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 March 31, 2019 2020
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 incorporation or organization) (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  S No  ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuantpursuant 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 submitsuch files).    Yes  S   No  ☐
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerSAccelerated filer
Non-accelerated filerSmaller Reporting Company
 Emerging Growth Company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   Yes  ☐   No  S
Securities registered pursuant to Section 12(b) of the Act:





Title of each classTrading SymbolName of each exchange on which registered
Common stock ($0.001 par value)NEONASDAQThe Nasdaq Stock Market LLC

As of May 3, 2019,April 24, 2020, the registrant had 95,341,186105,335,242 shares of Common Stock, par value $0.001 per share outstanding.




TABLE OF CONTENTS
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 




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, or the “Securities Act”, and Section 21E of the Securities Exchange Act of 1934, as amended, or the “Exchange Act”, 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, changing reimbursement levels from government payers and private insurers, projected costs, prospects and plans and objectives of management. The words “anticipates,” “believes,” “estimates,” “expects,” “intends,” “may,” “plans,” “projects,” “will,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements. These forward-looking statements involve known and unknown risks and uncertainties that could cause our actual results, performance or achievements to differ materially from those expressed or implied by the forward-looking statements, including, without limitation, the risks set forth in Part I, Item 1A, “Risk Factors” in our Annual Report on Form 10-K as filed with the Securities and Exchange Commission “SEC” on February 26, 2019 and as amended and filed with the SEC on May 8, 2019.28, 2020.

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

Our ability to respond to rapid scientific change;
The risk of liability in conducting clinical trials and the sufficiency of our insurance to cover such claims;
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, international 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, or FDA 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;
The impact of internalization of testing by customers;
Our ability to manage our indebtedness;
Our ability to protect our intellectual property from infringement;
Our abilityThe anticipated impact to successfully integrate Genoptix into NeoGenomics including consolidating systemsour business operations, customer demand and facilities;supply chain due to the recent global pandemic of a novel strain of the coronavirus (COVID-19);
Our ability to integrate future acquisitions and costs related to such acquisitions;
The effects of seasonality on our business;
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;
Our handling, storage and disposal of biological and hazardous materials;
The accuracy of our estimates regarding reimbursement, expenses, future revenues and capital requirements; and,
Our ability to manage expenses and risks associated with international operations, including anti-corruption and trade sanction laws and other regulations, and economic, political, legal and other operational risks associated with foreign jurisdictions.
3


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.


4


PART I — FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
NEOGENOMICS, INC.
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)
March 31, 2020 (unaudited)December 31, 2019
ASSETS
Current assets
Cash and cash equivalents$86,254  $173,016  
Accounts receivable, net99,97294,242
Inventories20,28614,405
Prepaid assets6,8846,327
Other current assets2,0462,748
Total current assets215,442290,738
Property and equipment (net of accumulated depreciation of $74,441 and $68,809, respectively)83,39264,188  
Operating lease right-of-use assets49,08426,492  
Intangible assets, net128,289126,640  
Goodwill210,833198,601  
Restricted cash, non-current38,738—  
Prepaid lease asset3,316—  
Other assets3,1532,847  
Total assets$732,247  $709,506  
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable$20,453  $19,568  
Accrued compensation20,810  21,365  
Accrued expenses and other liabilities8,966  7,548  
Short-term portion of financing obligations4,941  5,432  
Short-term portion of operating leases4,505  3,381  
Short-term portion of term loan5,000  5,000  
Pharma contract liability2,974  1,610  
Total current liabilities67,649  63,904  
Long-term liabilities
Long-term portion of financing obligations2,428  3,199  
Long-term portion of operating leases45,910  24,034  
Long-term portion of term loan, net90,605  91,829  
Other long term liabilities4,235  3,566  
Deferred income tax liability, net16,377  15,566  
Total long-term liabilities159,555  138,194  
     Total liabilities227,204  202,098  
Stockholders' equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 105,396,057 and 104,781,236 shares issued and outstanding, respectively)105  105  
Additional paid-in capital525,929  520,278  
Accumulated other comprehensive loss(2,656) (1,618) 
Accumulated deficit(18,335) (11,357) 
     Total stockholders’ equity505,043  507,408  
     Total liabilities and stockholders' equity$732,247  $709,506  
ASSETSMarch 31, 2019December 31, 2018
Current assets  
Cash and cash equivalents$13,195 $9,811 
Accounts receivable, net82,585 76,919 
Inventories9,670 8,650 
Prepaid assets7,504 7,727 
Other current assets2,991 561 
Total current assets115,945 103,668 
Property and equipment (net of accumulated depreciation and amortization of $54,512 and $50,127, respectively)60,696 60,888 
Operating lease right-of-use assets19,734 — 
Intangible assets, net137,844 140,029 
Goodwill196,298 197,892 
Other assets2,826 2,538 
Total assets$533,343 $505,015 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable16,514 17,779 
Accrued compensation18,851 19,062 
Accrued expenses and other current liabilities18,327 8,986 
Current portion of finance leases and obligations6,501 6,298 
Current portion of operating lease liabilities3,620 — 
Current portion of loans7,873 7,873 
Pharma contract liability1,017 927 
Total current liabilities72,703 60,925 
Long-term liabilities
Long-term portion of finance leases and obligations5,253 5,250 
Long-term portion of operating lease liabilities16,648 — 
Long-term portion of loans, net85,995 87,880 
Revolving credit facility5,000 5,000 
Other long term liabilities3,740 3,060 
Deferred income tax liability, net20,156 22,457 
Total long-term liabilities136,792 123,647 
Total liabilities209,495 184,572 
Commitments and contingencies - see Note L
Stockholders' equity
Common stock, $0.001 par value, (250,000,000 shares authorized; 95,303,510 and 94,465,440 shares issued and outstanding, respectively)95 94 
Additional paid-in capital378,571 372,186 
Accumulated other comprehensive income (loss)(1,136)(579)
Accumulated deficit(53,682)(51,258)
Total stockholders’ equity323,848 320,443 
Total liabilities and stockholders' equity$533,343 $505,015 
See the accompanying notes to the unaudited consolidated financial statements.
5


NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)
 
Three Months Ended March 31, Three Months Ended March 31,
2019 2018 20202019
NET REVENUE  
NET REVENUE:NET REVENUE:  
Clinical ServicesClinical Services$86,210 $56,971 Clinical Services$92,982  $86,210  
Pharma ServicesPharma Services9,367 6,452 Pharma Services13,048  9,367  
Total Revenue95,577 63,423 
Total revenueTotal revenue106,030  95,577  
COST OF REVENUECOST OF REVENUE48,462 36,120 COST OF REVENUE59,661  48,462  
GROSS PROFITGROSS PROFIT47,115 27,303 GROSS PROFIT46,369  47,115  
Operating expenses:Operating expenses:Operating expenses:
General and administrativeGeneral and administrative32,142 17,067 General and administrative36,344  32,142  
Research and developmentResearch and development1,209 956 Research and development2,060  1,209  
Sales and marketingSales and marketing11,216 6,775 Sales and marketing13,258  11,216  
Total operating expensesTotal operating expenses44,567 24,798 Total operating expenses51,662  44,567  
INCOME FROM OPERATIONS2,548 2,505 
(LOSS) INCOME FROM OPERATIONS(LOSS) INCOME FROM OPERATIONS(5,293) 2,548  
Interest expense, netInterest expense, net1,826 1,486 Interest expense, net819  1,826  
Other expense (income)5,169 (63)
Income (loss) before taxes(4,447)1,082 
Income tax (benefit) expense(2,023)438 
NET INCOME (LOSS)(2,424)644 
Deemed dividends on preferred stock— 1,003 
Amortization of preferred stock beneficial conversion feature— 1,853 
NET INCOME (LOSS) ATTRIBUTABLE TO COMMON STOCKHOLDERS$(2,424)$(2,212)
Other (income) expenseOther (income) expense(223) 5,169  
Loss before taxesLoss before taxes(5,889) (4,447) 
Income tax expense (benefit)Income tax expense (benefit)1,089  (2,023) 
NET LOSSNET LOSS$(6,978) $(2,424) 
INCOME (LOSS) PER SHARE ATTRIBUTABLE TO COMMON STOCKHOLDERS
NET LOSS PER SHARENET LOSS PER SHARE
BasicBasic$(0.03)$(0.03)Basic$(0.07) $(0.03) 
DilutedDiluted$(0.03)$(0.03)Diluted$(0.07) $(0.03) 
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
WEIGHTED AVERAGE COMMON SHARES OUTSTANDINGWEIGHTED AVERAGE COMMON SHARES OUTSTANDING
BasicBasic94,740 80,507 Basic104,484  94,740  
DilutedDiluted94,740 80,507 Diluted104,484  94,740  
See the accompanying notes to the unaudited consolidated financial statements.

6


NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOMELOSS
(in thousands)
(unaudited)
For the Three Months Ended March 31,
2019 2018
NET INCOME (LOSS)$(2,424)$644 
OTHER COMPREHENSIVE INCOME:
Foreign currency translation adjustments— (124)
(Loss) gain on effective cash flow hedges(557)623 
Total other comprehensive (loss) income(557)499 
COMPREHENSIVE INCOME (LOSS)$(2,981)$1,143 

Three Months Ended March 31,
20202019
NET LOSS$(6,978) $(2,424) 
OTHER COMPREHENSIVE LOSS:
Loss on effective cash flow hedges(1,038) (557) 
Total other comprehensive loss(1,038) (557) 
COMPREHENSIVE LOSS$(8,016) $(2,981) 

See the accompanying notes to the unaudited consolidated financial statements.



7



NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF REDEEMABLE PREFERRED STOCK AND STOCKHOLDERS' EQUITY
(unaudited, in thousands, except share amounts)
(unaudited)

Series A Redeemable Convertible Preferred StockCommon StockAdditional Paid-InAccumulated Other ComprehensiveAccumulatedCommon StockAdditional Paid-In CapitalAccumulated Other Comprehensive LossAccumulated DeficitTotal
SharesAmountSharesAmountCapitalIncome (Loss)DeficitTotal
Balance, January 1, 20186,864,000 $32,615 80,462,574 $80 $230,030 $274 $(58,422)$171,962 
Common stock issuance ESPP Plan— — 38,620 — 267 — — 267 
Stock issuance fees and expenses— — — — (97)— — (97)
Foreign currency translation adjustments— — — — — (45)— (45)
Gain on effective cash flow hedge— — — — — 270 — 270 
Issuance of common stock for stock options— — 67,259 215 — — 216 
Deemed dividends on preferred stock— 1,003 — — — — (1,003)(1,003)
Amortization of beneficial conversion feature— 1,853 — — — — (1,853)(1,853)
ESPP expense— — — — 54 — — 54 
Stock based compensation expense - options and restricted stock— — — — 1,570 — — 1,570 
Net income— — — — — — 644 $644 
Balance, March 31, 20186,864,000 $35,471 80,568,453 $81 $232,039 $499 $(60,634)171,985 
SharesAmountAdditional Paid-In CapitalAccumulated Other Comprehensive LossAccumulated DeficitTotal
Balance, December 31, 2018Balance, December 31, 2018— $— 94,465,440 $94 $372,186 $(579)$(51,258)$320,443 Balance, December 31, 201894,465,440  $94  $340,291  
Common stock issuance ESPP PlanCommon stock issuance ESPP Plan— — 36,032 — 419 — — 419 Common stock issuance ESPP Plan36,032  —  419  —  —  419  
Stock issuance fees and expensesStock issuance fees and expenses— — — — (66)— — (66)Stock issuance fees and expenses—  —  (66) —  —  (66) 
Loss on effective cash flow hedgeLoss on effective cash flow hedge— — — — — (557)(557)Loss on effective cash flow hedge—  —  —  (557) —  (557) 
Issuance of restricted stock— — 182,502 — — — — — 
Issuance of restricted stock, net of forfeituresIssuance of restricted stock, net of forfeitures182,502  —  —  —  —  —  
Issuance of common stock for stock optionsIssuance of common stock for stock options619,536   3,893  —  —  3,894  
ESPP expenseESPP expense—  —  119  —  —  119  
Stock based compensation expense - options and restricted stockStock based compensation expense - options and restricted stock—  —  2,020  —  —  2,020  
Net lossNet loss—  —  —  —  (2,424) (2,424) 
Balance, March 31, 2019Balance, March 31, 201995,303,510  $95  $346,676  $(1,136) $(21,787) $323,848  
Balance, December 31, 2019Balance, December 31, 2019104,781,236  $105  $520,278  $(1,618) $(11,357) $507,408  
Common stock issuance ESPP PlanCommon stock issuance ESPP Plan34,330  —  796  —  —  796  
Stock issuance fees and expensesStock issuance fees and expenses—  —  (15) —  —  (15) 
Loss on effective cash flow hedgeLoss on effective cash flow hedge—  —  —  (1,038) —  (1,038) 
Issuance of restricted stock, net of forfeituresIssuance of restricted stock, net of forfeitures76,618  —  (212) —  —  (212) 
Issuance of common stock for stock optionsIssuance of common stock for stock options— — 619,536 3,893 — — 3,894 Issuance of common stock for stock options503,873  —  2,897  —  —  2,897  
ESPP expenseESPP expense— — — — 119 — — 119 ESPP expense—  —  194  —  —  194  
Stock based compensation expense - options and restricted stockStock based compensation expense - options and restricted stock— — — — 2,020 — — 2,020 Stock based compensation expense - options and restricted stock—  —  1,991  —  —  1,991  
Net lossNet loss— — — — — — (2,424)(2,424)Net loss—  —  —  —  (6,978) (6,978) 
Balance, March 31, 2019— $— 95,303,510 $95 $378,571 $(1,136)$(53,682)$323,848 
Balance, March 31, 2020Balance, March 31, 2020105,396,057  $105  $525,929  $(2,656) $(18,335) $505,043  

