10-Q

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 June 30, 2017

or

☐ 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)	Identification No.)
12701 Commonwealth Drive, Suite 9, Fort Myers,
Florida	33913
(Address of principal executive offices)	(Zip Code)

(239) 768-0600

(Registrant’s telephone number, including area code)

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  ☑   No  ☐

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  ☑   No  ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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	☐		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  ☑

As of August 3, 2017, the registrant had 79,388,014 shares of Common Stock, par value $0.001 per share outstanding.

1

TABLE OF CONTENTS

PART I FINANCIAL INFORMATION
Item 1. Financial Statements (unaudited)	4
Item 2. Management’s Discussion and Analysis of  Financial Condition and Results of Operations	17
Item 3. Quantitative and Qualitative Disclosures About Market Risk	33
Item 4. Controls and Procedures	33
PART II OTHER INFORMATION
Item 1. Legal Proceedings	34
Item 1A. Risk Factors	34
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	34
Item 3. Defaults Upon Senior Securities	34
Item 4. Mine Safety Disclosures	34
Item 5. Other Information	34
Item 6. Exhibits	35
SIGNATURES	36

2

FORWARD-LOOKING STATEMENTS

The information in 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.  These forward-looking statements include, but are not limited to, statements concerning our strategy, future operations, future financial position, future revenues, 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 SEC on March 14, 2017.  

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 developments in the United States including downward pressure 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 speaks only as of the date on which such statement is made, 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

PART I — FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

NEOGENOMICS, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(unaudited)

ASSETS	June 30, 2017			December 31, 2016
Current assets
Cash and cash equivalents	$	10,932		$	12,525
Accounts receivable (net of allowance for doubtful accounts of $11,629 and    $13,699, respectively)		61,750			55,512
Inventories		5,457			6,253
Other current assets		5,218			4,535
Total current assets		83,357			78,825
Property and equipment (net of accumulated depreciation of $34,604 and $27,102, respectively)		35,588			34,036
Intangible assets, net		73,614			77,064
Goodwill		147,019			147,019
Other assets		302			174
Total assets	$	339,880		$	337,118
LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable	$	15,594		$	16,782
Accrued compensation		7,782			8,351
Accrued expenses and other liabilities		3,186			4,247
Short-term portion of capital leases		4,812			4,891
Short-term portion of loans		3,830			3,842
Total current liabilities		35,204			38,113
Long-term liabilities
Long-term portion of capital leases		5,307			5,378
Long-term portion of loans, net		68,454			70,259
Revolving credit facility, net		26,906			21,799
Deferred income tax liability, net		7,435			14,973
Total long-term liabilities		108,102			112,409
Total liabilities		143,306			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)		27,676			22,873
Stockholders' equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 79,340,374 and 78,571,158 shares issued and outstanding, respectively)		79			79
Additional paid-in capital		220,622			216,104
Accumulated deficit		(51,803	)		(52,460	)
Total stockholders’ equity		168,898			163,723
Total liabilities, redeemable convertible preferred stock and stockholders' equity	$	339,880		$	337,118

See notes to unaudited consolidated financial statements

4

NEOGENOMICS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

(unaudited)

	For the Three Months Ended June 30,						For the Six Months Ended June 30,
	2017			2016			2017			2016
NET REVENUE
Clinical testing	$	59,791		$	56,316		$	116,482		$	110,936
Pharma Services		6,299			6,813			11,285			11,896
Total Revenue		66,090			63,129			127,767			122,832
COST OF REVENUE		34,912			34,524			69,393			67,055
GROSS PROFIT		31,178			28,605			58,374			55,777
Operating expenses:
General and administrative		22,675			18,779			43,476			36,785
Research and development		947			1,306			1,809			2,752
Sales and marketing		6,242			6,327			11,890			12,127
Total operating expenses		29,864			26,412			57,175			51,664
INCOME FROM OPERATIONS		1,314			2,193			1,199			4,113
Interest expense, net		1,411			1,448			2,775			3,040
Income (loss) before taxes		(97	)		745			(1,576	)		1,073
Income tax (benefit) expense		(54	)		332			(879	)		505
NET INCOME (LOSS)		(43	)		413			(697	)		568
Deemed dividends on preferred stock		929			1,840			1,822			3,680
Amortization of preferred stock beneficial conversion feature		1,710			3,727			3,383			7,453
NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS	$	(2,682	)	$	(5,154	)	$	(5,902	)	$	(10,565	)
NET LOSS PER SHARE ATTRIBUTABLE TO COMMON STOCKHOLDERS
Basic	$	(0.03	)	$	(0.07	)	$	(0.07	)	$	(0.14	)
Diluted	$	(0.03	)	$	(0.07	)	$	(0.07	)	$	(0.14	)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic		79,413			77,448			79,075			76,758
Diluted		79,413			77,448			79,075			76,758

See notes to unaudited consolidated financial statements.

5

NEOGENOMICS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

	For the Six Months Ended June 30,
CASH FLOWS FROM OPERATING ACTIVITIES	2017			2016
Net income (loss)	$	(697	)	$	568
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation		7,906			7,329
Amortization of intangibles		3,450			3,636
Amortization of debt issue costs		219			358
Stock based compensation – options, restricted stock and warrants		3,052			2,337
Provision for bad debts		8,027			5,434
Changes in assets and liabilities, net:
(Increase) in accounts receivable, net of write-offs		(14,265	)		(10,004	)
(Increase) decrease in inventories		796			(437	)
(Increase) in prepaid expenses		(720	)		(602	)
(Increase) in other current assets		(129	)		—
Increase (decrease) in accounts payable and other liabilities		(2,797	)		3,476
Net cash provided by operating activities		4,842			12,095
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment		(7,864	)		(3,425	)
Net cash used in investing activities		(7,864	)		(3,425	)
CASH FLOWS FROM FINANCING ACTIVITIES
Advances from revolving credit facility, net		4,997			—
Repayment to revolving credit facility		—			(10,044	)
Repayment of capital lease obligations/loans		(2,754	)		(2,611	)
Repayment on term loan, net		(1,878	)		—
Proceeds from the exercise of options, warrants and ESPP shares, net of transaction expenses		1,176			2,351
Payments of equity issue costs		(112	)		—
Net cash provided by (used in) financing activities		1,429			(10,304	)
Net change in cash and cash equivalents		(1,593	)		(1,634	)
Cash and cash equivalent, beginning of period		12,525			23,420
Cash and cash equivalents, end of period	$	10,932		$	21,786
Supplemental disclosure of cash flow information:
Interest paid	$	2,573		$	2,691
Income taxes paid	$	102		$	222
Supplemental disclosure of non-cash investing and financing information:
Equipment acquired under capital lease/loan obligations	$	2,557		$	2,585
Deemed dividends on preferred stock	$	1,822		$	3,680
Amortization of preferred stock beneficial conversion feature	$	3,383		$	7,453

See notes to unaudited consolidated financial statements.

6

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Note A – Nature of Business and Basis of Presentation

NeoGenomics, Inc., a Nevada corporation (the “Parent”), and its subsidiaries, NeoGenomics Laboratories, Inc., a Florida corporation (“NEO” or, “NeoGenomics Laboratories”), NeoGenomics Bioinformatics Inc., 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 laboratory 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.  On August 1, 2017, the Company completed the sale of its equity interests in Path Logic, see Note K – Subsequent Events.

The accompanying interim consolidated financial statements are unaudited and have been prepared in accordance with 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.

Certain information and footnote disclosures normally included in the Company’s annual audited consolidated financial statements and accompanying notes have been condensed or omitted in these accompanying interim consolidated financial statements. Accordingly, the accompanying interim consolidated financial statements included herein should be read in conjunction with the audited consolidated financial statements and accompanying notes included in the Company’s annual report on Form 10-K for the year ended December 31, 2016, filed with the SEC on March 14, 2017.  

The results of operations presented in this quarterly 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 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 that delivers testing services to hospitals, pathologists, oncologists, other clinicians, and researchers, which represents 100% of the Company’s consolidated assets, net revenues and net income (loss) for the three and six months ended June 30, 2017 and 2016.  We have evaluated our segments based on how the Chief Operating Decision Maker (“CODM”), our Chief Executive Officer, reviews performance and makes decisions in managing the Company.  At June 30, 2017, all of our services were provided within the United States and all of our assets were located in the United States.

We have two primary types 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.

Note B – Recently Adopted and Issued Accounting Guidance

Adopted

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.  

7

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

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 six months ended June 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 six months ended June 30, 2017.

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

Issued

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 this guidance to have a material effect on its consolidated financial statements.

In January 2017, the FASB issued 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.  This update is effective for periods beginning after December 15, 2017.  Early adoption is permitted.  The Company does not expect the adoption of this guidance 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 assets and lease liabilities on the balance sheet for those leases classified as operating leases under previous GAAP. ASU 2016-02 requires that a 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 for periods beginning after December 15, 2018 and interim periods within those periods.  The adoption of this ASU will result in an increase on the balance sheet for lease liabilities and right to use assets.  The Company is currently evaluating the quantitative 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 early adoption permitted 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 enhanced financial statement disclosures surrounding the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers.  In addition, we expect the standard to impact gross profit as a portion of our bad debt expense will be considered an implicit price concession and will be reported as a reduction in net

8

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

revenue, versus part of selling, general and administrative expenses.  The Company is currently performing a detailed contract review in order to determine the quantitative impact of this standard.

Note C – Goodwill and Intangible Assets

Goodwill as of June 30, 2017 and December 31, 2016 was $147.0 million.  There were no changes in the carrying amount of goodwill during these periods.

Intangible assets as of June 30, 2017 and December 31, 2016 consisted of the following (in thousands):

		June 30, 2017
	Amortization Period	Cost		Accumulated Amortization		Net
Trade Name	24 months	$	3,000	$	2,258	$	742
Customer Relationships	156 - 180 months		81,000		8,128		72,872
Total		$	84,000	$	10,386	$	73,614

		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

We recorded approximately $1.7 and $1.6 million in straight-line amortization expense of intangible assets for the three month period ended June 30, 2017 and 2016, respectively.  We recorded approximately $3.5 million and $3.6 million in straight-line amortization expense of intangible assets for the six month period ended June 30, 2017 and 2016, respectively. The Company recorded amortization expense from customer relationships and trade names as a general and administrative expense.  

The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of June 30, 2017 is as follows (in thousands):

Remainder of 2017	$	3,442
2018		5,400
2019		5,400
2020		5,400
2021		5,400
Thereafter		48,572
Total	$	73,614

Note D – Debt

The following table summarizes the long term debt at June 30, 2017 and December 31, 2016 (in thousands):

	June 30, 2017			December 31, 2016
Term Loan Facility	$	73,125		$	75,000
Revolving Credit Facility		27,900			22,900
Auto Loans		154			202
Capital leases		10,119			10,269
Total Debt		111,298			108,371
Less:  Debt issuance costs		(1,989	)		(2,202	)
Less:  Current portion of long-term debt		(8,642	)		(8,733	)
Total Long-Term Debt, net	$	100,667		$	97,436

9

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

The carrying value of the Company’s long-term capital lease obligations and term debt approximates its fair value based 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 $75.0 million term loan facility (the “Term Loan Facility”).  The Credit Agreement also provides incremental facility capacity of $50 million, subject to certain conditions.  On June 30, 2017 and December 31, 2016, the Company had current outstanding borrowings under the Term Loan of approximately $3.8 million and long-term outstanding borrowings of approximately $68.4 million and $70.1 million, net of unamortized debt issuance costs of $994,000 and $1.1 million, respectively.  The debt issuance costs were recorded as a reduction in the carrying amount of the related liability and are being amortized over the life of the loan.

The Term Loan 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 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 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 Adjusted LIBOR loans.  The Company entered into an interest rate swap agreement to hedge against changes in the variable rate of a portion of this debt.  See Note E-Derivative Instruments and Hedging Activities for more information on this instrument.

