sale securities that were measured at fair value on a recurring basis based on the fair value hierarchy as of March 31, 2024 and December 31, 2023.
12

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
March 31, 2024
(in thousands)Level 1Level 2Level 3Total
Financial Assets:
  Cash equivalents:
     Money market funds$324,772 $— $— $324,772 
Marketable securities:
     U.S. Treasury securities7,477 — — 7,477 
     Agency bonds2,426 — — 2,426 
     Municipal bonds12,140 — — 12,140 
     Asset-backed securities— 3,114 — 3,114 
     Corporate bonds— 27,759 — 27,759 
Total$346,815 $30,873 $— $377,688 

December 31, 2023
(in thousands)Level 1Level 2Level 3Total
Financial Assets:
  Cash equivalents:
     Money market funds$334,762 $— $— $334,762 
Marketable securities:
     U.S. Treasury securities15,373 — — 15,373 
     Yankee bonds2,588 — — 2,588 
     Agency bonds6,000 — — 6,000 
     Municipal bonds12,097 — — 12,097 
     Asset-backed securities— 4,934 — 4,934 
     Corporate bonds— 31,723 — 31,723 
Total$370,820 $36,657 $— $407,477 

There were no transfers of financial assets or liabilities into or out of Level 1, Level 2, or Level 3 for the three months ended March 31, 2024 and 2023.
Assets and Liabilities that are Measured at Fair Value on a Nonrecurring Basis
The carrying value of cash and cash equivalents, accounts receivable, net, accounts payable, accrued expenses and other liabilities, and other current assets and liabilities, are considered reasonable estimates of their respective fair values at March 31, 2024 and December 31, 2023 due to their short-term nature.
The Company also measures certain non-financial assets at fair value on a nonrecurring basis, primarily intangible assets, goodwill, and long-lived assets in connection with periodic evaluations for potential impairment. The Company estimates the fair value of these contracts have distinct terms which need to be evaluated separately, therefore, weassets using primarily unobservable inputs and, as such, these are still in the process of contract review in order to determine the quantitative impact this standard will have on our Pharma Services revenue.  We also expect this standard to impact our Clinical testing revenue.  Under the new standard, substantially all of our bad debt expense which has historically been presented as part of selling, general and administrative expenses will be considered an implicit price concession and will be reported as a reduction in revenue.  We also anticipate enhanced financial statement disclosures surrounding the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers.  The Company continues to assess the full impact the adoption of this standard will have on our financial statements.

Level 3 fair value measurements.

Note C –4. Goodwill and Intangible Assets

Goodwill as

The following table summarizes the carrying amounts of September 30, 2017goodwill by segment at March 31, 2024 and December 31, 2016 was $147.0 million.  There were no changes in the carrying amount of goodwill during these periods.

2023 (in thousands):

March 31, 2024December 31, 2023
Clinical Services$458,782 $458,782 
Advanced Diagnostics63,984 63,984 
Total$522,766 $522,766 
13

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Intangible assets as of September 30, 2017 and December 31, 2016 consisted of the following (in thousands):

  March 31, 2024
 Amortization
Period (years)
CostAccumulated
Amortization
Net
Customer Relationships7 - 15$143,101 $68,007 $75,094 
Developed Technology10 - 15310,226 59,768 250,458 
Marketing Assets4549 411 138 
Trademarks1531,473 5,846 25,627 
Trade Name2.52,584 2,584 — 
Trademark - Indefinite lived13,447 — 13,447 
Total $501,380 $136,616 $364,764 

 

 

 

 

September 30, 2017

 

 

 

Amortization

Period

 

Cost

 

 

Accumulated

Amortization

 

 

Net

 

Trade Name

 

24 months

 

$

3,000

 

 

$

2,633

 

 

$

367

 

Customer Relationships

 

156 - 180 months

 

 

85,437

 

 

 

9,502

 

 

 

75,935

 

Non-Compete Agreement

 

24 months

 

 

29

 

 

 

1

 

 

 

28

 

Total

 

 

 

$

88,466

 

 

$

12,136

 

 

$

76,330

 

  December 31, 2023
 Amortization
Period (years)
CostAccumulated
Amortization
Net
Customer Relationships7 - 15$143,101 $65,534 $77,567 
Developed Technology10 - 15310,226 54,438 255,788 
Marketing Assets4549 376 173 
Trademarks1531,473 5,321 26,152 
Trade Name2.52,584 2,583 
Trademark - Indefinite lived13,447 — 13,447 
Total$501,380 $128,252 $373,128 

 

 

 

 

December 31, 2016

 

 

 

Amortization

Period

 

Cost

 

 

Accumulated

Amortization

 

 

Net

 

Trade Name

 

24 months

 

$

3,000

 

 

$

1,508

 

 

$

1,492

 

Customer Relationships

 

156 - 180 months

 

$

81,000

 

 

$

5,428

 

 

$

75,572

 

Total

 

 

 

$

84,000

 

 

$

6,936

 

 

$

77,064

 

On August 31, 2017, theThe Company acquired a customer list from Ascend Genomics in exchange for 450,000 shares of restricted stock, see Note H – Equity.  This customer relationship was recorded at fair value and is being amortized over 15 years.  As part of the transaction, Ascend Genomics signed a non-compete agreement which was also recorded as an intangible asset and is being amortized over 2 years. We recorded approximately $1.7 and $1.8 million in straight-linerecords amortization expense within cost of intangible assetsrevenue and general and administrative expense on the Consolidated Statement of Operations. The following table summarizes the amortization expense for the three month periodmonths ended September 30, 2017March 31, 2024 and 2016, respectively.  We recorded approximately $5.2 million and $5.5 million in straight-line amortization expense of intangible assets for the nine month period ended September 30, 2017 and 2016, respectively. The Company recorded amortization expense from customer relationships and trade names as a general and administrative expense.  

9


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

2023 (in thousands):

Three Months Ended March 31,
20242023
Amortization of intangibles included in cost of revenue$4,910 $4,853 
Amortization of intangibles included in general and administrative expenses3,452 3,930 
Total amortization of intangibles$8,362 $8,783 
The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafterfollowing periods as of September 30, 2017March 31, 2024 is as follows (in thousands):

Remainder of 2017

 

$

1,796

 

2018

 

 

5,710

 

2019

 

 

5,706

 

2020

 

 

5,696

 

2021

 

 

5,695

 

2022

 

 

5,695

 

Thereafter

 

 

46,032

 

Total

 

$

76,330

 

Remainder of 2024$25,085 
202533,343 
202633,308 
202732,758 
202832,758 
Thereafter194,065 
Total$351,317 

Note D –5. Debt

2028 Convertible Senior Notes
On January 11, 2021, the Company completed the sale of $345.0 million of Convertible Senior Notes with a stated interest rate of 0.25% and a maturity date of January 15, 2028 (the “2028 Convertible Notes”), unless earlier converted, redeemed, or repurchased.
The following table summarizeslast reported sales price of the long term debtCompany’s common stock was not greater than or equal to 130.0% of the conversion price of the 2028 Convertible Notes on at Septemberleast 20 of the last 30 2017 andconsecutive trading days of the quarter ended December 31, 2016 (in thousands):

 

 

September 30, 2017

 

 

December 31, 2016

 

Term Loan Facility

 

$

72,188

 

 

$

75,000

 

Revolving Credit Facility

 

 

25,399

 

 

 

22,900

 

Auto Loans

 

 

82

 

 

 

202

 

Capital leases

 

 

9,270

 

 

 

10,269

 

Total Debt

 

 

106,939

 

 

 

108,371

 

Less:  Debt issuance costs

 

 

(1,878

)

 

 

(2,202

)

Less:  Current portion of long-term debt

 

 

(8,486

)

 

 

(8,733

)

Total Long-Term Debt, net

 

$

96,575

 

 

$

97,436

 

2023. Based on the terms of the 2028 Convertible Notes, the holders could not have converted all or a portion of their 2028 Convertible Notes in the first quarter of 2024. The carryinglast reported sales price of the Company’s common stock was not greater

14

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
than or equal to 130.0% of the conversion price of the 2028 Convertible Notes on at least 20 of the last 30 consecutive trading days of the quarter ended March 31, 2024. Based on the terms of the 2028 Convertible Notes, the holders cannot convert all or a portion of their 2028 Convertible Notes in the second quarter of 2024. The value of the Company’s long-term capital lease obligations and term debt approximates its fair value2028 Convertible Notes, if-converted, does not exceed the principal amount based on a closing stock price of $15.72 on March 28, 2024.
The interest expense recognized on the current market conditions for similar instruments. 

Term Loan

On December 22, 2016, the Company entered into a Credit Agreement with Regions Bank as administrative agent and collateral agent.  The Credit Agreement provided for a $75.02028 Convertible Notes includes $0.2 million, term loan facility (the “Term Loan Facility”).  The Credit Agreement also provides incremental facility capacity of $50 million, subject to certain conditions.  On September 30, 2017 and December 31, 2016, the Company had current outstanding borrowings under the Term Loan of approximately $3.8$0.4 million and long-term outstanding borrowings$8,500 for the contractual coupon interest, the amortization of approximately $67.5 millionthe debt discount and $70.1 million, netthe amortization of unamortizedthe debt issuance costs, respectively, for the three months ended March 31, 2024. The interest expense recognized on the 2028 Convertible Notes includes $0.2 million, $0.4 million and $8,500 for the contractual coupon interest, the amortization of $939,000the debt discount and $1.1 million, respectively.  Thethe amortization of the debt issuance costs, were recorded as a reduction inrespectively, for the carrying amountthree months ended March 31, 2023. The effective interest rate on the 2028 Convertible Notes is 0.70%, which includes the interest on the 2028 Convertible Notes and amortization of the related liabilitydebt discount and are being amortized over the life of the loan.

debt issuance costs. The Term Loan Facility bears2028 Convertible Notes bear interest at a rate of 0.25% per annum, payable semi-annually in arrears on January 15 and July 15 of each year, beginning on July 15, 2021.

At March 31, 2024, the estimated fair value (Level 2) of the 0.25% Convertible Senior Notes due 2028 was $275.1 million. At December 31, 2023, the estimated fair value (Level 2) of the 0.25% Convertible Senior Notes due 2028 was $262.4 million.
2025 Convertible Senior Notes
On May 4, 2020, the Company completed the sale of $201.3 million of Convertible Senior Notes with a stated interest rate of 1.25% and a maturity date of May 1, 2025 (the “2025 Convertible Notes”), unless earlier converted, redeemed, or repurchased.
The last reported sales price of the Company’s common stock was not greater than or equal to an applicable margin plus,130.0% of the conversion price of the 2025 Convertible Notes on at NeoGenomics Laboratories’ option, either (1)least 20 of the Adjusted LIBOR rate forlast 30 consecutive trading days of the relevant interest period, (2) an alternate base rate determined by reference to the greatest of (a) the prime lending rate of Regions, (b) the federal funds rate for the relevant interest period plus 0.5% per annum and (c) the one month LIBOR rate plus 1% per annum, or (3) a combination of (1) and (2). The applicable margin will range from 2.25% to 3.50% for LIBOR loans and 1.25% to 2.50% for base rate loans, in each case based on NeoGenomics Laboratories’ consolidated leverage ratio (as defined in the Credit Agreement). Interest on borrowings under the Revolving Credit Facility is payablequarter ended December 31, 2023. Based on the last dayterms of each month, in the case of each base rate loan, and on2025 Convertible Notes, the last day of each interest period (but no less frequently than every three months), in the case of Adjusted LIBOR loans.  The Company entered into an interest rate swap agreement to hedge against changes in the variable rate ofholders could not have converted all or a portion of this debt.  See Note E-Derivative Instruments and Hedging Activities for more informationtheir 2025 Convertible Notes in the first quarter of 2024. The last reported sales price of the Company’s common stock was not greater than or equal to 130.0% of the conversion price of the 2025 Convertible Notes on this instrument.

at least 20 of the last 30 consecutive trading days of the quarter ended March 31, 2024. Based on the terms of the 2025 Convertible Notes, the holders cannot convert all or a portion of their 2025 Convertible Notes in the second quarter of 2024. The Term Loan Facility and amounts borrowed undervalue of the Revolving Credit Facility are secured2025 Convertible Notes, if-converted, does not exceed the principal amount based on a first priority basis by a securityclosing stock price of $15.72 on March 28, 2024.

The interest in substantially allexpense recognized on the 2025 Convertible Notes includes $0.6 million, $0.3 million and $38,000 for the contractual coupon interest, the amortization of the tangible and intangible assets of NeoGenomics Laboratoriesdebt discount and the Guarantors.amortization of the debt issuance costs, respectively, for the three months ended March 31, 2024. The Term Loan Facility contains various affirmativeinterest expense recognized on the 2025 Convertible Notes includes $0.6 million, $0.3 million and negative covenants including ability to incur liens$37,600 for the contractual coupon interest, the amortization of the debt discount and encumbrances; make certain restricted payments, including paying dividendsthe amortization of the debt issuance costs, respectively, for the three months ended March 31, 2023. The effective interest rate on its equity securities or payments to redeem, repurchase or retire its equity securities; enter

10

the 2025 Convertible Notes is 1.96%, which includes the interest on the 2025 Convertible Notes and amortization of the debt discount and debt issuance costs. The 2025 Convertible Notes bear interest at a rate of 1.25% per annum, payable semi-annually in arrears on May 1 and November 1 of each year, which began on November 1, 2020.
At March 31, 2024, the estimated fair value (Level 2) of the 1.25% Convertible Senior Notes due 2025 was $195.5 million. At December 31, 2023, the estimated fair value (Level 2) of the 1.25% Convertible Senior Notes due 2025 was $197.3 million.

15

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

into certain restrictive agreements; make investments, loans

(unaudited)
Note 6. Stock-Based Compensation
The Company recorded stock-based compensation on the Consolidated Statement of Operations for the three months ended March 31, 2024 and acquisitions; merge or consolidate with any other person; dispose2023 as follows (in thousands):
Three Months Ended March 31,
20242023
Cost of revenue$395 $— 
General and administrative6,663 4,758 
Research and development171 — 
Sales and marketing545 — 
Total stock-based compensation$7,774 $4,758 
Stock Options
A summary of assets; enter into sale and leaseback transactions; engage in transactions with its affiliates, and materially alter the business it conducts.  In addition,stock option activity under the Company must meet certain maximum leverage ratios and fixed charge coverage ratiosCompany’s plans for the three months ended March 31, 2024 is as follows:
Number of
Shares
Weighted Average Exercise Price
Outstanding at December 31, 20234,381,099 $15.87 
Granted634,134 $16.39 
Exercised(12,764)$7.97 
Forfeited(30,382)$19.79 
Outstanding at March 31, 20244,972,087 $19.97 
Exercisable at March 31, 20241,241,392 $19.97 
The fair value of each stock option award granted during the three months ended March 31, 2024 was estimated as of the end of each fiscal quarter commencinggrant date using a Black-Scholes model with the quarter endingfollowing assumptions:
Three Months Ended
March 31, 2024
Expected term (in years)5.5 - 6.5
Risk-free interest rate (%)3.8% - 4.2%
Expected volatility (%)55.6% - 62.8%
Dividend yield (%)
Weighted average grant date fair value per share$9.77
As of March 31, 2017.  The Company2024, there was in compliance with all required covenants asapproximately $15.8 million of September 30, 2017.

The Term Loan Facility hasunrecognized stock-based compensation expense related to stock options that will be recognized over a maturity dateweighted-average period of December 21, 2021.  The Credit Agreement requires NeoGenomics Laboratories to mandatorily prepayapproximately 1.7 years.

Restricted Stock Awards
A summary of the Term Loan Facility and amounts borrowedrestricted stock activity under the Revolving Credit Facility with (i) 100%Company’s plans for the three months ended March 31, 2024 is as follows:
Number of Restricted
Shares
Weighted Average Grant Date Fair Value
Nonvested at December 31, 20231,961,919 $13.83 
Granted378,996 $16.40 
Vested(47,338)$11.89 
Forfeited(9,008)$13.85 
Nonvested at March 31, 20242,284,569 $14.29 
As of net cash proceeds from certain sales and dispositions, subjectMarch 31, 2024, there was approximately $17.9 million of unrecognized stock-based compensation expense related to certain reinvestment rights, (ii) 100%restricted stock that will be recognized over a weighted-average period of net cash proceeds from certain issuances or incurrencesapproximately 1.8 years.    
Performance-Based Restricted Stock Units
In the first quarter of additional debt, (iii) beginning with2024, the fiscal year ending December 31, 2017, 50% of excess cash flow (as defined),Company granted 179,333 PSUs subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0performance condition and (iv) 100% of net cash proceeds from issuances of permitted equity securities by NeoGenomics Laboratories made in order to cure a failure to comply with the financial covenants. NeoGenomics Laboratories is permitted to voluntarily prepay the Term Loan Facility and amounts borrowed under the Revolving Credit Facility at any time without penalty.

Auto Loans

The Company has auto loans with various financial institutions.  The auto loan terms range from 36-60 months and carry interest rates from 0.0% to 5.2%.

Capital Leases

The Company has entered into capital leases to purchase laboratory and office equipment.  These leases expire at various dates through 2020 and the weighted average interest rate under such leases was approximately 4.81% at September 30, 2017. Most of these leases contain bargain purchase options that allow us to purchase the leased property for a minimal amount upon the expiration of the lease term. The remaining leases have purchase options at fair market value.      

Property and equipment acquired under capital lease agreements are pledged as collateral to secure the performance of the future minimum lease payments.

Revolving Credit Facility

On December 22, 2016, the Company entered into a Credit Agreement with Regions Bank as administrative agent and collateral agent.  The Credit Agreement provided for a $75.0 million revolving credit facility (the “Revolving Facility”).  On September 30, 2017, and December 31, 2016, the Company had outstanding borrowings of approximately $24.5 million and $21.8 million, net of unamortized debt issuance costs of $939,000 and $1.1 million, respectively.

The Revolving Credit Facility includes a $10 million swingline sublimit, with swingline loans bearing interest at the alternate base rate plus the applicable margin. Any principal outstanding under the Revolving Credit Facility is due and payable on December 21, 2021 or such earlier date as the obligations under the Credit Agreement become due and payable pursuant to the terms of the Credit Agreement.  The Revolving Facility bears interest at a rate per annum equal to an applicable margin plus, at NeoGenomics Laboratories’ option, either (1) the Adjusted LIBOR rate for the relevant interest period, (2) an alternate base rate determined by reference to the greatest of (a) the prime lending rate of Regions, (b) the federal funds rate for the relevant interest period plus 0.5% per annum and (c) the one month LIBOR rate plus 1% per annum, or (3) a combination of (1) and (2). The applicable margin will range from 2.25% to 3.50% for Adjusted LIBOR loans and 1.25% to 2.50% for base rate loans, in each case based on NeoGenomics Laboratories’ consolidated leverage ratio. Interest on the outstanding principal of the Term Loan Facility will be payable on the last day of each month, in the case of each base rate loan, and on the last day of each interest period (but no less frequently than every three months), in the case of LIBOR loans.