See the accompanying notes to the unaudited consolidated financial statements

statements.
8


NEOGENOMICS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
 Three Months Ended March 31,
CASH FLOWS FROM OPERATING ACTIVITIES2019 2018 
Net (loss) income$(2,424)$644 
Adjustments to reconcile net (loss) income to net cash provided by
operating activities:
Depreciation5,271 3,633 
Amortization of intangibles2,559 1,413 
Amortization of debt issue costs150 113 
Loss (gain) on disposal of assets156 (7)
Non-cash stock based compensation2,139 1,624 
Non-cash operating lease expenses1,141 — 
Changes in assets and liabilities, net:
Accounts receivable, net(5,795)2,299 
Inventories(1,019)(41)
Prepaid expenses(250)(1,990)
Other current assets(265)(158)
Accounts payable, accrued and other liabilities4,434 6,782 
Net cash provided by operating activities6,097 14,312 
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment(3,196)(4,666)
Net cash used in investing activities(3,196)(4,666)
CASH FLOWS FROM FINANCING ACTIVITIES
Repayment of equipment and other loans(1,797)(1,394)
Repayment of term loan(1,968)(6,338)
Issuance of common stock, net4,248 483 
Net cash provided by (used in) financing activities483 (7,249)
Effects of foreign exchange rate changes on cash and cash equivalents— (45)
Net change in cash and cash equivalents3,384 2,352 
Cash and cash equivalents, beginning of period9,811 12,821 
Cash and cash equivalents, end of period$13,195 $15,173 
Supplemental disclosure of cash flow information:
Interest paid$1,696 $1,396 
Income taxes paid, net$$
Supplemental disclosure of non-cash investing and financing information:
Equipment acquired under loan obligations$2,003 $3,355 
Property and equipment included in accounts payable$1,175 $660 
(unaudited)
 Three Months Ended March 31,
20202019
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss$(6,978) $(2,424) 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation6,240  5,271  
Loss on disposal of assets17  156  
Amortization of intangibles2,452  2,559  
Amortization of debt issue costs70  150  
Non-cash stock-based compensation2,186  2,139  
Non-cash operating lease expense2,021  1,141  
Changes in assets and liabilities, net
Accounts receivable, net(5,722) (5,795) 
Inventories(5,348) (1,019) 
Prepaid assets270  (250) 
Prepaid lease asset(3,316) —  
Other current assets(16) (265) 
Accounts payable, accrued and other liabilities1,191  4,434  
Net cash (used in) provided by operating activities(6,933) 6,097  
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment(4,708) (3,196) 
Business acquisition(37,000) —  
Net cash used in investing activities(41,708) (3,196) 
CASH FLOWS FROM FINANCING ACTIVITIES
Repayment of equipment financing obligations(1,598) (1,797) 
Repayment of term loan(1,250) (1,968) 
Issuance of common stock, net3,465  4,248  
Net cash provided by financing activities617  483  
Net change in cash, cash equivalents and restricted cash(48,024) 3,384  
Cash, cash equivalents and restricted cash, beginning of period173,016  9,811  
Cash, cash equivalents and restricted cash, end of period$124,992  $13,195  
Reconciliation of cash, cash equivalents and restricted cash to the Consolidated Balance Sheets:
Cash and cash equivalents$86,254  $13,195  
Restricted cash, non-current38,738  —  
Total cash, cash equivalents and restricted cash$124,992  $13,195  
Supplemental disclosure of cash flow information:
Interest paid$1,136  $1,696  
Income taxes paid, net$ $ 
Supplemental disclosure of non-cash investing and financing information:
Equipment acquired under financing obligations$—  $2,003  
Property and equipment included in accounts payable$1,844  $1,175  
See the accompanying notes to the unaudited consolidated financial statements

statements.
9

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)



Note A –1. Nature of Business and Basis of Presentation
 
NeoGenomics, Inc., a Nevada corporation, and its subsidiaries (the “Parent”, “Company”, or “NeoGenomics”), 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 as well as providing clinical trial services to pharmaceutical firms.
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 consolidated financial statements include the accounts of the Parent and its subsidiaries. All intercompany transactions and balances have been eliminated in the accompanying 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 and footnotes.footnotes. 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, 2018.  The year-end consolidated balance sheet informationhas been derived from our audited consolidated financial statements in the annual report as of December 31, 2018, but does not include all the disclosures required by accounting principles.2019.
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.
 
The Company reports its activities in two2 operating segments; the Clinical Services Segment and the Pharma Services Segment. These reportable segments deliver testing services to hospitals, pathologists, oncologists, clinicians, pharmaceutical firms and researchers and represent 100% of the Company’s consolidated assets, net revenues and net income (loss) for each period presented. For further financial information about these segments, see Note N.11. Segment Information, in the accompanying notes to the consolidated financial statements.

Note B –2. Recently Adopted and Issued Accounting Guidance
 
Recently Adopted
Effective January 1, 2019, the Company adopted the new lease accounting standard using the modified retrospective method and using the optional transition method to apply the new lease accounting standard prospectively as of January 1, 2019, rather than as of the earliest period presented. Therefore, the adoption of the new lease accounting standard did not change our previous reported financial statements. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard. This allowed the Company to carry forward the historical lease classification and not reassess whether a contract is or contains a lease, or determination of initial direct costs.  Adoption of this standard resulted in the recording of net operating lease right-of-use (“ROU”) assets of $9.7 million and corresponding operating lease liabilities of $10.1 million. We elected the practical expedient that allows lessees to treat the lease and non-lease components of leases as a single lease component. Additionally, we elected the hindsight practical expedient to determine the reasonably certain lease terms for existing leases. The adoption did not materially impact the Company’s Consolidated Statements of Operations or Cash Flows. Refer to Note C herein for further details regarding the impact of the adoption of Topic 842 and other information related to the Company's lease portfolio.

Issued
In June 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which modifies the measurement and recognition of credit losses for most financial assets and certain other instruments. The new standard requires the use of forward-looking expected credit loss models based on historical experience, current conditions, and reasonable and supportable forecasts that affect the collectability of the reported amount, which may result in earlier recognition of credit losses under the new standard. This new standard also requires that credit losses related to available-for-sale debt securities be recorded as an allowance through net income rather than reducing the carrying amount under the current, other-than-temporary-impairment model. The standard is effective for public business entities for annual periods beginning after December 15, 2019, and interim periods within those years. The Company plans to implement the new standard in the first quarter of 2020, and is in the process of reviewing its credit loss models to assess the impact of the adoption of the standard on its consolidated financial statements.
10

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

In January 2017, the FASB issued ASU 2017-04, Intangibles – Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. This new guidance eliminates the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit’s carrying amount over its fair value. ASU 2017-14 is effective for public business entities for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years, and early adoption is permitted. The Company does not expect the impact of the adoption of the standard to have a material impact on its consolidated financial statements.

Guidance
In August 2018, the FASB issued ASU No. 2018-15, Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract, which changes the accounting for implementation costs incurred in a cloud computing arrangement that is a service contract. The update aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The implementation costs should be presented as a prepaid asset on the balance sheet and expensed over the term of the hosting arrangement. The Company adopted this pronouncement on January 1, 2020 and the impact was not material to the Company's Consolidated Financial Statements.
In August 2018, the FASB also issued ASU No. 2018-13, Fair Value Measurement: Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement, which adds and modifies certain disclosure requirements for fair value measurements. Under the new guidance, entities will no longer be required to disclose the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, or valuation processes for Level 3 fair value measurements. However, public companies will beare required to disclose the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements, and related changes in unrealized gains and losses included in other comprehensive income. This update is effective for annual periods beginning after December 15, 2019, and interim periods within those periods, and early adoption is permitted. Certain provisions of the ASU must be adopted retrospectively, while others must be adopted prospectively. The Company does not expectadopted this pronouncement on January 1, 2020 and the impact ofwas not material to the adoption of the standard to have a material impact on its consolidated financial statements.Company's Consolidated Financial Statements.
In August 2018,November 2016, the FASB issued ASU 2018-15, Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract, or ASU 2018-15,No. 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash. The new guidance requires that changes the accounting for implementation costs incurred in a cloud computing arrangement that is a service contract. The update aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The implementation costs should be presented as a prepaid asset on the balance sheet and expensed over the termreconciliation of the hosting arrangement. The standard isbeginning-of-period and end-of-period amounts shown in the statement of cash flows include cash, cash equivalents and restricted cash. ASU 2016-08 was effective for annual periods,fiscal years beginning after December 15, 2017, including interim periods within those annual periods, using a retrospective transition method to each period presented. As a result, restricted cash of approximately $38.7 million as of March 31, 2020 is included with cash and cash equivalents when reconciling the beginning and ending balances in the Consolidated Statements of Cash Flows. Please refer to Note 3. Leases, for
10

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

additional information regarding the use of restricted cash. There were no restricted cash balances in any reportable period prior to January 2020.
In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments – Credit Losses (“Topic 326”): Measurement of Credit Losses on Financial Instruments, as modified by subsequently issued ASUs 2018-19 (issued November 2018), 2019-04 (issued April 2019), 2019-05 (issued May 2019), 2019-11 (issued November 2019), 2020-02 (issued February 2020) and 2020-03 (issued March 2020). Topic 326 modifies the measurement and recognition of credit losses for most financial assets and certain other instruments. The standard was effective January 1, 2020 and requires the use of forward-looking expected credit loss models based on historical experience, current economic conditions, and reasonable and supportable forecasts that affect the collectability of the reported amount, which may result in earlier recognition of credit losses under the new standard. It also requires that credit losses related to available-for-sale debt securities be recorded as an allowance through net income rather than reducing the carrying amount under the current, other-than-temporary-impairment model. The standard required a modified retrospective approach with a cumulative effect adjustment to retained earnings. The Company adopted and applied the standard as of January 1, 2020. Based on management’s analysis, Topic 326 is applicable to the Company’s trade receivables as well as contract assets recognized within the Pharma Services segment. An assessment was performed on historical trends, current economic conditions, supportable forecasts, and customer and credit risks. The adoption of Topic 326 did not result in a material impact on the Company's Consolidated Financial Statements.
Accounting Pronouncements Pending Adoption
In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting. ASU 2020-04 provides for temporary optional expedients and exceptions to the current guidance on certain contract modifications and hedging relationships to ease the burdens related to the expected market transition from the London Inter-bank Offered Rate (LIBOR) or other reference rates to alternative reference rates. The guidance is effective upon issuance and can be applied through December 31, 2022. The Company is currently evaluating the impact of this standard on the Company’s Consolidated Financial Statements.
In January 2020, the FASB issued ASU No. 2020-01, Investments-Equity Securities (“Topic 321”), Investments-Equity Method and Joint Ventures (“Topic 323”) and Derivatives and Hedging (“Topic 815”) (ASU 2020-01). ASU 2020-01 clarifies the interaction of the accounting for equity securities under Topic 321, the accounting for the equity method investments in Topic 323 and the accounting for certain forward contracts and purchased options in Topic 815. ASU 2020-01 is effective for fiscal years beginning after December 15, 2019. Early2020 and early adoption is permitted. The Company is incurrently evaluating the processimpact of assessingthis standard on the Company’s Consolidated Financial Statements.
In December 2019, the FASB issued ASU No. 2019-12, Income Taxes: Simplifying the Accounting for Income Taxes (“Topic 740”), which simplifies the accounting for income taxes, eliminates certain exceptions within Topic 740 and clarifies certain other aspects of the current guidance to promote consistency among reporting entities. The new standard is effective for fiscal years beginning after December 15, 2020 and early adoption is permitted. The Company is currently evaluating the impact of the adoptionprovisions of thethis standard on its consolidated financial statements as well as whether to early adopt the new standard.Company’s Consolidated Financial Statements.

Note C –3. Leases
The Company is a lessee ofleases corporate office,offices and laboratory space and equipment throughout the world, nearly all of which are classified as operating leases expiring at various dates. The Company determines if an arrangement qualifies as a lease at lease inception.dates and generally have terms ranging from 1 to 15 years. Leases with an initial term of 12 months or less are not recorded inon the balance sheet. Operating
Some of the Company’s real estate lease agreements include options to either renew or early terminate the lease. Leases with renewal options allow the Company to extend the lease term typically between 1 and 5 years. When it is reasonably certain that the Company will exercise an option to renew or terminate a lease, these options are considered in determining the classification and measurement of the lease.
Lease liabilities are recorded based on the present value of the future lease payments over the lease term and assessed as of the commencement date. The Company’s real estate leases, which are comprised primarily of officeIncentives received from landlords, such as reimbursements for tenant improvements and laboratory space, representrent abatement periods, effectively reduce the vast majority of our operatingtotal lease liabilities and generally have a lease term between 1 and 10 years. The remaining leases consist primarily of machinery and equipment used in the lab and office equipment, each with various lease terms. The vast majority of the Company's leases are comprised of fixed lease payments. payments owed for leases.
Certain real estate leases also include executory costs such as common area maintenance (non-lease component), as well as property insurance and property taxes (non-components). Lease payments, which may include lease components, non-lease components and non-components, are included in the measurement of the Company’s lease liabilities to the extent that such payments are either fixed amounts or variable amounts based on a rate or index (fixed in substance) as stipulated in the lease contract. Any actual costs in excess of such amounts are expensed as incurred as variable lease cost.
11

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

Substantially all of our operating lease agreements do not specify an implicit borrowing rate, and as such, theThe Company utilizes its incremental borrowing rate by lease term in order to calculate the present value of our future lease payments. The discount rate represents a risk-adjusted rate on a secured basis, and is the rate at which the Company would borrow funds to satisfy the scheduled lease liability payment streams commensurate with the lease term. On January 1, 2019, the discount rate used on existing leases at adoption was determined based on the remaining lease term using available data as of that date. For new or renewed leases starting in 2019, theThe discount rate is determined using available datathe incremental borrowing rate at lease commencement and based on the lease term.
Some of the Company's lease agreements, primarily related to real estate, include options for the Company to either renew (extend) or early terminate the lease. Leases with renewal options allow the Company to extend the lease term typically between 1 and 5 years. Renewal options are reviewed at lease commencement to determine if such options are reasonably certain of being exercised, which could impact the lease term. When determining if a renewal option is reasonably certain of being exercised, the Company considers several factors, including but not limited to, the significance of leasehold improvements incurred on the property, whether the asset is difficult to replace, or specific characteristics unique to the particular lease that would make it reasonably certain that we would exercise such option. In most cases, the Company has concluded that renewal and early termination options are not reasonably certain of being exercised by the Company (and thus not included in our ROU asset and lease liability) unless there is an economic, financial or business reason to do so.
11