The Term Loan Facility and amounts borrowed under the Revolving Credit Facility are secured on a first priority basis by a security interest in substantially all of the tangible and intangible assets of NeoGenomics Laboratories and the Guarantors.  The Term Loan Facility contains various affirmative and negative covenants including ability to incur liens and encumbrances; make certain restricted payments, including paying dividends on its equity securities or payments to redeem, repurchase or retire its equity securities; enter into certain restrictive agreements; make investments, loans and acquisitions; merge or consolidate with any other person; dispose of assets; enter into sale and leaseback transactions; engage in transactions with its affiliates, and materially alter the business it conducts.  In addition, the Company must meet certain maximum leverage ratios and fixed charge coverage ratios as of the end of each fiscal quarter commencing with the quarter ending March 31, 2017.  The Company was in compliance with all required covenants as of June 30, 2017.

The Term Loan Facility has a maturity date of December 21, 2021.  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 (as defined), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0 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 5.64% at June 30, 2017. Most of these

10

NEOGENOMICS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

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 June 30, 2017, and December 31, 2016, the Company had outstanding borrowings of approximately $26.9 million and $21.8 million, net of unamortized debt issuance costs of $995,000 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), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0 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, subject to customary “breakage” costs with respect to prepayments of Adjusted LIBOR rate loans made on a day other than the last day of any applicable interest period.

Maturities of Long-Term Debt

Maturities of long-term debt at June 30, 2017 are summarized as follows (in thousands):

	Term Loan and Revolving Credit Facility			Capital Lease Obligations			Auto Loans			Total Long-Term Debt
Remainder of 2017	$	1,875		$	2,836		$	45		$	4,756
2018		3,750			4,533			69			8,352
2019		5,625			2,968			35			8,628
2020		5,625			454			5			6,084
2021		84,150			-			-			84,150
		101,025			10,791			154			111,970
Less: Interest on capital leases		-			(672	)		-			(672	)
		101,025			10,119			154			111,298
Less:  Current portion of long-term debt		(3,750	)		(4,812	)		(80	)		(8,642	)
Less:  Debt issuance costs		(1,989	)		-			-			(1,989	)
Long-term debt, net	$	95,286		$	5,307		$	74		$	100,667

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

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 June 30, 2017 and December 31, 2016, the total notional amount of the Company’s interest rate swaps were $50 million.

The fair value of the interest rate swap will be included in other long term assets or liabilities, when applicable.  As of June 30, 2017 and December 31, 2016, the fair value of the interest rate swap was not considered 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 June 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.  

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 June 30, 2017, 6,600,000 shares of Series A Preferred Stock were outstanding.  

The carrying amount of the Series A Preferred Stock at June 30, 2017 was $27.7 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 $1.8 million, the accretion of the beneficial conversion feature of approximately $3.4 million during the six months ending June 30, 2017 and the additional BCF discounts for payment-in-kind shares accrued during the six months ending June 30, 2017 of $0.4 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 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.  

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

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 six months ended June 30, 2017 was approximately $1.7 million and $3.4 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 and June 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 six months ended June 30, 2017 was approximately $201,240 and $402,480, respectively.  

Automatic Conversion

Each share of Series A Preferred Stock issued and outstanding as of the tenth anniversary of the original issue date will automatically convert into fully paid and non-assessable shares of common stock.

Classification  

The Company classified the Series A Preferred Stock as temporary equity on the consolidated balance sheets due to certain change in control events that are outside the Company’s control, including deemed liquidation events described in the Series A Certificate of Designation.

Note G – 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 electronic equivalent, 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, commercial insurance companies, other directly billed healthcare institutions such as hospitals and clinics, and individuals.  The Company reports revenues from contracted 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 difference between the amount billed and the amount estimated to be collected from non-contracted payers is recorded as an allowance to arrive at the reported net revenues.  The expected revenues from non-contracted payers are based on the historical collection experience of each payer or payer group, as appropriate.  The Company records revenues from patient pay tests net of a large discount and as 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 impacts 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 June 30,						Six Months Ended June 30,
	2017			2016			2017			2016
Gross service revenues	$	93,862		$	129,235		$	177,800		$	261,955
Total contractual adjustments and discounts		(27,772	)		(66,106	)		(50,033	)		(139,123	)
Net revenues	$	66,090		$	63,129		$	127,767		$	122,832

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Note H – Equity

A summary of the stock option activity under the Company’s plans for the three months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Options outstanding at December 31, 2016		5,136,110	$	5.76
Options granted		1,993,998		7.54
Less:
Options exercised		329,819		3.14
Options canceled or expired		53,265		2.34
Options outstanding at June 30, 2017		6,747,024		6.44
Exercisable at June 30, 2017		2,195,147		5.33

Of the 6,747,024 outstanding options at June 30, 2017, 1,240,834 were variable accounted stock options issued to non-employees of the Company of which 453,333 options were vested and 787,501 options were unvested as of June 30, 2017.

The fair value of each stock option award granted during the six months ended June 30, 2017 was estimated as of the grant date using a trinomial lattice model with the following weighted average assumptions:

	Six Months Ended June 30, 2017
Expected term (in years)	3.0 - 4.0
Risk-free interest rate (%)		1.3%
Expected volatility (%)	47.6% - 53.0%
Dividend yield (%)		0.0%
Weighted average fair value/share at grant date	$	2.23

 As of June 30, 2017, there was approximately $7.7 million of unrecognized share based compensation expense related to stock options that will be recognized over a weighted-average period of approximately 1.3 years.  This includes approximately $1.6 million in unrecognized expense related to the 787,501 shares of unvested variable accounted for stock options subject to fair value adjustment at the end of each reporting period based on changes in the Company’s stock price.

Stock based compensation expense recognized for stock options and restricted stock and included in the consolidated statements of operations was allocated as follows (in thousands): 

	Three Months Ended June 30,				Six Months Ended June 30,
	2017		2016		2017		2016
Research and development expense	$	285	$	372	$	327	$	363
General and administrative expense		1,637		1,188		2,725		1,985
Total stock based compensation expense	$	1,922	$	1,560	$	3,052	$	2,348

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

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Common Stock Warrants

A summary of the warrant activity for the six months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Warrants outstanding at December 31, 2016		450,000	$	1.50
Warrants granted		—		—
Less:
Warrants exercised		450,000		1.50
Warrants canceled or expired		—		—
Warrants outstanding at June 30, 2017		—		—
Exercisable at June 30, 2017		—		—

 During the three months ended June 30, 2017 and 2016, we recorded $0 and $74,000 of warrant compensation expense, respectively.  During the six months ended June 30, 2017, we recorded $0 of warrant compensation expense and during the six months ended June 30, 2016 we recorded a warrant compensation gain of $10,000, respectively.  Warrant expense (gain) for the periods presented is recorded in research and development as the expense is related to unvested performance based warrants that were granted to a non-employee.  As of June 30, 2017, there were no outstanding warrants, in addition all warrants were fully vested for both the three and six months ended June 30, 2017.

Note I – Commitments

During the three and six months ended June 30, 2017, the Company entered into leases of approximately $782,000 and $2.6 million in laboratory and computer equipment, respectively. These leases have 36 month terms, a $1.00 buyout option at the end of the terms and interest rates ranging from 5.0% to 6.2%.  The Company accounted for these lease agreements as capital leases.

During the six months ended June 30, 2017, the Company entered into a construction contract for the expansion 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.  

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

Note J – Other Related Party Transaction

During each of the three and six month periods ended June 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 $52,000 and $66,000 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Jones earned $12,500 and $0 for the three months ended June 30, 2017 and 2016, respectively.  During the six months ended June 30, 2017 and 2016, Mr. Jones earned approximately $118,000 and $132,000, respectively in connection with his duties as Executive Vice President.  Mr. Jones also received approximately $85,000 and $79,000 during the six months ended June 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 $12,500 and $0 for the six months ended June 30, 2017 and 2016, respectively.

During each of the three and six month periods ending June 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.  In connection with his role as a consultant, Mr. Johnson earned approximately $88,000 and $0 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Johnson earned $15,000 for each of the three months ended June 30, 2017 and 2016 and $30,000 for each of the six months ended June 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.

Note K – Subsequent Events

At the Board Meeting in July of 2017, it was determined that Path logic met the classification as held for sale.  On August 1, 2017, the Company completed the sale of its equity interests in PathLogic, our laboratory located in West Sacramento, California.  The Company anticipates recording a loss on the sale of approximately $1.25 to $1.5 million in the third quarter of 2017.  PathLogic had sales of $3.3 million and $3.9 million for the periods ended June 30, 2017 and 2016, respectively.  PathLogic had full year 2016 revenue of $7.3 million.  PathLogic had operating losses of $1.6 million and $1.4 million for the periods ended June 30, 2017 and 2016, respectively.  Path-Logic had a full year 2016 operating loss of $3.1 million.  

END OF FINANCIAL STATEMENTS

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

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

Introduction

The following discussion and analysis should be read in conjunction with the unaudited 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 report on Form 10-Q under the caption “Forward-Looking Statements”, which information is incorporated herein by reference.

Overview

We operate a network of cancer-focused genetic testing laboratories in the United States.  Our mission is to improve patient care through exceptional genetic and molecular testing services. Our vision is to become the World’s leading cancer testing and information company by delivering uncompromising quality, exceptional service and innovative solutions.

As of June 30, 2017, the Company had laboratory locations in Aliso Viejo, Fresno and West Sacramento, CA; Tampa and Fort Myers, FL; Houston, TX and Nashville, TN, though on August 1, 2017, the Company completed the sale of PathLogic, its laboratory located in West Sacramento, California. The Company and currently offers the following types of genetic and 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.

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.

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”).

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

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.

Clinical Cancer Testing Services

The cancer testing services we offer to community-based pathologists 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 and academic centers empowers them to expand their breadth of testing and provide a menu of services that matches or exceeds the level of service found in any center of excellence around the world.

Pharma Services and Clinical Trials

Our Pharma Services division supports pharmaceutical firms in their drug development programs by supporting various clinical trials.  This portion of our business often involves working with the pharmaceutical firms (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’ response to a particular drug.  As studies unfold, our clinical trials team reports the data and often provide key analysis and insights back to the sponsors.

Our Pharma Services and Clinical Trials group 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 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 pre and non-clinical work, we can use our platforms to characterize markers of interest.   Moving from discovery to development, we 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 Trials 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 for companion diagnostics.  Our Pharma Services strategy is focused on helping bring more effective oncology treatments to market through providing world class laboratory services in oncology to key pharmaceutical companies in the industry.

2017 Focus Areas: Develop High Performance Culture, Inspire & “Own” Quality, Accelerate Growth and Advance Our Strategy

Over the past several years, NeoGenomics has experienced rapid growth including organic growth from offering new tests to existing customers, growth from gaining market share from our competitors, and growth from acquisitions.  We expect to continue to grow our business in 2017 and are focused on several initiatives to continue to build our company to be the World’s leading cancer testing and information company.

Develop our High Performance Culture  

We are building our high performance culture by empowering our employees and investing in their growth.  We are providing skill based training, education, and mentoring our supervisors 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.  

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

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 throughout our organization.  Maintaining quality laboratory operations and service is enabling us 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, we believe we can strengthen our core processes.  Our 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, or LIS and our information technology team is working to complete this LIS system for certain key areas in 2017.  We believe the new LIS system will help to drive improvements in efficiencies in several laboratory areas and will allow for further automation and operational efficiencies.  It will also enable our Pharma Services clients the ability to track each step through the laboratory process.  On June 30, 2017, we began to use this new system in or Pharma Services business.

We have renovated our Aliso Viejo, CA laboratory and in March of 2017, 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 expect to achieve significant economies of scale and operating efficiencies from this move.

Accelerate Profitable Growth

Our plans for 2017 include many initiatives to continue our strong organic growth by gaining market share, introducing new tests, and by 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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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

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 NEOLAB^TM 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 NeoTYPE^TM 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 NeoTYPE^TM 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.