The Credit Agreement requires NeoGenomics Laboratories to mandatorily prepay the Term Loan Facility and amounts borrowed under the Revolving Credit Facility with (i) 100% of net cash proceeds from certain sales and dispositions, subject to certain reinvestment rights, (ii) 100% of net cash proceeds from certain issuances or incurrences of additional debt, (iii) beginning with the fiscal year ending December 31, 2017, 50% of excess cash flow (minus certain specified other payments),179,333 PSUs subject to a step down to 0%market condition with an aggregate grant date fair value of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0approximately $3.0 million and (iv) 100% of net

11

$3.4 million, respectively. The
16

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

cash proceeds from issuances

(unaudited)
number of permitted equity securities by NeoGenomics Laboratories made in ordershares awarded will be subject to cure a failure to complyadjustment based on the achievement of the applicable performance targets. If the performance targets are achieved, the awards will vest at the end of the three-year requisite service period so long as the employee remains employed with the financial covenants. NeoGenomics LaboratoriesCompany through the applicable vesting dates. For PSUs subject to a performance condition, compensation cost is permittedrecognized straight-line over the requisite service period if the achievement of the performance condition is probable. As of March 31, 2024, the Company has determined it is probable that the performance condition will be met. For PSUs subject to voluntarily prepaya market condition, compensation cost is recognized straight-line over the Term Loan Facility and amounts borrowedrequisite service period, regardless of when, if ever, the market condition is satisfied.
A summary of the PSU activity under the Revolving Credit Facility at any time without penalty, subject to customary “breakage” costs with respect to prepayments of Adjusted LIBOR rate loans made on a day other thanCompany’s plans for the last day of any applicable interest period.

Maturities of Long-Term Debt

Maturities of long-term debt at September 30, 2017 are summarizedthree months ended March 31, 2024 is as follows (in thousands):

follows:

 

Term Loan and Revolving Credit Facility

 

 

Capital Lease Obligations

 

 

Auto Loans

 

 

Total Long-Term Debt

 

Remainder of 2017

$

938

 

 

$

1,397

 

 

$

12

 

 

$

2,347

 

2018

 

3,750

 

 

 

4,677

 

 

 

49

 

 

 

8,476

 

2019

 

5,625

 

 

 

3,112

 

 

 

21

 

 

 

8,758

 

2020

 

5,625

 

 

 

617

 

 

 

-

 

 

 

6,242

 

2021

 

81,649

 

 

 

-

 

 

 

-

 

 

 

81,649

 

 

 

97,587

 

 

 

9,803

 

 

 

82

 

 

 

107,472

 

Less: Interest on capital leases

 

-

 

 

 

(533

)

 

 

-

 

 

 

(533

)

 

 

97,587

 

 

 

9,270

 

 

 

82

 

 

 

106,939

 

Less:  Current portion of long-term debt

 

(3,750

)

 

 

(4,687

)

 

 

(49

)

 

 

(8,486

)

Less:  Debt issuance costs

 

(1,878

)

 

 

-

 

 

 

-

 

 

 

(1,878

)

Long-term debt, net

$

91,959

 

 

$

4,583

 

 

$

33

 

 

$

96,575

 


Note E – Derivative Instruments and Hedging Activities

Cash Flow Hedges

In December of 2016, the Company entered into an interest rate swap agreement to reduce our exposure to interest rate fluctuations on our variable rate debt obligations.  This derivative financial instrument is accounted for at fair value as a cash flow hedge which effectively modifies our exposure to interest rate risk by converting a portion of our floating rate debt to a fixed rate obligation, thus reducing the impact of interest rate changes on future interest expense.

We account for derivatives in accordance with FASB ASC Topic 815, see Note B-Summary of Significant Accounting Policies in Annual Report on Form 10-K for more information on our accounting policy related to derivative instruments and hedging activities.  

Under this agreement, we receive a variable rate of interest based on LIBOR, and we pay a fixed rate of interest at 1.59%.  The interest rate swap agreement was effective as of December 30, 2016 and a termination date of December 31, 2019. As of September 30, 2017 and December 31, 2016, the total notional amount of the Company’s interest rate swaps were $50 million.

Number of Stock UnitsWeighted Average Grant Date Fair Value
Nonvested at December 31, 2023305,105 $21.83 
Granted358,666 $17.64 
Vested— $— 
Forfeited— $— 
Nonvested at March 31, 2024663,771 $19.56 
The fair value of the interest rate swap will be included in other long term assets or liabilities, when applicable.  As of September 30, 2017 and December 31, 2016, the fair value of the interest rate swap was not consideredeach PSU granted subject to be significant due to the change in LIBOR over that time period outstanding, therefore, no amount is included on the balance sheet for this instrument.  As the specific terms and notional amounts of the derivative financial instrument match those of the fixed-rate debt being hedged, the derivative instruments are assumed to be perfectly effective hedges and accordingly, there is no impact to the Company's consolidated statements of operations. Gains and losses on this interest rate swap agreement will be recorded in accumulated other comprehensive income and will be reclassified to interest expense in the period during which the hedged transaction affects earnings.  At September 30, 2017 and December 31, 2016, there was no impact to accumulated other comprehensive income (AOCI) as it was determined that there was not a significant change to record.  The fair value of this instrument will be evaluated on a quarterly basis and adjusted as necessary.    

12


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Note F – Class A Redeemable Convertible Preferred Stock

On December 30, 2015, NeoGenomics issued 14,666,667 shares of its Series A Preferred stock as part of the consideration for the acquisition of Clarient.  The Series A Preferred Stock has a face value of $7.50 per share for a total liquidation value of $110 million.  During the first year, the Series A Preferred Stock had a liquidation value of $100 million if the shares were redeemed prior to December 29, 2016.  On December 22, 2016, the Company redeemed 8,066,667 shares of the Series A Preferred Stock for $55.0 million in cash.  The redemption amount per share equaled $6.8181825 ($7.50 minus the liquidation discount of 9.0909%).  At September 30, 2017, 6,600,000 shares of Series A Preferred Stock were outstanding.  

The carrying amount of the Series A Preferred Stock at September 30, 2017 was $30.1 million as compared to the carrying amount at December 31, 2016 of $22.9 million.  The increase in the carrying amount is due to the accrual of deemed dividends of approximately $2.7 million, the accretion of the beneficial conversion feature of approximately $5.1 millionmarket condition during the ninethree months ending September 30, 2017 and the additional BCF discounts for payment-in-kind shares accrued during the nine months ending September 30, 2017 of $0.6 million.  Both the deemed dividends and the accretion of the beneficial conversion feature are recorded as distributions to the holders of the Series A Preferred Stock on the income statement with the corresponding entry recorded as an increase to the carrying value of the Series A Preferred Stock.

Issue Discount

The Company recorded the Series A Preferred Stock at a fair value of approximately $73.2 million or $4.99 per share on the date of issuance.  The difference between the fair value of $73.2 million and the liquidation value of $110 million represents a discount of $36.8 million from the initial face value as a result of assessing the impact the rights and features of the instrument and their effect on the value to the Company.  After the partial redemption, the Series A Preferred stock has a fair value of approximately $32.9 million or $4.99 per share.  The difference between the fair value of $32.9 million and the liquidation value of $49.5 million represents a discount of approximately $16.6 million.  

Beneficial Conversion Features

The fair value of the common stock into which the Series A Preferred Stock is convertible exceeded the allocated purchase price fair value of the Series A Preferred Stock at the date of issuance and after redemption by approximately $44.7 and $20.1 million, respectively, resulting in a beneficial conversion feature.  The Company will recognize the beneficial conversion feature as non-cash, deemed dividend to the holder of Series A Preferred Stock over the first three years the Series A Preferred Stock is outstanding, as the date the stock first becomes convertible is three years from the issue date.  The amount recognized for the three and nine months ended September 30, 2017 was approximately $1.7 million and $5.1 million, respectively.  

In addition to the beneficial conversion feature (“BCF”) recorded at the original issue date, we recorded additional BCF discounts for payment-in-kind shares accrued for quarters ended March 31, 2017, June 30, 2017 and September 30, 2017, as dividends.  After the early redemption, the face value of the remaining Series A Preferred Stock is $49.5 million.  We will issue 264,000 additional shares ($49.5 million * 4.0%) / $7.50) of Series A Preferred Stock as payment-in-kind dividends for the year ending December 31, 2017, the first year dividends are payable.  The additional 264,000 shares will be discounted and amortized to the income statement over the remaining period up to the earliest conversion date, which is three years from the original issue date.  The additional BCF discount recorded for the three and nine months ended September 30, 20172024 was approximately $201,240 and $603,720 respectively.  

13


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Automatic Conversion

Each share of Series A Preferred Stock issued and outstandingestimated as of the tenth anniversarygrant date using a Monte Carlo simulation with the following assumptions:
Three Months Ended
March 31, 2024
Expected term (in years)3.0
Risk-free interest rate (%)4.5%
Expected volatility (%)72.2%
Dividend yield (%)
Weighted average grant date fair value per share$18.82

As of the original issue dateMarch 31, 2024, there was approximately $10.8 million of unrecognized stock-based compensation expense related to nonvested PSUs that will automatically convert into fully paidbe recognized over a weighted-average period of approximately 2.6 years.

Note 7. Revenue Recognition
The Company’s two reportable segments for which it recognizes revenue are (1) Clinical Services and non-assessable shares of common stock.

Classification  

(2) Advanced Diagnostics. The Company classified the Series A Preferred Stock as temporary equity on the consolidated balance sheets dueClinical Services segment provides various clinical testing services to certain changecommunity-based pathology practices, oncology practices, hospital pathology labs, reference labs, and academic centers with reimbursement from various payers including client direct billing, commercial insurance, Medicare and other government payers, and patients. The Advanced Diagnostics segment supports pharmaceutical firms in control events that are outside the Company’s control, including deemed liquidation events described in the Series A Certificate of Designation.

Note G –their drug development programs by providing testing services and data analytics for clinical trials and research.

Clinical Services Revenue Recognition and Contractual Adjustments

The Company recognizes revenues when (a) the price is fixed or determinable, (b) persuasive evidence of an arrangement exists, (c) the service is performed and (d) collectability of the resulting receivable is reasonably assured.

The Company’s specialized diagnostic services are performed based on a written test requisition form or an electronic equivalent,equivalent. The performance obligation is satisfied and revenues are recognized once the diagnostic services have been performed and the results have been delivered to the ordering physician. These diagnostic services are billed to various payers, including Medicare,client direct billing, commercial insurance, companies,Medicare and other directly billed healthcare institutions such as hospitalsgovernment payers, and clinics, and individuals.  The Company reports revenues from contractedpatients. Revenue is recorded for all payers including Medicare, certain insurance companies and certain healthcare institutions, based on the contractual rate, or in the case of Medicare, published fee schedules.  The Company reports revenues from non-contracted payers, including certain insurance companies and individuals, based on the amount expected to be collected.  The differencecollected, which considers implicit price concessions. Implicit price concessions represent differences between the amountamounts billed and the amount estimated consideration the Company expects to be collected from non-contracted payers is recordedreceive based on negotiated discounts, historical collection experience, and other anticipated adjustments, including anticipated payer denials.
Advanced Diagnostics Revenue
The Company’s Advanced Diagnostics segment generally enters into contracts with pharmaceutical and biotech customers as an allowancewell as other CROs to arrive at the reported net revenues.provide research and clinical trial services. Such services also include validation studies and assay development. The expected revenues from non-contracted payers areCompany records revenue on a unit-of-service basis based on the historical collection experiencenumber of each payerunits completed towards the satisfaction of a performance obligation. In addition, certain contracts include upfront fees and the revenue for those contracts is recognized over time as services are performed.
17

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Additional offerings within the Advanced Diagnostics portfolio includes Informatics, which involves the licensing of de-identified data to pharmaceutical and biotech customers in the form of either retrospective records or payer group, as appropriate.prospective deliveries of data. Informatics revenue is recognized at a point in time upon delivery of retrospective data or over time for prospective data feeds. The Company records revenues from patient pay tests netnegotiates billing schedules and payment terms on a contract-by-contract basis, and contract terms generally provide for payments based on a unit-of-service arrangement.
Amounts collected in advance of services being provided are deferred as contract liabilities on the Consolidated Balance Sheets. The associated revenue is recognized and the contract liability is reduced as the contracted services are subsequently performed. Contract assets are established for revenue recognized but not yet billed. These contract assets are reduced once the customer is invoiced and a large discountcorresponding receivable is recorded. Additionally, Advanced Diagnostics incurs sales commissions in the process of obtaining contracts with customers. Sales commissions that are payable upon contract award are recognized as assets and amortized over the expected contract term. The amortization of commission expense is based on the weighted average contract duration for all commissionable awards in the respective business in which the commission expense is paid, which approximates the period over which goods and services are transferred to the customer. For offerings with primarily short-term contracts, such as Informatics, the Company applies the practical expedient which allows costs to obtain a result recognizes minimal revenue on those tests.  The Company regularly reviews its historical collection experience for non-contracted payers and adjusts its expected revenues for current and subsequent periods accordingly.  On January 1, 2017, we had a significant reduction in our patient fee schedule that primarily impactscontract to be expensed when incurred, if the amount billed to uninsured patients.

The table below shows the adjustments made to gross service revenues to arrive at net revenues (in thousands), the amount reported on our statements of operations.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Gross service revenues

 

$

85,429

 

 

$

114,902

 

 

$

263,229

 

 

$

376,857

 

Total contractual adjustments and discounts

 

 

(22,377

)

 

 

(54,141

)

 

 

(72,411

)

 

 

(193,264

)

Net revenues

 

$

63,052

 

 

$

60,761

 

 

$

190,818

 

 

$

183,593

 

Note H – Equity

A summaryamortization period of the stock option activity underassets that would otherwise have been recognized is one year or less. Contract assets and capitalized commissions are included in other current assets and other assets on the Company’s plansConsolidated Balance Sheets.

Most contracts are terminable by the customers, either immediately or according to advance notice terms specified within the contracts. All contracts require payment of fees to the Company for services rendered through the date of termination and may require payment for subsequent services necessary to conclude the study or close out the contract.
The following table summarizes the values of contract assets, capitalized commissions and contract liabilities (in thousands):
March 31, 2024December 31, 2023
Current contract assets (1)
$236 $37 
Long-term contract assets (2)
— — 
Total contract assets$236 $37 
Current capitalized commissions (1)
$810 $935 
Long-term capitalized commissions (2)
98 53 
Total capitalized commissions$908 $988 
Current contract liabilities$1,144 $2,130 
Long-term contract liabilities (3)
— — 
Total contract liabilities$1,144 $2,130 

(1)Recorded within other current assets on the Consolidated Balance Sheets.
(2) Recorded within other assets on the Consolidated Balance Sheets.
(3) Recorded within other long-term liabilities on the Consolidated Balance Sheets.
Revenue recognized related to contract liability balances outstanding at the beginning of the period was $1.1 million and $1.8 million for the three months ended September 30, 2017March 31, 2024 and 2023, respectively. Amortization of capitalized commissions was $0.3 million and $0.2 million for the three months ended March 31, 2024 and 2023, respectively.
Disaggregation of Revenue
The Company considered various factors for both its Clinical Services and Advanced Diagnostics segments in determining appropriate levels of homogeneous data for its disaggregation of revenue; including the nature, amount, timing, and uncertainty of revenue and cash flows. Clinical Services categories align with the types of customers due to similarities of billing method, level of reimbursement, and timing of cash receipts. Unbilled amounts are accrued and allocated to payer categories based on historical experience. In future periods actual billings by payer category may differ from accrued amounts. Advanced Diagnostics relate to contracts with large pharmaceutical and biotech customers as well as other CROs. Because the nature, timing, and uncertainty of revenue and cash flows are similar and primarily driven by individual contract terms, Advanced Diagnostics revenue is as follows:

not further disaggregated.

 

 

Number of

 

 

Weighted average

 

 

 

shares

 

 

exercise price

 

Options outstanding at December 31, 2016

 

 

5,136,110

 

 

$

5.76

 

Options granted

 

 

2,070,498

 

 

 

7.56

 

Less:

 

 

 

 

 

 

 

 

Options exercised

 

 

503,320

 

 

 

3.73

 

Options canceled or expired

 

 

210,347

 

 

 

5.80

 

Options outstanding at September 30, 2017

 

 

6,492,941

 

 

 

6.47

 

Exercisable at September 30, 2017

 

 

2,137,259

 

 

 

5.47

 

18

14


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Of

(unaudited)
The following table details the 6,492,941 outstanding options at September 30, 2017, 1,240,834 were variable accounted stock options issued to non-employeesdisaggregation of revenue for both the Clinical Services and Advanced Diagnostics segments (in thousands):
Three Months Ended March 31,
20242023
Clinical Services:
    Client direct billing$90,483 $76,823 
    Commercial Insurance23,604 21,355 
    Medicare and Medicaid20,369 16,587 
    Self-Pay79 104 
Total Clinical Services$134,535 $114,869 
Advanced Diagnostics21,705 22,351 
Total Revenue$156,240 $137,220 

Note 8. Restructuring
In 2022, the Company embarked on a restructuring program to improve execution and drive efficiency across the organization. This program is a framework for identifying, prioritizing and executing operational improvements. Restructuring charges incurred consist of which 445,833 options were vestedseverance and 795,001 options were unvested asother employee costs, costs for optimizing the Company’s geographic presence (“Facility Footprint Optimization”), and consulting and other costs.
The following table summarizes the changes in the Company’s accrued restructuring balance (in thousands):

Severance and Other Employee CostsFacility Footprint OptimizationConsulting and Other CostsTotal
Balance as of December 31, 2023$687 $1,389 $537 $2,613 
Restructuring charges incurred697 964 747 2,408 
Impairment of facility related assets— (10)— (10)
Cash payments and other adjustments (1)
(771)(1,796)(1,125)(3,692)
Balance as of March 31, 2024$613 $547 $159 $1,319 
Current liabilities$1,319 
Long-term liabilities— 
$1,319 
(1) Other adjustments include non-cash asset charges related to Facility Footprint Optimization costs.
The Company continued this restructuring program in 2024 and expects to incur additional restructuring charges of September 30, 2017.

approximately $3.8 million. The fair valueCompany estimates these additional restructuring charges to be comprised of each stock option award granted during the nine months ended September 30, 2017 was estimated as of the grant date using a trinomial lattice model with the following weighted average assumptions:

 

 

Nine Months Ended

September 30, 2017

 

Expected term (in years)

 

3.0 - 4.5

 

Risk-free interest rate (%)

 

 

1.5%

 

Expected volatility (%)

 

43.5% - 53.0%

 

Dividend yield (%)

 

 

0.0%

 

Weighted average fair value/share at grant date

 

$

2.24

 

As of September 30, 2017, there was approximately $6.5$1.1 million in severance and other employee costs, $2.5 million of unrecognized share based compensation expense related to stock options that will be recognized over a weighted-average periodFacility Footprint Optimization costs, and $0.2 million of approximately 1.3 years.  This includes approximately $1.9 million in unrecognized expense related to the 795,001 shares of unvested variable accounted for stock options subject to fair value adjustment atconsulting and other costs.


Note 9. Income Taxes
At the end of each reportinginterim period, management estimates the annual effective tax rate based on forecasted pre-tax results of the Company’s global operations and applies such rate to its ordinary quarterly earnings to calculate income tax expense related to ordinary income. The tax effects of items significant, unusual and infrequent in nature are discretely calculated and recognized in the period during which they occur. These discrete items often relate to changes in tax laws, excess tax benefits/deficiencies related to share-based compensation or adjustments to previously reported tax expense/benefits.
Management assesses the recoverability of its deferred tax assets as of the end of each quarter, weighing available positive and negative evidence, and is required to establish and maintain a valuation allowance for these assets if it is more likely than not that some or all of the deferred income tax assets will not be realized. The weight given to the evidence is commensurate with the extent to which the evidence can be objectively verified. If negative evidence exists, positive evidence is necessary to
19

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
support a conclusion that a valuation allowance is not needed. A cumulative loss in recent years, commonly defined as a three-year cumulative loss position, is a significant piece of negative evidence that is difficult to overcome.
As of March 31, 2024, the Company’s stock price.