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Operating Leases
For the three months ended March 31, 2019, total operatingOperating lease cost was $1.5 million, which includescosts include an immaterial amount of variable lease cost, and isare recorded in cost of revenue and general and administrative expenses, depending on the nature of the leased asset. Other thanAside from variable lease cost,costs, operating lease cost iscosts represent fixed lease payments recognized on a straight-line basis over the lease term. The following summarizes: (i)
As of March 31, 2020, the future minimum undiscountedmaturities of our operating lease payments under non-cancelable leases for the remainder of 2019 as well as each of the next five yearsliabilities and thereafter, incorporating the practical expedient to account for lease and non-lease components as a single lease component for our existing real estate leases, and (ii) a reconciliation of the undiscounted lease payments to the present value of the lease liabilities recognizedwere as of March 31, 2019follows (in thousands):

Year Ended December 31,Operating Leases
2019 (excluding the three months ended March 31, 2019)$4,043 
20202,833 
20212,811 
20222,121 
20232,032 
20241,993 
Thereafter12,377 
Total future minimum lease payments28,210 
Less imputed interest(7,942)
Total present value of future minimum lease payments$20,268 
Remaining Lease Payments
Remainder of 2020$4,850  
20217,486  
20225,358  
20235,253  
20245,309  
Thereafter37,340  
Total remaining lease payments65,596  
Less: imputed interest(15,181) 
Total operating lease liabilities50,415  
Less: current portion(4,505) 
Long-term operating lease liabilities$45,910  
Weighted-average remaining lease term (in years)12.1
Weighted-average discount rate4.4 %
The following summarizes additional supplemental data related to our operating leases:leases (in thousands):

Three Months Ended
March 31, 2019: (in thousands)2020
Operating lease costs
Operating cash flows from operating leases$1,2572,105  
Three Months Ended
March 31, 2020
Right-of-use assets obtained in exchange for operating lease liabilities$11,16924,071  
Cash paid for operating leases
As of March 31, 2019:
Weighted Average Remaining Lease Term (years)9.11
Weighted Average Discount Rate6.4 $%1,553 

Lease contracts that we have been executed but which have not yet commenced as of March 31, 2019 are excluded from the tables above.
As previously disclosed in our 2018 Annual Report on Form 10-K and underof March 31, 2020, the previous lease accounting standard, futureCompany has entered into $33.8 million of contractually binding minimum lease payments for operating leases having initialexecuted but not yet commenced. This amount relates to the lease of the laboratory and headquarters facility in Fort Myers, Florida that is expected to commence in 2021. In addition to the minimum lease payments, the Company will pay approximately $25.0 million relating to the construction of the underlying assets and approximately $17.0 million in leasehold improvements. These amounts were placed into separate construction disbursement escrow accounts and are initially classified as restricted cash, non-current, on the Consolidated Balance Sheets. Disbursements to the landlord will take place from time to time to pay for the costs of the Landlord’s work. These disbursements will be classified as a prepaid lease asset or remaining noncancellableleasehold improvements, as appropriate, until the lease termscommences. Upon lease commencement, the prepaid lease asset will be included in excessthe calculation of one year would have been as follows (in thousands):
Years ending December 31,
2019$5,247 
20202,798 
20211,082 
2022453 
202392 
Thereafter— 
Total minimum lease payments$9,672 
the right-of-use asset and the leasehold improvements will be placed in service. Construction of the infrastructure of this facility commenced in the first quarter of 2020. The Company is not expected to control the underlying assets during the construction period and therefore is not considered the owner of the underlying assets for accounting purposes.

12

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)

Note D –4. Revenue Recognition and Contractual Adjustments
The Company has two2 operating segments for which it recognizes revenue; Clinical Services and Pharma Services. OurThe Clinical Services segment provides various clinical testing services to community-based pathology practices, oncology practices, hospital pathology labs and academic centers with reimbursement from various payers including client direct billing, commercial insurance, Medicare and other government payers, and patients. OurThe Pharma Services segment supports pharmaceutical firms in their drug development programs by providing testing services and data analytics for clinical trials and research.
Clinical Services Revenue
The Company’s specialized diagnostic services are performed based on a written test requisition form or electronic equivalent. The performance obligation is satisfied and revenues are recognized once the diagnostic services have been performed and the results have been delivered to the ordering physician. These diagnostic services are billed to various payers, including Medicare,client direct billing, commercial insurance, companies,Medicare and other directly billed healthcare institutions such as hospitalsgovernment payers, and clinics, and individuals.patients. Revenue is recorded for all payers based on the amount expected to be collected, which considers implicit price concessions. Implicit price concessions represent differences between amounts billed and the estimated consideration the Company expects to receive based on negotiated discounts, historical collection experience and other anticipated adjustments, including anticipated payer denials. Collection of consideration the Company expects to receive typically occurs within 30 to 60 days of billing for commercial insurance, Medicare and other governmental and self-pay payers and within 60 to 90 days of billing for client payers.
Pharma Services Revenue
The Company’s Pharma Services segment generally enters into contracts with pharmaceutical and biotech customers as well as other Contract Research Organizations ((“CROs”) to provide research and clinical trial services ranging in duration from one month to several years. The Company records revenue on a unit-of-service basis based on number of units completed and the total expected contract value. The total expected contract value is estimated based on historical experience of total contracted units compared to realized units as well as known factors on a specific contract-by-contract basis. Certain contracts include upfront fees, final settlement amounts or billing milestones that may not align with the completion of performance obligations. The value of these upfront fees or final settlement amounts is usually recognized over time based on the number of units completed, which aligns with the progress of the Company towards fulfilling its obligations under the contract.
The Company also enters into other contracts, such as validation studies, for which the sole deliverable is a final report that is sent to sponsors at the completion of contracted activities. For these contracts, revenue is recognized at a point in time upon delivery of the final report to the sponsor. Any contracts that contain multiple performance obligations and include both units-of-service and point in timepoint-in-time deliverables are accounted for as separate performance obligations and revenue is recognized as previously disclosed. The Company negotiates billing schedules and payment terms on a contract-by-contract basis. While the contract terms generally provide for payments based on a unit-of-service arrangement, the billing schedules, payment terms and related cash payments may not align with the performance of services and, as such, may not correspond to revenue recognized in any given period.
Amounts collected in advance of services being provided are deferred as contract liabilities on the balance sheet.Consolidated Balance Sheets. The associated revenue is recognized and the contract liability is reduced as the contracted services are subsequently performed. Contract assets are established for revenue that has been recognized but not yet billed. These contract assets are reduced once the customer is invoiced and a corresponding account receivable is recorded. Additionally, certain costs to obtain contracts, primarily for sales commissions, are capitalized when incurred and are amortized over the term of the contract. Amounts capitalized for contracts with an initial contract term of twelve months or less are classified as current assets and allassets. All others are classified as non-current assets.
Most contracts are terminable by the customer, either immediately or according to advance notice terms specified within the contracts. All contracts require payment of fees to the Company for services rendered through the date of termination and may require payment for subsequent services necessary to conclude the study or close out the contract.

The following table summarizes the values of contract assets, capitalized commissions and contract liabilities as of March 31, 20192020 and December 31, 20182019 (in thousands):

13

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)

March 31, 2019December 31, 2018
Current pharma contract asset$192 $86 
Long-term pharma contract asset417 268 
Total pharma contract asset$609 $354 
Current pharma capitalized commissions$310 $271 
Long-term pharma capitalized commissions766 650 
Total pharma capitalized commissions$1,076 $921 
Current pharma contract liability$1,017 $927 
Long-term pharma contract liability1,935 1,652 
Total pharma contract liability$2,952 $2,579 
March 31, 2020December 31, 2019
Current pharma contract assets (1)
$1,127  $1,000  
Long-term pharma contract assets (2)
199  153  
Total pharma contract assets$1,326  $1,153  
Current pharma capitalized commissions (1)
$141  $133  
Long-term pharma capitalized commissions (2)
761  798  
Total pharma capitalized commissions$902  $931  
Current pharma contract liabilities$2,974  $1,610  
Long-term pharma contract liabilities (3)
526  1,171  
Total pharma contract liabilities$3,500  $2,781  
(1) Current pharma contract assets and Current pharma capitalized commissions are classified as “Other current assets” on the Consolidated Balance Sheets.
(2) Long-term pharma contract assets and Long-term pharma capitalized commissions are classified as “Other assets” on the Consolidated Balance Sheets.
(3) Long-term pharma contract liabilities are classified as “Other long-term liabilities” on the Consolidated Balance Sheets.
Pharma contract assets increased $0.3$0.2 million, or 72%15%, from December 31, 2018.2019 to March 31, 2020. Pharma contract liabilities increased $0.4$0.7 million, or 14%26%, from December 31, 2018during the same period, while capitalized commissions also increaseddecreased slightly by $0.2 million,$29 thousand, or 17%3%. These increases are due to higher upfront fees driven by increases in the volume of Pharma contracts in process. Revenue recognized for the three months ended March 31, 2019 2020 and March 31, 2018 2019 related to PharmaPharma contract liability balances outstanding at the beginning of the period was $1.3$1.2 million and $0.9$1.3 million, respectively. Amortization of capitalized commissions for the three monthsboth three-month periods ended March 31, 20192020 and March 31, 2018 were2019 was $0.2 million and $0.1 million, respectively.million.
Disaggregation of Revenue
The Company considered various factors for both its Clinical Services and Pharma Services segments in determining appropriate levels of homogeneous data for its disaggregation of revenue, including the nature, amount, timing and uncertainty of revenue and cash flows. For Clinical Services, the categories identified align with our type of customer due to similarities of billing method, level of reimbursement and timing of cash receipts at this level.receipts. Unbilled amounts are accrued and allocated to payor categories based on historical experience. In future periods, actual billings by payor category may differ from accrued amounts. Pharma Services revenue was not further disaggregated as substantially all of our revenue relates to contracts with large pharmaceutical and biotech customers as well as other CROs for which the nature, timing and uncertainty of revenue and cash flows is similar and primarily driven by individual contract terms.
The following table details the disaggregation of revenue for both the Clinical and Pharma Services Segments (in thousands):
Three Months Ended March 31,Three Months Ended March 31,
2019 2018 20202019
Clinical Services:Clinical Services:Clinical Services:
Client direct billingClient direct billing$49,756 $38,530  Client direct billing$54,292  $49,756  
Commercial InsuranceCommercial Insurance20,433 10,326  Commercial Insurance21,993  20,433  
Medicare and MedicaidMedicare and Medicaid15,793 8,084  Medicare and Medicaid16,483  15,793  
Self-PaySelf-Pay228 31  Self-Pay214  228  
Total Clinical ServicesTotal Clinical Services$86,210 $56,971 Total Clinical Services$92,982  $86,210  
Pharma Services:Pharma Services:9,367 6,452 Pharma Services:13,048  9,367  
Total RevenueTotal Revenue$95,577 $63,423 Total Revenue$106,030  $95,577  

Note E –5. Acquisition
On December 10, 2018 (“the Acquisition Date”), the Company acquired all of the issued and outstanding shares of common stock of Genesis Acquisition Holding Corp (“Genesis”), and its wholly owned subsidiary, Genoptix, Inc. (“Genoptix”, and collectively with its subsidiaries and Genesis, referred to herein as "Genoptix"), for a purchase price consisting of (i) cash consideration of approximately $127.0 million, which included approximately $2.0 million in estimated working capital adjustments and adjustments for estimated cash on hand of Genoptix on the Closing Date and (ii) 1.0 million shares of NeoGenomics’ common stock pursuant to an Agreement and Plan of Merger dated October 23, 2018 (the “Merger Agreement”). 
14

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)

Cartesian Medical Group,On January 10, 2020 (the “Acquisition Date”), the Company acquired the Oncology Division assets of Human Longevity, Inc. (“Cartesian”HLI - Oncology”) isfor a California professional corporation that provided hematopathologypurchase price consisting of cash consideration of $37.0 million. Acquisition and other pathology servicesintegration costs related to GenoptixHLI - Oncology were approximately $1.3 million for the three months ended March 31, 2020 and are reported as an independent contractor. Cartesian was consolidated into Genoptix as a variable interest entity. Subsequent to December 31, 2018, the professional services agreement between Genoptixgeneral and Cartesian was terminated and the Company entered into separate medical services agreements with the entities owned by the physicians who were previously employees of Cartesian. The termination of the agreement with Cartesian did not have any impact onadministrative expenses in the Company's consolidated financial statements.Consolidated Statements of Operations.
The Company issued approximately 1.0 million shares of common stock as considerationHLI - Oncology performs Next Generation Sequencing for thepharmaceutical customers. The acquisition of Genoptix. This common stock was issued as uncertificated shares, which carries a minimum six-month holding period before they may be soldHLI - Oncology adds whole exome and whole genome sequencing capabilities to the public. We estimated the fair value of the common stock consideration using inputs not observableCompany's current Pharma Services offerings. Revenue related to HLI - Oncology is reported in the market and thus represents a Level 3 measurement. The key assumption in the fair value determination was a 5 percent discount due to lack of marketability of the common stock as a result of the restrictions imposed on the holder.Pharma Services segment. The acquisition date fair valueincluded assets, primarily consisting of common stock transferredlab equipment, inventory, maintenance agreements for acquired equipment, backlog contracts with HLI - Oncology's customers, as well as HLI - Oncology’s molecular workforce that is calculated below (in thousands, except share and per share amounts):
Common Stock ValuationAmount
Shares of common stock issued as consideration1,000,000 
Stock price per share on closing date$13.94 
Value of common stock issued as consideration$13,940 
Issue discount due to lack of marketability$(697)
Fair value of common stock at December 10, 2018$13,243 

experienced with Next Generation Sequencing.
The following table summarizes the estimated fair values of the assets acquired and liabilities assumed at the acquisition date of December 10, 2018 and measurement period adjustments recorded during the first quarter of 2019. For the quarter ended March 31, 2019, the Company recorded a $2.4 million working capital adjustment to the original cash consideration, as defined within the Merger Agreement, of which $0.4 million is payable in cash and the remainder is payable as a return of shares. Additionally, certain other measurement period adjustments were recorded related to property and equipment and accounts receivable during the first quarter of 2019. The Company is in the process completing its valuation of certain assets and liabilities, primarily related to accounts receivable and accounts payable assumed; thus, the provisional measurements of current assets and current liabilities are subject to change.