We continue to develop our NeoLAB (Liquid Biopsy) Prostate cancer test that is performed on blood plasma and urine rather than on prostate tissue biopsies.  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.  

Competitive Strengths

Turnaround Times

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

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benchmarks for national laboratories.  Our consistent timeliness of results is a competitive strength and a driver of additional testing requests by our referring physicians.  Rapid turnaround 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.  We believe that our fast turnaround times are a key differentiator versus other national laboratories, and our clients often cite them as a key factor 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 June 30, 2017, we employed, or are contracted with, approximately 35 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-Only Service Offerings

We currently have the most extensive menu of “tech-only” FISH services in the country 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 just the technical information and images relating to a specific test so they can perform the professional interpretation, or order “global” services and receive a comprehensive test report which includes a NeoGenomics Pathologist’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 interpretation services, to meet the needs of those clients who are not credentialed and trained in interpreting genetic tests and who require pathology specialists to interpret the testing results for them. In our global service offerings, our lab performs the technical component of the tests and our M.D.s and Ph.Ds. provide the service of 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 of our tech-only clients also rely on our medical team for difficult or challenging cases by ordering our global 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 continued 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.

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 services is organized into five regions (Northeast, Southeast, North Central, South Central and West), and we have a separate sales team for our Pharma Services division.  These sales representatives utilize our custom Customer Relationship Management System (“CRM”) to manage their territories, and we have integrated all of the important customer care functionality within our LIS 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 LIS and CRM.  Our field teams can see in real-time when a client calls the laboratory, the reason for the call, the resolution, and 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 on either the West Coast or the East Coast of the United States to service the needs of their customers around the country. We believe 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 recently completed renovations in 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 have begun work with authorities in Switzerland regarding our planned opening of a laboratory near Geneva during the second half of 2017.  This laboratory will support our Pharma Services division and will enable us to compete for clinical trials business in Europe as well as for studies that have components in both the United States and in Europe.  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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Seasonality

The majority of our 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 tornados in certain regions, consequently reducing revenues and cash flows in any affected period. 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 Six Months Ended June 30, 2017 as Compared to the Three and Six Months Ended June 30, 2016

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

	Three Months Ended June 30						Six Months Ended June 30
	2017			2016			2017			2016
Net revenue		100.0	%		100.0	%		100.0	%		100.0	%
Cost of revenue		52.8	%		54.7	%		54.3	%		54.6	%
Gross Profit		47.2	%		45.3	%		45.7	%		45.4	%
Operating expenses:
General and administrative		34.3	%		29.7	%		34.0	%		29.9	%
Research and development		1.4	%		2.1	%		1.4	%		2.2	%
Sales and marketing		9.4	%		10.0	%		9.3	%		9.9	%
Total operating expenses		45.1	%		41.8	%		44.7	%		42.0	%
Income from operations		2.1	%		3.5	%		1.0	%		3.4	%
Interest expense		2.1	%		2.3	%		2.2	%		2.5	%
Net income (loss) before income taxes	0.0%				1.2	%		(1.2	)%		0.9	%
Income tax (benefit) expense		(0.1	)%		0.5	%		(0.7	)%		0.4	%
Net income (loss)		(0.1	)%		0.7	%		(0.5	)%		0.5	%

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

	Three Months Ended June 30,										Six Months Ended June 30,
	2017		2016		$ Change			% Change			2017		2016		$ Change			% Change
Net Revenue
Clinical testing	$	59,791	$	56,316	$	3,475			6	%	$	116,482	$	110,936	$	5,546			5	%
Pharma Services		6,299		6,813		(514	)		(8	%)		11,285		11,896		(611	)		(5	%)
Total Revenue	$	66,090	$	63,129	$	2,961			5	%	$	127,767	$	122,832	$	4,935			4	%

Revenue

Clinical testing revenue increased for both the three and six month periods ending June 30, 2017 as compared to the same periods in 2016.  Testing volumes also increased in our clinical genetic testing business by approximately 16.2% and 15.8% for the three and six month periods ended June 30, 2017, respectively.  The increases in revenue and volume were due to strong growth in molecular testing as well as immuno-histochemistry.  The growth in immuno-histochemistry tests is due to a surge in 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 solid growth in molecular testing, including growth in our multi-gene molecular panels under the NeoTYPE menu.  

Pharma Services revenue decreased slightly for the three and six month periods ended June 30, 2017 as compared to the same periods in 2016; however, Pharma Services revenue increased approximately 26% in the second quarter of 2017 as compared with the first quarter of 2017.  Our backlog of signed contracts has continued to grow from $26.0 million as of June 30, 2016 to a record high of

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$46.5 million as of June 30, 2017.  We expect this backlog to result in higher revenues in future quarters.  We also expect to see further growth in our Pharma Services division as we expand internationally and open our Geneva, Switzerland laboratory in the second half of 2017.

The following table shows clinical genetic testing revenue, cost of revenue, requisitions received and tests performed for the three and six months ended June 30, 2017 and 2016.  This data excludes tests performed for Pharma customers and tests performed by Path Logic (testing revenue and cost of revenue in thousands):

	Three Months Ended June 30,							Six Months Ended June 30,
	2017		2016		% Change			2017		2016		% Change
Requisitions received (cases)		99,247		90,795		9.3	%		193,775		179,619		7.9	%
Number of tests performed		163,620		140,822		16.2	%		319,187		275,726		15.8	%
Average number of tests/requisition		1.65	1.55			6.5	%		1.65	1.54			7.1	%
Total clinical genetic testing revenue	$	58,115	$	52,249		7.1	%	$	113,227	$	106,999		5.8	%
Average revenue/requisition	$	586	$	597		(1.8	%)	$	584	$	596		(2.0	%)
Average revenue/test	$	355	$	385		(7.8	%)	$	355	$	388		(8.5	%)
Cost of revenue	$	29,322	$	29,153		0.6	%	$	58,237	$	56,921		2.3	%
Average cost/requisition	$	295	$	321		(8.1	%)	$	301	$	317		(5.0	%)
Average cost/test	$	179	$	207		(13.5	%)	$	182	$	206		(11.7	%)

We believe that the increases in clinical testing revenue are the direct result of our efforts to innovate by developing and maintaining one of the most comprehensive cancer testing menus in the industry.  This broad test menu allows for existing clients to order more testing and attracts new clients allowing us to gain market share from competitors.  New immuno-histochemistry tests such as Micro Satellite Instability; and DNA Mismatch Repair as well as PD1 and PD-L1 have shown solid growth and have helped to fuel our volume and revenue growth in the second 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 and six month periods ended June 30, 2017 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 AUP 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 driving down 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.  

In late March of 2017, we completed the consolidation of our two largest testing facilities in southern California.  This impacted our cost per test in the first quarter as we incurred increased overtime expense as well as other inefficiencies such as having to re-validate tests and equipment in the new location.  We are beginning to realize cost synergies and scale benefits from this consolidation and expect to further reduce our cost of testing in the coming quarters as we optimize processes and renegotiate contracts with suppliers.  

Cost of Revenue and Gross Profit

Cost of revenue includes payroll and payroll related costs for performing tests, maintenance and 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.

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

	Three Months Ended June 30,								Six Months Ended June 30,
Consolidated	2017			2016			$ Change		2017			2016			$ Change
Cost of revenue	$	34,912		$	34,524		$	388	$	69,393		$	67,055		$	2,338
Cost of revenue as a % of revenue		52.8	%		54.7	%				54.3	%		54.6	%
Gross Profit	$	31,178		$	28,605		$	2,573	$	58,374		$	55,777		$	2,597
Gross Profit Margin		47.2	%		45.3	%				45.7	%		45.4	%

Consolidated cost of revenue in dollars increased for the three and six months ended June 30, 2017 when compared to the same periods in 2016 while cost of revenue as a percentage of revenue decreased year-over-year.  These increases in cost of revenue are largely due to the increase in our testing volumes and additional costs incurred with the consolidation of our two largest testing facilities in southern California, specifically increased overtime and associated costs.  

Gross profit margin increased to 47.2% for the three months ended June 30, 2017, as compared to 45.3% for the same period last year.  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 effective in reducing their cost per test across almost all departments.  We are beginning to see the benefits of synergies in our laboratory from the Clarient acquisition and are making significant progress reducing our cost per test.  

General and Administrative Expenses

General and administrative expenses consist of employee related costs (such as salaries, fringe benefits, and stock based compensation expense) for our billing, finance, human resources, information technology and other administrative personnel. We also allocate professional services, facilities expense, 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 June 30,								Six Months Ended June 30,
($ in thousands)	2017			2016			$ Change		2017			2016			$ Change
General and administrative	$	22,675		$	18,779		$	3,896	$	43,476		$	36,785		$	6,691
As a % of revenue		34.3	%		29.7	%				34.0	%		29.9	%

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

Bad debt expense for the three months ended June 30, 2017 increased by approximately $1.5 million when compared to the same period in 2016.  Bad debt as a percentage of revenue was 6.4%, which was higher than last year’s rate of 4.4%.  Bad debt expense for the six months ended June 30, 2017 increased by approximately $2.6 million when compared to the same period in 2016.  Bad debt as a percentage of revenue was 6.3%, which was higher than last year’s rate of 4.4%.  The increases as a percentage of revenue are primarily related to the integration of Clarient and the change in billing systems which began in July of 2016 and Clarient which historically had higher bad debt rates than did NeoGenomics’ legacy business.  The Clarient business has been fully transitioned over to NeoGenomics billing system and we anticipate that bad debt will begin to move lower in the second half of 2017.  

Professional fees increased for the three and six months ended June 30, 2017 when compared to the same periods in 2016.  Part of this increase was due to fees incurred related to the Pharma Services facility in Geneva, Switzerland in the amounts of approximately $0.3 million and $0.5 million for the three and six months ended June 30, 2017, respectively. There were no related fees for the three and six month period ending June 30, 2016.  Depreciation expense has also increased as a result of the higher level of capital spending in 2017, including spending on significant enhancements to our IT security systems.  

Payroll expenses increased for the three and six months ended June 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 increase in stock based compensation which has increased from $2.3 million for the six months ended June 30, 2016, to $3.1 million

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for the six months ended June 30, 2017.  This increase is due to the increase in NeoGenomics stock price as well as increase in stock option grants 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, and a decline 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.  

Research and Development Expenses

Research and development expenses relate to cost of developing new proprietary and non-proprietary genetic tests, including payroll and payroll related costs, 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 June 30,									Six Months Ended June 30,
($ in thousands)	2017			2016			$ Change			2017			2016			$ Change
Research and development	$	947		$	1,306		$	(359	)	$	1,809		$	2,752		$	(943	)
As a % of revenue		1.4	%		2.1	%					1.4	%		2.2	%

Research and development expense decreased for both the three and six months ended June 30, 2017 as compared to the same period in 2016.  The decrease in research and development expense is partially attributable to the reduction in the balance of unvested options outstanding in 2017 as compared to 2016.  Excluding stock based compensation expense of approximately $285,000 and 372,000 for the three months ended June 30, 2017 and 2016, research and development expense was approximately $662,000 and $934,000.  Excluding stock based compensation expense of approximately $327,000 and $363,000 for the six months ended June 30, 2017 and 2016, research and development expense was approximately $1.5 million and $2.4 million.  Excluding stock based compensation, research and development expense decreased year-over-year due to a decrease in amortization expense.  The intangible assets that were being amortized were license agreements associated with Health Discovery Corporation, and were fully impaired in the fourth quarter of 2016.  We are no longer developing technology that was previously licensed with the Health Discovery Corporation.  

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.  We anticipate research and development expenditures will increase over time as we continue to invest in 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.