Stock based compensation expense recognized for stock options and restricted stock and includedU.S. operations are in a three-year cumulative loss position. Management determined that sufficient objectively verifiable positive evidence does not exist to overcome the consolidated statements of operations was allocated as follows (in thousands): 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Research and development expense

 

$

531

 

 

$

187

 

 

$

858

 

 

$

550

 

General and administrative expense

 

 

2,229

 

 

 

1,499

 

 

 

4,954

 

 

 

3,484

 

Total stock based compensation expense

 

$

2,760

 

 

$

1,686

 

 

$

5,812

 

 

$

4,034

 

Stock based compensation recorded in research and development relates to unvested options granted to a non-employee.   

Common Stock Warrants

A summarynegative evidence of the warrant activityCompany’s U.S. cumulative loss position. Accordingly, the Company’s estimated annual effective tax rate applied to the Company’s pre-tax loss for the six months ended September 30, 2017 is as follows:

 

 

Number of

 

 

Weighted average

 

 

 

shares

 

 

exercise price

 

Warrants outstanding at December 31, 2016

 

 

450,000

 

 

$

1.49

 

Warrants granted

 

 

 

 

 

 

Less:

 

 

 

 

 

 

 

 

Warrants exercised

 

 

450,000

 

 

 

1.49

 

Warrants canceled or expired

 

 

 

 

 

 

Warrants outstanding at September 30, 2017

 

 

 

 

 

 

Exercisable at September 30, 2017

 

 

 

 

 

 

During both the three months ended September 30, 2017March 31, 2024, includes the unfavorable impact of a partial valuation allowance against the majority of the Company’s forecasted U.S. net operating loss and 2016, we recorded $0tax credit carryforwards.

As of warrant compensation expense.  DuringMarch 31, 2024, the nineCompany’s U.K. operations are in a three-year cumulative loss position. The reversal of U.K. deferred tax liabilities will provide a source of realization to support a portion of the U.K. deferred tax assets, and therefore a partial valuation has been established for those deferred tax assets. Accordingly, the Company’s estimated annual effective tax rate applied to the Company’s pre-tax loss for the three months ended September 30, 2017, we recorded $0March 31, 2024 includes the favorable impact of warrant compensation expenserecognizing a component of the U.K. benefit.

Full valuation allowances have been established for loss jurisdictions (Switzerland, Singapore, and duringChina), which are thus not included in the nine months ended September 30, 2016 we recorded a warrant compensation gaincomputation of approximately $10,000, respectively.  Warrant expense (gain)the estimated annual effective tax rate for 2024.

Note 10. Net Loss Per Share
The Company presents both basic earnings per share (“EPS”) and diluted EPS. Basic EPS excludes potential dilution and is computed by dividing net loss by the weighted-average number of common shares outstanding for the periods presentedperiod. Diluted EPS reflects the potential dilution that could occur if stock options were exercised, stock awards vested and if the 2028 Convertible Notes and 2025 Convertible Notes were converted. The potential dilution from stock awards is recorded in research and development asaccounted for using the expense is related to unvested performancetreasury stock method based warrants that were granted to a non-employee.  As of September 30, 2017, there were no outstanding warrants.  

15


NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Restricted Stock

On August 31, 2017, we issued 450,000 shares of restricted common stock to Ascend Genomics as purchase consideration foron the customer list acquired.  The customer list was recorded as an intangible asset, see Note C – Goodwill and Intangible Assets.  As a condition of the purchase, Ascend is prohibited from trading the shares for a period of six months from the closing date.  

Employee Stock Purchase Plan

We offer an employee stock purchase plan (“ESPP”) through which eligible employees may purchase shares of our common stock at a discount.  On May 25, 2017, the Company amended the ESPP, increasing the discount from 5% to 15% of the fairaverage market value of the Company’s common stock. As a resultThe potential dilution from conversion of this change, we have recordedthe 2028 Convertible Notes and 2025 Convertible Notes is accounted for using the if-converted method, which requires that all of the shares of the Company’s common stock based compensation expense related toissuable upon conversion of the ESPP for2028 Convertible Notes and the quarter ended September 30, 2017.  

During2025 Convertible Notes will be included in the three months ended September 30, 2017calculation of diluted EPS assuming conversion of the 2028 Convertible Notes and 2016, employees purchased 23,664 and 26,092 shares, respectively under the ESPP.  The expense recorded for these periods was $41,907 and $0, respectively.  During the nine months ended September 30, 2017 and 2016, employees purchased 74,756 and 75,623 shares, respectively under the ESPP.  The expense recorded for these periods was $41,907 and $0.

Note I – Commitments

During the three and nine months ended September 30, 2017, the Company entered into leases of approximately $683,000 and $3.2 million in laboratory and computer equipment, respectively. These leases have 36 month terms, a $1.00 buyout option2025 Convertible Notes at the endbeginning of the terms and interest rates rangingreporting period (or at time of issuance, if later).

The following table shows the calculations (in thousands, except net loss per share amounts):
Three Months Ended March 31,
20242023
NET LOSS$(27,061)$(30,795)
Basic weighted average shares outstanding126,111 125,026 
Diluted weighted average shares outstanding126,111 125,026 
Basic net loss per share$(0.21)$(0.25)
Diluted net loss per share$(0.21)$(0.25)


The following potentially dilutive shares were excluded from 0.0% to 19.5%.  The Company accounted for these lease agreements as capital leases.

During the nine months ended September 30, 2017,calculation of diluted net loss per share because their effect would be anti-dilutive (in thousands):

Three Months Ended March 31,
20242023
Stock options557 13 
Restricted stock awards1,031 942 
2025 Convertible Notes5,538 5,538 
2028 Convertible Notes5,215 5,215 

In addition, 663,771 shares of PSU awards are excluded from the Company entered into a construction contract for the expansioncomputation of our laboratory in Houston, Texas.  The contract is for approximately $5.0 million, which the Company intends to finance through a capital lease with a 36 month term and a $1.00 buyout option.  The interest rate under this lease will vary based on the timing of the construction payments.  We anticipate this project to be complete in the first quarter of 2018.  

Note J – Other Related Party Transaction

During each of the three and nine month periods ended September 30, 2017 and 2016, Steven C. Jones was an officer, director and shareholder of the Company.  In connection with his duties as Executive Vice President, Mr. Jones earned approximately $46,000 and $66,000diluted EPS for the three months ended September 30, 2017March 31, 2024 as the contingency had not been satisfied.


20

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
In connection with the 2028 Convertible Notes offering, on January 11, 2021, the Company entered into separate, privately negotiated convertible note hedge transactions (collectively, the “Capped Call Transactions”) with option counterparties pursuant to capped call confirmations at a cost of approximately $29.3 million. The potential effect of the Capped Call Transactions was excluded from the calculation of diluted net loss per share in the three months ended March 31, 2024 as the Company’s closing stock price of $15.72 on March 28, 2024 did not exceed the conversion price of $85.75 per share. The Capped Call Transactions are not reflected in diluted net loss per share as they are anti-dilutive.

Note 11. Commitments and 2016, respectively.Contingencies
Legal Proceedings
On January 20, 2021, Natera, Inc. filed a patent infringement complaint against the Company’s subsidiary Inivata Limited and its subsidiary Inivata, Inc. in U.S. District Court for the district of Delaware, alleging Inivata’s InVisionFirst®-Lung cancer diagnostic test of infringing two patents. Natera then filed a second patent infringement complaint on December 20, 2022 against Inivata Limited and Inivata, Inc. alleging that RaDaR® minimal residual disease test infringes one patent. The case is in discovery and the jury trial has been scheduled for October 6, 2025. On March 6, 2024, the parties stipulated to stay both Delaware cases until the North Carolina litigation is resolved. On March 7, 2024, the district court judge in Delaware ordered the cases stayed.
On July 28, 2023, Natera filed a complaint in the Middle District of North Carolina alleging NeoGenomics' RaDaR test infringes on two patents. On July 31, 2023, Natera moved for a preliminary injunction. On December 27, 2023, the district court issued a preliminary injunction against RaDaR®. Natera posted a $10 million bond with the court on January 12, 2024. The court's initial determination was that Natera, Inc. demonstrated a likelihood that products using RaDaR® technology infringe one Natera, Inc. patent. The order specifically allows patients already using RaDaR® to continue their use. In addition, the order explicitly allows research projects and studies that are in progress, as compensation for his serviceswell as clinical trials that are in progress or have been approved, to continue. On December 28, 2023, NeoGenomics appealed the preliminary injunction to the Federal Circuit. The appeal was docketed at the Federal Circuit on January 4, 2024. On February 5, 2024, NeoGenomics filed an Emergency Motion to Stay the Preliminary Injunction pending Appeal and a Motion to Expedite the appeal. The Federal Circuit granted expedited briefing of the appeal and heard oral arguments on March 29, 2024. A decision on the appeal has not yet been issued. The Company intends to vigorously pursue its appeal of the preliminary injunction. The infringement case is in discovery and the jury trial has been scheduled for March 10, 2025. The Company has filed two inter partes review petitions before the Patent Trial and Appeal Board Mr. Jones earned approximately $13,000(“PTAB”) in the United States Patent and $0Trademark Office seeking a determination that the two patents asserted against in the North Carolina action are unpatentable in view of prior art. The PTAB has not yet determined whether to institute trial in either of the inter partes review cases. The Company believes that it has good and substantial defenses to the claims alleged in these suits, but there is no guarantee that the Company will prevail. At the time of filing the outcome of these matters is not estimable or probable.
On December 16, 2022, a purported shareholder class action captioned Daniel Goldenberg v. NeoGenomics, Inc., Douglas VanOort, Mark Mallon, Kathryn McKenzie, and William Bonello was filed in the United States District Court for the Southern District of New York, naming the Company and certain of the Company’s current and former officers as defendants. This lawsuit was filed by a stockholder who claims to be suing on behalf of anyone who purchased or otherwise acquired the Company’s securities between February 27, 2020 and April 26, 2022. The lawsuit alleges that material misrepresentations and/or omissions of material fact were made in the Company’s public disclosures in violation of Sections 10(b) and 20(a) of the Exchange Act and Rule 10b-5 promulgated thereunder. The alleged improper disclosures relate to statements regarding the Company’s menu of tests, business operations and compliance with health care laws and regulations. The plaintiff seeks unspecified monetary damages on behalf of the putative class and an award of costs and expenses, including attorney’s fees and expert fees. On April 27, 2023, a shareholder of the Company filed a shareholder derivative action on behalf of the Company captioned Puskarich v. VanOort, et al. in Clark County Nevada, naming certain of the Company’s current and former officers and directors as defendants. The allegations are substantially similar to the allegations asserted in the Goldenberg action. Substantially similar shareholder derivative actions were subsequently filed in Lee County, Florida and in the United States District Court for the Southern District of New York, captioned Wong v. VanOort, et al. and Mellema v. VanOort, et al., respectively. The Company believes that it has valid defenses to the claims alleged in the lawsuits, but there is no guarantee that the Company will prevail. At the time of filing the outcome of these matters are not estimable or probable.
Regulatory Matter
With the assistance of outside counsel, the Company voluntarily conducted an internal investigation that focused on the compliance of certain consulting and service agreements with federal healthcare laws and regulations, including those relating to fraud, waste and abuse. Based on this internal investigation, the Company voluntarily notified the Office of Inspector General of the U.S. Department of Health and Human Services (“OIG”) of the Company’s internal investigation in November 2021. The Company’s interactions with regulatory authorities and the Company’s related review of this matter are ongoing. The
21

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Company has a reserve of $11.2 million in other long-term liabilities as of March 31, 2024 and December 31, 2023 on the Consolidated Balance Sheets for potential damages and liabilities primarily associated with the federal healthcare program revenue received by the Company in connection with the agreements at issue that were identified during the course of this internal investigation. This reserve reflects management’s best estimate of the minimum probable loss associated with this matter. As a result of the internal investigation and ongoing interactions with regulatory authorities, the Company may accrue additional reserves for any related potential damages and liabilities arising out of this matter. The Company was notified on June 30, 2022, that the Department of Justice (“DOJ”) will be participating in the investigation of this matter. At this time, the Company is unable to predict the duration, scope, result or related costs associated with any further investigation, including by the OIG, DOJ, or any other governmental authority, or what penalties or remedial actions they may seek. Accordingly, at this time, the Company is unable to estimate a range of possible loss in excess of the amount reserved. Any determination that the Company’s operations or activities are not in compliance with existing laws or regulations, however, could result in the imposition of civil or criminal fines, penalties, disgorgement, restitution, equitable relief, exclusion from participation in federal healthcare programs or other losses or conduct restrictions, which could be material to the Company’s financial results or business operations.

Note 12. Related Party Transactions
The Company has Advanced Diagnostics contracts with HOOKIPA Pharma, Inc., an entity with whom a director of the Company, Michael A. Kelly, was a director until April 2023. In connection with these contracts, the Company recognized $0.2 million of revenue in the Consolidated Statements of Operations for the three months ended September 30, 2017March 31, 2023.

Note 13. Segment Information
The Company recognizes revenue under two reportable segments, (1) Clinical Services and 2016, respectively.  During(2) Advanced Diagnostics. The Clinical Services segment provides various clinical testing services to community-based pathology and oncology practices, hospital pathology labs, and academic centers with reimbursement from various payers including client direct billing, commercial insurance, Medicare and other government payers, and self-pay patients. The Advanced Diagnostics segment supports pharmaceutical firms’ drug development programs by assisting with various clinical trials and research as well as providing informatics related services often supporting pharmaceutical commercialization efforts.
The financial information reviewed by the nine months ended September 30, 2017Chief Operating Decision Maker (“CODM”) includes revenues, cost of revenue, and 2016, Mr. Jones earned approximately $164,000 and $197,000, respectively in connection with his dutiesgross profit for both reportable segments. Assets are not presented at the segment level as Executive Vice President.  Mr. Jones also received approximately $85,000 and $79,000 duringthat information is not used by the nine months ended September 30, 2017 and 2016, respectively, as payment of his annual bonus compensation for the previous fiscal years.  In addition, as compensation for his services on the Board, Mr. Jones earned $25,500 and $0 for the nine months ended September 30, 2017 and 2016, respectively.

During each of the three and nine month periods ending September 30, 2017 and 2016, Kevin Johnson was a director and shareholder of the Company.  In May of 2017, the Company engaged Mr. Johnson to provide services as a consultant.  This engagement ended in June of 2017.  In connection with his role as a consultant, Mr. Johnson earned approximately $0 and $0CODM.

The following table summarizes segment information for the three months ended September 30, 2017March 31, 2024, and 2016, respectively.  In addition, as compensation2023 (in thousands):

Three Months Ended March 31,
20242023
Net revenues:
Clinical Services$134,535 $114,869 
Advanced Diagnostics21,705 22,351 
Total revenue156,240 137,220 
Cost of revenue:
Clinical Services(1)
76,844 67,292 
Advanced Diagnostics(2)
13,927 15,114 
Total cost of revenue90,771 82,406 
Gross Profit:
Clinical Services57,691 47,577 
Advanced Diagnostics7,778 7,237 
Total gross profit65,469 54,814 
(1) Clinical Services cost of revenue for his services onboth the Board, Mr. Johnson earned approximately $14,000three months ended March 31, 2024 and $15,000,2023 includes $4.3 million of amortization of acquired intangible assets. Clinical Services cost of revenue for the three months ended September 30, 2017 and 2016, respectively and approximately $44,000 and $45,000March 31, 2024 also
22

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
includes $0.3 million of non-cash stock-based compensation. There were no such amounts recorded for the ninethree months ended September 30, 2017 and 2016, respectively.

On May 25, 2017, the Company granted stock options and restricted stock to each of its board members as part of its annual board compensation process.  Mr. Jones and Mr. Johnson were each granted 10,000 stock options and 8,667 shares of restricted stock for their Board services.  The options were granted at a price of $7.27 per share and had a weighted average fair market value of $2.38 per option.  The options vest ratably over the next three years.  The restricted stock has a weighted average fair value of $7.27 per share and vests ratably on the last day of each calendar quarter up to March 31, 2018.

END OF FINANCIAL STATEMENTS

16

2023.
(2) Advanced Diagnostics cost of revenue for both the three months ended March 31, 2024 and 2023 includes $0.6 million of amortization of acquired intangible assets. Advanced Diagnostics cost of revenue for the three months ended March 31, 2024 also includes $0.1 million of non-cash stock-based compensation. There were no such amounts recorded for the three months ended March 31, 2023.
23

NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS




NeoGenomics, Inc., a Nevada corporation (referred to individually as the “Company” or collectively with its subsidiaries as “NeoGenomics”, “we”, “us”, “our”“NeoGenomics,” “we,” “us,” or the “Company”“our,” in this Form 10-K)Quarterly Report) is the registrant for SEC reporting purposes. Our common stock is listed on the NASDAQ CapitalThe Nasdaq Stock Market LLC (“Nasdaq”) under the symbol “NEO”.

Introduction

The following discussion and analysis should be read in conjunction with the unaudited consolidated financial statements,Consolidated Financial Statements and the notes thereto included herein. The information contained below includes statements of the Company’s or management’s beliefs, expectations, hopes, goals and plans that, if not historical, are forward-looking statements subject to certain risks and uncertainties that could cause actual results to differ materially from those anticipated in the forward-looking statements. For a discussion on forward-looking statements, see the information set forth in the introductory note to this quarterly reportQuarterly Report on Form 10-Q under the caption “Forward-Looking Statements”,Statements,” which information is incorporated herein by reference.

Overview

We operate a network of cancer-focused genetic testing laboratories in the United States.States and the United Kingdom. Our mission is to improvesave lives by improving patient care through exceptional genetic and molecular testing services.care. Our vision is to become the World’s leadingworld’s leader in cancer testing, information, and information companydecision support by deliveringproviding uncompromising quality, exceptional service, and innovative solutions.