December 10, 2018
(As Initially Reported)
Measurement Period AdjustmentsDecember 10, 2018
(As Adjusted)
Current assets$22,172 $2,257 $24,429 
Property and equipment21,029 (428)20,601 
Identifiable intangible assets71,792 374 72,166 
Goodwill50,873 (1,593)49,280 
Long-term assets170 — 170 
Total assets acquired$166,036 $610 $166,646 
Current liabilities(10,769)(892)(11,661)
Long-term liabilities (1)
(15,265)282 (14,983)
Net assets acquired$140,002 $$140,002 

(1) Includes $14.7 million and $14.5 million as initially reported and as adjusted, respectively, in deferred tax liabilities associated with tangible and intangible assets acquired.
Of the $72.2 million of acquired intangible assets, $56.9 million was provisionally assigned to customer relationships which are being amortized over fifteen years, $0.7 million was provisionally assigned to the Genoptix trade name which is being amortized over one year, and $14.6 million was provisionally assigned to trade marks which are assigned as indefinite-lived assets.
The goodwill arising from the acquisition of Genoptix includes revenue synergies as a result of our existing customers and Genoptix’ customers having access to each other’s testing menus and capabilities and also from the new product lines which Genoptix adds to the Company’s product portfolio, including the use of COMPASS and CHART trademarks. None of the
15

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

goodwill is expected to be deductible for income tax purposes. The provisional fair value of accounts receivable acquired is approximately $16.6 million, net of a $1.5 million fair value adjustment.

The following unaudited pro forma informationAcquisition Date (in thousands) have been provided for illustrative purposes only and are not necessarily indicative of results that would have occurred had the acquisition of Genoptix been in effect since January 1, 2017, nor are they necessarily indicative of future results.:

Three Months Ended March 31, 2018January 10, 2020
RevenueInventory$87,703534  
Net (loss)Prepaid assets185 
Property and equipment16,839 
Internally developed software3,110 
Customer relationships (1)
4,100 
Long-term assets346 
Goodwill (2)
12,232 
Total assets acquired$(420)37,346 
Long-term liabilities(346)
Net (loss) available to common shareholdersassets acquired$(3,275)37,000 
(1)
Acquired intangible assets consisted of customer relationships which are amortized over seven years.
(2)The unaudited pro forma consolidated results have been prepared by adjusting our historical results to includegoodwill arising from the acquisition of GenoptixHLI - Oncology is the amount the Company paid in excess of the fair value of the net assets acquired was primarily for (i) the expected future cash flows derived from the existing business capabilities and infrastructure, (ii) expanding the Company's scientific expertise as if it occurred on January 1, 2017. These unaudited pro forma consolidated historical results were then adjusteda leading provider of Pharma Services and Next Generational Sequencing and (iii) an enhanced Pharma Services menu including germline, whole exome and whole genome sequencing. All of the goodwill resulting from the acquisition of HLI - Oncology is expected to be deductible for certain items, primarilyincome tax purposes.
The above purchase price and purchase price allocation are preliminary and subject to future revision as the acquired assets and liabilities assumed are dependent upon the finalization of the related to: a net increase invaluations. The fair values assigned to assets acquired and liabilities assumed for HLI - Oncology are based upon management's best estimates and assumptions as of the reporting date, and are considered preliminary.
Note 6. Goodwill and Intangible Assets
Goodwill as of March 31, 2020 and December 31, 2019 was $210.8 million and $198.6 million, respectively.
Intangible assets consisted of the following as of (in thousands): 
  March 31, 2020
 Amortization
Period
CostAccumulated
Amortization
Net
Customer Relationships84-180 months143,371  28,529  114,842  
Trade Name - Indefinite-lived—  13,447  —  13,447  
Total $156,818  $28,529  $128,289  
15

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

  December 31, 2019
 Amortization
Period
CostAccumulated
Amortization
Net
Trade Name12-24 months$3,679  $3,679  $—  
Non-Compete Agreement24 months27  27  —  
Customer Relationships180 months139,271  26,078  113,193  
Trade Name - Indefinite-lived—  13,447  —  13,447  
Total$156,424  $29,784  $126,640  
The Company recorded amortization expense duringof intangible assets of approximately $2.5 million and $2.6 million for the three months ended March 31, 2018 due to higher intangible assets recorded related to the acquisition of Genoptix2020 and a reduction in interest expense during the three months ended March 31, 2018 as we did not acquire the existing debt.

Note F – Goodwill and Intangible Assets
Goodwill as of March 31, 2019, and December 31, 2018 was $196.3 million and $197.9 million, respectively.  In 2019, we recorded measurement period adjustments of $1.6 million. Refer to Note E herein for further detail.
Intangible assets as of March 31, 2019 and December 31, 2018 consisted of the following (in thousands): 
  March 31, 2019
 Amortization
Period
CostAccumulated
Amortization
Net
Trade Name12-24 months$3,675 $3,211 $464 
Non-Compete Agreement24 months27 21 
Customer Relationships180 months142,000 19,185 122,815 
Trade Name - Indefinite-lived— 14,559 — 14,559 
Total $160,261 $22,417 $137,844 
  December 31, 2018
 Amortization
Period
CostAccumulated
Amortization
Net
Trade Name12-24 months$3,675 $3,042 $633 
Non-Compete Agreement24 months27 18 $
Customer Relationships180 months141,626 16,798 $124,828 
Trade Name - Indefinite-lived— 14,559 — 14,559 
Total$159,887 $19,858 $140,029 
We recorded approximately $2.6 million and $1.4 million in straight-line amortization expense of intangible assets for the three month periods ended March 31, 2019 and 2018, respectively. The Company records amortization expense as a general and administrative expense.
16

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

The estimated amortization expense related to amortizable intangible assets for each of the fivefour succeeding fiscal years and thereafter as of March 31, 20192020 is as follows (in thousands):
 
Remainder of 2019 $7,549 
2020 9,467 
Remainder of 2020Remainder of 2020$7,403  
2021 2021 9,467 20219,870  
2022 2022 9,467 20229,870  
2023 2023 9,467 20239,870  
202420249,870  
ThereafterThereafter77,868 Thereafter67,959  
TotalTotal$123,285 Total$114,842  
 
Note G –7. Debt
 
The following table summarizes the long term debt, net at March 31, 20192020 and December 31, 20182019 (in thousands):
 March 31, 2019December 31, 2018
Term Loan Facility$94,782 $96,750 
Revolving Credit Facility5,000 5,000 
Other finance obligations11,754 11,548 
Total Debt$111,536 $113,298 
Less:  Debt issuance costs(914)(997)
Less:  Current portion of long-term debt and other finance obligations(14,374)(14,171)
Total Long-Term Debt, net$96,248 $98,130 
 March 31, 2020December 31, 2019
Term loan$96,250  $97,500  
Financing obligations7,369  8,631  
Total debt$103,619  $106,131  
Less:  Debt issuance costs(645) (671) 
Less:  Current portion of long-term debt and financing obligations(9,941) (10,432) 
Total long-term debt, net$93,033  $95,028  
 
The carrying value of the Company’s long-term financeterm loan and financing obligations and term debt approximates its fair value based on the current market conditions for similar instruments. 
Term Loan
16

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

Senior Secured Credit Agreement
On December 22, 2016,June 27, 2019 (the “Closing Date”), the Company entered into a credit agreementnew senior secured credit agreement (the “New Credit Agreement”) with RegionsPNC Bank (the “Credit Agreement” National Association (“PNC”), as administrative agent, and collateral agent.the lenders party thereto. The New Credit Agreement providedprovides for a $75$100.0 million revolving credit facility (the “Revolving Credit Facility”), a $100.0 million term loan facility (the “Term Loan Facility”), and a $75$50.0 million revolving credit facility (the “Revolving Credit Facility”). On June 21, 2018, the Company entered into an amendment to the Credit Agreement (the “Amendment”) which provided for an additionaldelayed draw term loan inwhich has an availability period beginning on the amount of $30 million, for which revised terms are included below.
On March 31, 2019Closing Date and ending on December 31, 2018, the Company had current outstanding borrowings under the27, 2020 (the “Delayed Draw Term Loan Facility, as amended, of approximately $7.9 million, and long-term outstanding borrowings of approximately $86.0 million and $87.9 million, net of unamortized debt issuance costs of $0.9 million and $1.0 million, respectively.  These costs were recorded as a reduction in the carrying amount of the related liability and are being amortized over the life of the loan.
Loan”). The Term Loan Facility bearsand 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 the Company.
Borrowings under the New Credit Agreement bear interest at a rate per annum equal to an applicable margin plus, at NeoGenomics’the Company’s option, either (1) the Adjusted LIBOR rate for the relevant interest period,, as defined within the Credit Agreement,agreement (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, (b) the prime lending rate of PNC and (c) the one monthdaily LIBOR rate plus 1% per annum, or (3) a combination of (1) and (2). The applicable margin will range from 2.25%1.25% to 4.00%2.25% for LIBOR loans and 1.25%0.25% to 3.00%1.25% for base rate loans, in each case based on NeoGenomics’ consolidated leverage ratioConsolidated Leverage Ratio (as defined in the New Credit Agreement and revised in the Amendment)Agreement). Interest on borrowings under the New Credit Agreement 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 has previously entered into an interest rate swap agreements to hedge against changes in the variable rate for a portion of both the Term Loan Facility and the Amendment.our long term debt. See Note H-Derivative8. Derivative Instruments and Hedging Activities, for more information on these instruments.
The Term LoanRevolving Credit Facility and amounts borrowedincludes a $10.0 million swing loan sublimit, with swing loans bearing interest at the alternate base rate plus the applicable margin. Any principal outstanding under the Revolving Credit Facility are securedis due and payable on a first priority basis by a security interest in substantially allJune 27, 2024 or such earlier date as the obligations under the New Credit Agreement become due and payable pursuant to the terms of the tangibleNew Credit Agreement. No amounts were outstanding under Revolving Credit Facility as of March 31, 2020.
Principal payments on the Term Loan Facility are due on the last day of each fiscal quarter with an annual principal amortization of 5% in the first year, 5% in the second year, 7.5% in the third year, 7.5% in the fourth year, and intangible assets10% in each year thereafter, with the remainder due upon maturity on June 27, 2024 or such earlier date as the obligations under the New Credit Agreement become due and payable pursuant to the terms of NeoGenomics.  the New Credit Agreement.
On March 31, 2020, the Company had current outstanding borrowings under the Term Loan Facility of approximately $5.0 million, and long-term outstanding borrowings of approximately $90.6 million, net of unamortized debt issuance costs of $0.6 million. These costs were recorded as a reduction in the carrying amount of the related liability and are being amortized over the life of the loan.
In addition to paying interest on outstanding principal under the New Credit Agreement, the Company will be required to pay a commitment fee in respect of the unutilized portion of the commitments under the Revolving Credit Facility and the Delayed Draw Term Loan. The commitment fee rate ranges from 0.15% to 0.35% depending on NeoGenomics’ Consolidated Leverage Ratio. The Company will also pay customary letter of credit and agency fees.
The Term Loan Facility contains various affirmative and negative covenants including entering into certain indebtedness; 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 restrictiveburdensome agreements; make investments, loans and acquisitions; merge or consolidate with any other person; dispose of assets; enter into certain sale and leaseback transactions; engage in transactions with its affiliates, and materially alter the business it
17

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

conducts. In addition, the Company must meet certain maximum leverage ratios and fixed charge coverage ratios as of the end of each fiscal quarter The Company was in compliance with all financial covenants as of March 31, 2019.quarter.
The Term Loan Facility and Amendment have a maturity date of December 22, 2021.  The Credit Agreement requires NeoGenomicsthe Company 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, and (ii) 100% of net cash proceeds from certain issuances or incurrences of additional debt, (iii) beginning with the fiscal year endedDecember 31, 2018, 75% of consolidated excess cash flow (as defined) if NeoGenomics’ consolidated leverage ratio is greater than or equal to 3.25:1.0 or 50% of consolidated excess cash flow (as defined) if NeoGenomics’ consolidated leverage ratio is less than or equal to 3.25:1.0 but greater than or equal to 2.75:1.0 and (iv) 100% of net cash proceeds from issuances of permitted equity securities by NeoGenomics made in order to cure a failure to comply with the financial covenants. NeoGenomics is permitted to voluntarily prepay the Term Loan Facility and amounts borrowed under the Revolving Credit Facility at any time without penalty.debt.
Revolving Credit Facility
During the fourth quarter of 2018, $5.0 million was drawn from the revolving credit facility, resulting in outstanding borrowings of $5.0 million as of December 31, 2018 and March 31, 2019.
The Revolving Credit Facility includes a $10.0 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 22, 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 Credit Facility bears interest at a rate per annum equal to an applicable margin plus, at NeoGenomics’ option, either (1)the Adjusted LIBOR rate for the relevant interest period, as defined within the Credit Agreement (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 4.00% for Adjusted LIBOR loans and 1.25% to 3.00% for base rate loans, in each case based on NeoGenomics’ 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, as amended, requires NeoGenomics 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 ended December 31, 2018, 75% of consolidated excess cash flow (as defined) if NeoGenomics’ consolidated leverage ratio is greater than or equal to 3.25:1.0 or 50% of consolidated excess cash flow (as defined) if NeoGenomics’ consolidated leverage ratio is less than or equal to 3.25:1.0 but greater than or equal to 2.75:1.0 and (iv) 100% of net cash proceeds from issuances of permitted equity securities by NeoGenomics made in order to cure a failure to comply with the financial covenants. NeoGenomics 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.
Other FinanceFinancing Obligations
The Company has entered into loans with various banks to finance the purchase of laboratory equipment, office equipment and leasehold improvements. These loansmature at various dates through 20212022 and the weighted average interest rate under such loansloans was approximately 4.82%at as of March 31, 20192020 and 4.56% at4.64% as of December 31, 2018.
2019.
1817

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)

Maturities of Long-Term Debt
Maturities of long-term debt atas of March 31, 20192020 are summarized as follows (in thousands):
Term Loan and Revolving Credit FacilityFinance ObligationsTotal Long-Term Debt Term LoanFinancing ObligationsTotal Long-Term Debt
Remainder of 2019 $5,905 $5,077 $10,982 
2020 7,873 4,729 12,602 
Remainder of 2020Remainder of 2020$3,750  $3,893  $7,643  
2021 2021 86,004 1,888 87,892 20216,250  2,732  8,982  
2022 2022 — 60 60 20227,500  744  8,244  
202320238,750  —  8,750  
2024202470,000  —  70,000  
99,782 11,754 111,536 
Total DebtTotal Debt96,250  7,369  103,619  
Less: Current portion of long-term debtLess: Current portion of long-term debt(7,873)(6,501)(14,374)Less: Current portion of long-term debt(5,000) (4,941) (9,941) 
Less: Debt issuance costsLess: Debt issuance costs(914)— (914)Less: Debt issuance costs(645) —  (645) 
Long-term debt, netLong-term debt, net$90,995 $5,253 $96,248 Long-term debt, net$90,605  $2,428  $93,033  

19

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Note H –8. Derivative Instruments and Hedging Activities

In December of 2016 and June of 2018, the Company entered into an interest rate swap agreementsagreement to reduce the Companythe Company'ss exposure to interest rate fluctuations on the Companythe Company'ss variable rate debt obligations. TheseThis derivative financial instruments areinstrument is accounted for at fair value as a cash flow hedges,hedge, which effectively modifies the Company'sCompany’s exposure to interest rate risk by converting a portion of its floating rate debt to a fixed rate obligation, thus reducing the impact of interest rate changes on future interest expense.
 