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

	Three Months Ended June 30,									Six Months Ended June 30,
($ in thousands)	2017			2016			$ Change			2017			2016			$ Change
Sales and marketing	$	6,242		$	6,327		$	(85	)	$	11,890		$	12,127		$	(237	)
As a % of revenue		9.4	%		10.0	%					9.3	%		9.9	%

Sales and marketing expenses decreased for both the three and six months ended June 30, 2017 as compared to the same period in 2016.  This decrease is primarily attributable to a reduction in commissions.  We expect higher commissions expense in the coming quarters as the sales representatives’ focus on generating new business and increasing revenue.  We expect our sales and marketing expenses over the long term to increase as our test volumes increase, but to remain stable as a percentage of our overall sales.  

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Interest Expense, net

Interest expense, net is comprised of interest incurred on our term debt, revolving credit facility and our capital lease obligations offset by the interest income we earn on cash deposits.  Interest expense, net decreased in both the three and six month periods ending June 30, 2017 compared to the same periods in 2016. The decreases in interest expense, net of $37,000 for the three month period and $265,000 for the six month period reflect the significantly lower borrowing rate in the Loan Agreement entered into in December of 2016.  Due to these lower interest rates, while total borrowings have been higher in 2017 compared to 2016, interest expense has been lower.  In addition, we have entered into a swap agreement to hedge a significant portion of the interest on our term loan, however part of that loan is not hedged and will continue to fluctuate as the LIBOR rates change.  

Net Income

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 six months ended June 30, 2017:

	Three Months Ended June 30 ,						Six Months Ended June 30 ,
(in thousands, except per share amounts)	2017			2016			2017			2016
Net loss available to common shareholders	$	(2,682	)	$	(5,154	)	$	(5,902	)	$	(10,565	)
Basic weighted average shares outstanding		79,413			77,448			79,075			76,758
Effect of potentially dilutive securities		—			—			—			—
Diluted weighted average shares outstanding		79,413			77,448			79,075			76,758
Basic net loss per share	$	(0.03	)	$	(0.07	)	$	(0.07	)	$	(0.14	)
Diluted net loss per share	$	(0.03	)	$	(0.07	)	$	(0.07	)	$	(0.14	)

Non-GAAP Measures

Use of non-GAAP Financial Measures

The Company’s financial results are provided in accordance with accounting principles generally accepted in the United States of America (GAAP) and using certain non-GAAP financial measures.  Management believes that presentation of operating results using non-GAAP financial measures provides useful supplemental information to investors and facilitates the analysis of the Company’s operating results and comparison of operating results across reporting periods and between entities. 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.  The non-GAAP financial measures do not replace the presentation of GAAP financial results and should only be used as a supplement 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.  

Definitions of non-GAAP measures

Non – GAAP EBITDA

We define “EBITDA” as net income from continuing operations before: (i) interest expense, (ii) tax expense, (iii) depreciation and amortization expense.

Non – GAAP Adjusted EBITDA

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

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NEOGENOMICS, INC.

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

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.

• 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.  

• 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 large facility in Aliso Viejo.  After investing in updating and redesigning the Aliso Viejo facility we combined the 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.

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NEOGENOMICS, INC.

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

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

	For the Three Months Ended June 30,					For the Six Months Ended June 30,
(in thousands)	2017			2016		2017			2016
Net income (loss) (GAAP)	$	(43	)	$	413	$	(697	)	$	568
Adjustments to net income (loss):
Interest expense, net		1,411			1,448		2,775			3,040
Income tax expense (benefit)		(54	)		332		(879	)		505
Amortization of intangibles		1,725			1,610		3,450			3,636
Depreciation		3,926			3,744		7,906			7,329
EBITDA		6,965			7,547		12,555			15,078
Further Adjustments to EBITDA:
Non-cash stock based compensation		1,922			1,634		3,052			2,337
Facility moving expenses		264			-		615			-
Adjusted EBITDA (non-GAAP)	$	9,151		$	9,181	$	16,222		$	17,415

Trade Accounts Receivable 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.

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

NEOGENOMICS AGING OF RECEIVABLES BY PAYER GROUP

June 30, 2017

Payer Group	0-30		%			31-60		%			61-90		%			91-120		%			>120			%			Total		%
Client	$	16,016		22	%	$	9,426		13	%	$	3,360		5	%	$	2,431		3	%	$	4,227			6	%	$	35,460		48	%
Commercial Insurance		1,876		3	%		2,109		3	%		1,256		2	%		1,465		2	%		11,364			15	%		18,070		25	%
Medicaid		269		0	%		290		0	%		185		0	%		212		0	%		506			1	%		1,462		2	%
Medicare		1,497		2	%		1,349		2	%		846		1	%		976		1	%		4,216			6	%		8,884		12	%
Private Pay		28		0	%		28		0	%		13		0	%		7		0	%		(8	)		0	%		68		0	%
Unbilled Revenue		6,157		8	%		758		1	%		655		1	%		673		1	%		1,192			2	%		9,435		13	%
Total	$	25,843		35	%	$	13,960		19	%	$	6,315		9	%	$	5,764		8	%	$	21,497			29	%	$	73,379		100	%

NEOGENOMICS AGING OF RECEIVABLES BY PAYER GROUP

December 31, 2016

Payer Group	0-30		%		31-60		%		61-90		%		91-120		%		>120			%		Total		%
Client	$	12,775		19%	$	6,520		9%	$	3,531		5%	$	2,869		4%	$	5,229			8%	$	30,924		45%
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%

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NEOGENOMICS, INC.

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

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

	June 30, 2017			December 31, 2016			$ Change
Allowance for doubtful accounts	$	11,629		$	13,699		$	(2,070	)
Allowance as a % of gross accounts receivable		15.8	%		19.8	%
Days Sales Outstanding	85			84

The allowance for doubtful accounts as well as the allowance as a percentage of gross accounts receivable has decreased for the period ended June 30, 2017 as compared to the period ended December 31, 2016.  These decreases are primarily due to changes in the timing of when items are written off and decisions to accelerate certain write-offs.  Days Sales Outstanding (“DSO”) has shown considerable improvement during the past quarter with a reduction from 90 days as of March 31, 2017 to 85 days as of June 30, 2017.  The higher level of DSO was primarily driven by the Clarient integration and the conversion of the Clarient clients to the NeoGenomics billing system. This conversion is now fully complete and we believe that DSOs will decrease slightly in the coming quarters.  

Liquidity and Capital Resources

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

The following table presents a summary of our consolidated cash flows for operating, investing and financing activities (in thousands) for the six months ended June 30, 2017 and 2016 as well as the period ended cash and cash equivalents and working capital.

	Six Months Ended June 30,
	2017			2016
Net cash provided by (used in):
Operating activities	$	4,842		$	12,095
Investing activities		(7,864	)		(3,425	)
Financing activities		1,429			(10,304	)
Net change in cash and cash equivalents		(1,593	)		(1,634	)
Cash and cash equivalents, beginning of period	$	12,525		$	23,420
Cash and cash equivalents, end of period	$	10,932		$	21,786
Working Capital (1), end of period	$	48,153		$	52,556

(1) Defined as current assets minus current liabilities.

Cash Flows from Operating Activities

During the six months ended June 30, 2017, cash flows from operating activities decreased by approximately $7.3 million as compared to the same period in 2016.  The change was primarily due to a higher balance in accounts receivable as well as a decrease in accounts payable as of June 30, 2017, compared to June 30, 2016.  The change in cash flows from operations is also due to our net loss for the period ending June 30, 2017 compared to our net income for the period ended June 30, 2016.

Cash Flows from Investing Activities

During the six months ended June 30, 2017, cash used in investing activities increased by approximately $4.4 million compared with 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 facility in Aliso Viejo, California and invested significantly in additional laboratory equipment to handle our growth, as well as updates to existing equipment that was acquired with the purchase of Clarient.  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).  As we expand our Houston laboratory in the second half of 2017, as well as continue to develop our laboratory in Geneva, Switzerland we expect to continue to make investments in these areas.    

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NEOGENOMICS, INC.

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

Cash Flows from Financing Activities

During the six months ended June 30, 2017, cash flows from financing activities changed by approximately $11.7 million compared with the same period in 2016.  This change was due to a combination of the $5.0 million in advances on our revolving credit facility during the first quarter of 2017 and the $10.0 million repayment on our revolving credit facility in the first quarter of 2016.  The 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 two 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 third and fourth quarters of 2017 and throughout 2018.  

Credit Facility

During December 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 debt to a fixed obligation, thus reducing the impact of interest rate changes on future interest expense.  We believe this strategy will enhance our ability to manage cash flow within our Company.

Liquidity Outlook

We had approximately $11.0 million in cash and cash equivalents as of June 30, 2017.  In addition, we have a revolving credit facility which provides for up to $75 million in borrowing capacity of which at June 30, 2017, based on our level of adjusted EBITDA, approximately $18.6 million was available.  We believe that the cash on hand, available credit lines and positive cash flows generated from operations will provide adequate resources to meet our operating commitments and interest payments for at least the next 12 months from the issuance of these financial statements.  

Our Series A Preferred Stock has certain restrictions that will result in the Company having to dedicate fifty percent of the net proceeds from any future equity raise, 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.

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, although 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 ended December 31, 2017 will be in the range of $15.0 million to $17.5 million.  During the six months ended June 30, 2017, we purchased approximately $7.9 million of capital equipment, software and leasehold improvements and an additional $2.6 million was acquired through capital lease obligations.  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.

Critical Accounting Policies

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires us 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 as the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

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NEOGENOMICS, INC.

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

While many operational aspects of 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 our accounting policies involve significant estimates and judgments. These accounting policies have been described in our Annual Report on Form 10-K for the year ended December 31, 2016.

Related Party Transactions

Consulting Agreements

During each of the three and six month periods ended June 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 $52,000 and $66,000 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Jones earned $12,500 and $0 for the three months ended June 30, 2017 and 2016, respectively.  During the six months ended June 30, 2017 and 2016, Mr. Jones earned approximately $118,000 and $132,000, respectively in connection with his duties as Executive Vice President.  Mr. Jones also received approximately $85,000 and $79,000 during the six months ended June 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 $12,500 and $0 for the six months ended June 30, 2017 and 2016, respectively.

During each of the three and six month periods ending June 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.  In connection with his role as a consultant, Mr. Johnson earned approximately $88,000 and $0 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Johnson earned $15,000 for each of the three months ended June 30, 2017 and 2016 and $30,000 for each of the six months ended June 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. The Company is exposed to market risk associated with changes in the LIBOR interest rate.  The Company regularly evaluates its exposure to such changes and may elect to minimize this risk through 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.  We do not have any material foreign operations or foreign sales and thus have no exposure to foreign currency exchange rate risk.

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 that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective at a reasonable assurance level as of the end of the period covered by this report.

Changes in Internal Control over Financial Reporting

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

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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 current legal proceedings are material to our business. No material proceedings were terminated during the quarter ended June 30, 2017.

ITEM 1A. RISK FACTORS

There have been no material changes in our risk factors from those set forth in Part I, Item 1A, “Risk Factors” contained in our Annual Report on Form 10-K for the for the year ended December 31, 2016; as filed with the SEC on March 14, 2017.  

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

None

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

Not applicable

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable

ITEM 5. OTHER INFORMATION

On August 1, 2017, Edwin F. Weidig III, Vice President of Finance and Principal Accounting Officer tendered his notice of resignation to pursue other opportunities.  Mr. Weidig’s resignation is effective as of August 18, 2017.  On an interim basis, George A. Cardoza, Chief Financial Officer will assume the duties of Principal Accounting Officer effective as of August 18, 2017 until such time as a permanent replacement is appointed.

Mr. Cardoza, age 55, has served as Chief Financial Officer since November 2009. Prior to that from March 2008 to November 2009, Mr. Cardoza served as the Chief Financial Officer of Protocol Global Solutions, Inc., a privately held international marketing company. Mr. Cardoza also served as the Controller of Protocol Global Solutions from March 2006 to March 2008. From April 1991 to March 2006, Mr. Cardoza was employed by Quest Diagnostics Inc., a diagnostic testing, information and services company, in a number of positions, including the position of Controller—Central Region from 2001 to March 2006. At Quest Mr. Cardoza was responsible for overseeing all the financial operations of the Central Region, which had revenue of over $1.2 billion in 2006. Prior to his time with Quest, he worked for Sony Music Entertainment Inc. and the Continental Grain Company in various financial roles. Mr. Cardoza received his B.S. from Syracuse University in finance and accounting and has received his M.B.A. from Michigan State University.