As of September 30, 2017, the Company had laboratory locationsMarch 31, 2024, we operated College of American Pathologists (“CAP”) accredited and Clinical Laboratory Improvement Amendments of 1988 (“CLIA”) certified laboratories in Fort Myers, Florida; Aliso Viejo and Fresno, CA; TampaSan Diego, California; Research Triangle Park, North Carolina; and Fort Myers, FL; Houston, TXTexas; and Nashville, TN.  The Companya CAP accredited full-service, sample-processing laboratory in Cambridge, United Kingdom. We also have several, small, non-processing laboratory locations across the United States for providing analysis services. We currently offersoffer the following types of genetictesting services:
Cytogenetics (“karyotype analysis”) – the study of normal and abnormal chromosomes and their relationship to disease. Cytogenetics involves analyzing the chromosome structure to identify changes from patterns seen in normal chromosomes. Cytogenetic studies are often performed to provide diagnostic, prognostic and occasionally predictive information for patients with hematological malignancies.
Fluorescence In-Situ Hybridization (“FISH”) – a molecular cytogenetic technique that focuses on detecting and localizing the presence or absence of specific DNA sequences and genes on chromosomes. The technique uses fluorescent probes that bind to only those parts of the chromosome with which they show a high degree of sequence similarity. Fluorescence microscopy is used to visualize the fluorescent probes bound to the chromosomes. FISH can be used to help identify numerous types of gene alterations, including amplifications, deletions, and translocations.
Flow cytometry – a technique utilized to measure the characteristics of cell populations. Typically performed on liquid samples such as peripheral blood and bone marrow aspirate, it may also be performed on solid tissue samples such as lymph nodes following additional processing steps. Cells are labeled with selective fluorescent antibodies and analyzed as they flow in a fluid stream through a beam of light. The properties measured in these antibodies include the relative size, relative granularity or internal complexity, and relative fluorescence intensity. These fluorescent antibodies bind to specific cellular antigens and are used to identify abnormal and/or malignant cell populations. Flow cytometry is typically utilized in diagnosing a wide variety of hematopoietic and lymphoid neoplasms. Flow cytometry is also used to monitor patients during the course of therapy to identify extremely low levels of residual malignant cells, known as minimal residual disease (“MRD”) monitoring.
Immunohistochemistry (“IHC”) and Digital Imaging – the process of localizing cellular proteins in tissue sections and relies on the principle of antigen-antibody binding. IHC is widely used in the diagnosis of abnormal cells such as those found in cancer. Specific surface membrane, cytoplasmic, or nuclear markers may be identified. IHC is also widely used to understand the distribution and localization of differentially expressed proteins. Digital imaging allows clients to visualize scanned slides and also perform quantitative analysis for certain stains. Scanned slides are received online in real time and can be previewed often a full day before the glass slides can be shipped back to clients.
Molecular testing – a rapidly growing field which includes a broad range of laboratory techniques utilized in cancer testing. Most molecular techniques rely on the analysis of DNA and/or RNA, as well as the structure and function of genes at the molecular level. Common molecular testing services:

a)

Cytogenetics - the study of normal and abnormal chromosomes and their relationship to disease. It involves looking at the chromosome structure to identify changes from patterns seen in normal chromosomes. Cytogenetic studies are often utilized to answer diagnostic, prognostic and predictive questions in the treatment of hematological malignancies.

technologies include: DNA fragment length analysis; polymerase chain reaction (“PCR”) analysis; reverse transcriptase polymerase chain reaction (“RT-PCR”) analysis, real-time (or quantitative) polymerase chain reaction (“qPCR”) analysis; bi-directional Sanger sequencing analysis; and next-generation sequencing (“NGS”) analysis.

b)

Fluorescence In-Situ Hybridization (“FISH”) - a branch of cancer genetics that focuses on detecting and locating the presence or absence of specific DNA sequences and genes on chromosomes. FISH helps bridge abnormality detection between the chromosomal and DNA sequence levels. The technique uses fluorescent probes that bind to only those parts of the chromosome with which they show a high degree of sequence similarity. Fluorescence microscopy is used to visualize the fluorescent probes bound to the chromosomes. FISH can be used to help identify a number of gene alternations, such as amplification, deletions, and translocations.

24

c)

Flow cytometry - a rapid way to measure the characteristics of cell populations. Cells from peripheral blood, bone marrow aspirate, lymph nodes, and other areas are labeled with selective fluorescent antibodies and analyzed as they flow in a fluid stream through a beam of light. The properties measured in these antibodies include the relative size, relative granularity or internal complexity, and relative fluorescence intensity. These fluorescent antibodies bind to specific cell surface antigens and are used to identify malignant cell populations. Flow cytometry is typically performed in diagnosing a wide variety of leukemia and lymphoma neoplasms. Flow cytometry is also used to monitor patients through therapy to determine whether the disease burden is increasing or decreasing, otherwise known as minimal residual disease monitoring.

d)

Immunohistochemistry (“IHC”) and Digital Imaging – Refers to the process of localizing proteins in cells of a tissue section and relies on the principle of antibodies binding specifically to antigens in biological tissues. IHC is widely used in the diagnosis of abnormal cells such as those found in cancerous tumors. Specific surface cytoplasmic or nuclear markers are characteristic of cellular events such as proliferation or cell death (apoptosis). IHC is also widely used to understand the distribution and localization of differentially expressed proteins.  Digital imaging allows clients to see and utilize scanned slides and perform quantitative analysis for certain stains.  Scanned slides are received online in real time and can be previewed often a full day before the glass slides can be shipped back to clients.

e)

Molecular testing - a rapidly growing cancer testing methodology that focuses on the analysis of DNA and RNA, as well as the structure and function of genes at the molecular level. Molecular testing employs multiple technologies including DNA fragment length analysis, real-time polymerase chain reaction (“RT-PCR”) RNA analysis, bi-directional Sanger sequencing analysis, and Next-Generation Sequencing (“NGS”).

f)

Pathology consultation - services provided to clients whereby our pathologists review surgical samples on a consultative basis. NeoGenomics pathologists are some of the foremost experts on pathology in the country, and are used as experts on difficult and challenging cases.

17


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS


Morphologic analysis – the process of analyzing cells under the microscope by a pathologist, usually for the purpose of diagnosis. Morphologic analysis may be performed on a wide variety of samples, such as peripheral blood, bone marrow, lymph nodes, and other sites such as lung, breast, etc. The services provided at NeoGenomics may include primary diagnosis, in which a sample is received for processing and our pathologists provide the initial diagnosis; or may include secondary consultations, in which slides and/or tissue blocks are received from an outside institution for second opinion. In the latter setting, the expert pathologists at NeoGenomics assist our client pathologists on their most difficult and complex cases.
Clinical Cancer Testing Services

Segment

The clinical cancer testing services we offer to community-based pathologists and oncologists are designed to be a natural extension of, and complementary to, the services that they perform within their own practices. We believe our relationship as a non-competitive partner to community-based pathology practices, hospital pathology labs, reference labs, and academic centers empowerscan empower them to expand their breadth of testing andto provide a menu of services that matchescould match or exceedsexceed the level of service found in any center of excellence around the world.

Pharma Services Community-based pathology practices and hospital pathology labs may order certain testing services on a technical component only (“TC” or “tech-only”) basis, which allows them to participate in the diagnostic process by performing the professional component (“PC”) interpretation services without having to hire laboratory technologists or purchase the sophisticated equipment needed to perform the technical component of the tests. We also support our pathology clients with interpretation and consultative services using our own specialized team of pathologists for difficult or complex cases and we provide overflow interpretation services when requested by clients.

We believe we are a leading provider of Heme Molecular and NGS testing and one of the key providers of solid tumor NGS testing solutions. These tests are interpreted by NeoGenomics’ team of molecular experts and are often ordered in conjunction with other testing modalities. NGS panels are one of our fastest growing testing areas, and clients can often receive a significant amount of biomarker information from very limited samples. These comprehensive panels can allow for faster treatment decisions for patients as compared to a series of single-gene molecular tests being ordered sequentially. We have a broad molecular testing menu, and our targeted NeoTYPE panels include genes relevant to a particular cancer type. These tests are complemented by IHC and FISH tests, as necessary. In addition, we offer molecular-only NGS-targeted and comprehensive panels which combine DNA and RNA into a single work stream in order to report a full spectrum of genomic alterations, including mutations, fusions, copy number variations, and splicing mutations, as well as tumor mutation burden (TMB) and microsatellite instability (MSI) for solid tumor cases. This comprehensive molecular test menu allows our clients to obtain most of their molecular oncology testing needs satisfied by our laboratory. This is attractive to our clients as patient samples do not need to be split and then managed across several laboratories. The acquisition of Inivata in June of 2021 provided us with oncology liquid biopsy technology capabilities. InVisionFirst®-Lung is a highly sensitive, targeted plasma-based assay for patients with non-small cell lung cancer, and RaDaR® is a liquid biopsy assay designed to detect residual disease and recurrence in plasma samples from patients with solid tumor malignancies. We expect our molecular laboratory and NGS capabilities to be a key growth driver in the coming years.
In addition, we directly serve oncology, dermatology and other clinician practices that prefer to have a direct relationship with a laboratory for cancer-related genetic testing services. We typically serve these types of clients with a comprehensive service offering where we perform both the technical and professional components of the tests ordered. In certain instances, larger clinician practices have begun to internalize pathology interpretation services, and our tech-only service offering allows these larger clinician practices to also participate in the diagnostic process by performing the PC interpretation services on TC testing performed by us. In these instances we will typically provide all of the more complex, molecular testing services.
Advanced Diagnostics Segment
Our Advanced Diagnostics revenue consists of three revenue streams:
Clinical Trials

trials and research;

Validation laboratory services; and
Informatics.
Our Pharma Services divisionAdvanced Diagnostics segment supports pharmaceutical firms in their drug development programs by supporting various clinical trials.trials and research. This portion of our business often involves working with the pharmaceutical firms (sponsors)(“sponsors”) on study design as well as performing the required testing. Our medical team often advises the sponsor and works closely with them as specimens are received from the enrolled sites. We also work on developing tests that will be used as part of a companion diagnostic to determine patients’ responseresponses to a particular drug. As studies unfold, our clinical trials team reports the data and often provideprovides key analysis and insights back to the sponsors.

Our Pharma Services and Clinical Trials groupAdvanced Diagnostics segment provides comprehensive testing services in support of our pharmaceutical clients’ oncology programs from discovery to commercialization. In biomarker discovery, our aim is to help our customers discover the right
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content. We help our customers develop a biomarker hypothesis by recommending an optimal platform for molecular screening and backing our discovery tools with the informatics to capture meaningful data. In other prepre-clinical and non-clinical work, we can use our platforms to characterize markers of interest. Moving from discovery to development, we seek to help our customers refine their biomarker strategy and, if applicable, develop a companion diagnostic pathway using the optimal technology for large-scale clinical trial testing.

Whether serving as the single contract research organization or partnering with one, our Pharma Services and Clinical TrialsAdvanced Diagnostics team provides significant technical expertise, working closely with our customers to support each stage of clinical trial development. Each trial we support comes with rapid turnaround time, dedicated project management and quality assurance oversight. We have experience in supporting submissions to the Federal Drug Administration (“FDA”) for companion diagnostics. Our Pharma ServicesAdvanced Diagnostics strategy is focused on helping to bring more effective oncology treatments to market through providing world classworld-class laboratory services in oncology to key pharmaceutical companies in the industry.

2017

We believe that we are well positioned to service sponsors across the full continuum of the drug development process. Our Advanced Diagnostics team can work with these sponsors during the basic research and development phase as compounds come out of translational research departments, as well as work with clients from Phase I, Phase II and Phase III clinical trials as the sponsors work to demonstrate the efficacy of their drugs. The laboratory biomarker tests that are developed during this process may become companion diagnostic (“CDx”) tests that will be used on patients to determine if they could respond to a certain therapy. We are able to offer these CDx tests to the market immediately after FDA approval as part of our Day 1 readiness program. This ability helps to speed the commercialization of a drug and can enable sponsors to reach patients through our broad distribution channel in the Clinical Services segment.
We are committed to connecting patients with life-altering therapies and trials. In carrying out these commitments, we aim to provide transparency and choice to patients regarding the handling and use of their data through our Notice of Privacy Practices, and have invested in leading technologies to secure the data we maintain. We are continuing to develop and broaden our informatics and data-related tools to leverage our unique market position and oncology expertise to help our stakeholders solve real-world problems such as identifying patients for clinical trials or providing clinical decision support tools for physicians and providers.
2024 Focus Areas: Develop High Performance Culture, Inspire & “Own” Quality, Accelerate Growth
We are committed to sustainable growth while transforming cancer care for patients and Advanceproviders. Our Strategy

Over the past several years, NeoGenomics has experienced rapid growth including organic growth from offering new testsfocus for 2024 is to existing customers, growth from gaining market share from our competitors,sustain a purpose driven culture that maintains excellence in service and growth from acquisitions.performance while growing through innovation. We expect the following initiatives to allow us to continue on our path to grow our business in 2017 and are focused on several initiatives to continue to build our Company to bebecome one of the World’sworld’s leading cancer testing and information company.

Develop our High Performancecompanies:

Profitably Grow Core Business
Grow volume and NGS mix;
Drive market penetration;
Win on oncology; and
Improve revenue cycle management.
Accelerate Advanced Diagnostics
Execute Neo Comprehensive 2.0 launch;
Execute liquid biopsy Comprehensive Genetic Profiling (“CGP”) launch; and
Improve gross margin.
Drive Value Creation
Increase productivity and efficiency;
Improve gross margin;
Implement Laboratory Information Management System (“LIMS”) Phase 1; and
Prioritize quality system enhancements.
Enhance Our People and Culture

We are building our high performance culture by empowering our employees

Enhance teammate development and investing in their growth.  We are providing skill based training, education,engagement; and mentoring our supervisors
Grow a customer-oriented and managers to allow them to grow within the Company.  We communicated career opportunities and performance objectives and hold each employee accountable for their own development.  Teamwork is highly encouraged through the use of team performance incentive plans as well as other meaningful recognition and rewards.  To cultivate teamwork we are committed to improving communication by providing better tools for today’s connected society.  Our organization uses weekly employee surveys and takes actions based on the feedback from those surveys.  We believe that a culture of engaged employees provides superior service to our clients and their patients battling cancer.  We have employee retention targets that are set each year, and we believe our employee retention rate is above average for the laboratory industry.  Recruiting and retaining talented employees is critical in the fast moving field of cancer diagnostics.  

Inspire and “Own” Quality

Since the acquisition of Clarient, Inc. and its wholly owned subsidiary Clarient Diagnostic Services, Inc. (together “Clarient”) we’ve focused on combining the very best of both NeoGenomics and Clarient testing menus and services.  We’ve had functional teams work through every part of the business to ensure that we were able to maintain our high level of quality and create best practices

18

growth mindset.
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throughout our organization.  Maintaining quality laboratory operations and service is enabling us


Competitive Strengths
In addition to retain existing clients while adding new ones.  

We have a variety of initiatives designed to further enhance our company-wide quality program, provide training on the importance of quality, reinforce our quality principals, and recognize individuals and teams for providing quality service.  By promoting and reinforcing quality principles,competitive strengths discussed below, we believe we can strengthenthat our core processes.  Oursuperior testing technologies and instrumentation, laboratory information system, client education programs and domestic and international presence also differentiate NeoGenomics from its competitors.

Turnaround Times
We consistently focus on continuous improvement, first time quality and the work of our best-practice teams will enable us to continue reducing our cost per test as we have steadily over the past several years.

In 2016, we began work on our next generation Laboratory Information System (“LIS”) and our information technology team is working to complete the LIS for certain key areas of our Pharma Services division in 2017.  We believe the new LIS will help to drive improvements in several laboratory areas and will allow for further automation and operational efficiencies.  The new LIS will also meet the stringent requirements of our Pharma Services clients and will enable these clients the ability to track each step through the laboratory process.  On June 30, 2017, we began using this new system in certain areas of our Pharma Services business and we will continue to roll it out.  Once all of the Pharma Services testing is on the new LIS, we intend to begin using it in our Clinical Testing division.

We have renovated our Aliso Viejo, CA laboratory and are currently working on the expansion of our Houston, TX facility which we expect to complete by the end of the first quarter of 2018.  We completed the consolidation of our Irvine Lab facility into the Aliso Viejo Lab facility, and we fully vacated the Irvine facility on April 30, 2017.  We have also completed the sale of PathLogic on August 1, 2017 and therefore no longer have a laboratory in West Sacramento, CA.  We expect these changes in our business to result in additional capacity, economies of scale and operating efficiencies.

Accelerate Profitable Growth

Our plans for 2017 include many initiatives to continue our strong organic growth by gaining market share, introducing new tests, and expanding our Pharma business.  Through the acquisition of Clarient we have significantly expanded our Pharma Services business, and plan to develop it further by creating an international presence and incorporating new technologies.  Also, as a result of the Clarient acquisition, we have expanded our sales team and now offer our services in geographic areas where we did not previously have sales representation.  We believe our highly trained sales team has been successful in competing against other laboratories because of our exceptional service levels, and because we have one of the broadest and most comprehensive test menus in our industry. Our broad menu of molecular and immunohistochemistry testing has helped make us a “one stop shop” for many clients who like the fact that all of their testing can be sent to one laboratory.

We currently perform comprehensive analyses for hematopoietic cancers such as leukemia and lymphoma (blood and lymphoid tumors) as well as solid tumors such as breast, lung, colon, and bladder cancers.  Our sales team is experienced with the scientific complexity and medical necessity of our testing services, and understands the needs of our client pathologists and oncologists. We will continue to pursue market share gains by providing high complexity, cancer-related laboratory testing services to hospitals, community-based pathology practices, academic centers, and clinicians throughout the United States.  

Our growth has also been aided by strong client retention.  We believe our client retention success is due to our strong service levels, our tech-only service offerings, and a culture of customer focus in which our engaged employees seek to deliver highest customer satisfaction possible.   Our strong service levels are reinforced by a disciplined management process with a system of detailed measures and metrics to ensure committed turnaround times and customer service.  Our broad menu of molecular and immunohistochemistry testing has helped make us a “one stop shop” for many clients who like the fact that all of their testing can be sent to one laboratory.

In early 2017, we re-branded and created a new logo.  We intend to implement strategic marketing plans to further develop our brand and build brand awareness.  We have re-designed our trade show booth incorporating our new logo and plan to improve new test launches by using social media to improve brand awareness.   We believe by executing and developing our brand we will achieve growth in new and existing markets.

We also look for opportunities to grow our business through mergers and/or acquisitions.  We are focused on strategic opportunities that would be complementary to our menu of services and would increase our earnings and cash flow in the short to medium timeframe.  In late 2015 we acquired Clarient which specialized in advanced oncology diagnostic services, this acquisition has enabled NeoGenomics to

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broaden its offering of innovative cancer diagnostic tests to hospitals and physicians across the country, and to accelerate its growth in the fast-growing worldwide market for pharmaceutical clinical trials and research.  Complementary product offerings and expanded geographical reach of the combined Company will provide customers with substantial benefits and create a significantly larger and more diversified provider of precision oncology diagnostics.  The Clarient transaction is a good example of the type of acquisition opportunity we will consider in the future.

Advance Our Strategy

We are committed to being an innovative leader and believe this has been and will be a key factor in our growth.  We plan to accomplish this goal through strategic actions designed to: 1) advance the technology we use in our laboratories, 2) evaluate, develop and deploy new products and services, and 3) evaluate and experiment with value-based payment models in collaboration with oncology groups and other health care providers.

Our broad and innovative testing menu allows us to serve community-based pathologists and clinicians as well as pharmaceutical customers and nationally recognized academic centers.  Over the past year, we have developed approximately 50 new molecular oncology tests and disease-specific panels, and we believe we have one of the most comprehensive oncology test menus of any laboratory in the world.  By launching new medically significant and necessary tests at a steady rate, we are able to provide cutting-edge developments in molecular genetics with clients and their patients and are developing our reputation as a leader in the field of molecular oncology.  In many cases, customers who begin using us because of our new innovative test offerings also begin to refer portions of their other testing.  

Our comprehensive test offering allows us to be a one-stop shop for all of the oncology testing needs of our clients.  Pharmaceutical firms are also attracted to our laboratory based on extensive test menu, and based on our knowledgeable research and development team as well as our ability to offer tests at the forefront of medical developments. 

We continue to pursue opportunities to offer “liquid biopsy” testing, particularly for hematological diseases.  We have launched twelve NEOLABTM liquid biopsy tests for hematological disease using next generation sequencing and other advanced molecular technologies.  Liquid Biopsy testing uses cell-free circulating DNA and RNA found in blood plasma to identify molecular abnormalities in the bone marrow without the need for a bone marrow biopsy. The technology is based on the concept that hematologic cells release their DNA, RNA, and protein into circulation as the cells are immersed in blood.  The cell-free circulating DNA, RNA and protein are referred to as exosomes, microvesicles, apoptotic bodies or simply DNA- or RNA-protein complexes.  Our new tests use proprietary methods to extract these circulating nucleic acids and analyze them using next generation sequencing and advanced methods in order to evaluate molecular abnormalities present in hematological cancers.  

We also continue to develop new testing approaches by combining the capabilities of a variety of testing technologies.   Our NeoTYPETM multimodality testing is somewhat unique in the industry and combines immunohistochemistry testing, molecular testing, and FISH testing into disease-specific panels that are very effective and efficient for improving patient care.  We introduced a number of NeoTYPETM molecular panels that combine multiple molecular tests into multi-gene panels targeting specific types of cancer to help pathologists and oncologists determine cancer subtypes on difficult cases.  Managed care payers have expressed interest in the more targeted panels as a more cost effective alternative to ordering large whole genome panels that include genes that have never been tied to a particular type of cancer.