Under these agreements, we receivethe hedging agreement, the Company receives a variable rate of interest based on LIBOR and we pay a fixed rate of interest. The following table summarizes the interest rate swap agreements.
December 2016 HedgeJune 2018 Hedge
Notional Amount$50 million $20 million (1) 
Effective DateDecember 30, 2016June 29, 2018
IndexOne month LIBOROne month LIBOR
MaturityDecember 31, 2019December 31, 2021
Fixed Rate1.59 %2.98 %

(1) The notional amount increases to $70 million upon maturity of December 2016 hedge on December 31, 2019.
June 2018 Hedge
Notional Amount$70 million
Effective DateJune 29, 2018
IndexOne month LIBOR
MaturityDecember 31, 2021
Fixed Rate2.98 %

The fair value of the interest rate swaps will beswap is included in other long term assets or liabilities, when applicable. As of March 31, 20192020 and December 31, 2018,2019, the fair value of the derivative financial instruments included in other long-term assets were $0.3 million and $0.5 million, respectively.was $0 for both periods. As of March 31, 20192020 and December 31, 2018,2019, the fair value of the derivative financial instruments included in other long-term liabilities were $1.3$3.3 million and $0.9$2.0 million, respectively. Fair value adjustments are recorded as an adjustment to accumulated other comprehensive earnings,AOCI, except that any gains and losses on ineffectiveness of the interest rate swap would be recorded as an adjustment to other expense (income), net. Fair value adjustments will be reclassified to interest expense in the period during which the hedged transaction affects earnings, whether upon termination or maturity. Hedge effectiveness is assessed quarterly. The Company determined that the interest rate swaps areswap is highly effective and, thus, there is no impact to the Company's consolidated statementsCompany’s Consolidated Statements of operations.Operations from changes in fair value. Upon maturity or termination, of the interest rate swap agreement, we will reclassify gains or losses, if any, on this derivative instruments from accumulated other comprehensive income (“AOCI”) to earnings. If the swap were terminated, based on interest rates in effect at March 31, 2019, we estimate that we would reclassify approximately $1.0 millioninstrument will be reclassified from AOCI to earnings during the next twelve months as the anticipated cash flows occur. Amountsearnings. There were no amounts reclassified for gains or losses on derivative instruments during the first quarter of 2019 were not material. 2020.

20

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Note I – Class A Redeemable Convertible Preferred9. Stock
On December 30, 2015, the Company issued 14,666,667 shares of its Series A Redeemable Convertible Preferred Stock ("Series A Preferred Stock") as part of the consideration for the acquisition of Clarient.  The Series A Preferred Stock had a face value of $7.50 per share for a total liquidation value of $110 million.  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 $6.82 ($7.50 minus the liquidation discount of 9.09%).  In December 2017, the Company issued 264,000 additional shares of preferred stock as a paid-in-kind dividend, resulting in a balance of 6,864,000 shares of Series A Preferred Stock outstanding at  March 31, 2018.  

On June 25, 2018, the Company redeemed the remaining outstanding preferred stock for an aggregate redemption amount of $50.1 million, prior to consideration of any transaction related expenses. The shares were redeemed at $7.30 per share, representing the applicable 4.55% redemption discount on the original liquidation preference plus an additional $0.14 per share in respect of accrued and unpaid dividends for 2018. Following the redemption, no shares of preferred stock remain outstanding. 

The gain or loss was calculated as the carrying value of the shares of preferred stock before the redemption of $37.8 million plus the amount of the beneficial conversion feature originally recorded with the redeemed shares of $21.3 million, as compared to the total consideration being paid, in this case the $50.1 million.

Issue Discount
Based Compensation
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$2.2 million and the liquidation value of $110 million represents a discount of $36.8 million from the initial face value representing the impact the rights and features of the instrument had on the value to the Company.  After the partial redemption, the Series A Preferred stock had 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 represented a discount of approximately $16.6 million.  
Beneficial Conversion Features(“BCF”)
The fair value of the common stock into which the Series A Preferred Stock was convertible exceeded the allocated purchase price fair value of the Series A Preferred Stock at the date of issuance and after the partial redemption in December of 2016 by approximately $44.7 and $20.1 million, respectively, resulting in a beneficial conversion feature.  The Company recognized the beneficial conversion feature as non-cash, deemed dividends to the holder of Series A Preferred Stock over the first three years the Series A Preferred Stock was outstanding, as the date the stock first becomes convertible was three years from the issue date.  In addition to the BCF recorded at the original issue date, we recorded additional BCF discounts for payment-in-kind shares accrued for the quarter ended March 31, 2018 as dividends.  
Classification
Prior to redemption, the Company classified the 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.
21

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Note J – Equity
We recorded approximately $2.1million and $1.6 million in stock based compensation expense for the three month periodsmonths ended March 31, 2020 and 2019, and 2018, respectively.
A summary of the stock option activity under the Company’s plans for the three months ended March 31, 20192020 is as follows:
 
Number of
Shares
Weighted Average Exercise Price
Options outstanding at December 31, 20186,839,417 $7.63 
Options granted688,084 $19.12 
Less:
Options exercised635,257 $6.23 
Options canceled or expired2,500 $8.04 
Options outstanding at March 31, 20196,889,744 $8.84 
Exercisable at Exercisable at March 31, 20192,584,373 $6.84 
18

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

Number of
Shares
Weighted Average Exercise Price
Options outstanding at December 31, 20195,318,759  $9.97  
Options granted571,316  $28.36  
Less:
Options exercised504,127  $7.58  
Options canceled or expired51,210  $14.61  
Options outstanding at March 31, 20205,334,738  $12.14  
Exercisable at March 31, 20202,535,621  $8.35  
The fair value of each stock option award granted during the three months ended March 31, 20192020 was estimated as of the grant date using a trinomial lattice model with the following weighted average assumptions:
 Three Months Ended
March 31, 20192020
Expected term (in years)3.04.0 - 4.55.5
Risk-free interest rate (%)2.5% 0.9%
Expected volatility (%)38.9%39.9% - 44.0%44.5%
Dividend yield (%)
Weighted average fair value/share at grant date$5.64 8.90
 
As of March 31, 2019,2020, there was approximately $7.5$8.2 million of unrecognized sharestock based compensation expense related to stock options that will be recognized over a weighted-average period of approximately 1.41.54 years.

A summary of the restricted stock activity under the Company’s plans for the three months ended March 31, 20192020 is as follows:
 
Number of Restricted
Shares
Weighted Average Grant Date Fair ValueNumber of Restricted
Shares
Weighted Average Grant Date Fair Value
Nonvested at December 31, 2018282,508 $9.01 
Nonvested at December 31, 2019Nonvested at December 31, 2019335,298  $15.75  
GrantedGranted182,502 $19.20 Granted88,736  $28.36  
VestedVested— $— Vested(37,674) $19.29  
Nonvested at March 31, 2019465,010 $13.01 
ForfeitedForfeited(4,585) $19.66  
Nonvested at March 31, 2020Nonvested at March 31, 2020381,775  $18.29  

As of March 31, 2020, there was approximately $4.4 million of unrecognized stock based compensation expense related to restricted stock that will be recognized over a weighted-average period of approximately 1.29 years.

Employee Stock Purchase Plan (ESPP)

We offerThe Company offers an ESPP through which eligible employees may purchase shares of our common stock at a discount of 15% of the fair market value of the Company’s common stock. 

During the three months ended March 31, 20192020 and 2018,2019, employees purchased 36,15434,330 and 36,92236,154 shares, respectively under the ESPP. The expense recorded for each ofthese periods was approximately $0.2 million and $0.1 million.


22

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Note K - Income Taxes

To calculate its interim tax provision, at the end of each interim period the Company estimates the annual effective tax rate and applies that to its ordinary quarterly earnings. The effect of changes in enacted tax laws or rates and excess tax benefits and tax deficiencies related to future stock option exercises are recognized in the interim period in which the change occurs. In addition, the effect of significant, unusual, or infrequent items are recognized in the interim period in which the event occurs. The computation of the annual estimated effective tax rate at each interim period requires certain estimates and significant judgment including, but not limited to, the expected operating income for the year, projections of the proportion of income earned and taxed in foreign jurisdictions, permanent and temporary differences between book and tax amounts, and the likelihood of recovering deferred tax assets generated in the current year. The accounting estimates used to compute the provision for income taxes may change as new events occur, additional information is obtained or the tax environment changes.

The income tax benefit for the three months ended March 31, 2019, relates primarily to pre-tax loss incurred for the period including the Health Discovery Corporation litigation (see Note L) for which the income tax benefit is recognized within the quarter. The Company’s effective tax rate of 45.5% for the three months ended March 31, 2019, differs from the federal statutory rate of 21% primarily due to permanent differences from stock compensation and losses in foreign jurisdictions with no associated tax benefit.
23

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited

Note L – Commitments and Contingencies

Legal Matters
The Company is involved in ongoing litigation with Health Discovery Corporation (“HDC”) regarding the use of certain licensed technology under a Master License Agreement (“MLA”) dated January 6, 2012 between the Company and HDC.  As required under the MLA, the parties were required to submit such matters in dispute under the MLA to binding arbitration. An arbitration hearing took place in December 2018, where the Company vigorously defended its legal rights and remedies pertaining to this licensing dispute. On April 25, 2019, the American Arbitration Association’s Panel of Arbitrators (the “Panel”) issued their ruling (the “Final Award”) which, in pertinent part, terminated the MLA, awarded $1.5 million, to HDC in connection with the claims SmartFlow infringes a valid patent and internal use by NeoGenomics was subject to milestone and royalty payments, and awarded $5.1 million to HDC with respect to the claim of lack of development and commercialization of SVM-CYTO. All other claims by HDC were denied. NeoGenomics’ request for a declaratory judgment was denied and its counterclaims were denied.
The Company is currently evaluating its options in connection with the Panel ruling; however, the Company recorded an accrual of $4.9 million, net of tax, for this matter for the quarter ended March 31, 2019.

respectively.
Note M –10. Related Party Transactions

On November 4, 2016, the Company entered into an amended and restated consulting agreement (the “Amended and Restated Consulting Agreement”) with Steven C. Jones, a director, officer and shareholder of the Company whereby Mr. Jones would provide consulting services to the Company in the capacity of Executive Vice President. The Amended and Restated Consulting Agreement has an initial term of November 4, 2016 through April 30, 2020, which automatically renews for additional one year periods unless either party provides notice of termination at least three months prior to the expiration of the initial term or any renewal term. On May 6, 2019, the Company and Mr. Jones entered into a letter agreement to modify certain provisions of the consulting agreement (the “Letter Agreement”)Amended and Restated Consulting Agreement which modifications included, by mutual agreement of the parties, the following: automatic expiration of the consulting agreementAmended and Restated Consulting Agreement on April 30, 2020 unless the parties mutually agree
19

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

to renew it in writing; a description of consulting services to be provided to the Company (the “Services”) with a target of up to 15 hours per month of working time and attention to the Company; a fixed monthly cash consulting fee in the amount of $5,000 per month for the provision of the Services; and continuation of health insurance coverage at the levels currently in effect. In addition, Mr. Jones relinquished the title of Executive Vice President effective as of April 4, 2019.
During the three months ended March 31, 20192020 and 2018,2019, Mr. Jones earned approximately $38,000$15,750 and $46,000,$38,000, respectively, for consulting work performed in connection with his duties as Executive Vice President and for reimbursement of related expenses. During the same period,three months ended March 31, 2020 and 2019, Mr. Jones also earned $12,500approximately $13,125 and $12,500, respectively, as compensation for his services on the Board. Mr. Jones also received approximately $58,000$0 and $32,000$58,000 during the three months ended March 31, 20192020 and 2018,2019, respectively, as payment of his annual bonus compensation for the previous fiscal years. The Company did not grant stock or restricted stock to any of its Board members, including Mr. Jones, during the three months ended March 31, 20192020 or March 31, 2018.
2019.
2420

NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Unaudited(unaudited)

Note N –11. Segment Information
The Company has two2 operating segments for which it recognizes revenue; Clinical Services and Pharma Services. Our Clinical Services segment provides various clinical testing services to community-based pathology practices, hospital pathology labs and academic centers with reimbursement from various payers including client direct billing, commercial insurance, Medicare and other government payers, and patients. Our Pharma Services segment supports pharmaceutical firms in their drug development programs by supporting various clinical trials and research.

We have presented theThe financial information reviewed by the ChiefChief Operating Decision Maker (“CODM”) including includes revenues, cost of revenue and gross margin for each of ourthe Company’s operating segments. Assets are not presented at the segment level as that information is not used by the CODM.