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NEOGENOMICS, INC.

ITEM 6. EXHIBITS

EXHIBIT NO.	DESCRIPTION
31.1	Certification by Principal Executive Officer pursuant to Rule 13a-14(a)/ 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2	Certification by Principal Financial Officer pursuant to Rule 13a-14(a)/ 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1	Certification by Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101	The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended June 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 Flows and (iv) related notes

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NEOGENOMICS, INC.

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: August 7, 2017	NEOGENOMICS, INC.
	By:	/s/ Douglas M. VanOort
	Name:	Douglas M. VanOort
	Title:	Chairman and Chief Executive Officer
	By:	/s/ George Cardoza
	Name:	George Cardoza
	Title:	Chief Financial Officer

36

EX-31.1

  EXHIBIT 31.1

CERTIFICATIONS

I, Douglas M. VanOort, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of NeoGenomics, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)), and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

August 7, 2017	/s/ Douglas M. VanOort
	Douglas M. VanOort
	Chairman and Chief Executive
	Officer

EX-31.2

EXHIBIT 31.2

CERTIFICATIONS

I, George Cardoza, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of NeoGenomics, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)), and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

August 7, 2017	/s/ George A. Cardoza
	George A. Cardoza
	Chief Financial Officer

EX-32.1

EXHIBIT 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with this Quarterly Report of NeoGenomics, Inc. (the “Company”) on Form 10-Q as filed with the Securities and Exchange Commission on the date hereof (the “Report”), each of the undersigned, in the capacities and on the dates indicated below, hereby certify pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to his knowledge:

1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: August 7, 2017	/s/ Douglas M. VanOort
	Douglas M. VanOort
	Chairman and Chief Executive
	Officer

Date: August 7, 2017	/s/ George A. Cardoza
	George A. Cardoza
	Chief Financial Officer

The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. § 1350, and is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing. A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise adopting the signature that appears in typed form within the electronic version of this written statement required by Section 906, has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

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Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2017	Aug. 03, 2017
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2017
Document Fiscal Year Focus	2017
Document Fiscal Period Focus	Q2
Trading Symbol	NEO
Entity Registrant Name	NEOGENOMICS INC
Entity Central Index Key	0001077183
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		79,388,014

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CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Current assets
Cash and cash equivalents	$ 10,932	$ 12,525
Accounts receivable (net of allowance for doubtful accounts of $11,629 and $13,699, respectively)	61,750	55,512
Inventories	5,457	6,253
Other current assets	5,218	4,535
Total current assets	83,357	78,825
Property and equipment (net of accumulated depreciation of $34,604 and $27,102, respectively)	35,588	34,036
Intangible assets, net	73,614	77,064
Goodwill	147,019	147,019
Other assets	302	174
Total assets	339,880	337,118
Current liabilities
Accounts payable	15,594	16,782
Accrued compensation	7,782	8,351
Accrued expenses and other liabilities	3,186	4,247
Short-term portion of capital leases	4,812	4,891
Short-term portion of loans	3,830	3,842
Total current liabilities	35,204	38,113
Long-term liabilities
Long-term portion of capital leases	5,307	5,378
Long-term portion of loans, net	68,454	70,259
Revolving credit facility, net	26,906	21,799
Deferred income tax liability, net	7,435	14,973
Total long-term liabilities	108,102	112,409
Total liabilities	143,306	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)	27,676	22,873
Stockholders' equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 79,340,374 and 78,571,158 shares issued and outstanding, respectively)	79	79
Additional paid-in capital	220,622	216,104
Accumulated deficit	(51,803)	(52,460)
Total stockholders’ equity	168,898	163,723
Total liabilities, redeemable convertible preferred stock and stockholders' equity	$ 339,880	$ 337,118

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CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Statement Of Financial Position [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 11,629	$ 13,699
Property and equipment, accumulated depreciation	$ 34,604	$ 27,102
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	250,000,000	250,000,000
Common stock, shares issued	79,340,374	78,571,158
Common stock, shares outstanding	79,340,374	78,571,158
Redeemable Convertible Preferred Stock, par value	$ 0.001	$ 0.001
Redeemable Convertible Preferred Stock, shares authorized	50,000,000	50,000,000
Redeemable Convertible Preferred Stock, shares issued	6,600,000	6,600,000
Redeemable Convertible Preferred Stock, shares outstanding	6,600,000	6,600,000

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Consolidated Statements of Operations (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
NET REVENUE
Clinical testing	$ 59,791	$ 56,316	$ 116,482	$ 110,936
Pharma Services	6,299	6,813	11,285	11,896
Total Revenue	66,090	63,129	127,767	122,832
COST OF REVENUE	34,912	34,524	69,393	67,055
GROSS PROFIT	31,178	28,605	58,374	55,777
Operating expenses:
General and administrative	22,675	18,779	43,476	36,785
Research and development	947	1,306	1,809	2,752
Sales and marketing	6,242	6,327	11,890	12,127
Total operating expenses	29,864	26,412	57,175	51,664
INCOME FROM OPERATIONS	1,314	2,193	1,199	4,113
Interest expense, net	1,411	1,448	2,775	3,040
Income (loss) before taxes	(97)	745	(1,576)	1,073
Income tax (benefit) expense	(54)	332	(879)	505
NET INCOME (LOSS)	(43)	413	(697)	568
Deemed dividends on preferred stock	929	1,840	1,822	3,680
Amortization of preferred stock beneficial conversion feature	1,710	3,727	3,383	7,453
NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS	$ (2,682)	$ (5,154)	$ (5,902)	$ (10,565)
NET LOSS PER SHARE ATTRIBUTABLE TO COMMON STOCKHOLDERS
Basic	$ (0.03)	$ (0.07)	$ (0.07)	$ (0.14)
Diluted	$ (0.03)	$ (0.07)	$ (0.07)	$ (0.14)
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic	79,413	77,448	79,075	76,758
Diluted	79,413	77,448	79,075	76,758

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Consolidated Statements of Cash Flows (unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
CASH FLOWS FROM OPERATING ACTIVITIES
Net income (loss)	$ (697)	$ 568
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation	7,906	7,329
Amortization of intangibles	3,450	3,636
Amortization of debt issue costs	219	358
Stock based compensation – options, restricted stock and warrants	3,052	2,337
Provision for bad debts	8,027	5,434
Changes in assets and liabilities, net:
(Increase) in accounts receivable, net of write-offs	(14,265)	(10,004)
(Increase) decrease in inventories	796	(437)
(Increase) in prepaid expenses	(720)	(602)
(Increase) in other current assets	(129)
Increase (decrease) in accounts payable and other liabilities	(2,797)	3,476
Net cash provided by operating activities	4,842	12,095
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment	(7,864)	(3,425)
Net cash used in investing activities	(7,864)	(3,425)
CASH FLOWS FROM FINANCING ACTIVITIES
Advances from revolving credit facility, net	4,997
Repayment to revolving credit facility		(10,044)
Repayment of capital lease obligations/loans	(2,754)	(2,611)
Repayment on term loan, net	(1,878)
Proceeds from the exercise of options, warrants and ESPP shares, net of transaction expenses	1,176	2,351
Payments of equity issue costs	(112)
Net cash provided by (used in) financing activities	1,429	(10,304)
Net change in cash and cash equivalents	(1,593)	(1,634)
Cash and cash equivalent, beginning of period	12,525	23,420
Cash and cash equivalents, end of period	10,932	21,786
Supplemental disclosure of cash flow information:
Interest paid	2,573	2,691
Income taxes paid	102	222
Supplemental disclosure of non-cash investing and financing information:
Equipment acquired under capital lease/loan obligations	2,557	2,585
Deemed dividends on preferred stock	1,822	3,680
Amortization of preferred stock beneficial conversion feature	$ 3,383	$ 7,453

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Nature of Business and Basis of Presentation

6 Months Ended

Jun. 30, 2017

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Nature of Business and Basis of Presentation

Note A – Nature of Business and Basis of Presentation

NeoGenomics, Inc., a Nevada corporation (the “Parent”), and its subsidiaries, NeoGenomics Laboratories, Inc., a Florida corporation (“NEO” or, “NeoGenomics Laboratories”), NeoGenomics Bioinformatics Inc., 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 laboratory 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.  On August 1, 2017, the Company completed the sale of its equity interests in Path Logic, see Note K – Subsequent Events.

The accompanying interim consolidated financial statements are unaudited and have been prepared in accordance with 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.

Certain information and footnote disclosures normally included in the Company’s annual audited consolidated financial statements and accompanying notes have been condensed or omitted in these accompanying interim consolidated financial statements. Accordingly, the accompanying interim consolidated financial statements included herein should be read in conjunction with the audited consolidated financial statements and accompanying notes included in the Company’s annual report on Form 10-K for the year ended December 31, 2016, filed with the SEC on March 14, 2017.  

The results of operations presented in this quarterly 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 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 that delivers testing services to hospitals, pathologists, oncologists, other clinicians, and researchers, which represents 100% of the Company’s consolidated assets, net revenues and net income (loss) for the three and six months ended June 30, 2017 and 2016.  We have evaluated our segments based on how the Chief Operating Decision Maker (“CODM”), our Chief Executive Officer, reviews performance and makes decisions in managing the Company.  At June 30, 2017, all of our services were provided within the United States and all of our assets were located in the United States.

We have two primary types 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.

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Recently Adopted and Issued Accounting Guidance

6 Months Ended

Jun. 30, 2017

Accounting Changes And Error Corrections [Abstract]

Recently Adopted and Issued Accounting Guidance

Note B – Recently Adopted and Issued Accounting Guidance

Adopted

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 six months ended June 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 six months ended June 30, 2017.

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

Issued

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 this guidance to have a material effect on its consolidated financial statements.

In January 2017, the FASB issued 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.  This update is effective for periods beginning after December 15, 2017.  Early adoption is permitted.  The Company does not expect the adoption of this guidance 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 assets and lease liabilities on the balance sheet for those leases classified as operating leases under previous GAAP. ASU 2016-02 requires that a 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 for periods beginning after December 15, 2018 and interim periods within those periods.  The adoption of this ASU will result in an increase on the balance sheet for lease liabilities and right to use assets.  The Company is currently evaluating the quantitative 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 early adoption permitted 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 enhanced financial statement disclosures surrounding the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers.  In addition, we expect the standard to impact gross profit as a portion of our bad debt expense will be considered an implicit price concession and will be reported as a reduction in net revenue, versus part of selling, general and administrative expenses.  The Company is currently performing a detailed contract review in order to determine the quantitative impact of this standard.

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Goodwill and Intangible Assets

6 Months Ended

Jun. 30, 2017

Goodwill And Intangible Assets Disclosure [Abstract]

Goodwill and Intangible Assets

Note C – Goodwill and Intangible Assets

Goodwill as of June 30, 2017 and December 31, 2016 was $147.0 million.  There were no changes in the carrying amount of goodwill during these periods.

Intangible assets as of June 30, 2017 and December 31, 2016 consisted of the following (in thousands):

		June 30, 2017
	Amortization Period	Cost		Accumulated Amortization		Net
Trade Name	24 months	$	3,000	$	2,258	$	742
Customer Relationships	156 - 180 months		81,000		8,128		72,872
Total		$	84,000	$	10,386	$	73,614

		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

We recorded approximately $1.7 and $1.6 million in straight-line amortization expense of intangible assets for the three month period ended June 30, 2017 and 2016, respectively.  We recorded approximately $3.5 million and $3.6 million in straight-line amortization expense of intangible assets for the six month period ended June 30, 2017 and 2016, respectively. The Company recorded amortization expense from customer relationships and trade names as a general and administrative expense.  