Our NeoLAB (Liquid Biopsy) Prostate cancer test which is performed on blood plasma and urine rather than on prostate tissue biopsies is currently available as a Laboratory Developed Test and we have received clinical orders for it.  There are two goals for this test: 1) to diagnose the presence of cancer in patients and 2) to distinguish high-grade from low-grade cancer in patients with prostate cancer.  We are working to gain reimbursement for this test which we believe could significantly increase the acceptance and the number of test orders we receive for this important test.

Competitive Strengths

Turnaround Times

We strive to provide industry leading turnaround times for test results to our clients nationwide.nationwide in the Clinical Services segment. By providing information to our clients in a rapidtimely manner, physicians can begin treating their patients as soon as possible. We believe our average 4-5 day turnaround

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time for our cytogenetics testing services, our average 3-4 day turnaround time for FISH testing services, our 5-7 day turnaround time for molecular testing and our average 1 day turnaround time for flow cytometry and pathology testing services are industry-leading benchmarks for national laboratories.  Our consistent timelinessTimeliness of results by our Clinical Services segment is a competitive strength and a driver of additional testing requests by our referring physicians. Rapid turnaroundTurnaround times allow for the performance of other adjunctive tests within an acceptable diagnosis window in order to augment or confirm results and more fully inform treatment options. WeAdditionally, we believe that our fastrapid turnaround times are a key differentiator versus other national laboratories,time on testing and our clients often cite them as aproject milestones are key factorfactors in their relationship with us.

World-class Medical and Scientific Team

Our team of medical professionals and Ph.Ds. are specialists in the field of genetics, oncology and pathology.  As of September 30, 2017, we employed, or are contracted with, approximately 28 full-time M.D.s and Ph.Ds.  The addition of Clarient’s pathology team has added increased depth to our medical team, and has enhanced our ability to service a wider range of specialties.  

Extensive Tech-OnlyAdvanced Diagnostics segment.

Innovative Service Offerings

We believe we currently have one of the most extensive menumenus of tech-only FISH services in the countryUnited States as well as extensive and advanced tech-only flow cytometry and IHC testing services. These types of testing services allow the professional interpretation component of a test to be performed and billed separately by our physician clients. Our FISH, flow cytometry and other tech-only service offerings allow properly trained and credentialed community-based pathologists to extend their own practices by performing professional interpretations services, which allows them to better service the needs of their local clientele without the need to invest in the lab equipment and personnel required to perform the technical component of genetic and molecular testing.

Our tech-only services are designed to give pathologists the option to choose, on a case by case basis, whether they want to order justonly the technical information and images relating to a specific testcomponent of testing so they can perform the professional interpretation, or order “global” services and receive a comprehensive test report which includes a NeoGenomics Pathologist’spathologist’s interpretation of the test results. Our clients appreciate the flexibility to access NeoGenomics’ medical staff for difficult or complex cases or when they are otherwise unavailable to perform professional interpretations.  We believe this innovative approach to serving the needs of pathology clients’ results in longer term, more committed client relationships that are, in effect, strategic partnerships. Our extensive tech-only service offerings have differentiated us and allowed us to compete more effectively against larger, more entrenched competitors in our niche of the industry.

Global Service Offerings

We offer a comprehensive suite of technical and professional interpretation services to meet the needs of those clients who are not credentialed andand/or trained in interpreting genetic testsvarious testing modalities and who require NeoGenomics' pathology specialists to interpret thetheir testing results for them.results. In our global service offerings, our lab performs the technical component of the teststesting and our M.D.sMDs and Ph.Ds.PhDs provide the serviceprofessional component of testing by interpreting the results of those tests. Our professional staff is also available for post-test consultative services. Clients using our global service offering rely on the expertise of our medical team to give them the answers they need in a timely manner to help inform their diagnoses and treatment decisions. Many
Our Molecular and NGS Clinical Services segment test menus provide clients with the ability to order single gene molecular tests, targeted NeoTYPE panels that include the relevant actionable genes for a particular cancer type, as well as comprehensive NGS panels. Our Advanced Diagnostics segment offers a full range of our tech-only clients also rely on our medical team for difficult or challenging cases by ordering our globalsequencing testing services on a case-by-case basis or our medical team can serve as a backup to support our clients who need help to satisfy the continuedincluding whole exome and demanding requirements of their practice. Our reporting capabilities allow for all relevant case data from our global services to be captured in one summary report. When providing global services, NeoGenomics bills for both the technical and professional component of the test, which results in a higher reimbursement level.

Client Education Programs

We believe we have one of the most extensive client education programs in the genetic and molecular testing industry. We train pathologists how to use and interpret genetic testing services so that they can better interpret technical data and render their diagnosis.

Our educational programs include an extensive library of on-demand training modules, online courses, webinars and custom tailored on-site training programs that are designed to prepare clients to utilize our tech-only services. We offer training and information on new cancer tests and the latest developments in the field of molecular genetic testing. Each year, we also regularly sponsor seminars and webinars on emerging topics of interest in our field. Our medical staff is involved in many aspects of our training programs.

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Superior Testing Technologies and Instrumentation

We use some of the most advanced testing technologies and instrumentation in the laboratory industry. The use of next generation sequencing in our molecular testing allows us to detect multiple mutations and our proprietary techniques allow us to achieve high sensitivity in our next generation sequencing testing.  In addition, we use high sensitivity Sanger sequencing, RNA and DNA quantification, SNP/Cytogenetic arrays, Fragment Length analysis, and other molecular testing technologies.  Our automated FISH and Cytogenetics tools allow us to deliver the highest quality testing to our clients and our flow cytometry laboratory uses 10-color flow cytometry analysis technology on a technical-only basis.  NeoGenomics is continually testing new laboratory equipment in order to remain at the forefront of new developments in the testing field.

Laboratory Information System

We believe we have a state-of-the-art LIS that interconnects our locations and provides flexible reporting solutions to clients.  This system allows us to standardize testing and deliver uniform test results and images throughout our network, regardless of the location that any specific portion of a test is performed within our network.  This allows us to move specimens and image analysis work between locations to better balance our workload.  Our LIS also allows us to offer highly specialized and customizable reporting solutions to our tech-only clients.  For instance, our tech-only FISH and flow cytometry applications allow our community-based pathologist clients to tailor individual reports to their specifications and incorporate only the images they select and then issue and sign-out such reports using our system.  Our customized reporting solution also allows our clients to incorporate test results performed on ancillary tests not performed at NeoGenomics into summary report templates.  This FlexREPORT feature has been well-received by clients.

whole genome sequencing.

National Direct Sales Force

Our direct sales force has been trained extensively in cancer genetic testing and consultative selling skills to service the needs of clients. Our sales team for the clinical cancer testing servicesClinical Services segment is organized into fivenine regions (Northeast,in the United States – Northeast, Northwest, Mid-Atlantic, South, Southeast, North Central, West, Great Lakes, and South Central and West), and we have a separateCentral. Our sales team for our Pharma Services division.is focused on value-based care solutions and end-to-end client experience as a growth driver. Our Advanced Diagnostics segment has a dedicated team of business development specialists who are experienced in working with sponsors and helping them with the testing needs of their research and development projects as well as Phase I, II and III studies. These sales representatives utilize our custom Customer Relationship Management System (“CRM”) to manage their territories, and we have integrated all of the importantkey customer care functionality within our LISLIMS into the CRM so that our sales representatives can stay informed of emerging issues and opportunities within their regions. Our in-house customer care team is aligned with our field sales team to serve the needs of our clients by utilizing the same LISLIMS and CRM. Our field teams can see in real-timereal time when a client calls the laboratory, the reason for the call and the resolution, and determine if face-to-face interaction is needed for follow-up.

Geographic Locations

Many high complexity laboratories within the cancer testing niche have frequently operated a core facility Our sales force educates clients on either the West Coast or the East Coast of the United States to service the needs ofnew test offerings and their customers around the country. We believeproper utilization, and our clients and prospects desire to do business with a laboratory with national breadth and a local presence. We have six facilities including three large laboratory locations in Fort Myers, Florida, Aliso Viejo, California and Houston Texas.  We also have three smaller laboratory locations in Fresno, California, Nashville, Tennessee and Tampa, Florida. Our objective is to “operate one lab with multiple locations” in order to deliver standardized, high quality, test results. We have completed renovations inrepresentatives are often seen as trusted advisors by our Aliso Viejo facility and have successfully transitioned all Irvine employees and tests into the much larger Aliso Viejo laboratory during late March 2017.  We are also working to expand our Houston, Texas facility in order to increase capacity and plan to complete this expansion by the end of the first quarter of 2018.  In addition, our new lab in Geneva, Switzerland is fully operational with a grand opening planned for early November of 2017.  We intend to continue to develop and open new laboratories and/or expand our current facilities as market situations dictate and business opportunities arise.

Scientific Pipeline

In the past few years our field has experienced a rapid increase in tests that are tied to specific genomic pathways. These predictive tests are typically individualized for a small sub-set of patients with a specific subtype of cancer. The therapeutic target in the genomic pathway is typically a small molecule found at the level of the cell surface, within the cytoplasm and/or within the nucleus. These genomic pathways, known as the “Hallmarks of Cancer”, contain a target-rich environment for small-molecule anti-therapies. These anti-therapies target specific mutations in the major cancer pathways such as the Proliferation Pathway, the Apoptotic Pathway, the Angiogenic Pathway, the Metastasis Pathway, and the Signaling Pathways and Anti-Signaling Pathways.

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clients.

Seasonality

The majority of our clinical testing volume is dependent on patients being treated by hematology/oncology professionals and other healthcare providers. The volume of our testing services generally declines modestly during the summer vacation season, year-end holiday periods and other major holidays, particularly when those holidays fall during the middle of the week. In addition, the volume of our testing tends to decline due to extreme adverse weather conditions, such as excessively hot or cold spells, heavy snow, hurricanes or tornadostornadoes in certain regions, consequently reducing revenues and cash flows in any affected period. During the third quarter of 2017, Hurricane Harvey forced the closure of our Houston laboratory for three days and Hurricane Irma forced the closure of our Fort Myers facility for five days.  Therefore, comparison of the results of successive periods may not accurately reflect trends for future periods.

Please see the section captioned Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2016; as filed with the SEC on March 14, 2017 for a detailed description of our business.

Results of Operations for the Three and Nine Months Ended September 30, 2017 as Compared to the Three and Nine Months Ended September 30, 2016

The following table presents the consolidated statements of operations as a percentage of revenue:

 

 

Three Months Ended

September 30

 

 

Nine Months Ended

September 30

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net revenue

 

 

100.0

%

 

 

100.0

%

 

 

100.0

%

 

 

100.0

%

Cost of revenue

 

 

54.3

%

 

 

55.0

%

 

 

54.3

%

 

 

54.7

%

Gross Profit

 

 

45.7

%

 

 

45.0

%

 

 

45.7

%

 

 

45.3

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General and administrative

 

 

36.9

%

 

 

31.3

%

 

 

35.0

%

 

 

30.4

%

Research and development

 

 

2.0

%

 

 

1.6

%

 

 

1.6

%

 

 

2.0

%

Sales and marketing

 

 

10.4

%

 

 

9.8

%

 

 

9.7

%

 

 

9.9

%

Loss on sale of Path Logic

 

 

1.7

%

 

 

 

 

 

0.6

%

 

 

 

Total operating expenses

 

 

51.0

%

 

 

42.7

%

 

 

46.9

%

 

 

42.3

%

Income (loss) from operations

 

 

(5.3

)%

 

 

2.3

%

 

 

(1.2

)%

 

 

3.0

%

Interest expense, net

 

 

2.2

%

 

 

2.4

%

 

 

2.2

%

 

 

2.5

%

Net income (loss) before income taxes

 

 

(7.5

)%

 

 

(0.1

)%

 

 

(3.4

)%

 

 

0.5

%

Income tax (benefit) expense

 

 

0.5

%

 

 

0.0

%

 

 

(0.3

)%

 

 

0.3

%

Net income (loss)

 

 

(8.0

)%

 

 

(0.1

)%

 

 

(3.1

)%

 

 

0.2

%

27

The following table presents consolidated net revenue by type for the periods indicated ($ in thousands):


 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

$ Change

 

 

% Change

 

 

2017

 

 

2016

 

 

$ Change

 

 

% Change

 

Clinical testing

 

$

56,186

 

 

$

55,739

 

 

$

447

 

 

 

1

%

 

$

172,668

 

 

$

166,674

 

 

$

5,994

 

 

 

4

%

Pharma Services

 

 

6,866

 

 

 

5,022

 

 

 

1,844

 

 

 

37

%

 

 

18,150

 

 

 

16,919

 

 

 

1,231

 

 

 

7

%

Total Revenue

 

$

63,052

 

 

$

60,761

 

 

$

2,291

 

 

 

4

%

 

$

190,818

 

 

$

183,593

 

 

$

7,225

 

 

 

4

%

Revenue

Clinical testing revenue increased for both the three and nine month periods ending September 30, 2017 as compared to the same periods in 2016.  Testing volumes also increased in our clinical genetic testing business by approximately 16.6% and 16.0% for the three and nine month periods ended September 30, 2017, respectively.  The increases in revenue and volume were due to strong growth in molecular and histology testing as well as growth in immuno-histochemistry tests due to demand for the PD-L1 test as a result of the FDA approving Pembrolizumab (Keytruda) in October 2016 as first-line treatment for PD-L1 positive non-small cell lung cancer.  We have also seen accelerating growth in flow cytometry and FISH.  While revenues and volumes increased quarter over quarter and year over year, we believe the impact of hurricanes Harvey and Irma depressed our revenues by approximately $1.0 million and volumes by approximately 1.5% during the third quarter of 2017.  Our sales team has largely finished integration related

23


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

activities, which was a distraction


In our Advanced Diagnostics segment, we enter into both short-term and long-term contracts, ranging from their effortsone month to sell new business.  We believeseveral years. While the team can now be re-focusedvolume of this testing is not as directly affected by seasonality as described above, the testing volume does vary based on growth and selling the benefitsterms of the combined company.    

Pharma Services revenue increased approximately 37%contract. Our volumes are often based on how quickly sponsors can get patient enrollees for their trials and 7%seasonality can impact how quickly patients are enrolled. Many of our long-term contracts contain specific performance obligations where the testing is performed on a specific schedule. In addition, this results in backlog that can be significant and highly dependent on pharmaceutical clinical trial enrollment.

Laboratory Developed Tests
On April 29, 2024, the FDA announced a final rule on the regulation of Laboratory Developed Tests (“LDTs”) which amends the FDA's regulations to make explicit that LDT's are devices under the Federal Food, Drug, and Cosmetic Act (“FD&C Act”). The FDA issued a policy to phase out, over the course of four years, its general enforcement discretion approach to LDTs and also issued targeted enforcement discretion policies for certain categories of LDTs. The FDA is allowing currently marketed tests offered as LDTs (that were first marketed before May 6, 2024) to stay on the market without requiring pre-market review and approval by the FDA. Similarly, the FDA will not require pre-market review and approval by the FDA for tests approved by the New York State Department of Health Clinical Laboratory Evaluation Program. The Company is currently assessing how these regulatory changes may affect our operations.
Results of Operations for the three and nine month periods ended September 30, 2017Three Months Ended March 31, 2024 as comparedCompared to the same periods in 2016.  In addition, our backlogThree Months Ended March 31, 2023
Consolidated Statements of signed contracts has continued to grow from $46.5 millionOperations as a percentage of June 30, 2017 to $58.0 million as of September 30, 2017.  We expect this backlog to result in higher revenues in future quarters.  We also expect to see growth in our Pharma Services division due to our international expansion into Geneva, Switzerland.  This facility will be operational in the fourth quarter of 2017 and already has a backlog of approximately $1.5 million.  

Revenue was also impacted due to an error that we identified during an internal analysis in the third quarter of 2017.  The error impactednet revenue reported in our Form 10-K for the year ended December 31, 2016, Form 10-Q for the quarter ended March 31, 2017 and Form 10-Q for the quarter ended June 30, 2017.  Specifically, we determined that certain unbillable tests were inadvertently included in the revenue accrual recorded for these periods.  The Company assessed the extent of this error and it was corrected in the third quarter of 2017, resulting in an understatementperiods presented are as follows:
 Three Months Ended March 31,
 20242023
Net revenue100.0 %100.0 %
Cost of revenue(1)
58.1 %60.1 %
Gross profit41.9 %39.9 %
Operating expenses:
General and administrative42.1 %44.9 %
Research and development4.9 %5.4 %
Sales and marketing12.9 %11.8 %
Restructuring charges1.5 %3.4 %
Total operating expenses61.4 %65.5 %
Loss from operations(19.5)%(25.6)%
Interest income(3.1)%(2.3)%
Interest expense1.1 %1.2 %
Other expense (income), net0.2 %0.1 %
Loss before taxes(17.7)%(24.6)%
Income tax benefit(0.4)%(2.2)%
Net loss(17.3)%(22.4)%

(1)Cost of revenue of $2.4 million and $0.6 million for the three and nine months ended September 30, 2017, respectively.  See Item 4. Controls and Procedures for additional details regarding this error.

The following table shows clinical genetic testing revenue, cost of revenue, requisitions received and tests performed for the three and nine months ended September 30, 2017 and 2016.  This data excludes tests performed for Pharma customers and tests performed by Path Logic, which was sold on August 1, 2017.  Testing revenue and cost of revenue are presented in thousands below:

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

2017

 

 

2016

 

 

% Change

 

 

2017

 

 

2016

 

 

% Change

 

Requisitions received (cases)

 

98,031

 

 

 

90,297

 

 

 

8.6

%

 

 

291,806

 

 

 

269,916

 

 

 

8.1

%

Number of tests performed

 

163,289

 

 

 

140,089

 

 

 

16.6

%

 

 

482,476

 

 

 

415,815

 

 

 

16.0

%

Average number of tests/requisition

 

1.67

 

 

1.55

 

 

 

7.4

%

 

 

1.65

 

 

1.54

 

 

 

7.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total clinical genetic testing revenue

$

55,772

 

 

$

53,887

 

 

 

3.5

%

 

$

168,999

 

 

$

160,886

 

 

 

5.0

%

Average revenue/requisition

$

568

 

 

$

597

 

 

 

(4.7

%)

 

$

579

 

 

$

596

 

 

 

(2.8

%)

Average revenue/test

$

342

 

 

$

385

 

 

 

(11.2

%)

 

$

350

 

 

$

387

 

 

 

(9.5

%)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenue

$

29,652

 

 

$

28,578

 

 

 

3.8

%

 

$

87,889

 

 

$

85,499

 

 

 

2.8

%

Average cost/requisition

$

302

 

 

$

316

 

 

 

(4.4

%)

 

$

301

 

 

$

317

 

 

 

(4.9

%)

Average cost/test

$

181

 

 

$

204

 

 

 

(11.0

%)

 

$

182

 

 

$

206

 

 

 

(11.4

%)

We continue to realize growth in our clinical testing revenue which we believe is the direct result of our efforts to innovate by developing and maintaining one of the most comprehensive cancer testing menus in the industry.  Our broad test menu enables our sales teams to identify opportunities for increasing revenues from existing clients and allows us to gain market share from competitors. New immuno-histochemistry tests such as Micro Satellite Instability, DNA Mismatch Repair, PD1 and PD-L1 have continued to show solid growth and have increased our volume and revenue growth in the third quarter.  We believe the field of immuno-therapy will continue to show substantial growth in coming years and our ability to offer multi-modality testing in one lab will allow us to capitalize on this increased demand.  