The following table summarizes the segment information for the three month periods ended March 31, 2019 and 2018, respectively (in thousands).    :
Three Months Ended March 31,
20192018
Net revenues:
Clinical Services$86,210 $56,971 
Pharma Services9,367 6,452 
Total Revenue$95,577 $63,423 
Cost of revenue:
Clinical Services$42,651 $31,042 
Pharma Services5,811 5,078 
Total Cost of Revenue$48,462 $36,120 
Gross Profit:
Clinical Services$43,559 $25,929 
Pharma Services3,556 1,374 
Total Gross Profit$47,115 $27,303 
Operating expenses:
General and administrative$32,142 $17,067 
Research and development1,209 956 
Sales and marketing11,216 6,775 
Total operating expenses44,567 24,798 
Income from Operations2,548 2,505 
Interest expense, net1,826 1,486 
Other expense (income)5,169 (63)
(Loss) income before taxes(4,447)1,082 
Income tax (benefit) expense(2,023)438 
Net (Loss) Income$(2,424)$644 

Three Months Ended March 31,
20202019
Net revenues:
Clinical Services$92,982  $86,210  
Pharma Services13,048  9,367  
Total revenue106,030  95,577  
Cost of revenue:
Clinical Services48,923  42,651  
Pharma Services10,738  5,811  
Total cost of revenue59,661  48,462  
Gross Profit:
Clinical Services44,059  43,559  
Pharma Services2,310  3,556  
Total gross profit46,369  47,115  
Operating expenses:
General and administrative36,344  32,142  
Research and development2,060  1,209  
Sales and marketing13,258  11,216  
Total operating expenses51,662  44,567  
(Loss) income from operations(5,293) 2,548  
Interest expense, net819  1,826  
Other (income) expense(223) 5,169  
Loss before taxes(5,889) (4,447) 
Income tax expense (benefit)1,089  (2,023) 
Net loss$(6,978) $(2,424) 



Note 12. Subsequent Event
On March 27, 2020, the President of the United States signed the Coronavirus Aid Relief, and Economic Security (“CARES”) Act into law. The Act includes several significant provisions for corporations, including the usage of net operating losses, interest deductions and payroll benefits. On April 13, 2020, the Company received a stimulus payment in the amount of $3.9 million related to the CARES Act which may partially offset losses in consolidated revenue due to the impact of the
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NEOGENOMICS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)


COVID-19 pandemic. The Company's ability to utilize the full amount received will depend on the guidelines and rules of the CARES Act, which have not yet been announced.
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NeoGenomics, Inc., a Nevada corporation, (referred to collectively with its subsidiaries as “NeoGenomics”, “we”, “us”, “our” or the “Company” in this Form 10-Q)10-Q) 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.
COVID-19 Considerations
In December 2019, a novel strain of coronavirus (“COVID-19”) was identified and the disease has since spread across the world, including the United States. In March 2020, the World Health Organization characterized COVID-19 as a pandemic. As a result, on April 9, 2020, the Company withdrew its previously issued 2020 guidance until the effects of the pandemic can be better assessed.
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NEOGENOMICS, INC.The Company has implemented significant actions to protect its employees while maintaining a continuity of critical oncology testing for cancer patients. Among other actions, the Company has de-densified laboratories and facilities, adjusted laboratory shifts, restricted visitors to facilities, restricted employee travel, implemented an Emergency Paid Time Off policy, provided remote work-environment training and support, and managed its supply chains. Importantly, all main laboratory facilities have remained open and there has been an uninterrupted continuity of high-quality testing services for clients. The Company's top priority remains the health and safety of employees and continued quality and service for all clients with a focus on patient care.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONSThe Company saw a material impact to volume growth rates and clinical test volume in the last two weeks of March and in April. Clinical test volume was down approximately 20% year-over-year in the last two weeks of March and volume continued to be impacted in April. Demand may continue to decrease from historically low levels depending on the duration and severity of the COVID-19 pandemic, the length of time it takes for normal economic and operating conditions to resume, additional governmental actions that may be taken and/or extensions of time for restrictions that have been imposed to date, and numerous other uncertainties. Such events may result in business disruption, reduced revenues and number of tests, any of which could materially affect our business, financial condition, and results of operations.

For additional information on risk factors related to the pandemic or other risks that could impact our results, please refer to “Risk Factors” in Part II, Item 1A of this Form 10-Q.

Overview
We operate a network of cancer-focused testing laboratories in the United States,,Europe and Asia. Our mission is to improve patient care through exceptional cancer-focused 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 March 31, 2019,2020, the Company had laboratory locations in Ft.Fort Myers and Tampa, Florida; Atlanta, Georgia; Aliso Viejo,, Carlsbad, Fresno and Fresno, San Diego, California; Houston, Texas; Atlanta, Georgia; Nashville, Tennessee; Rolle, Switzerland and Singapore.Singapore. The Company currently offers the following types of testing services:
a.Cytogenetics (karyotype analysis) (“karyotype analysis”) - the study of normal and abnormal chromosomes and their relationship to disease. ItCytogenetics involves analyzing the chromosome structure to identify changes from patterns seen in normal chromosomes. Cytogenetic studies are often performed to provide diagnostic, prognostic and occasionally predictive information for patients with hematological malignancies.
b.Fluorescence In-Situ Hybridization (“FISH”) - a molecular cytogenetic technique that focuses on detecting and localizing the presence or absence of specific DNA sequences and genes on chromosomes. The technique uses fluorescent probes that bind to only those parts of the chromosome with which they show a high degree of sequence similarity. Fluorescence microscopy is used to visualize the fluorescent probes bound to the chromosomes. FISH can be used to help identify numerous types of gene alterations, including amplifications, amplifications, deletions, and translocations.
c.Flow cytometry - a technique utilized to measure the characteristics of cell populations. Typically performed on liquid samples such as peripheral blood and bone marrow aspirate, it may also be performed on solid tissue
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samples such as lymph nodes following additional processing steps. Cells are labeled with selective fluorescent antibodies and analyzed as they flow in a fluid stream through a beam of light. The properties measured in these antibodies include the relative size, relative granularity or internal complexity, and relative fluorescence intensity. These fluorescent antibodies bind to specific cellular antigens and are used to identify abnormal and/or malignant cell populations. Flow cytometry is typically utilized in diagnosing a wide variety of hematopoietic and lymphoid neoplasms. Flow cytometry is also used to monitor patients during the course of therapy to identify extremely low levels of residual malignant cells, known as minimal residual disease (MRD). monitoring.
d.Immunohistochemistry (IHC) and Digital Imaging – Refers to the process of localizing cellular proteins in tissue sections and relies on the principle of antigen-antibody binding..binding. IHC is widely used in the diagnosis of abnormal cells such as those found in cancer. Specific surface membrane, cytoplasmic, or nuclear markers may be identified. IHC is also widely used to understand the distribution and localization of differentially expressed proteins. Digital imaging allows clients to visualize scanned slides, and also perform quantitative analysis for certain stains. Scanned slides are received online in real time and can be previewed often a full day before the glass slides can be shipped back to clients.
e.Molecular testing - a rapidly growing field which includes a broad range of laboratory techniques utilized in cancer testing. Most molecular techniques rely on the analysis of DNA and/or RNA, as well as the structure and function of genes at the molecular level. Molecular testing technologies include: DNA fragment length analysis; polymerase chain reaction (PCR) analysis; reverse transcriptase polymerase chain reaction (RT-PCR) analysis, real-time (or quantitative) polymerase chain reaction (pPCR) analysis; bi-directional Sanger sequencing analysis;and Next-Generation Sequencingnext-generation sequencing (NGS) analysis.
f.Morphologic analysis – refers to the process of analyzing cells under the microscope by a pathologist, usually for the purpose of diagnosis. Morphologic analysis may be performed on a wide variety of samples, such as peripheral blood, bone marrow, lymph node, and from other sites such as lung, breast, etc. The services provided at NeoGenomics may include primary diagnosis, in which a sample is received for processing and our pathologists provide the initial diagnosis; or may include secondary consultations, in which slides and/or tissue blocks are received from an outside institution for second opinion. In the latter setting, the expert pathologists at NeoGenomics assist our client pathologists on their most difficult and complex cases.
Clinical Services Segment
The clinical 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
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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. Community-based pathology practices and hospital pathology labs may order certain testing services on a technical component only (“TC” or “tech-only”) basis, which allows them to participate in the diagnostic process by performing the professional component (“PC”) interpretation services without having to hire laboratory technologists or purchase the sophisticated equipment needed to perform the technical component of the tests. We also support our pathology clients with interpretation and consultative services using our own specialized team of pathologists for difficult or complex cases and provide overflow interpretation services when requested by clients.
NeoGenomics is a leading provider of Molecular and next-generation sequencing (“NGS”) testing. These tests are interpreted by NeoGenomics’ team of Molecular experts and are often ordered in conjunction with other testing modalities. NGS panels are one of our fastest growing testing areas and clients can often receive a significant amount of biomarker information from very limited samples. These comprehensive panels can allow for faster treatment decisions for patients as compared to a series of single-gene molecular tests being ordered sequentially. NeoGenomics has one of the broadest Molecular menus in the industry and our targeted NeoTYPE panels include genes relevant to a particular cancer type, as well as other complementary tests such as immunohistochemistry and FISH. This comprehensive menu means that NeoGenomics can be a one-stop-shop for our clients who can get all of their oncology testing needs satisfied by our laboratory. This is attractive to our clients as patient samples do not need to be split and then managed across several laboratories. NeoGenomics expects our Molecular laboratory and NGS capabilities to be a key growth driver in the coming years.
In addition, we directly serve oncologyoncology, dermatology and other clinician practices that prefer to have a direct relationship with a laboratory for cancer-related genetic testing services. We typically service these types of clients with a comprehensive service offering where we perform both the technical and professional components of the tests ordered. Included in these service offerings are our COMPASS and CHART reports. COMPASS is a hematopathologist-directed multi-platform comprehensive evaluation, which includes an integrated assessment in the final COMPASS consultation report. CHART is a longitudinal patient report comprised of a series of COMPASS reports generated over time. In certain instances, larger clinician practices have begun to internalize some components of pathology services.When pathology interpretation services, are internalized, and our “tech-only”tech-only service offering allows these larger clinician practices to also participate in the diagnostic process by performing the PC interpretation services on TC testing
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performed by NeoGenomics. In these instances,, NeoGenomics will typically provide all of the more complex, Molecularmolecular testing services.
Pharma Services Segment
Our Pharma Services revenue consists of three revenue streams:
Clinical trials and research;
Validation laboratory services; and
Informatics
Our Pharma Services segment supports pharmaceutical firms in their drug development programs by supporting various clinical trials and research. 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 provideprovides key analysis and insights back to the sponsors.
Our Pharma Services segment provides comprehensive testing services in support of our pharmaceutical clients’ oncology programs from discovery to commercialization. In biomarker discovery, our aim is to help our customers discover the right 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 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. Weoversight.We have experience in supporting submissions to the Federal Food and Drug Administration (“FDA”) for companion diagnostics. Our Pharma Services strategy is focused on helping bring more effective oncology treatments to market through providing world classworld-class laboratory services in oncology to key pharmaceutical companies in the industry.
We believe that NeoGenomics is uniquely positioned to service Pharma sponsors across the full continuum of the drug development process. Our Pharma Services revenue consiststeam can work with them during the basic research and development phase as compounds come out of three revenue streams:translational research departments as well as work with clients from Phase 1 clinical trials through Phases II and III as the sponsors work to prove the efficacy of their drugs. The laboratory biomarker tests that are developed during this process may become companion diagnostic, or CDx tests, that will be used on patients to determine if they could respond to a certain therapy. NeoGenomics is able to offer these CDx tests to the market immediately after FDA approval as part of our Day 1 readiness program. This ability helps to speed the commercialization of their drug and enables Pharma sponsors to reach patients through NeoGenomics broad distribution channel in the Clinical Services segment.
ClinicalWe are building informatics and data-related tools to leverage our unique market position and oncology expertise to help our stakeholders solve real-world problems such as identifying patients for clinical trials or providing clinical decision support tools for physicians and research;
Validation laboratory services; and
Data services.providers.
20192020 Focus Areas:
We are committed to improving patient care while being an innovative leader in our industry. Over the past year,two years we have grown our business organically as well as through the acquisition of Genesis Acquisition Holding Corp (“Genesis”), and its wholly owned subsidiary, Genoptix, Inc. (“Genoptix”, and collectively with its subsidiaries and Genesis, referred to herein as “Genoptix”) in December of 2018. We have continued to expand internationally with2018, as well as the openingacquisition of a laboratory in Singapore.the Oncology Division assets of Human Longevity, Inc. (“HLI - Oncology”). Our plansfocus for 2019 include2020 includes initiatives to drive profitable growth while successfully integrating Genoptixpursuing innovation and maintaining exceptional service levels. We expect these initiatives to continue to position ourallow the Company to becontinue becoming one of the world’s leading cancer testing and information company.
Strengthen Our World-Class Culture
Our belief is that a culture of motivated and engaged employees will deliver superior service to our clients. We are focused on continuing to strengthenEnhancing our culture to closely align with the values of our Company is a key priority. We will invest in the development of our people by actively seeking feedbackcreating mentoring, coaching and ideas from employeestraining opportunities to enhance and capitalize on ways to innovate and growthe talent within our
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business. We will foster employee engagement through collaborative forums, frequent team dialogue and programs to reward teams for exceptional performance.
Enhancing our culture to closely align with the values of our Company is a key priority. We will focus on creating a unified culture as we bring Genoptix and NeoGenomics employees together to become one team. We will create mentoring and training opportunities to enhance and capitalize on the talent within our Company. We believe these initiatives will foster a culture of accountability and empowerment. We also believe these initiatives are necessary to ensure the success of our Company.
CommunicationWe actively promote the health and well-being of our employees. We recognize that health goes beyond greater health benefits and preventative care and includes the quality of the physical work environment and programs that encourage social responsibility and community engagement.
Additionally, inclusive communication is a key element in our high performance culture. Through effectiveEffective communication we facilitatefacilitates collaboration and enhances our employees’ understanding of our Company’s priorities and how they contributetheir contributions to the Company’s overall objectives. We believe ourwill foster employee engagement through collaborative forums, frequent team dialogue and recognition programs to reward teams for exceptional performance. Our employee retention rate is above average for the laboratoryour industry and continuing to strengthen our culture will enable us to continually recruit and retain talented employees.world-class talent.
Continue to Provide Uncompromising Quality and Exceptional Service
Maintaining the highest quality laboratory operations and service levels has enabled us to consistently grow our business. We are continuously looking for ways to improve quality and in integrating Genoptix and NeoGenomics, we will identifyimplement best practices and implement changes to streamline processes across the organization.processes. We are keenly focused on increasing automation and looking forwith solutions that will maintain quality while improving efficiency in operations.
We plan towill continue to grow a culture of quality through company-wideour leadership, coaching and employee engagementtraining initiatives. Through training, weWe aim to empower our employees to understand the importance of quality and how to ensure qualitydeliver high-quality results in their respective function. We will implement initiatives to significantlymeasure and improve the Corrective and Preventative Actions (“CAPA”) processturnaround times while maintaining a culture of quality, which we expect will continue to ensure FDA readiness and will challenge employees to identify quality issues and find solutions.
We have been successful in retaining clients while also gaining market share. As we integrate Genoptix,meet or exceed our goal is to ensure that we maintain the highest quality operation.customers' expectations.
Pursue Exceptional ServiceInnovation and Growth
Our plans for 20192020 include initiatives to continue to drive profitable growth.growth and innovate. We will continue to pursue market share gains by providing high complexity, cancer-related laboratory testing services to hospitals, community-based pathology and oncology practices, academic centers, clinicians, and pharmaceutical companies. Additionally, we will focus on continued reimbursement effectiveness through improving coverage, streamlining processes and providing clients more efficient, automated ordering methods, which we believe will continue to fuel our growth and market share.
Our laboratory and informatics teams will continue focus on service by improving the customer experience. We intend to accomplish this through the developmentnew assays and launch of innovative assays, informatics productsproduct offerings, including continued progress towards liquid biopsy, minimal residual disease (“MRD”) and companion diagnostics as well as enhancements to our educational programs.other high-quality tests. We expect this to result in increased product and process understanding, increased ability to gain market share as well as enabling us to maintain our high levels of client retention.
We will work to maintain ourOur broad and innovative test menu of molecular, including NGS, immunohistochemistry, and other testing which has helped make us a “one stop shop” for many clients who value that all of their testing can be sent to one laboratory. We believe successfully integrating Genoptix and NeoGenomics' operations will allow us to increase efficiency and reduce cost per test. We will continue to look for growth opportunities through mergers and/or acquisitions and 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 time frame. We are also focused on investing in business development and informatics capabilities to partner with our key stakeholders, including patients, providers, payers and pharmaceutical companies to provide solutions to current or near-term problems that they face.
Competitive Strengths
In addition to the competitive strengths discussed below, the Company believes that its superior testing technologies and instrumentation, laboratory information system, client education programs and broad domestic and growing international presence also differentiatedifferentiates NeoGenomics from its competitors.
Turnaround Times
We strive to provide industry leading turnaround times for test results to our clients nationwide, both in the Clinical Services and Pharma Services segments. By providing information to our clients in a rapid manner, physicians can begin treating their patients as soon as possible. Our consistent timeliness of results inby our Clinical Services segment 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. Additionally, we believe that our rapid turnaround time on testing and our project milestones are a key differentiator in theour Pharma Services segment.
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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 March 31, 2019,2020, we employed or are contracted with approximately 100 full-time MDsover 120 M.D.s and PhDs. Ph.Ds. We have many nationally and world-renowned pathologists on staff, which is a key differentiator from many smaller laboratories. Our clinical customers look to our staff and their expertise and they often call our medical team on challenging cases. For our Pharma Services segment, many sponsors work with our medical team on their study design and on the interpretation of results from the studies. Our medical team is a key differentiator as we have a depth of medical expertise that many other laboratories cannot offer to Pharmaceutical companies.
Innovative Service Offerings
We believe 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 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 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 thetheir testing results for them.results. 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.
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 componentbelieve we have one of the broadest Molecular and Next Generation Sequencing test menus in the world, with approximately 13,300 NGS tests and our M.D.s and Ph.Ds. providecompleted in the servicefirst quarter of interpreting2020. Clients have the resultsability to order single gene molecular tests, targeted NeoTYPE panels that include the relevant actionable genes for a particular cancer type as well as large NGS panels. Our Pharma Services Division offers a full range of those tests.sequencing testing including whole exome sequencing. Our professional staff is also availablemenu enables us to be a true one-stop-shop 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 requirementsas we can meet all 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.oncology testing needs.
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 ten regions.five regions - Northeast, Southeast, North Central, South Central and West. Our Pharma Services segment has a dedicated team of business development specialists who are experienced in working with pharma sponsors and helping them with the testing needs of their research and development projects as well as Phase 1-3I, II and III studies. These sales representatives utilize our custom Customer Relationship Management System (“CRM”) to manage their territories, and we have integrated all of the important customer care functionality within our LISLaboratory Information Services (“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. Our sales force educates clients on new test offerings and their proper utilization and our representatives are often seen as trusted advisors by our clients.
Seasonality
The majority of our clinical testing volume is dependent on patients being treated by hematology/oncology professionals and other healthcare providers. The volume of our testing services generally declines modestly during the summer vacation season, year-end holiday periods and other major holidays, particularly when those holidays fall during the middle of the week. In addition, the volume of our testing tends to decline due to extreme adverse weather conditions, such as excessively hot or cold spells, heavy snow, hurricanes or tornadoes in certain regions, consequently reducing revenues and cash flows in any affected period.
In our Pharma Services segment, we enter into both short term and long term contracts, ranging from one month to several years. While the volume of this testing is not as directly affected by seasonality as described above, the testing volume does vary based on the terms of the contract. Our volumes are often based on how quickly sponsors can get patient enrollees for their trials and seasonality can impact how quickly they can get patients enrolled. Many of our long term contracts contain specific performance obligations where the testing is performed on a specific schedule. This results in revenue that is not consistent among periods. In addition, this results in backlog that can be significant.
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Results of Operations for the Three Months Ended March 31, 2020 as Compared to the Three Months Ended March 31, 2019
The following table presents the Consolidated Statements of Operations as a percentage of revenue:
 Three Months Ended March 31,
 20202019
Net revenue100.0 %100.0 %
Cost of revenue56.3 %50.7 %
Gross Profit43.7 %49.3 %
Operating expenses:
General and administrative34.3 %33.6 %
Research and development1.9 %1.3 %
Sales and marketing12.5 %11.7 %
Total operating expenses48.7 %46.6 %
Loss (income) from operations(5.0)%2.7 %
Interest expense, net0.8 %1.9 %
Other (loss) income(0.2)%5.4 %
Loss before taxes(5.6)%(4.7)%
Income tax expense (benefit)1.0 %(2.1)%
Net loss(6.6)%(2.5)%
Clinical and Pharma Services revenue for the periods presented are as follows ($ in thousands):
 Three Months Ended March 31,
20202019$ Change% Change
Net revenues:
Clinical Services$92,982  $86,210  $6,772  7.9 %
Pharma Services13,048  9,367  3,681  39.3 %
Total Revenue$106,030  $95,577  $10,453  10.9 %
Revenue
Clinical Services revenue for the three month period ending March 31, 2020 increased $6.8 million when compared to the same period in 2019. Testing volumes also increased in our clinical genetic testing business by approximately 6.9% for the three month period ending March 31, 2020 compared to the same period in 2019. The increases in revenue and volume primarily reflect a more favorable test mix as well as the benefit of reimbursement initiatives. This growth was offset by a decline in overall Clinical Services testing volume in the second half of March related to the COVID-19 pandemic.
Pharma Services revenue for the three month period ended March 31, 2020 increased $3.7 million compared to the same period in 2019, primarily due to the impact of the acquisition of HLI - Oncology. This growth was offset by an overall decrease in revenue due to the COVID-19 impact. In addition, our backlog of signed contracts has continued to grow from $130.3 million as of December 31, 2019 to $147.7 million as of March 31, 2020. We expect this backlog to result in higher revenues in future quarters.
The following table shows Clinical Services revenue, cost of revenue, requisitions received and tests performed for the three months ended March 31, 2020 and 2019. This data excludes tests performed for Pharma customers.
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spells, heavy snow, hurricanes or tornados in certain regions, consequently reducing revenues and cash flows in any affected period.
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, 2018, as filed with the SEC on February26, 2019 and as amended and filed with the SEC on May 8, 2019, for a detailed description of our business.