The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of June 30, 2017 is as follows (in thousands):

Remainder of 2017	$	3,442
2018		5,400
2019		5,400
2020		5,400
2021		5,400
Thereafter		48,572
Total	$	73,614

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Debt

6 Months Ended

Jun. 30, 2017

Debt Disclosure [Abstract]

Debt

Note D – Debt

The following table summarizes the long term debt at June 30, 2017 and December 31, 2016 (in thousands):

	June 30, 2017			December 31, 2016
Term Loan Facility	$	73,125		$	75,000
Revolving Credit Facility		27,900			22,900
Auto Loans		154			202
Capital leases		10,119			10,269
Total Debt		111,298			108,371
Less:  Debt issuance costs		(1,989	)		(2,202	)
Less:  Current portion of long-term debt		(8,642	)		(8,733	)
Total Long-Term Debt, net	$	100,667		$	97,436

The carrying value of the Company’s long-term capital lease obligations and term debt approximates its fair value based 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 $75.0 million term loan facility (the “Term Loan Facility”).  The Credit Agreement also provides incremental facility capacity of $50 million, subject to certain conditions.  On June 30, 2017 and December 31, 2016, the Company had current outstanding borrowings under the Term Loan of approximately $3.8 million and long-term outstanding borrowings of approximately $68.4 million and $70.1 million, net of unamortized debt issuance costs of $994,000 and $1.1 million, respectively.  The debt issuance costs were recorded as a reduction in the carrying amount of the related liability and are being amortized over the life of the loan.

The Term Loan 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 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 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 Adjusted LIBOR loans.  The Company entered into an interest rate swap agreement to hedge against changes in the variable rate of a portion of this debt.  See Note E-Derivative Instruments and Hedging Activities for more information on this instrument.

The Term Loan Facility and amounts borrowed under the Revolving Credit Facility are secured on a first priority basis by a security interest in substantially all of the tangible and intangible assets of NeoGenomics Laboratories and the Guarantors.  The Term Loan Facility contains various affirmative and negative covenants including ability to incur liens and encumbrances; make certain restricted payments, including paying dividends on its equity securities or payments to redeem, repurchase or retire its equity securities; enter into certain restrictive agreements; make investments, loans and acquisitions; merge or consolidate with any other person; dispose of assets; enter into sale and leaseback transactions; engage in transactions with its affiliates, and materially alter the business it conducts.  In addition, the Company must meet certain maximum leverage ratios and fixed charge coverage ratios as of the end of each fiscal quarter commencing with the quarter ending March 31, 2017.  The Company was in compliance with all required covenants as of June 30, 2017.

The Term Loan Facility has a maturity date of December 21, 2021.  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 (as defined), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0 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 5.64% at June 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 June 30, 2017, and December 31, 2016, the Company had outstanding borrowings of approximately $26.9 million and $21.8 million, net of unamortized debt issuance costs of $995,000 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), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories’ consolidated leverage ratio is no greater than 2.75:1.0 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, subject to customary “breakage” costs with respect to prepayments of Adjusted LIBOR rate loans made on a day other than the last day of any applicable interest period.

Maturities of Long-Term Debt

Maturities of long-term debt at June 30, 2017 are summarized as follows (in thousands):

	Term Loan and Revolving Credit Facility			Capital Lease Obligations			Auto Loans			Total Long-Term Debt
Remainder of 2017	$	1,875		$	2,836		$	45		$	4,756
2018		3,750			4,533			69			8,352
2019		5,625			2,968			35			8,628
2020		5,625			454			5			6,084
2021		84,150			-			-			84,150
		101,025			10,791			154			111,970
Less: Interest on capital leases		-			(672	)		-			(672	)
		101,025			10,119			154			111,298
Less:  Current portion of long-term debt		(3,750	)		(4,812	)		(80	)		(8,642	)
Less:  Debt issuance costs		(1,989	)		-			-			(1,989	)
Long-term debt, net	$	95,286		$	5,307		$	74		$	100,667

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Derivative Instruments and Hedging Activities

6 Months Ended

Jun. 30, 2017

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Derivative Instruments and Hedging Activities

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 June 30, 2017 and December 31, 2016, the total notional amount of the Company’s interest rate swaps were $50 million.

The fair value of the interest rate swap will be included in other long term assets or liabilities, when applicable.  As of June 30, 2017 and December 31, 2016, the fair value of the interest rate swap was not considered 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 June 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.  

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Class A Redeemable Convertible Preferred Stock

6 Months Ended

Jun. 30, 2017

Temporary Equity Disclosure [Abstract]

Class A Redeemable Convertible Preferred Stock

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 June 30, 2017, 6,600,000 shares of Series A Preferred Stock were outstanding.  

The carrying amount of the Series A Preferred Stock at June 30, 2017 was $27.7 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 $1.8 million, the accretion of the beneficial conversion feature of approximately $3.4 million during the six months ending June 30, 2017 and the additional BCF discounts for payment-in-kind shares accrued during the six months ending June 30, 2017 of $0.4 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 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 six months ended June 30, 2017 was approximately $1.7 million and $3.4 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 and June 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 six months ended June 30, 2017 was approximately $201,240 and $402,480, respectively.  

Automatic Conversion

Each share of Series A Preferred Stock issued and outstanding as of the tenth anniversary of the original issue date will automatically convert into fully paid and non-assessable shares of common stock.

Classification  

The Company classified the Series A Preferred Stock as temporary equity on the consolidated balance sheets due to certain change in control events that are outside the Company’s control, including deemed liquidation events described in the Series A Certificate of Designation.

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Revenue Recognition and Contractual Adjustments

6 Months Ended

Jun. 30, 2017

Revenue Recognition [Abstract]

Revenue Recognition and Contractual Adjustments

Note G – 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 electronic equivalent, 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, commercial insurance companies, other directly billed healthcare institutions such as hospitals and clinics, and individuals.  The Company reports revenues from contracted 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 difference between the amount billed and the amount estimated to be collected from non-contracted payers is recorded as an allowance to arrive at the reported net revenues.  The expected revenues from non-contracted payers are based on the historical collection experience of each payer or payer group, as appropriate.  The Company records revenues from patient pay tests net of a large discount and as 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 impacts 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 June 30,						Six Months Ended June 30,
	2017			2016			2017			2016
Gross service revenues	$	93,862		$	129,235		$	177,800		$	261,955
Total contractual adjustments and discounts		(27,772	)		(66,106	)		(50,033	)		(139,123	)
Net revenues	$	66,090		$	63,129		$	127,767		$	122,832

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Equity

6 Months Ended

Jun. 30, 2017

Equity [Abstract]

Equity

Note H – Equity

A summary of the stock option activity under the Company’s plans for the three months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Options outstanding at December 31, 2016		5,136,110	$	5.76
Options granted		1,993,998		7.54
Less:
Options exercised		329,819		3.14
Options canceled or expired		53,265		2.34
Options outstanding at June 30, 2017		6,747,024		6.44
Exercisable at June 30, 2017		2,195,147		5.33

Of the 6,747,024 outstanding options at June 30, 2017, 1,240,834 were variable accounted stock options issued to non-employees of the Company of which 453,333 options were vested and 787,501 options were unvested as of June 30, 2017.

The fair value of each stock option award granted during the six months ended June 30, 2017 was estimated as of the grant date using a trinomial lattice model with the following weighted average assumptions:

	Six Months Ended June 30, 2017
Expected term (in years)	3.0 - 4.0
Risk-free interest rate (%)		1.3%
Expected volatility (%)	47.6% - 53.0%
Dividend yield (%)		0.0%
Weighted average fair value/share at grant date	$	2.23

 As of June 30, 2017, there was approximately $7.7 million of unrecognized share based compensation expense related to stock options that will be recognized over a weighted-average period of approximately 1.3 years.  This includes approximately $1.6 million in unrecognized expense related to the 787,501 shares of unvested variable accounted for stock options subject to fair value adjustment at the end of each reporting period based on changes in the Company’s stock price.

Stock based compensation expense recognized for stock options and restricted stock and included in the consolidated statements of operations was allocated as follows (in thousands): 

	Three Months Ended June 30,				Six Months Ended June 30,
	2017		2016		2017		2016
Research and development expense	$	285	$	372	$	327	$	363
General and administrative expense		1,637		1,188		2,725		1,985
Total stock based compensation expense	$	1,922	$	1,560	$	3,052	$	2,348

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

Common Stock Warrants

A summary of the warrant activity for the six months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Warrants outstanding at December 31, 2016		450,000	$	1.50
Warrants granted		—		—
Less:
Warrants exercised		450,000		1.50
Warrants canceled or expired		—		—
Warrants outstanding at June 30, 2017		—		—
Exercisable at June 30, 2017		—		—

 During the three months ended June 30, 2017 and 2016, we recorded $0 and $74,000 of warrant compensation expense, respectively.  During the six months ended June 30, 2017, we recorded $0 of warrant compensation expense and during the six months ended June 30, 2016 we recorded a warrant compensation gain of $10,000, respectively.  Warrant expense (gain) for the periods presented is recorded in research and development as the expense is related to unvested performance based warrants that were granted to a non-employee.  As of June 30, 2017, there were no outstanding warrants, in addition all warrants were fully vested for both the three and six months ended June 30, 2017.

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Commitments

6 Months Ended

Jun. 30, 2017

Commitments And Contingencies Disclosure [Abstract]

Commitments

Note I – Commitments

During the three and six months ended June 30, 2017, the Company entered into leases of approximately $782,000 and $2.6 million in laboratory and computer equipment, respectively. These leases have 36 month terms, a $1.00 buyout option at the end of the terms and interest rates ranging from 5.0% to 6.2%.  The Company accounted for these lease agreements as capital leases.

During the six months ended June 30, 2017, the Company entered into a construction contract for the expansion 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.  

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Other Related Party Transaction

6 Months Ended

Jun. 30, 2017

Related Party Transactions [Abstract]

Other Related Party Transaction

Note J – Other Related Party Transaction

During each of the three and six month periods ended June 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 $52,000 and $66,000 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Jones earned $12,500 and $0 for the three months ended June 30, 2017 and 2016, respectively.  During the six months ended June 30, 2017 and 2016, Mr. Jones earned approximately $118,000 and $132,000, respectively in connection with his duties as Executive Vice President.  Mr. Jones also received approximately $85,000 and $79,000 during the six months ended June 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 $12,500 and $0 for the six months ended June 30, 2017 and 2016, respectively.

During each of the three and six month periods ending June 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.  In connection with his role as a consultant, Mr. Johnson earned approximately $88,000 and $0 for the three months ended June 30, 2017 and 2016, respectively.  In addition, as compensation for his services on the Board, Mr. Johnson earned $15,000 for each of the three months ended June 30, 2017 and 2016 and $30,000 for each of the six months ended June 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.

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Subsequent Events

6 Months Ended

Jun. 30, 2017

Subsequent Events [Abstract]

Subsequent Events

Note K – Subsequent Events

At the Board Meeting in July of 2017, it was determined that Path logic met the classification as held for sale.  On August 1, 2017, the Company completed the sale of its equity interests in PathLogic, our laboratory located in West Sacramento, California.  The Company anticipates recording a loss on the sale of approximately $1.25 to $1.5 million in the third quarter of 2017.  PathLogic had sales of $3.3 million and $3.9 million for the periods ended June 30, 2017 and 2016, respectively.  PathLogic had full year 2016 revenue of $7.3 million.  PathLogic had operating losses of $1.6 million and $1.4 million for the periods ended June 30, 2017 and 2016, respectively.  Path-Logic had a full year 2016 operating loss of $3.1 million.  