Average revenue per test decreased for both the three months ended March 31, 2024 and nine month2023 includes $4.9 million of amortization of acquired intangible assets. Cost of revenue for the three months ended March 31, 2024 also includes $0.4 million of non-cash stock-based compensation. There were no such amounts recorded for the three months ended March 31, 2023.

Clinical Services and Advanced Diagnostics net revenues for the periods ended September 30, 2017presented are as compared to the corresponding periods in the previous year.  These decreases are primarily due to the change in test mix, specifically the increase in PD-L1 testing which has a lower average unit price (“AUP”) than our overall Company AUP.  The 19% Medicare cut in Flow Cytometry reimbursement as a result of the 2017 Medicare Physician Fee Schedule also contributed to the lower revenue per test.

These decreases to our average revenue per test were offset by our higher volumes and reductions in cost per test.  The cost per test reductions were partially a result of the change in test mix, specifically the higher mix of lower cost histology tests.  In addition, we continue to have success in reducing costs in the laboratory as synergies are being realized from the consolidation of our Irvine and Aliso Viejo, California laboratories.  We have also seen a reduction in send-out costs, as our extensive menu makes it rare for us to need to send a test to another laboratory.  

24

follows:
 Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
Net revenue:
Clinical Services$134,535 $114,869 $19,666 17.1 %
Advanced Diagnostics21,705 22,351 (646)(2.9)%
Total revenue$156,240 $137,220 $19,020 13.9 %


28

NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS


Revenue
Consolidated revenues increased $19.0 million, or 13.9%, year-over-year.
Clinical Services revenue for the three months ended March 31, 2024 increased $19.7 million when compared to the same period in 2023. The increase in Clinical Services revenue reflects an increase in test volume, a more favorable test mix, and an increase in average unit price due to strategic reimbursement initiatives.
Advanced Diagnostics revenue for the three months ended March 31, 2024 decreased $0.6 million compared to the same period in 2023 primarily due to macro clinical trial trends in the pharmaceutical industry and the prioritization of projects that will have a long-term profitable impact on the business.
Cost of Revenue and Gross Profit

Cost of revenue includes payrollcompensation and payroll relatedbenefit costs, including stock-based compensation, for performing tests, maintenance andand/or depreciation of laboratory equipment, rent for laboratory facilities, laboratory reagents, probes and supplies, and delivery and courier costs relating to the transportation of specimens to be tested.

tested, and amortization for acquired intangible assets.

The consolidated cost of revenue and gross profit metrics for the periods presented are as follows ($ in thousands):

follows:
 Three Months Ended March 31,
($ in thousands)20242023% Change
Cost of revenue:
Clinical Services(2)
$76,844 $67,292 14.2 %
Advanced Diagnostics(3)
13,927 15,114 (7.9)%
Total cost of revenue$90,771 $82,406 10.2 %
Cost of revenue as a % of revenue58.1 %60.1 %
Gross profit:
Clinical Services$57,691 $47,577 21.3 %
Advanced Diagnostics7,778 7,237 7.5 %
Total gross profit$65,469 $54,814 19.4 %
Gross profit margin41.9 %39.9 %

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

Consolidated

 

2017

 

 

2016

 

 

$ Change

 

 

2017

 

 

2016

 

 

$ Change

 

Cost of revenue

 

$

34,242

 

 

$

33,416

 

 

$

826

 

 

$

103,634

 

 

$

100,471

 

 

$

3,163

 

Cost of revenue as a % of revenue

 

 

54.3

%

 

 

55.0

%

 

 

 

 

 

 

54.3

%

 

 

54.7

%

 

 

 

 

Gross Profit

 

$

28,810

 

 

$

27,345

 

 

$

1,465

 

 

$

87,184

 

 

$

83,122

 

 

$

4,062

 

Gross Profit Margin

 

 

45.7

%

 

 

45.0

%

 

 

 

 

 

 

45.7

%

 

 

45.3

%

 

 

 

 

(2)Clinical Services cost of revenue for both the three months ended March 31, 2024 and 2023 includes $4.3 million of amortization of acquired intangible assets. Clinical Services cost of revenue for the three months ended March 31, 2024 also includes $0.3 million of non-cash stock-based compensation. There were no such amounts recorded for the three months ended March 31, 2023.

(3)Advanced Diagnostics cost of revenue for both the three months ended March 31, 2024 and 2023 includes $0.6 million of amortization of acquired intangible assets. Advanced Diagnostics cost of revenue for the three months ended March 31, 2024 also includes $0.1 million of non-cash stock-based compensation. There were no such amounts recorded for the three months ended March 31, 2023.
Consolidated cost of revenue in dollars increased 10.2% for the three and nine months ended September 30, 2017March 31, 2024 when compared to the same periodsperiod in 2016 while cost of revenue as a percentage of revenue decreased slightly year-over-year.2023 primarily due to higher compensation and benefit costs, an increase in supplies expense, an increase in technology fees, and an increase in depreciation expense. These increases were partially offset by a decrease in costshipping fees.
Gross profit margin for the three months ended March 31, 2024 was 41.9% compared to 39.9% in the same period in 2023. The increase of revenue are largely due2.0% for the three months ended March 31, 2024 was primarily related to the increase in our testing volumesrevenue offset by higher compensation and additionalbenefit costs incurred with the consolidation of our two largest testing facilitiesand an increase in southern California, specifically increased overtime and associated costs.  

Gross profit margin increased slightly for both the three and nine months ended September 30, 2017, as compared to the same period last year.  These increases were achieved despite the reduction in our revenue per test over these time periods.  We were able to increase gross profit margin due to our laboratories processing the increased test volumes more efficiently.  We had only limited staffing increases in the laboratory to handle the increased volumes, and our laboratory teams have been extremely focused on reducing their cost per test across all departments. As a result of the correction of the aforementioned error in the third quarter of 2017, gross profit was understated by $2.4 million and $0.6 million for the three and nine months ended September 30, 2017, respectively.

supplies expense.

General and Administrative Expenses

General and administrative expenses consist of employee-relatedcompensation and benefit costs (salaries, fringe benefits, and stock based compensation expense) for our executive, billing, finance, human resources, information technology, and other administrative personnel.personnel, as well as stock-based compensation. We also allocate professional services, facilities expense,expenses, IT infrastructure costs, bad debt expense, depreciation, amortization and other administrative-related costs to general and administrative expenses.

Consolidated general and administrative expenses for the periods presented are as follows:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

($ in thousands)

 

2017

 

 

2016

 

 

$ Change

 

 

2017

 

 

2016

 

 

$ Change

 

General and administrative

 

$

23,267

 

 

$

19,025

 

 

$

4,242

 

 

$

66,743

 

 

$

55,810

 

 

$

10,933

 

As a % of revenue

 

 

36.9

%

 

 

31.3

%

 

 

 

 

 

 

35.0

%

 

 

30.4

%

 

 

 

 

29

The increase in our general and administrative expenses for the three and nine months ended September 30, 2017 compared to the same periods in 2016 was largely due to increased expenses in the following areas:  bad debt, professional fees and personnel fees (including stock based compensation).    

Bad debt expense for the three months ended September 30, 2017 increased by approximately $2.3 million when compared to the same period in 2016.  Bad debt as a percentage of revenue was 7.9%, which was higher than last year’s rate of 4.5%.  Bad debt expense for the nine months ended September 30, 2017 increased by approximately $4.8 million when compared to the same period in 2016.  Bad debt as a percentage of revenue was 6.8%, which was higher than last year’s rate of 4.5%.  The increases in bad debt for both periods are primarily related to changes in payer dynamics including pre authorization denials as well as increased denials for next generation sequencing tests and disease specific multi-gene panels.  In addition, there was an impact from the integration of Clarient into our billing system, which began in July of 2016. Clarient had higher bad debt rates than did NeoGenomics’ legacy business.   Billings of the legacy Clarient billing system have now been either fully collected or written off.  The performance of our billing team was also impacted by the integration which ultimately contributed to certain receivables not being collected and increased bad debt expense.

25


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Professional fees


 Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
General and administrative$65,797 $61,549 $4,248 6.9 %
As a % of revenue42.1 %44.9 %
General and administrative expenses increased by approximately $616,000$4.2 million for the three months ended September 30, 2017 and $1.4 million for the nine months ended September 30, 2017March 31, 2024, when compared to the same periodsperiod in 2016, primarily2023. This increase was partially due to fees in 2017 related to the Pharma Services facility in Geneva, Switzerland opening in November of 2017 and ana $4.2 million increase in legal reserves for the three months ended September 30, 2017 related toand professional fees, and a lawsuit brought against Clarient.

Payroll expenses increased for the three and nine months ended September 30, 2017 when compared to the same periods in 2016.  This increase is partially due to additional staff hired for certain functions such as billing, IT and accounts payable that were performed by outside vendors or by General Electric in early 2016 under the Clarient “Transition Services Agreement”.  We have also seen an$1.8 million increase in stock based compensation which has increased from $3.5and benefit costs. These increases were partially offset by a decrease of $1.1 million for the nine months ended September 30, 2016, to $5.0 million for the nine months ended September 30, 2017.  This increase is due to the increase in NeoGenomics stock price as well as increase in stock option grantstechnology and restricted stock awards.

We expect our general and administrative expenses to increase as we add personnel and equity-related compensation expenses, increase our billing and collections activities; incur additional expenses associated with the expansion of our facilities and backup systems; incur additional bad debt expense as sales increase and as we continue to expand our physical infrastructure to support our anticipated growth.  A significant portion of our stock based compensation is for non-employee options which are subject to variable accounting, and our expenses will fluctuate based on the performance of our common stock.  A rise in the price of our stock will increase our stock compensation expense,equipment costs, and a decline$0.5 million decrease in our stock price will reduce this expense.  However, we anticipate that general and administrative expenses as a percentage of consolidated revenue will drop over the coming years as we continue to grow.  

credit card fees.

Research and Development Expenses

Research and development expenses relate to costcosts of developing new proprietary and non-proprietary genetic tests, including payrollcompensation and payroll relatedbenefit costs, including stock-based compensation, maintenance and depreciation of laboratory equipment, laboratory supplies (reagents), and outside consultants and experts assisting our research and development team.

Consolidated research and development expenses for the periods presented are as follows:

 Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
Research and development$7,620 $7,395 $225 3.0 %
As a % of revenue4.9 %5.4 %

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

($ in thousands)

 

2017

 

 

2016

 

 

$ Change

 

 

2017

 

 

2016

 

 

$ Change

 

Research and development

 

$

1,270

 

 

$

967

 

 

$

303

 

 

$

3,080

 

 

$

3,719

 

 

$

(639

)

As a % of revenue

 

 

2.0

%

 

 

1.6

%

 

 

 

 

 

 

1.6

%

 

 

2.0

%

 

 

 

 


Research and development expenseexpenses increased $0.2 million for the three months ended September 30, 2017 asMarch 31, 2024 when compared to the same period in 2016.  This increase is attributable to non-employee stock options which are subject to variable accounting and the increase in our stock price during the third quarter of 2017.  Excluding stock based compensation expense of approximately $531,000 and $187,000 for the three months ended September 30, 2017 and 2016, research and development expense was approximately $739,000 and $780,000.  This decrease is largely2023 primarily due to a $0.3 million increase in compensation and benefit costs, and a $0.3 million increase in technology and equipment costs partially offset by a $0.4 million decrease in amortization expense for the Health Discovery Corporation license agreements which were being amortized as intangible assets, but were fully impaired in the fourth quarter of 2016.

Research and development expense decreased for the nine months ended September 30, 2017 as compared to the same period in 2016.  This decrease is partially attributable to the reduction in the balance of unvested options outstanding in 2017 as compared to 2016 in addition to the decrease in amortization expense for the Health Discovery Corporation license agreements.  Excluding stock based compensation expense of approximately $858,000 and $550,000 for the nine months ended September 30, 2017 and 2016, research and development expense was approximately $2.2 million and $3.2 million.  The increase in stock based compensation recorded in G&A expense is attributable to non-employee stock options which are subject to variable accounting and the increase in our stock price during the third quarter of 2017.

We expect our research and development expenses to fluctuate in future quarters because of increases or decreases in our stock price and the corresponding stock based compensation expense for non-employee stock options. Increases in our stock price result in additional expense and decreases in our stock price can result in recovery of previously recorded expense.  professional fees.

We anticipate research and development expenditures will increase over timein the future as we continue to invest in development activities for innovation projects and bringing new tests to market.

Sales and Marketing Expenses

Sales and marketing expenses are primarily attributable to employee-related costs including sales management, sales representatives, sales and marketing consultants, and marketing and customer service personnel.

26


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Consolidated sales and marketing expenses for the periods presented are as follows:

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

Three Months Ended March 31,

($ in thousands)

 

2017

 

 

2016

 

 

$ Change

 

 

2017

 

 

2016

 

 

$ Change

 

($ in thousands)20242023$ Change% Change

Sales and marketing

 

$

6,577

 

 

$

5,958

 

 

$

619

 

 

$

18,466

 

 

$

18,084

 

 

$

382

 

Sales and marketing$20,221 $$16,259 $$3,962 24.4 24.4 %

As a % of revenue

 

 

10.4

%

 

 

9.8

%

 

 

 

 

 

 

9.7

%

 

 

9.9

%

 

 

 

 

Sales and marketing expenses increased $4.0 million for both the three and nine months ended September 30, 2017 asMarch 31, 2024, when compared to the same period in 2016.  This increase is2023 primarily attributable to higher commissions due to oura $3.7 million increase in revenues. salaries, sales commissions, and other compensation and benefit costs.
We expect higher commissions expense in the coming quarters as theour sales representatives’ focus on generatingrepresentatives generate new business and increasing revenue.  In addition, we have increasedin our investment in marketing related activities in 2017 including trade shows and on-line marketing.business segments. We expect our sales and marketing expenses over the long term to increase as our test volumes increase, butalign with changes in revenue and we continue to remain stable as a percentageevaluate the effectiveness of our overall sales.  

Interest Expense, net

Interest expense, net is comprisedincentive compensation plans.

Restructuring charges
Consolidated restructuring charges for the periods presented are as follows:
Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
Restructuring charges$2,398 $4,684 $(2,286)(48.8)%
As a % of revenue1.5 %3.4 %
30

NEOGENOMICS, INC.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Restructuring charges relate to a restructuring program to improve execution and drive efficiency across the organization. Restructuring charges consist of interest incurred onseverance and other employee costs, costs for optimizing our term debt, revolving credit facilitygeographic presence, and our capital lease obligations offset by the interest income we earn on cash deposits.  Interest expense, netconsulting and other costs.
Restructuring charges decreased in both$2.3 million for the three and nine month periods ending September 30, 2017months ended March 31, 2024, when compared to the same periodsperiod in 2016.2023. The decreasescharges were comprised of $0.7 million in interest expense, netseverance and other employee costs, $1.0 million in Facility Footprint Optimization costs, and $0.7 million of $70,000consulting and other costs. We are continuing the restructuring program in 2024 and expect to incur additional restructuring charges of approximately $3.8 million. Our restructuring activities are expected to be complete by December 31, 2024.
Interest Income
Interest income for the three month periodmonths ended March 31, 2024 and $336,0002023 is as follows (dollars in thousands):
Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
Interest income$(4,834)$(3,224)$(1,610)49.9 %
Interest income was $4.8 million for the nine monththree months ended March 31, 2024 compared to $3.2 million for the same period reflectin 2023. Interest income includes interest earned on funds held in our cash equivalent and marketable securities accounts. The increase in interest income for the significantly lower borrowingthree months ended March 31, 2024 was due to the higher interest rate environment experienced when compared to the same period in 2023.
For further details regarding our investments in marketable securities, please refer to Note 3. Fair Value Measurements in the Loan Agreement entered intoaccompanying notes to the unaudited Consolidated Financial Statements.
Interest Expense
Interest expense for the three months ended March 31, 2024 and 2023 is as follows (dollars in December of 2016.  Due to these lower interest rates, while total borrowings have been higher in 2017thousands):
Three Months Ended March 31,
($ in thousands)20242023$ Change% Change
Interest expense$1,685 $1,757 $(72)(4.1)%
Interest expense was $1.7 million for the three months ended March 31, 2024 compared to 2016,expense of $1.8 million for the same period in 2023. Interest expense for the three months ended March 31, 2024 and 2023 primarily reflects the effective interest expense has been lower.  In addition, we have entered into a swap agreementrate on the 2028 Convertible Notes and the 2025 Convertible Notes which is 0.70% and 1.96%, respectively. Interest on the 2028 Convertible Notes and 2025 Convertible Notes began accruing upon issuance and is payable semi-annually.
For further details regarding the convertible notes please refer to hedge a significant portion ofNote 5. Debt in the interest on our term loan, however part of that loan is not hedged and will continueaccompanying notes to fluctuate as the LIBOR rates change.  

Consolidated Financial Statements.

Net Income

Loss Per Share

The following table provides consolidated net loss available to common stockholders for each period along with the computation of basic and diluted net loss per share for the three and nine months ended September 30, 2017:

March 31, 2024 and 2023 (in thousands, except net loss per share data):

 

Three Months Ended

September 30 ,

 

 

Nine Months Ended

September 30 ,

 

(in thousands, except per share amounts)

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net loss available to common shareholders

 

$

(7,751

)

 

$

(5,634

)

 

$

(13,653

)

 

$

(16,200

)

Three Months Ended March 31,
202420242023
NET LOSS

Basic weighted average shares outstanding

 

 

79,617

 

 

 

78,145

 

 

 

79,208

 

 

 

77,224

 

Effect of potentially dilutive securities

 

 

 

 

 

 

 

 

 

 

 

 

Basic weighted average shares outstanding
Basic weighted average shares outstanding

Diluted weighted average shares outstanding

 

 

79,617

 

 

 

78,145

 

 

 

79,208

 

 

 

77,224

 

Basic net loss per share
Basic net loss per share

Basic net loss per share

 

$

(0.10

)

 

$

(0.07

)

 

$

(0.17

)

 

$

(0.21

)

Diluted net loss per share

 

$

(0.10

)

 

$

(0.07

)

 

$

(0.17

)

 

$

(0.21

)



31

NEOGENOMICS, INC.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Non-GAAP Measures

Use of non-GAAPNon-GAAP Financial Measures

The Company’s

In order to provide greater transparency regarding our operating performance, the financial results are provided in accordance with accounting principles generally accepted inand financial guidance include the United Statesuse of America (GAAP) and using certain non-GAAP financial measures.measures that involve adjustments to GAAP results. Non-GAAP financial measures exclude certain income and/or expense items that management believes are not directly attributable to our core operating results and/or certain items that are inconsistent in amounts and frequency, making it difficult to perform a meaningful evaluation of our current or past operating performance. Management believes that the presentation of operating results using non-GAAP financial measures provides useful supplemental information to investors and facilitatesby facilitating the analysis of the Company’s operating results and comparison ofour core test-level operating results across reporting periods and between entities.when comparing those same results to those published by our peers. These non-GAAP financial measures may also assist investors in evaluating future prospects. Management also uses non-GAAP financial measures for financial and operational decision making, planning and forecasting purposes and to manage the Company’s business. Management believes that Adjusted EBITDA is a key metric for our business because it is used by our lenders in the calculation of our debt covenants.  Management also believes that these non-GAAP financial measures enable investors to evaluate our operating results and future prospects in the same manner as management.  TheThese non-GAAP financial measures do not replace the presentation of financial information in accordance with U.S. GAAP financial results, should not be considered measures of liquidity, and should onlyare unlikely to be used as a supplementcomparable to and not as a substitute for, the Company’s financial results presented in accordance with GAAP.  There are limitations inherent in non-GAAP financial measures because they exclude charges and credits that are required to be included in a GAAP presentation, and do not therefore present the full measure of the Company’s recorded costs against its net revenue.  In addition, the Company’s definition of the non-GAAP financial measures below may differ from non-GAAP measures used by other companies. 