Results of Operations for the Three Months Ended March 31, 2019 as Compared to the Three Months Ended March 31, 2018 
The following table presents the consolidated statements of operations as a percentage of revenue:
 Three Months Ended March 31,
 2019 2018 
Net revenue100.0 %100.0 %
Cost of revenue50.7 %57.0 %
Gross Profit49.3 %43.0 %
Operating expenses:
General and administrative33.6 %26.9 %
Research and development1.3 %1.5 %
Sales and marketing11.7 %10.7 %
Total operating expenses46.6 %39.1 %
Income from operations2.7 %3.9 %
Interest expense, net1.9 %2.3 %
Other expense5.4 %(0.1)%
Income (loss) before income taxes(4.7)%1.7 %
Income tax expense (benefit)(2.1)%0.7 %
Net income (loss)(2.5)%1.0 %
The following table presents consolidated net revenue for the test type indicated ($ in thousands):
 Three Months Ended March 31,
 2019 2018$ Change% Change
Clinical Services$86,210 $56,971 $29,239 51.3 %
Pharma Services9,367 6,452 2,915 45.2 %
Total Revenue$95,577 $63,423 $32,154 50.7 %
Revenue
Clinical Services revenue for the three month period ending March 31, 2019 increased $29.2 million, compared to the same period in 2018.  Testing volumes also increased in our clinical genetic testing business by approximately 31.1%for the three month period ending March 31, 2019 compared to the same period in 2018. The increases in revenue and volume primarily reflect the acquisition of Genoptix, organic volume growth, as well as the benefit of reimbursement initiatives. We continue to negotiate managed care and group purchasing contracts to increase our in-network coverage, which should improve reimbursement rates and facilitate the addition of new accounts.
Pharma Services revenue for the three month period ended March 31, 2019 increased $2.9 million, compared to the same period in 2018.  In addition, our backlog of signed contracts has continued to grow from $98.9 million as of December 31, 2018 to $100.8 million as of March 31, 2019. The expansion of our Pharma facility in Houston, Texas, provides additional capacity to manage this backlog. We expect this backlog to result in higher revenues in future quarters.

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We also expect to achieve accelerating revenue growth in our Pharma Services segment due to our international presence. In addition to our laboratory in Rolle, Switzerland, we announced a global strategic partnership with Pharmaceutical Product Development, LLC (“PPD”) in 2018, and continued our international expansion including the opening of a laboratory in Singapore.
The following table shows Clinical Services revenue, cost of revenue, requisitions received and tests performed for the three months ended March 31, 2019 and 2018.  This data excludes tests performed for Pharma customers.
Testing revenue and cost of revenue are presented in thousands below:
Three Months Ended March 31,Three Months Ended March 31,
2019 2018% Change20202019% Change
Requisitions received (cases)155,963 105,229 48.2 %
Clinical Services:Clinical Services:
Requisitions (cases) receivedRequisitions (cases) received144,319  137,111  5.3 %
Number of tests performedNumber of tests performed234,317 178,794 31.1 %Number of tests performed250,376  234,317  6.9 %
Avg. number of tests/requisition1.50 1.70 (11.6)%
Average number of tests/requisitionsAverage number of tests/requisitions1.73  1.71  1.2 %
Total clinical services testing revenue$86,210 $56,971 51.3 %
Total clinical testing revenueTotal clinical testing revenue$92,982  $86,210  7.9 %
Average revenue/requisitionAverage revenue/requisition$553 $541 2.1 %Average revenue/requisition$644  $629  2.4 %
Average revenue/testAverage revenue/test$368 $319 15.5 %Average revenue/test$371  $368  0.8 %
Cost of revenueCost of revenue$42,651 $31,042 37.4 %Cost of revenue$48,923  $42,651  14.7 %
Average cost/requisitionAverage cost/requisition$273 $295 (7.3)%Average cost/requisition$339  $311  9.0 %
Average cost/testAverage cost/test$182 $174 4.8 %Average cost/test$195  $182  7.1 %
 
We continue to realize growth in our clinical testing revenue,, which we believe is the direct result of our efforts to innovate by developing and maintaining one of the most comprehensive cancer testing menus in the industry. Our broad test menu enables our sales teams to identify opportunities for increasing revenues from existing clients and allows us to gain market share from competitors as well as attract new clients looking for a one-stop shop.
Average revenue per test increased 15.5% for the three month periodended March 31, 2019, compared to the corresponding period in 2018. These changes reflect the acquisition of Genoptix as well as the positive impact of our internal reimbursement initiatives, partially offset by changes in Medicare reimbursement and regulation.
Cost of Revenue and Gross Profit
Average cost per test increased 4.8%increased 0.8% for the three month period ended March 31, 2019,2020 compared to the corresponding period in 2018, primarily reflecting2019. The increase reflects a more favorable test mix and the acquisitionpositive impact of Genoptix. This increase was partially offset by increased automation in our laboratories as well as the benefitinternal reimbursement initiatives.
Cost of increased economies of scale.  In addition, our laboratory teams have been extremely focused on reducing theirRevenue and Gross Profit
Average cost per test across all departments. increased 7.1% for the three month period ended March 31, 2020, compared to the corresponding period in 2019, reflecting the impact of payroll and payroll related costs in addition to the impact of COVID-19.
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.
The consolidated cost of revenue and gross profit metrics are as follows:
 Three Months Ended March 31,
($ in thousands)20202019% Change
Cost of revenue:
Clinical Services$48,923  $42,651  14.7 %
Pharma Services10,738  5,811  84.8 %
Total cost of revenue$59,661  $48,462  23.1 %
Cost of revenue as a % of revenue56.3 %50.7 %
Gross profit:
Clinical Services$44,059  $43,559  1.1 %
Pharma Services2,310  3,556  (35.0)%
Total gross profit$46,369  $47,115  (1.6)%
Gross profit margin43.7 %49.3 %
Consolidated cost of revenue in dollars increased for the three months ended March 31, 2020 when compared to the same period in 2019. Cost of revenue as a percentage of revenue increased year-over-year. These increases in cost of revenue are largely due to an increase in payroll-related costs.
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The consolidated cost of revenue and grossGross profit metrics are as follows ($ in thousands):
 Three Months Ended March 31,
2019 2018 % Change
Cost of revenue:
Clinical Services$42,651 $31,042 37.4 %
Pharma Services5,811 5,078 14.4 %
Total Cost of Revenue$48,462 $36,120 34.2 %
Cost of revenue as a % of revenue50.7 %57.0 %
Gross Profit:
Clinical Services$43,559 $25,929 68.0 %
Pharma Services3,556 1,374 158.8 %
Total Gross Profit$47,115 $27,303 72.6 %
Gross Profit Margin49.3 %43.0 %
Consolidated cost of revenue in dollars increasedmargin decreased for the three months ended March 31, 2019 when2020, compared to the same period in 2018 while cost of revenue as a percentage of revenue decreased year-over-year.  These increases in cost of revenue are largely2019, primarily due to the acquisition timing of Genoptix.
Gross profit margin increased for the three months ended March 31, 2019, comparedPharma Services revenue, higher costs due to the same period in 2018. Gross margin improvement reflectsintegration of Genoptix and additional testing capacity which was unused due to the impact of volume growth, higher revenue per test, productivity gains, and cost efficiencies.COVID-19.
General and Administrative Expenses
General and administrative expenses consist of employee-relatedpayroll and payroll related costs (salaries and fringe benefits) for our billing, finance, human resources, information technology and other administrative personnel as well as stock-based compensation.compensation. We also allocate professional services, facilities expense, IT infrastructure costs, depreciation, amortization and other administrative-related costs to general and administrative expenses.
Consolidated general and administrative expenses for the periods presented are as follows: 
Three Months Ended March 31, Three Months Ended March 31,
($ in thousands)($ in thousands)2019 2018 $ Change% Change($ in thousands)20202019$ Change% Change
General and administrativeGeneral and administrative$32,142 $17,067 $15,075 88.3 %General and administrative$36,344  $32,142  $4,202  13.1 %
As a % of revenueAs a % of revenue33.6 %26.9 %As a % of revenue34.3 %33.6 %