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Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2017

Goodwill And Intangible Assets Disclosure [Abstract]

Classes of Intangible Assets

Intangible assets as of June 30, 2017 and December 31, 2016 consisted of the following (in thousands):

		June 30, 2017
	Amortization Period	Cost		Accumulated Amortization		Net
Trade Name	24 months	$	3,000	$	2,258	$	742
Customer Relationships	156 - 180 months		81,000		8,128		72,872
Total		$	84,000	$	10,386	$	73,614

		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

Estimated Amortization Expense

The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of June 30, 2017 is as follows (in thousands):

Remainder of 2017	$	3,442
2018		5,400
2019		5,400
2020		5,400
2021		5,400
Thereafter		48,572
Total	$	73,614

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Debt (Tables)

6 Months Ended

Jun. 30, 2017

Debt Disclosure [Abstract]

Summary of Long Term Debt

The following table summarizes the long term debt at June 30, 2017 and December 31, 2016 (in thousands):

	June 30, 2017			December 31, 2016
Term Loan Facility	$	73,125		$	75,000
Revolving Credit Facility		27,900			22,900
Auto Loans		154			202
Capital leases		10,119			10,269
Total Debt		111,298			108,371
Less:  Debt issuance costs		(1,989	)		(2,202	)
Less:  Current portion of long-term debt		(8,642	)		(8,733	)
Total Long-Term Debt, net	$	100,667		$	97,436

Summary of Maturities of Long-Term Debt

Maturities of long-term debt at June 30, 2017 are summarized as follows (in thousands):

	Term Loan and Revolving Credit Facility			Capital Lease Obligations			Auto Loans			Total Long-Term Debt
Remainder of 2017	$	1,875		$	2,836		$	45		$	4,756
2018		3,750			4,533			69			8,352
2019		5,625			2,968			35			8,628
2020		5,625			454			5			6,084
2021		84,150			-			-			84,150
		101,025			10,791			154			111,970
Less: Interest on capital leases		-			(672	)		-			(672	)
		101,025			10,119			154			111,298
Less:  Current portion of long-term debt		(3,750	)		(4,812	)		(80	)		(8,642	)
Less:  Debt issuance costs		(1,989	)		-			-			(1,989	)
Long-term debt, net	$	95,286		$	5,307		$	74		$	100,667

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Revenue Recognition and Contractual Adjustments (Tables)

6 Months Ended

Jun. 30, 2017

Revenue Recognition [Abstract]

Adjustment of Transactions Revenue

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 June 30,						Six Months Ended June 30,
	2017			2016			2017			2016
Gross service revenues	$	93,862		$	129,235		$	177,800		$	261,955
Total contractual adjustments and discounts		(27,772	)		(66,106	)		(50,033	)		(139,123	)
Net revenues	$	66,090		$	63,129		$	127,767		$	122,832

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Equity (Tables)

6 Months Ended

Jun. 30, 2017

Equity [Abstract]

Summary of Stock Option Activity

A summary of the stock option activity under the Company’s plans for the three months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Options outstanding at December 31, 2016		5,136,110	$	5.76
Options granted		1,993,998		7.54
Less:
Options exercised		329,819		3.14
Options canceled or expired		53,265		2.34
Options outstanding at June 30, 2017		6,747,024		6.44
Exercisable at June 30, 2017		2,195,147		5.33

Fair Value of Each Stock Option Award Granted

The fair value of each stock option award granted during the six months ended June 30, 2017 was estimated as of the grant date using a trinomial lattice model with the following weighted average assumptions:

	Six Months Ended June 30, 2017
Expected term (in years)	3.0 - 4.0
Risk-free interest rate (%)		1.3%
Expected volatility (%)	47.6% - 53.0%
Dividend yield (%)		0.0%
Weighted average fair value/share at grant date	$	2.23

Summary of Stock-Based Compensation Expense Recognized for Stock Options and Restricted Stock Included in Consolidated Statements of Operations

Stock based compensation expense recognized for stock options and restricted stock and included in the consolidated statements of operations was allocated as follows (in thousands): 

	Three Months Ended June 30,				Six Months Ended June 30,
	2017		2016		2017		2016
Research and development expense	$	285	$	372	$	327	$	363
General and administrative expense		1,637		1,188		2,725		1,985
Total stock based compensation expense	$	1,922	$	1,560	$	3,052	$	2,348

Summary of Warrant Activity

Common Stock Warrants

A summary of the warrant activity for the six months ended June 30, 2017 is as follows:

	Number of		Weighted average
	shares		exercise price
Warrants outstanding at December 31, 2016		450,000	$	1.50
Warrants granted		—		—
Less:
Warrants exercised		450,000		1.50
Warrants canceled or expired		—		—
Warrants outstanding at June 30, 2017		—		—
Exercisable at June 30, 2017		—		—

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Nature of Business and Basis of Presentation - Additional Information (Detail)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017 Segment Customer	Jun. 30, 2016
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Number of reportable segments | Segment			1
Percentage of consolidated assets, net revenues and net income of reportable segment	100.00%	100.00%	100.00%	100.00%
Number of primary types of customers | Customer			2

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Recently Adopted and Issued Accounting Guidance - Additional Information (Detail) - Accounting Standards Update 2016-09 [Member] - USD ($)	6 Months Ended
	Jun. 30, 2017	Jan. 01, 2017
New Accounting Pronouncements Or Change In Accounting Principle [Line Items]
Adoption of accounting standard, cumulative-effect adjustment		$ 6,600,000
Excess tax benefits as cash flows from operating activities	$ 0
Income (loss) on excess tax benefits and tax deficiencies related to share based compensation	$ 0

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Goodwill and Intangible Assets - Additional Information (Detail) - USD ($)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill	$ 147,019,000		$ 147,019,000		$ 147,019,000
Changes in carrying amount of goodwill			0		$ 0
Amortization of intangibles	$ 1,700,000	$ 1,600,000	$ 3,450,000	$ 3,636,000

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Goodwill and Intangible Assets - Classes of Intangible Assets (Detail) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]
Cost	$ 84,000	$ 84,000
Accumulated Amortization	10,386	6,936
Total	$ 73,614	$ 77,064
Trade Names [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization Period	24 months	24 months
Cost	$ 3,000	$ 3,000
Accumulated Amortization	2,258	1,508
Total	742	1,492
Customer Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Cost	81,000	81,000
Accumulated Amortization	8,128	5,428
Total	$ 72,872	$ 75,572
Minimum [Member] | Customer Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization Period	156 months	156 months
Maximum [Member] | Customer Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization Period	180 months	180 months

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Goodwill and Intangible Assets - Estimated Amortization Expense (Detail) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Goodwill And Intangible Assets Disclosure [Abstract]
Remainder of 2017	$ 3,442
2018	5,400
2019	5,400
2020	5,400
2021	5,400
Thereafter	48,572
Total	$ 73,614	$ 77,064

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Debt - Summary of Long Term Debt (Detail) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Debt Instrument [Line Items]
Capital leases	$ 10,119	$ 10,269
Total Debt	111,298	108,371
Less: Debt issuance costs	(1,989)	(2,202)
Less: Current portion of long-term debt	(8,642)	(8,733)
Total Long-Term Debt, net	100,667	97,436
Term Loan Facility [Member]
Debt Instrument [Line Items]
Long-Term Debt	73,125	75,000
Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Long-Term Debt	27,900	22,900
Auto Loans [Member]
Debt Instrument [Line Items]
Long-Term Debt	$ 154	$ 202

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Debt - Additional Information (Detail) - USD ($)		6 Months Ended
	Dec. 22, 2016	Jun. 30, 2017	Dec. 31, 2016
Line Of Credit Facility [Line Items]
Long-term outstanding borrowings		$ 26,906,000	$ 21,799,000
Capital Leases [Member]
Line Of Credit Facility [Line Items]
Debt instrument, Weighted average interest rates		5.64%
Term Loan [Member]
Line Of Credit Facility [Line Items]
Debt Instrument, maximum borrowing capacity	$ 75,000,000
Line of credit facility incremental borrowing capacity	$ 50,000,000
Current outstanding borrowings		$ 3,800,000	3,800,000
Long-term outstanding borrowings		68,400,000	70,100,000
Unamortized transaction costs		$ 994,000,000,000	1,100,000
Interest rate description		(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 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 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 Adjusted LIBOR loans. The Company entered into an interest rate swap agreement to hedge against changes in the variable rate of a portion of this debt.
Debt instrument, maturity date	Dec. 21, 2021
Debt instrument prepayment description		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 (as defined), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories? consolidated leverage ratio is no greater than 2.75:1.0 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.
Percentage of net cash proceeds for mandatory prepayment under facility	100.00%
Percentage of net cash proceeds from issuances or incurrence of additional debt for mandatory prepayment under facility	100.00%
Leverage ratio used to determine mandatory prepayments under credit facility	275.00%
Percentage of net cash proceeds from issuances of permitted equity securities to be used for mandatory prepayment under facility	100.00%
Term Loan [Member] | Leverage Ratio Greater Than Or Equal To 2.75:1.0 [Member]
Line Of Credit Facility [Line Items]
Percentage of excess cash flow to be used for mandatory prepayments under facility	50.00%
Term Loan [Member] | Leverage Ratio Less Than 2.75:1.0 [Member]
Line Of Credit Facility [Line Items]
Percentage of excess cash flow to be used for mandatory prepayments under facility	0.00%
Term Loan [Member] | Federal Funds Rate Plus [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	0.50%
Term Loan [Member] | LIBOR Rate Plus [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	1.00%
Term Loan [Member] | LIBOR Rate Plus [Member] | Minimum [Member]
Line Of Credit Facility [Line Items]
Debt instrument applicable margin	2.25%
Term Loan [Member] | LIBOR Rate Plus [Member] | Maximum [Member]
Line Of Credit Facility [Line Items]
Debt instrument applicable margin	3.50%
Term Loan [Member] | Base Rate [Member] | Minimum [Member]
Line Of Credit Facility [Line Items]
Debt instrument applicable margin	1.25%
Term Loan [Member] | Base Rate [Member] | Maximum [Member]
Line Of Credit Facility [Line Items]
Debt instrument applicable margin	2.50%
Auto Loans [Member] | Minimum [Member]
Line Of Credit Facility [Line Items]
Debt instrument, Term		36 months
Debt instrument, Interest rate		0.00%
Auto Loans [Member] | Maximum [Member]
Line Of Credit Facility [Line Items]
Debt instrument, Term		60 months
Debt instrument, Interest rate		5.20%
Revolving Credit Facility [Member]
Line Of Credit Facility [Line Items]
Debt instrument, maturity date	Dec. 21, 2021
Percentage of net cash proceeds for mandatory prepayment under facility	100.00%
Percentage of net cash proceeds from issuances or incurrence of additional debt for mandatory prepayment under facility	100.00%
Leverage ratio used to determine mandatory prepayments under credit facility	275.00%
Percentage of net cash proceeds from issuances of permitted equity securities to be used for mandatory prepayment under facility	100.00%
Line of credit facility maximum borrowing capacity	$ 75,000,000
Long-term outstanding borrowings		$ 26,900,000	21,800,000
Unamortized transaction costs		$ 995,000	$ 1,100,000
Line of credit facility swingline sublimit	$ 10,000,000
Debt instrument description		(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.
Debt instrument prepayment description		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), subject to a step down to 0% of excess cash flow if NeoGenomics Laboratories? consolidated leverage ratio is no greater than 2.75:1.0 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, subject to customary ?breakage? costs with respect to prepayments of Adjusted LIBOR rate loans made on a day other than the last day of any applicable interest period.
Revolving Credit Facility [Member] | Leverage Ratio Greater Than Or Equal To 2.75:1.0 [Member]
Line Of Credit Facility [Line Items]
Percentage of excess cash flow to be used for mandatory prepayments under facility	50.00%
Revolving Credit Facility [Member] | Leverage Ratio Less Than 2.75:1.0 [Member]
Line Of Credit Facility [Line Items]
Percentage of excess cash flow to be used for mandatory prepayments under facility	0.00%
Revolving Credit Facility [Member] | Federal Funds Rate Plus [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	0.50%
Revolving Credit Facility [Member] | LIBOR Rate Plus [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	1.00%
Revolving Credit Facility [Member] | LIBOR Rate Plus [Member] | Minimum [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	2.25%
Revolving Credit Facility [Member] | LIBOR Rate Plus [Member] | Maximum [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	3.50%
Revolving Credit Facility [Member] | Base Rate [Member] | Minimum [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	1.25%
Revolving Credit Facility [Member] | Base Rate [Member] | Maximum [Member]
Line Of Credit Facility [Line Items]
Debt instrument variable interest rate	2.50%