27


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Definitions of non-GAAP measures

Non – GAAP EBITDA

We define “EBITDA”Non-GAAP Measures

“Adjusted EBITDA” is defined by NeoGenomics as net (loss) income from continuing operations before: (i) interest expense,income, (ii) taxinterest expense, (iii) depreciation and amortization expense.

Non – GAAP Adjusted EBITDA

We define “Adjusted EBITDA” as net income from continuing operations before: (i) interesttax (benefit) or expense, (ii) tax expense, (iii)(iv) depreciation and amortization expense, (iv)(v) non-cash stock-based compensation expense, and, if applicable in a reporting period, (v) acquisition-related transaction expenses(vi) restructuring charges, and (vii) other significant non-recurring or non-operating (income) or expenses.

Basis for Non-GAAP Adjustments

Our basis for excluding certain expenses, from GAAP financial measures, are outlined below:

Interest expense – The capital structure of companies significantly affects the amount of interest expense incurred.  This expense can vary significantly between periods and between companies.  In order to compare performance between periods and companies that have different capital structures and thus different levels of interest obligations, NeoGenomics excludes this expense.

net.

Income tax expense (benefit) The tax positions of companies can vary because of their differing abilities to take advantage of tax benefits and because of the tax policies of the jurisdictions in which they operate. As a result, effective tax rates and the provision for income taxes can vary considerably among companies.  In order to compare performance between companies, NeoGenomics excludes this expense (benefit).

Depreciation expense – Companies utilize assets with different useful lives and use different methods of both acquiring and depreciating these assets. These differences can result in considerable variability in the costs of productive assets and the depreciation and amortization expense among companies. In order to compare performance between companies, NeoGenomics excludes this expense.

Amortization expense – The intangible assets that give rise to this amortization expense relate to acquisitions, and the amounts allocated to such intangible assets and the terms of amortization vary by acquisition and type of asset.  NeoGenomics excludes these items to provide a consistent basis for comparing operating results across reporting periods, pre and post-acquisition.  

Stock-based compensation expenses – Although stock-based compensation is an important aspect of the compensation paid to NeoGenomics employees and consultants, the related expense is substantially driven by changes in the Company’s stock price in any given quarter, which can fluctuate significantly from quarter to quarter and result in large positive or negative impacts to total operating expenses.  The variable accounting treatment causing expense to be driven by changes in quarterly stock price is required because many of the Company’s full-time physicians reside in California and are classified as consultants rather than employees due to state regulations.  GAAP provides that variable stock based compensation treatment be applied for consultants but not for employees. Without adjusting for these non-cash expenses, the Company believes it would be difficult to compare financial results from operations across reporting periods on a consistent basis.  

Loss on sale of business - The impact of disposals of assets or businesses have been excluded as these losses represent infrequent transactions that impact the comparability between operating periods. We believe the adjustment of these losses supplements the GAAP information by providing a measure that may be used to assess the sustainability of our operating performance.

Moving expenses – These expenses include costs associated with the move of our Irvine, California facility into our Aliso Viejo facility.  Irvine was the former NeoGenomics laboratory in Southern California and was eight miles from Clarient’s much larger facility in Aliso Viejo.  After investing in updating and redesigning the Aliso Viejo facility, we combined the

28


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

two facilities in March of 2017.  Equipment had to be moved and re-validated in the new location.  There was also significant overtime and investment of resources to coordinate the move project.  Our Irvine, California lease terminated on April 30, 2017 and we also incurred costs in cleaning out and restoring that facility to its original state.  We are adjusting for these costs in Adjusted EBITDA as the move was the direct result of the Clarient acquisition and will not be an annually recurring item.  Without adjusting for these expenses, the Company believes it would be difficult to compare financial results from operations across reporting periods on a consistent basis.  

We believe that EBITDA and Adjusted EBITDA provide more consistent measures of operating performance between entities and across reporting periods by excluding cash and non-cash items of expense that can vary significantly between companies.  In addition, adjusted EBITDA is a metric that is used by our lenders in the calculation of our debt covenants.  Adjusted EBITDA also assists investors in performing analyses that are consistent with financial models developed by independent research analysts.

EBITDA and Adjusted EBITDA (as defined by us) are not measurements under GAAP and may differ from non-GAAP measures used by other companies.  We believe there are limitations inherent in non-GAAP financial measures such as EBITDA and Adjusted EBITDA because they exclude a variety of charges and credits that are required to be included in a GAAP presentation, and do not therefore present the full measure of NeoGenomics recorded costs against its net revenue.  Accordingly, we encourage investors to consider both non-GAAP results together with GAAP results in analyzing our financial performance.

The following is a reconciliation of GAAP net income (loss)loss to Non-GAAP EBITDA and Adjusted EBITDA for the three and nine months ended September 30, 2017:

March 31, 2024:

 

 

For the Three Months Ended

September 30,

 

 

For the Nine Months Ended

September 30,

 

(in thousands)

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net income (loss) (GAAP)

 

$

(5,100

)

 

$

(67

)

 

$

(5,797

)

 

$

500

 

Adjustments to net income (loss):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

1,398

 

 

 

1,468

 

 

 

4,173

 

 

 

4,509

 

Income tax expense (benefit)

 

 

340

 

 

 

(6

)

 

 

(539

)

 

 

500

 

Amortization of intangibles

 

 

1,751

 

 

 

1,818

 

 

 

5,201

 

 

 

5,454

 

Depreciation

 

 

3,833

 

 

 

4,222

 

 

 

11,739

 

 

 

11,550

 

EBITDA

 

 

2,222

 

 

 

7,435

 

 

 

14,777

 

 

 

22,513

 

Further Adjustments to EBITDA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash stock based compensation

 

 

2,760

 

 

 

1,686

 

 

 

5,812

 

 

 

4,024

 

Loss on sale of business

 

 

1,058

 

 

 

-

 

 

 

1,058

 

 

 

-

 

Facility moving expenses

 

 

5

 

 

 

-

 

 

 

620

 

 

 

-

 

Adjusted EBITDA (non-GAAP), as originally reported

 

 

6,045

 

 

 

9,121

 

 

 

22,267

 

 

 

26,537

 

Impact of accounting error

 

 

2,430

 

 

 

-

 

 

 

551

 

 

 

-

 

Adjusted EBITDA (non-GAAP), as corrected

 

$

8,475

 

 

$

9,121

 

 

$

22,818

 

 

$

26,537

 

Three Months Ended March 31,
(in thousands)20242023
Net loss (GAAP)$(27,061)$(30,795)
Adjustments to net loss:
Interest income(4,834)(3,224)
Interest expense1,685 1,757 
Income tax benefit(620)(2,925)
Depreciation9,905 9,048 
Amortization of intangibles8,362 8,783 
EBITDA (non-GAAP)$(12,563)$(17,356)
Further adjustments to EBITDA:
Non-cash stock-based compensation expense7,774 4,758 
Restructuring charges2,398 4,684 
Other significant (income) expenses, net(4)
5,883 798 
Adjusted EBITDA (non-GAAP)$3,492 $(7,116)

As discussed above and in Item 4, revenue recognized from the fourth quarter of 2016 through the second quarter of 2017 was impacted due to an error relating to revenue accrued for unbilled tests. We assessed the extent of this error and it was corrected in the third quarter of 2017, resulting in a reduction of revenue, and thus a corresponding reduction in Adjusted EBITDA of $2.4 million and $0.6 million for

(4) For the three and nine months ended September 30, 2017, respectively. See Item 4. ControlsMarch 31, 2024, other significant (income) expenses, net, includes site closure costs, fees related to non-recurring legal matters, and Procedures for additional details regarding this error.

Trade Accounts Receivableother non-recurring items. For the three months ended March 31, 2023, other significant (income) expenses, net, includes CEO transition costs, fees related to a regulatory matter, and Allowance for Doubtful Accounts

Accounts receivable are reported net of an allowance for doubtful accounts, which is estimated based on the aging of accounts receivable with each payer category and the historical data on bad debts in these aging categories.  In addition, the allowance is adjusted periodically for other relevant factors, including regularly assessing the state of our billing operations in order to identify issues which may impact the collectability of receivables or allowance estimates.  Revisions to the allowance are recorded as an adjustment to bad debt expense within general and administrative expenses.  After appropriate collection efforts have been exhausted, specific receivables deemed to be uncollectible are charged against the allowance in the period they are deemed uncollectible.  Recoveries of receivables previously written-off are recorded as credits to the allowance.

29


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following tables present the Company’s gross outstanding accounts receivable ($ in thousands) by payer group at September 30, 2017 and December 31, 2016:

AGING OF RECEIVABLES BY PAYER GROUP

September 30, 2017

non-recurring items.

Payer Group

 

0-30

 

 

%

 

 

31-60

 

 

%

 

 

61-90

 

 

%

 

 

91-120

 

 

%

 

 

>120

 

 

%

 

 

Total

 

 

%

 

Client AR - Pharma

 

$

5,708

 

 

 

8%

 

 

$

1,367

 

 

 

2%

 

 

$

217

 

 

 

0%

 

 

$

249

 

 

 

0%

 

 

$

373

 

 

 

1%

 

 

$

7,914

 

 

 

11%

 

Client AR - Clinical

 

 

12,850

 

 

 

17%

 

 

 

8,797

 

 

 

12%

 

 

 

3,146

 

 

 

4%

 

 

 

2,268

 

 

 

3%

 

 

 

4,105

 

 

 

6%

 

 

 

31,166

 

 

 

42%

 

Total Client AR

 

 

18,558

 

 

 

 

 

 

 

10,164

 

 

 

 

 

 

 

3,363

 

 

 

 

 

 

 

2,517

 

 

 

 

 

 

 

4,478

 

 

 

 

 

 

 

39,080

 

 

 

 

 

Commercial Insurance

 

 

1,045

 

 

 

1%

 

 

 

1,815

 

 

 

3%

 

 

 

1,410

 

 

 

2%

 

 

 

1,493

 

 

 

2%

 

 

 

10,359

 

 

 

14%

 

 

 

16,122

 

 

 

22%

 

Medicaid

 

 

113

 

 

 

0%

 

 

 

289

 

 

 

1%

 

 

 

212

 

 

 

0%

 

 

 

278

 

 

 

0%

 

 

 

961

 

 

 

1%

 

 

 

1,853

 

 

 

2%

 

Medicare

 

 

898

 

 

 

1%

 

 

 

1,354

 

 

 

2%

 

 

 

900

 

 

 

1%

 

 

 

971

 

 

 

1%

 

 

 

5,615

 

 

 

8%

 

 

 

9,738

 

 

 

13%

 

Private Pay

 

 

-

 

 

 

0%

 

 

 

-

 

 

 

0%

 

 

 

-

 

 

 

0%

 

 

 

-

 

 

 

0%

 

 

 

-

 

 

 

0%

 

 

 

-

 

 

 

0%

 

Unbilled Revenue

 

 

6,110

 

 

 

9%

 

 

 

248

 

 

 

0%

 

 

 

34

 

 

 

0%

 

 

 

28

 

 

 

0%

 

 

 

447

 

 

 

1%

 

 

 

6,867

 

 

 

9%

 

Total

 

$

26,724

 

 

 

36%

 

 

$

13,870

 

 

 

20%

 

 

$

5,919

 

 

 

7%

 

 

$

5,287

 

 

 

6%

 

 

$

21,860

 

 

 

31%

 

 

$

73,660

 

 

 

100%

 

AGING OF RECEIVABLES BY PAYER GROUP

December 31, 2016

Payer Group

 

0-30

 

 

%

 

 

31-60

 

 

%

 

 

61-90

 

 

%

 

 

91-120

 

 

%

 

 

>120

 

 

%

 

 

Total

 

 

%

 

Client AR - Pharma

 

$

2,752

 

 

 

4%

 

 

$

629

 

 

 

1%

 

 

$

305

 

 

 

0%

 

 

$

1,191

 

 

 

2%

 

 

$

421

 

 

 

1%

 

 

$

5,298

 

 

 

8%

 

Client AR - Clinical

 

 

10,023

 

 

 

15%

 

 

 

5,891

 

 

 

8%

 

 

 

3,226

 

 

 

5%

 

 

 

1,678

 

 

 

2%

 

 

 

4,808

 

 

 

7%

 

 

 

25,626

 

 

 

37%

 

Total Client AR

 

$

12,775

 

 

 

 

 

 

$

6,520

 

 

 

 

 

 

$

3,531

 

 

 

 

 

 

$

2,869

 

 

 

 

 

 

$

5,229

 

 

 

 

 

 

$

30,924

 

 

 

 

 

Commercial Insurance

 

 

913

 

 

 

1%

 

 

 

1,947

 

 

 

3%

 

 

 

2,045

 

 

 

3%

 

 

 

1,824

 

 

 

3%

 

 

 

11,325

 

 

 

16%

 

 

 

18,054

 

 

 

26%

 

Medicaid

 

 

88

 

 

 

0%

 

 

 

203

 

 

 

0%

 

 

 

198

 

 

 

0%

 

 

 

180

 

 

 

0%

 

 

 

301

 

 

 

1%

 

 

 

970

 

 

 

1%

 

Medicare

 

 

840

 

 

 

1%

 

 

 

1,300

 

 

 

2%

 

 

 

779

 

 

 

1%

 

 

 

601

 

 

 

1%

 

 

 

3,167

 

 

 

5%

 

 

 

6,687

 

 

 

10%

 

Private Pay

 

 

16

 

 

 

0%

 

 

 

7

 

 

 

0%

 

 

 

10

 

 

 

0%

 

 

 

10

 

 

 

0%

 

 

 

(4

)

 

 

0%

 

 

 

39

 

 

 

0%

 

Unbilled Revenue

 

 

10,066

 

 

 

15%

 

 

 

1,250

 

 

 

2%

 

 

 

654

 

 

 

1%

 

 

 

225

 

 

 

0%

 

 

 

342

 

 

 

0%

 

 

 

12,537

 

 

 

18%

 

Total

 

$

24,698

 

 

 

36%

 

 

$

11,227

 

 

 

16%

 

 

$

7,217

 

 

 

10%

 

 

$

5,709

 

 

 

8%

 

 

$

20,360

 

 

 

30%

 

 

$

69,211

 

 

 

100%

 

The following table represents the balance in allowance for doubtful accounts (in thousands) and that allowance as a percentage of gross accounts receivable at September 30, 2017 and December 31, 2016:  

 

 

September 30, 2017

 

 

December 31, 2016

 

 

$ Change

 

Allowance for doubtful accounts

 

$

10,937

 

 

$

13,699

 

 

$

(2,762

)

Allowance as a % of gross accounts receivable

 

 

14.8

%

 

 

19.8

%

 

 

 

 

Days Sales Outstanding

 

91

 

 

84

 

 

 

 

 

The allowance for doubtful accounts as well as the allowance as a percentage of gross accounts receivable has decreased for the period ended September 30, 2017 as compared to the period ended December 31, 2016.  In December of 2016, due to the Clarient acquisition and integrated related activities; NeoGenomics did not perform a year-end write off of uncollectible receivables as had been done in previous years which resulted in a higher balance in accounts receivable and the allowance as of December 2016.  The decreases are also due to changes in the timing of when items are written off and decisions to accelerate certain write-offs in 2017.  In 2017, our mix of client billed accounts receivable has increased substantially which tends to lower our allowance as a percentage of gross receivables since client billed accounts receivable have historically had a lower percentage of bad debt than commercial insurance.  

Days Sales Outstanding (“DSO”) has increased from 84 days at December 31, 2016 to 91 days as of September 30, 2017.  The increase in DSO was partially attributable to an increase in client billed accounts receivable during the third quarter of 2017.  Additionally Pharma Services DSO’s were 93 days on December 31, 2016 compared to 104 days on September 30, 2017.  

30


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Liquidity and Capital Resources

To date, we have financed our operations primarily through cash generated thoroughfrom operations, public and private sales of debt and equity securities, borrowings against our accounts receivables balances and private debt.

bank debt borrowings.

The following table presents a summary of our consolidated cash flows for operating, investing and financing activities for the ninethree months ended September 30, 2017March 31, 2024 and 20162023 as well as the period endedbalances of cash and cash equivalents and working capital (in thousands).

capital:

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

Net cash provided by (used in):

 

 

 

 

 

 

 

 

Operating activities

 

$

12,278

 

 

$

21,718

 

Investing activities

 

 

(10,167

)

 

 

(5,328

)

Financing activities

 

 

(2,425

)

 

 

(10,875

)

Net change in cash and cash equivalents

 

 

(314

)

 

 

5,515

 

Cash and cash equivalents, beginning of period

 

$

12,525

 

 

$

23,420

 

Cash and cash equivalents, end of period

 

$

12,211

 

 

$

28,935

 

Working Capital (1), end of period

 

$

45,633

 

 

$

57,167

 

32

(1) Defined as current assets less current liabilities.

Cash Flows from Operating Activities

During the nine months ended September 30, 2017, cash flows from operating activities was $12.3 million, a $9.4 million decrease compared to the same period in 2016.  The decrease was primarily due to an $11.5 million increase in our accounts receivable partially offset by increases in accrued expenses.  Our receivables have increased over this period due to growth as well as our higher DSO.  We have experienced reimbursement delays due to changes in payer dynamics for Medicare and insurance companies, specifically the increase in these payers requiring pre-authorization and the additional time it may take to get the required authorizations.  We have enhanced procedures in our labs to identify requisitions that require pre-authorizations and also educate our clients in order to secure pre-authorizations before the samples arrive in our lab.

Cash Flows from Investing Activities

During the nine months ended September 30, 2017, cash used in investing activities increased by approximately $4.8 million compared to the same period in 2016.  This increase was due to equipment purchases and building improvements, which were necessary to support our continued growth and efficiency.  Specifically, we have remodeled and upgraded our laboratory facilities in Aliso Viejo, California, expanded our Houston, Texas facility, invested in additional laboratory equipment to accommodate our growth and update existing equipment that was acquired with the purchase of Clarient.  Our Geneva laboratory was substantially finished at the end of the third quarter of 2017 and we have made significant investments in this laboratory facility.  We have also invested in a new trade show booth as well as upgrades to our IT security environment and our next generation Laboratory Information System (LIS).  

Cash Flows from Financing Activities

During the nine months ended September 30, 2017, cash flows from financing activities decreased by approximately $8.5 million compared to the same period in 2016, primarily due to a $10.0 million repayment on our 2016 revolving credit facility in the first quarter of 2016.  The decrease also reflects $5.0 million in advances on our revolving credit facility during the first quarter of 2017, partially offset by a $2.5 million repayment on our revolving credit facility during the third quarter of 2017. The 2016 revolving credit facility was originally used to finance the acquisition of Clarient.

Cash flows from financing activities also include cash received for the issuance of our common stock upon exercise of stock options as well as cash received to purchase shares of our common stock through the Employee Stock Purchase Plan.  These sources of cash were offset in 2017 as we made three quarterly repayments of $0.9 million each on our Term Loan as well as payments for various capital lease obligations in both 2016 and 2017.  We will continue to have quarterly term loan repayments of $0.9 million in the fourth quarter of 2017 and throughout 2018.  