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Debt - Schedule of Maturities of Long Term Debt (Detail) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Line Of Credit Facility [Line Items]
Less: Debt issuance costs	$ (1,989)	$ (2,202)
Remainder of 2017	2,836
2018	4,533
2019	2,968
2020	454
Capital Lease Obligations	10,791
Less: Interest on capital leases	(672)
Capital Lease Obligations	10,119	10,269
Less: Current portion of long-term debt	(4,812)	(4,891)
Long-term portion of capital leases	5,307	5,378
Remainder of 2017	4,756
2018	8,352
2019	8,628
2020	6,084
2021	84,150
Long-term Debt and Capital Lease Obligations	111,970
Less: Interest on capital leases	(672)
Debt and Capital Lease Obligations	111,298	108,371
Less: Current portion of long-term debt	(8,642)	(8,733)
Total Long-Term Debt, net	100,667	97,436
Term Loan and Revolving Credit Facility [Member]
Line Of Credit Facility [Line Items]
Remainder of 2017	1,875
2018	3,750
2019	5,625
2020	5,625
2021	84,150
Long-term Debt	101,025
Long-Term Debt	101,025
Less: Current portion of long-term debt	(3,750)
Less: Debt issuance costs	(1,989)
Long-term debt, net	95,286
Auto Loans [Member]
Line Of Credit Facility [Line Items]
Remainder of 2017	45
2018	69
2019	35
2020	5
Long-term Debt	154
Long-Term Debt	154	$ 202
Less: Current portion of long-term debt	(80)
Long-term debt, net	$ 74

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Derivative Instruments and Hedging Activities - Additional Information (Details) - Interest Rate Swaps [Member] - USD ($)	6 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Derivative [Line Items]
Fixed rate of interest percentage payment	1.59%
Effective date	Dec. 30, 2016
Termination date	Dec. 31, 2019
Total notional amount	$ 50,000,000	$ 50,000,000
Fair value of derivative instrument	$ 0	$ 0

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Class A Redeemable Convertible Preferred Stock - Additional Information (Detail) - USD ($)		3 Months Ended	6 Months Ended	12 Months Ended
	Dec. 22, 2016	Jun. 30, 2017	Jun. 30, 2017	Dec. 31, 2017	Mar. 31, 2017	Dec. 31, 2016	Dec. 30, 2015
Temporary Equity [Line Items]
Temporary equity, shares issued		6,600,000	6,600,000			6,600,000
Temporary equity, face value		$ 0.001	$ 0.001			$ 0.001
Temporary equity, shares outstanding		6,600,000	6,600,000			6,600,000
Series A Redeemable Convertible Preferred Stock [Member]
Temporary Equity [Line Items]
Temporary equity, shares issued							14,666,667
Temporary equity, face value							$ 7.50
Temporary equity, liquidation value		$ 49,500,000	$ 49,500,000				$ 110,000,000
Temporary equity, liquidation description			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.
Temporary equity, liquidation at redemption		100,000,000	$ 100,000,000
Temporary equity, shares redemption	8,066,667
Temporary equity, redemption amount	$ 55,000,000
Temporary equity, redemption per share	$ 6.8181825
Redemption Discount	9.0909%
Temporary equity, shares outstanding	6,600,000
Temporary equity, carrying amount		27,700,000	27,700,000			$ 22,900,000
Temporary equity, accrual of deemed dividends			1,800,000
Temporary equity, accretion of beneficial conversion feature			3,400,000
Temporary equity, fair value		$ 32,900,000	$ 32,900,000				$ 73,200,000
Temporary equity issued, price per share		$ 4.99	$ 4.99				$ 4.99
Temporary equity issue discount		$ 16,600,000	$ 16,600,000				$ 36,800,000
Temporary equity, value of beneficial conversion feature		20,100,000	20,100,000				$ 44,700,000
Temporary equity, recognized amount of beneficial conversion feature		1,700,000	3,400,000
Series A Redeemable Convertible Preferred Stock [Member] | Payment In Kind Period Two [Member]
Temporary Equity [Line Items]
Temporary equity, additional BCF discount		201,240	402,480
Temporary equity, fair value		$ 49,500,000	$ 49,500,000		$ 49,500,000
Series A Redeemable Convertible Preferred Stock [Member] | Payment In Kind Period Two [Member] | Scenario, Forecast [Member]
Temporary Equity [Line Items]
Temporary equity, face value				$ 7.50
Additional preferred stock to be issued				264,000
Payment-in-kind Dividend Rate per Annum in Effect				4.00%

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Revenue Recognition and Contractual Adjustments - Adjustment of Transactions Revenue (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Revenue Recognition [Abstract]
Gross service revenues	$ 93,862	$ 129,235	$ 177,800	$ 261,955
Total contractual adjustments and discounts	(27,772)	(66,106)	(50,033)	(139,123)
Total Revenue	$ 66,090	$ 63,129	$ 127,767	$ 122,832

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Equity - Summary of Stock Option Activity (Detail)	6 Months Ended
	Jun. 30, 2017 $ / shares shares
Equity [Abstract]
Stock options, beginning balance | shares	5,136,110
Stock options, granted | shares	1,993,998
Stock options, exercised | shares	329,819
Stock options, canceled or expired | shares	53,265
Stock options, ending balance | shares	6,747,024
Stock options, exercisable, ending balance | shares	2,195,147
Weighted average exercise price, beginning balance | $ / shares	$ 5.76
Weighted average exercise price, granted | $ / shares	7.54
Weighted average exercise price, exercised | $ / shares	3.14
Weighted average exercise price, canceled or expired | $ / shares	2.34
Weighted average exercise price, ending balance | $ / shares	6.44
Weighted average exercise price, exercisable, ending balance | $ / shares	$ 5.33

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Equity - Additional Information (Detail) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock option outstanding	6,747,024		6,747,024		5,136,110
Stock options, granted			1,993,998
Unrecognized stock-based compensation cost	$ 7,700,000		$ 7,700,000
Unrecognized share-based compensation expense, weighted-average recognition period			1 year 3 months 18 days
Stock compensation expense (gain)	$ 1,922,000	$ 1,560,000	$ 3,052,000	$ 2,348,000
Warrant [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Warrants outstanding	0		0		450,000
Research And Development Expense [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock compensation expense (gain)	$ 285,000	372,000	$ 327,000	363,000
Research And Development Expense [Member] | Warrant [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock compensation expense (gain)	$ 0	$ 74,000	$ 0	$ (10,000)
Non-Employees [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock options, granted			1,240,834
Stock option vested			453,333
Stock option unvested	787,501		787,501
Unrecognized stock-based compensation cost	$ 1,600,000		$ 1,600,000

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Equity - Fair Value of Each Stock Option Award Granted (Detail)	6 Months Ended
	Jun. 30, 2017 $ / shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate (%)	1.30%
Dividend yield (%)	0.00%
Weighted average fair value/share at grant date	$ 2.23
Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (in years)	3 years
Expected volatility (%)	47.60%
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (in years)	4 years
Expected volatility (%)	53.00%

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Equity - Summary of Stock-Based Compensation Expense Recognized for Stock Options and Restricted Stock Included in Consolidated Statements of Operations (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Stock-based compensation expense	$ 1,922	$ 1,560	$ 3,052	$ 2,348
Research And Development Expense [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Stock-based compensation expense	285	372	327	363
General and Administrative Expense [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Stock-based compensation expense	$ 1,637	$ 1,188	$ 2,725	$ 1,985

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Equity - Summary of Warrant Activity (Detail) - Warrant [Member]	6 Months Ended
	Jun. 30, 2017 $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Warrants outstanding, beginning balance | shares	450,000
Warrants, granted | shares	0
Warrants, exercised | shares	450,000
Warrants, canceled or expired | shares	0
Warrants outstanding, ending balance | shares	0
Warrants exercisable, ending balance | shares	0
Weighted average exercise price, warrants outstanding, beginning balance | $ / shares	$ 1.50
Weighted average exercise price, warrants granted | $ / shares	0
Weighted average exercise price, warrants exercised | $ / shares	1.50
Weighted average exercise price, warrants canceled or expired | $ / shares	0
Weighted average exercise price, warrants outstanding, ending balance | $ / shares	0
Weighted average exercise price, warrants exercisable, ending balance | $ / shares	$ 0

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Commitments - Additional Information (Detail) - USD ($)	3 Months Ended	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2017	Jun. 30, 2016
Contractual Obligation [Line Items]
Capital lease obligation amount		$ 2,557,000	$ 2,585,000
Laboratory and Computer Equipment [Member]
Contractual Obligation [Line Items]
Capital lease obligation amount	$ 782,000	$ 2,600,000
Lease term period		36 months
Buyout option	1.00	$ 1.00
Laboratory [Member]
Contractual Obligation [Line Items]
Lease term period		36 months
Buyout option	1.00	$ 1.00
Construction contract, amount	$ 5,000,000	$ 5,000,000
Minimum [Member] | Laboratory and Computer Equipment [Member]
Contractual Obligation [Line Items]
Interest rate	5.00%	5.00%
Maximum [Member] | Laboratory and Computer Equipment [Member]
Contractual Obligation [Line Items]
Interest rate	6.20%	6.20%

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Other Related Party Transaction - Additional Information (Detail) - USD ($)		3 Months Ended		6 Months Ended
	May 25, 2017	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Related Party Transaction [Line Items]
Options, grant date price				$ 7.54
Executive Vice President [Member]
Related Party Transaction [Line Items]
Fees for performing duties		$ 52,000	$ 66,000	$ 118,000	$ 132,000
Compensation for services on the board		12,500	0	12,500	0
Payment of annual bonus compensation				85,000	79,000
Options, number granted	10,000
Options, grant date price	$ 7.27
Options, weighted average fair market value	$ 2.38
Options, vesting period	3 years
Executive Vice President [Member] | Restricted Stock [Member]
Related Party Transaction [Line Items]
Restricted shares, number granted	8,667
Restricted shares, weighted average fair market value	$ 7.27
Consultant [Member]
Related Party Transaction [Line Items]
Fees for performing duties		88,000	0
Compensation for services on the board		$ 15,000	$ 15,000	$ 30,000	$ 30,000
Options, number granted	10,000
Options, grant date price	$ 7.27
Options, weighted average fair market value	$ 2.38
Options, vesting period	3 years
Consultant [Member] | Restricted Stock [Member]
Related Party Transaction [Line Items]
Restricted shares, number granted	8,667
Restricted shares, weighted average fair market value	$ 7.27

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Subsequent Event - Additional Information (Detail) - USD ($)		3 Months Ended	6 Months Ended		12 Months Ended
	Aug. 01, 2017	Sep. 30, 2017	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Subsequent Event [Member]
Subsequent Event [Line Items]
Date of disposal	Aug. 01, 2017
PathLogic [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member
Subsequent Event [Line Items]
Sales revenue			$ 3,300,000	$ 3,900,000	$ 7,300,000
Operating losses			$ (1,600,000)	$ (1,400,000)	$ (3,100,000)
PathLogic [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member | Scenario, Forecast [Member] | Minimum [Member]
Subsequent Event [Line Items]
Loss on sale of laboratory		$ (1,250,000)
PathLogic [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member | Scenario, Forecast [Member] | Maximum [Member]
Subsequent Event [Line Items]
Loss on sale of laboratory		$ (1,500,000)