31


NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Credit Facility


 Three Months Ended March 31,
 (in thousands)20242023
Net cash (used in) provided by:  
Operating activities$(25,915)$(12,692)
Investing activities14,525 $23,742 
Financing activities816 $1,379 
Net change in cash and cash equivalents(10,574)12,429 
Cash and cash equivalents, beginning of period$342,488 $263,180 
Cash and cash equivalents, end of period$331,914 $275,609 
Working Capital (5), end of period
$497,186 $498,390 
(5)Defined as current assets less current liabilities.
Cash Flows from Operating Activities
Cash used in operating activities during the three months ended March 31, 2024, was $25.9 million compared to $12.7 million in the same period in 2023. This $13.2 million increase was primarily driven by our operating results (net loss adjusted for depreciation, amortization of intangibles, and other non-cash charges) which resulted in $6.5 million of lower cash used by operating activities year-over-year, offset by a $19.7 million increase in cash used resulting from net changes in operating assets and liabilities. The increase in cash used related to our operating activities was primarily driven by an improvement in gross profit of $10.7 million. In addition, timing of cash receipts and cash payments in the ordinary course of business caused operating cash flow to fluctuate from period to period.
Cash Flows from Investing Activities
During Decemberthe three months ended March 31, 2024, cash provided by investing activities was $14.5 million compared to $23.7 million of 2016, we entered into a new senior secured credit facility in order to reduce our exposure to interest rate fluctuations on this floating rate debt obligation, we also entered into an interest rate swap agreement.  For more information on this hedging instrument, see Note E to Consolidated Financial Statements herein.  The interest rate swap agreement effectively converts a portion of our floating rate debtcash provided by investing activities in the same period in 2023. This change was primarily due to a fixed obligation, thus reducingdecrease in proceeds from sales and maturities of marketable securities of $20.3 million, as well as a $6.8 million decrease in purchases of marketable securities.
Cash Flows from Financing Activities
During the impactthree months ended March 31, 2024, cash provided by financing activities was $0.8 million compared to $1.4 million in the same period in 2023. The cash provided by financing activities during the three months ended March 31, 2024 consisted of interest rate changes on future interest expense.  We believe this strategy will enhance our ability$0.8 million for the net issuance of common stock. The primary reason for the decrease in cash provided by financing activities year-over-year was the timing of cash payments for stock option exercises which can fluctuate from period to manage cash flow within our Company.

period.

Liquidity Outlook

We had approximately $12.2$331.9 million in unrestricted cash and cash equivalents as of September 30, 2017.  InMarch 31, 2024 in addition we have a revolving credit facility which provides for up to $75$52.9 million in borrowing capacity of which at September 30, 2017, based on our level of adjusted EBITDA, approximately $9.3 million was available.marketable securities available to support current operational liquidity needs. We believeanticipate that the cash on hand, available credit linesmarketable securities and positive cash flows generated from operations will provide adequate resourcescollections are sufficient to meetfund our near-term capital and operating commitments and interest paymentsneeds for at least the next 12 months frommonths. Operating needs include, but are not limited to, the issuance of these financial statements.  

Our Series A Preferred Stock has certain restrictions that will result in the Company havingplanned costs to dedicate fifty percent of the net proceeds from any future equity raise,operate our business, including amounts required to redeeming shares of the Series A Preferred Stock until such time as all of the shares of Series A Preferred Stock have been redeemed. In addition, our Credit Agreement contains certain provisions beginning with the Annual Compliance Certificate for the fiscal year ended December 31, 2017 (to be filed no later than March 31, 2018), that would require a portion of the excess cash flow (as defined) to be repaid to our lenders.  The debt repayment would be required five business days after the filing of our Annual Compliance Certificate.

fund working capital and capital expenditures, continued research and development efforts, and potential strategic acquisitions and investments.

Capital Expenditures

We currently forecast capital expenditures in order to execute on our business plan and keep up with the growth in our testing volumes, althoughmaintain growth; however, the actual amount and timing of such capital expenditures will ultimately be determined by the volume of our business. We currently anticipate that our capital expenditures for the year endedending December 31, 20172024 will be in the range of $16.0$35.0 million to $18.5$40.0 million. During the ninethree months ended September 30, 2017,March 31, 2024, we purchased, with cash, approximately $10.2$5.6 million of capital equipment, software and leasehold improvements and an additional $3.2 million was acquired through capital lease obligations.improvements. We have in the past funded and plan to continue funding these capital expenditures with capital lease financing arrangements, cash and through bank loan facilities if necessary.

financing.

Critical Accounting Policies

and Estimates

The preparation of financial statements in conformity with United States generally accepted accounting principles generally accepted in the United States(“GAAP”) requires usmanagement to make estimates and assumptions and select accounting policies that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements as well asand the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

While many operational aspects Our management routinely makes judgments and estimates about the effects of matters that are inherently uncertain. Please refer to our business are subject to complex federal, state and local regulations, the accounting for our business is generally straightforward with net revenues primarily recognized upon completion of the testing process. Our revenues are primarily comprised of laboratory tests, and approximately one-half of total operating costs and expenses consist of employee compensation and benefits. Due to the nature of our business, several of ourcritical accounting policies involve significant estimates and judgments. These accounting policies have been describedas disclosed in

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NEOGENOMICS, INC.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

our Annual Report on Form 10-K for the year ended December 31, 2016.

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2023 and Note 2. Summary of Significant Accounting Policies, in the accompanying notes to the unaudited Consolidated Financial Statements for a complete description of our significant accounting policies.
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NEOGENOMICS, INC.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Related Party Transactions

Consulting Agreements

During each of the three and nine month periods ended September 30, 2017 and 2016, Steven C. Jones was an officer, director and shareholder of the Company.  In connection with his duties as Executive Vice President, Mr. Jones earned approximately $46,000 and $66,000 for the three months ended September 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Jones earned approximately $13,000 and $0 for the three months ended September 30, 2017 and 2016, respectively.  During the nine months ended September 30, 2017 and 2016, Mr. Jones earned approximately $164,000 and $197,000, respectively in connection with his duties as Executive Vice President.  Mr. Jones also received approximately $85,000 and $79,000 during the nine months ended September 30, 2017 and 2016, respectively, as payment of his annual bonus compensation for the previous fiscal years.  In addition, as compensation for his services on the Board, Mr. Jones earned $25,000 and $0 for the nine months ended September 30, 2017 and 2016, respectively.

During each of the three and nine month periods ending September 30, 2017 and 2016, Kevin Johnson was a director and shareholder of the Company.  In May of 2017, the Company engaged Mr. Johnson to provide services as a consultant, this engagement ended in June of 2017.  In connection with his role as a consultant, Mr. Johnson earned approximately $0 and $0 for the three months ended September 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Johnson earned approximately $14,000 and $15,000, for the three months ended September 30, 2017 and 2016, respectively and approximately $44,000 and $45,000 for the nine months ended September 30, 2017 and 2016, respectively.

On May 25, 2017, the Company granted stock options and restricted stock to each of its board members as part of its annual board compensation process.  Mr. Jones and Mr. Johnson were each granted 10,000 stock options and 8,667 shares of restricted stock for their Board services.  The options were granted at a price of $7.27 per share and had a weighted average fair market value of $2.38 per option.  The options vest ratably over the next three years.  The restricted stock has a weighted average fair value of $7.27 per share and vests ratably on the last day of each calendar quarter up to March 31, 2018.

Off-balance Sheet Arrangements

We do not use special purpose entities or other off-balance sheet financing techniques that we believe have, or are reasonably likely to have, a current or future material effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity or capital resources.

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NEOGENOMICS, INC.


ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Market risk is the potential loss arising from adverse changes in market rates and prices, such as foreign currency exchange rates, interest rates and other relevant market rate or price changes.

We are exposed to market risk associated withrisks, including changes in the LIBOR interest raterates and foreign currency exchange rates.
Interest Rate Risk
In May 2020, we issued $201.3 million aggregate principal amount of the 2025 Convertible Notes. The 2025 Convertible Notes have a fixed annual interest rate of 1.25%; therefore, we do not have economic interest rate exposure with respect to the 2025 Convertible Notes. In January 2021, we issued $345.0 million aggregate principal amount of the 2028 Convertible Notes. The 2028 Convertible Notes have a fixed annual interest rate of 0.25%; therefore, we do not have economic interest rate exposure with respect to the 2028 Convertible Notes. However, the fair value of the 2025 Convertible Notes and 2028 Convertible Notes is exposed to interest rate risk. Generally, the fair market value will increase as interest rates fall and decrease as interest rates rise. In addition, the fair value is affected by our common stock price. The fair value will generally increase as our common stock price increases and will generally decrease as our common stock price declines. We regularly evaluatecarry the 2025 Convertible Notes and 2028 Convertible Notes at face value less unamortized debt discount and debt issuance costs on our balance sheet, and we present the fair value for required disclosure purposes only.
The primary objective of our investment activities is to preserve principal while at the same time maximizing yields without significantly increasing risk. To achieve this objective, we invest in highly liquid and high-quality U.S. government and other highly credit rated debt securities. Our investments are exposed to market risk due to fluctuations in interest rates, which may affect our interest income and the fair market value of our investments. To minimize our exposure due to suchadverse shifts in interest rates, we invest in short-term securities with short maturities. If a 1% change in interest rates were to have occurred on March 31, 2024, this change would not have had a material effect on the fair value of our investment portfolio as of that date. Due to the short holding period of our investments, we do not believe that we have a material financial market risk exposure and do not expect our operating results or cash flows to be materially affected by a sudden change in market interest rates. While we believe our marketable securities do not contain excessive risk, we cannot provide absolute assurance that in the future our investments will not be subject to adverse changes in market value.
Foreign Currency Exchange Risk
We have operations in Cambridge, United Kingdom. Our international revenues and may electexpenses denominated in foreign currencies (primarily British Pounds), expose us to minimize thisthe risk throughof fluctuations in foreign currency exchange rates against the use of interest rate swap agreements.  For further details regarding our significant accounting policies relating to derivative instruments and hedging activities, see Note B to our Consolidated Financial Statements included in our Annual Report on Form 10-K.U.S. dollar. We do not have any material foreign operations or foreign sales and thus have limited exposure tohedge foreign currency exchange rate risk.

risks and do not currently believe that these risks are significant.

ITEM 4. CONTROLS AND PROCEDURES

Disclosure Controls and Procedures

We maintain disclosure controls and procedures designed to ensure that information required to be disclosed in reports filed under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating our disclosure controls and procedures, management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives.

As required by SEC Rule 15d-15, our management carried out an evaluation, under the supervision and with the participation of our principal executive officer and principal financial officer, of the effectiveness of our disclosure controls and procedures as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on thisthat evaluation, weour principal executive officer and principal financial officer concluded that our disclosure controls and procedures were not effective at a reasonable assurance level as a result of a control deficiency that has been identified as a material weakness in our internal control over financial reporting.  This material weakness in our internal control over financial reporting and our remediation activities are described below.

Material Weakness in Internal Control over Financial Reporting

During an internal analysis conducted in the third quarter of 2017, we identified an error in the revenue reported in our Form 10-K for the year ended December 31, 2016, Form 10-Q for the quarter ended March 31, 2017 and Form 10-Q for the quarter ended June 30, 2017.  Specifically, we determined that certain unbillable tests were inadvertently included in the revenue accrual recorded for the periods beginning in the fourth quarter of 2016 through the second quarter of 2017.  These unbillable tests were worked through our laboratory, however we were unable to produce a final result on the sample.  The tests were reported back to the ordering physician as Quantity Not Sufficient (“QNS”) or Test Not Performed (“TNP”).  Although we incur costs attempting to test these QNS and TNP samples, and often attempt to get a result more than once, we cannot bill payors for any tests in which a full result is not reported.  As a result of the inclusion of these unbillable tests in the monthly revenue accrual, revenue was overstated.  This error was corrected in the third quarter of 2017.

We have a policy of writing off any unbilled tests greater than six months old and many of these tests were written off via this process.  We assessed the extent of the error on each reported period.  As a result of the error, the net impact to revenue reported in the 10-K for the year ended December 31, 2016 has been determined to be immaterial.  The net impact of the error in the first quarter of 2017, resulted in an overstatement of revenue by approximately $1.7 million.  The net impact of the error in the second quarter of 2017, resulted in an overstatement of revenue by approximately $0.2 million.  As a result of the cumulative misstatement through the second quarter of 2017, we recorded a correcting entry in the amount of $1.3 million at the end of the third quarter of 2017. This correction, in addition to approximately $1.1 million in revenues that were reversed earlier in the quarter through the automatic six month write off process, resulted in a reduction of revenueperiod covered by $2.4 million for the third quarter of 2017.  

The management review control that should have detected this error was determined to be ineffective.  Management has concluded that this deficiency constitutes a material weakness in our internal control over financial reporting. Nonetheless, we have concluded that this material weakness does not require a restatement or change in our consolidated financial statements for any prior annual or interim period. We have taken certain remediation steps to address the material weakness referenced above, and to improve our internal control over financial reporting as described below.

We have filled the open position of Vice President and Principal Accounting Officer and we are providing additional resources to our finance team by actively recruiting for a Corporate Controller.

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NEOGENOMICS, INC.

We are re-designing and implementing effective review and approval controls over the accurate recording, presentation, and disclosure of revenue

report.

We have reviewed, identified and corrected errors in the recognition of revenue

We have established steps in our monthly closing process to improve our internal control over financial reporting. These steps include:

a.

monthly review of revenue reports by the Director of Billing to ensure that all unbilled tests outstanding for 60 days or greater are appropriate for accrual and will ultimately be billed out

b.

monthly review of revenue reports by the Assistant Controller to ensure that revenue is not being accrued for tests that based on laboratory results are determined to be unbillable

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting that occurred during the three monthsquarter ended September 30, 2017March 31, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

However, as noted above, we will be implementing changes to our internal control over financial reporting to address the material weakness described above.


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NEOGENOMICS, INC.


PART II — OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

From time to time the Company is engaged in legal proceedings in the ordinary course of business. We do not believe any currentFor further information on legal proceedings, are materialplease refer to our business. No material proceedings were terminated duringNote 11. Commitments and Contingencies, in the quarter ended September 30, 2017.

notes to the unaudited Consolidated Financial Statements.

ITEM 1A. RISK FACTORS

There have been no material changes in our

You should carefully consider each of the risk factors from those set forthdescribed in Part I, Item 1A, “Risk Factors” contained in our Annual Report on Form 10-K for the for the year ended December 31, 2017;2023, as filed with the SEC on March 14, 2017.  

February 20, 2024, as well as the other information set forth in this Quarterly Report on Form 10-Q.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

Unregistered Sales of Equity Securities
None

for the quarterly period ended March 31, 2024 that have not previously been included in a Current Report on Form 8-K.

Issuer Purchases of Equity Securities
The following table sets forth information concerning our purchases of common stock for the periods indicated:
Period of Repurchase
Total Number of Shares Purchased(1)
Average Price Paid per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number (or Approximate Dollar Value) of Shares that May Yet Be Purchased Under the Plans or Programs
January 1, 2024 - January 31, 20247,460 $16.16 — — 
February 1, 2024 - February 29, 20243,930 $14.62 — — 
March 1, 2024 - March 31, 20241,355 $15.63 — — 
Total12,745 — — 

(1) Effective May 25, 2023, the Company adopted the NeoGenomics, Inc. 2023 Equity Incentive Plan (the “2023 Plan”) as approved by the Board of Directors on March 28, 2023 and the Company’s stockholders on May 25, 2023. The 2023 Plan replaced the NeoGenomics, Inc. Amended and Restated Equity Incentive Plan, as most recently amended and subsequently approved by a majority of stockholders on May 25, 2017 (the “Prior Plan”). Both the 2023 Plan and the Prior Plan allow participants to surrender already-owned shares having a fair market value equal to the required withholding tax related to the vesting of restricted stock. Pursuant to a share withholding election made by participants in connection with the vesting of such awards, all of which were outside of a publicly announced repurchase plan, we acquired from such participants the shares noted in the table above to satisfy tax withholding obligations related to the vesting of their restricted stock. The average prices listed in the above table are averages of the fair market prices at which we valued shares withheld for purposes of calculating the number of shares to be withheld.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

Not applicable

None.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable

applicable.

ITEM 5. OTHER INFORMATION

None

Insider Trading Plans
During the quarter ended March 31, 2024, no director or Section 16 officer adopted, modified, or terminated any “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement” (in each case, as defined in Item 408(a) of Regulation S-K).


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Disclosure Pursuant to Item 5.02 of Form 8-K - Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
As previously reported on the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on April 18, 2024, Melody Harris, formerly the Company's President, Enterprise Operations now serves as the Company's Chief Operations Officer and President, Informatics. In addition, Warren Stone, formerly the Company's President, Clinical Services now serves as the Company's Chief Commercial Officer. In connection with her new role, effective April 29, 2024, Ms. Harris’ new base salary will be $575,000 per year, with annual review and adjustment at the discretion of the Board or the Culture and Compensation Committee of the Board (the “Compensation Committee”), an annual incentive cash bonus of 60% of annual salary and an annual equity-based target award of $1,750,000, each based on the achievement of the Company’s corporate objectives and Ms. Harris’ individual objectives, in each case, as established by the Board or the Compensation Committee. As part of this increased target for 2024 specifically, on May 2, 2024, Ms. Harris will receive an incremental equity grant of $500,000 comprised of stock options, restricted stock units, and performance share units. In connection with his new role, effective April 29, 2024, Mr. Stone’s new base salary will be $580,000 per year, with annual review and adjustment at the discretion of the Board or the Compensation Committee, an annual incentive cash bonus of 65% of annual salary and an annual equity-based target award of $2,000,000, each based on the achievement of the Company’s corporate objectives and Mr. Stone’s individual objectives, in each case, as established by the Board or the Compensation Committee. As part of this increased target for 2024 specifically, on May 2, 2024, Mr. Stone will receive an incremental equity grant of $750,000 comprised of stock options, restricted stock units and performance share units.
In addition, as previously announced, the position of President, Advanced Diagnostics, formerly held by Vishal Sikri, was eliminated effective April 29, 2024.



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NEOGENOMICS, INC.


ITEM 6. EXHIBITS

EXHIBIT

NO.

Exhibit Number

DESCRIPTION

Description of Exhibit
Location

31.1

10.1*

Incorporated by reference to the Company’s Current Report on Form 8-K as filed with the SEC on February 23, 2024.
10.2*Provided herewith.
10.3*Provided herewith.
31.1Provided herewith.

31.2

Provided herewith.

32.1

Provided herewith.

101.INSXBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)Provided herewith.

101

101.SCH

The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2017 formatted in Extensible Business Reporting Language (XBRL): (i) the  Consolidated Balance Sheets, (ii) the Consolidated Statements of Operations, (iii) the  Consolidated Statements of Cash FlowsXBRL Taxonomy Extension Schema Document

Provided herewith.
101.CALXBRL Taxonomy Extension Calculation Linkbase DocumentProvided herewith.
101.DEFXBRL Taxonomy Extension Definition Linkbase DocumentProvided herewith.
101.LABXBRL Taxonomy Extension Labels Linkbase DocumentProvided herewith.
101.PREXBRL Taxonomy Extension Presentation Linkbase DocumentProvided herewith.
104Cover Page Interactive File (formatted as inline XBRL and (iv) related notes

contained within Exhibit 101)
Provided herewith.
*Denotes a management contract or compensatory plan or arrangement.

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NEOGENOMICS, INC.

SIGNATURES


SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: November 13, 2017

April 30, 2024

NEOGENOMICS, INC.

By:

/s/ DouglasChristopher M. VanOort

Smith

Name:

Name:

DouglasChristopher M. VanOort

Smith

Title:

Director and Chief Executive Officer

By:

/s/ Jeffrey S. Sherman

By:

Name:

/s/ George Cardoza

Jeffrey S. Sherman

Name:

Title:

George Cardoza

Title:

Chief Financial Officer

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