General and administrative expenses increased $15.1$4.2 million for the three month periodmonths ended March 31, 2019,2020, compared to the same period in 2018.2019. The increase reflectsreflects transaction costs and incremental expenses related to the acquisition of GenoptixHLI - Oncology as well as higher payroll and payroll related expensescosts due to increases in headcount. Additionally, these expenses include approximately $1.3 million in acquisitionpersonnel to support our near and long-term growth. Acquisition and integration costs related costs.to HLI - Oncology were approximately $1.3 million for the three months ended March 31, 2020.
We expect our general and administrative expenses to increase in total but remain stabledecrease as a percentage of revenue as we add employee and compensation expenses, incur additional expenses associated with the expansion of our facilities,, and as we continue to expand our physical and technological infrastructure to support our anticipated growth.
Research and Development Expenses
Research and development expenses relate to costscosts of developing new proprietary and non-proprietary genetic tests, including payroll and payroll related costs, maintenance and depreciation of laboratory equipment, laboratory supplies (reagents), and outside consultants and experts assisting our research and development team.
Consolidated research and development expenses for the periods presented are as follows: 
 Three Months Ended March 31,
($ in thousands)2019 2018 $ Change% Change
Research and development$1,209 $956 $253 26.4 %
As a % of revenue1.3 %1.5 %
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 Three Months Ended March 31,
($ in thousands)20202019$ Change% Change
Research and development$2,060  $1,209  $851  70.4 %
As a % of revenue1.9 %1.3 %
 
Research and development expenses increased $0.3increased $0.9 million for the three months ended March 31, 2019,2020, compared to the same period in 2018.2019. This increase reflects the acquisition of Genoptix as well asincrease was driven by investments in personnelnew test development, particularly in our Next-Generation Sequencing and assay development.FDA initiatives.

We anticipate research and development expenditures will increase in future quarters as we 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 March 31, Three Months Ended March 31,
($ in thousands)($ in thousands)2019 2018 $ Change% Change($ in thousands)20202019$ Change% Change
Sales and marketingSales and marketing$11,216 $6,775 $4,441 65.5 %Sales and marketing$13,258  $11,216  $2,042  18.2 %
As a % of revenueAs a % of revenue11.7 %10.7 %As a % of revenue12.5 %11.7 %
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Sales and marketing expenses increased $4.4$2.0 million for the three months ended March 31, 20192020, when compared to the same period in 2018.2019. This increase primarily reflects the acquisitionexpansion of Genoptixour sales team, as well as higher commissions due to our increase in revenues,the expansion of our sales team and continued investment in marketing. We expect higher commissions expense in the coming quartersyears as the sales representatives’ continue generating new business with a focus on oncology office sales. We expect our sales and marketing expenses over the long term to increase as our test volumes increase.align with changes in revenue.
Interest Expense, net
Net interest expense is comprised of interest incurred on our term debt,loan, revolving credit facility and our other financing obligations offset by the interest income we earn on cash deposits.balances. Net interest expense for the three months ending March 31, 2019 increased 22.9%2020 decreased 55.1%, or $0.3$1.0 million, compared to the same period in 2018.These increases reflect changes in interest rates as well as the additional $30 million term loan entered into in the second quarter of 2018.2019. We expect our interest expense to fluctuate based on timing of advances and payments on our revolving credit facility.facility as well as changes in interest rates and cash balances.
Earnings Per Share
The following table provides consolidated net loss available to common stockholders for each period along with the computation of basic and diluted net loss per share for the three months ended March 31, 20192020 and 20182019 (in thousands, except per share amounts)
Three Months Ended March 31, Three Months Ended March 31,
2019 2018 20202019
NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS$(2,424)$(2,212)
Net loss available to common shareholdersNet loss available to common shareholders$(6,978) $(2,424) 
Basic weighted average shares outstandingBasic weighted average shares outstanding94,740 80,507 Basic weighted average shares outstanding104,484  94,740  
Effect of potentially dilutive securities— — 
Diluted weighted average shares outstandingDiluted weighted average shares outstanding94,740 80,507 Diluted weighted average shares outstanding104,484  94,740  
Basic net loss per shareBasic net loss per share$(0.03)$(0.03)Basic net loss per share$(0.07) $(0.03) 
Diluted net loss per shareDiluted net loss per share$(0.03)$(0.03)Diluted net loss per share$(0.07) $(0.03) 
 
Non-GAAP Measures

Use of Non-GAAP Financial Measures
The Company’s financial results and financial guidance are provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”)GAAP and using certain non-GAAP financial measures. Management believes that the presentation of operating results using non-GAAP financial measures provides useful supplemental information to investors and facilitates the analysis of
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the Company’s core operating results and comparison of core operating results across reporting periods and between entities.periods. 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 ourthe Company’s 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 measuresMeasures

Non–GAAPNon-GAAP Adjusted EBITDA

We define “EBITDA”“Adjusted EBITDA” is defined by NeoGenomics as net income from continuing operations before: (i) interest expense, (ii) tax expense, (iii) depreciation and amortization expense.
Non–GAAP Adjusted EBITDA
“Adjusted EBITDA” is defined by NeoGenomics as net income (loss) 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, acquisition-related transaction(v) acquisition and integration related expenses, (vi) non-cash impairments of intangible assets, (vii) debt financing costs, (viii) and other significant non-recurring or non-operating (income) or expenses.

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 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 analysis that is consistent with financial models developed by independent research analysts.
EBITDA and Adjusted EBITDA (as defined by us) are not measurements under GAAP and may differ from non-GAAP measures used by other companies.  We believe there are limitations inherent in non-GAAP financial measures such as EBITDA and Adjusted EBITDA because they exclude a variety of charges and credits that are required to be included in a GAAP presentation, and do not therefore present the full measure of NeoGenomics' recorded costs against its net revenue.  Accordingly, we encourage investors to consider both non-GAAP results together with GAAP results in analyzing our financial performance.
The following is a reconciliation of GAAP net income (loss)loss to Non-GAAP EBITDA and Adjusted EBITDA for the three months ended March 31, 2019:2020:
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Three Months Ended March 31, 2019
2019 2018
Net Income (Loss) (GAAP)$(2,424)$644 
Adjustments to Net Income:
Interest expense, net1,826 1,486 
Income tax (benefit) expense(2,023)438 
Amortization of intangibles2,559 1,413 
Depreciation5,271 3,633 
EBITDA$5,209 $7,614 
Further Adjustments to EBITDA:
Acquisition and integration related expenses1,266 — 
Other significant non-recurring expense5,145 — 
Non-cash, stock-based compensation2,139 1,624 
Adjusted EBITDA (non-GAAP)$13,759 $9,238 
Three Months Ended March 31,
(in thousands)20202019
Net loss (GAAP)$(6,978) $(2,424) 
Adjustments to net income:
Interest expense, net819  1,826  
Income tax expense (benefit)1,089  (2,023) 
Amortization of intangibles2,452  2,559  
Depreciation6,240  5,271  
EBITDA (non-GAAP)$3,622  $5,209  
Further adjustments to EBITDA:
Acquisition and integration related expenses1,296  1,266  
Other significant non-recurring expenses(30) 5,145  
Non-cash, stock-based compensation expense2,186  2,139  
Adjusted EBITDA (non-GAAP)$7,074  $13,759  
Accounts Receivable
Clinical Services
Accounts receivable are reported for all clinical services payers based on the amount expected to be collected, which considers implicit price concessions. Implicit price concessions represent differences between amounts billed and the estimated consideration the Company expects to receive based on negotiated discounts, historical collection experience and other anticipated adjustments, including anticipated payer denials.
Pharma Services
The Company negotiates billing schedules and payment terms on a contract-by-contract basis which often includes payments based on certain milestones being achieved. Receivables are generally reported over time based on the number of units completed, which aligns with the progress of the Company towards fulfilling its obligations under the contract.
Liquidity and Capital Resources
To date, we have financed our operations primarily through cash generated from operations, public and private sales of equity securities, borrowings against our accounts receivables balances and bank debt.debt borrowings.
The following table presents a summary of our consolidated cash flows for operating, investing and financing activities for the three months ended March 31, 20192020 and 20182019 as well balances of cash and cash equivalents and working capital (in thousands).capital:

 Three Months Ended
March 31,
 2019 2018
Net cash provided by (used in):  
Operating activities$6,097 $14,312 
Investing activities(3,196)(4,666)
Financing activities483 (7,249)
Effects of foreign exchange rate changes on cash and cash equivalents— (45)
Net change in cash and cash equivalents3,384 2,352 
Cash and cash equivalents, beginning of period$9,811 $12,821 
Cash and cash equivalents, end of period$13,195 $15,173 
Working Capital,(1) end of period
$43,242 $44,468 
 Three Months Ended March 31,
 (in thousands)20202019
Net cash provided by (used in):  
Operating activities$(6,933) $6,097  
Investing activities(41,708) (3,196) 
Financing activities617  483  
Net change in cash, cash equivalents and restricted cash(48,024) 3,384  
Cash, cash equivalents and restricted cash, beginning of period$173,016  $9,811  
Cash, cash equivalents and restricted cash, end of period$124,992  $13,195  
Working Capital (1), end of period
$147,793  $43,242  
 
(1) Defined as current assets less current liabilities.
Cash Flows from Operating Activities
During the three months ended March 31, 2020, cash flows used in operating activities were $6.9 million, a $13.0 million decrease compared to the same period in 2019, consisting of a net loss of $7.0 million and the cash flow impact of net decreases in operating assets and liabilities of $12.9 million, primarily driven by increases in accounts receivable, inventory and funds distributed for the construction of the new headquarters facility. The decrease in cash used in operating activities was partially offset by net adjustments to the net loss of $13.0 million. Receivables have increased year-over-year due to increases in revenue as well as timing of cash receipts. Inventory increased due to higher spend on materials to mitigate the risk of potential supply chain disruptions resulting from the COVID-19 pandemic. As of March 31, 2020, we have paid $3.3 million related to the construction of the new headquarters facility from the restricted cash escrow account.
Cash Flows from Investing Activities
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Cash Flows from Operating Activities
During the three months ended March 31, 2019,2020, cash flows from operatingused in investing activities were $6.1was $41.7 million, a $8.2an increase of approximately $38.5 million decreasecompared to the same period in 2018.  The decrease2019. This was primarily due to an increase in accounts receivablethe acquisition of $8.1 millionthe Oncology Division of HLI as well as an increase in inventory of $1.0 million, offset by a decrease in the change related to accounts payable and other accrued expenses of $2.3 million as compared to the prior year. Our receivables have increased over this period due to increases in revenue. Total accrued expenses reflects higher payroll and payroll-related expenses and increased accrued expenses associated with higher test volumes and strategic initiatives. The change in cash flows from operations is also due to our net lossused for the period ending March 31, 2019 compared to our net income for the period ended March 31, 2018.capital expenditures.
Cash Flows from InvestingFinancing Activities
During the three months ended March 31, 2019, cash used in investing activities was $3.2 million, a decrease of approximately $1.5 million compared to the same period in 2018, primarily due to costs incurred for the construction of our laboratory in Houston, Texas in 2018.  
Cash Flows from Financing Activities
During the three months ended March 31, 2019,2020, cash provided by financing activities was $0.6 million compared to $0.5 million as compared to cash used in financing activities of $7.2 million in the same period in 2018.2019. Cash provided by financing activities during the three months ended March 31, 20192020 consisted primarily of $3.5 million from the net cash proceedsissuance of $4.2 million fromcommon stock, option exercises,primarily offset by net repayment of the term loan and other financefinancing obligations of $3.8$2.8 million.
Credit Facility
WeOn June 27, 2019, the Company entered into a new senior secured credit facility in December 2016, which was subsequently amended in June 2018 to include additional loan capacity.agreement (“New Credit Agreement”) with PNC Bank National Association. For further details regarding the new agreement, see Note 7. Debt. In order to reduce our exposure to interest rate fluctuations on this floating rate debt obligation, we entered into interest rate swap agreements. For more information on these hedging instruments, see Note H8. Derivative Instruments and Hedging Activities, to the 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 $13.2$86.3 million in unrestricted cash and cash equivalents as of March 31, 2019.2020. In addition, we have a Revolving Facility whichthe senior secured credit agreement provides for up to $75$250.0 million in borrowing capacity of which $5approximately $96.0 million is outstanding at March 31, 2019.2020. Based on our level of Adjusted EBITDA and the balance drawn, approximately $70$102.8 million waswas available at that same date. We believe that the cash on hand, available credit lines and positive cash flows generated from operationscollections 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.
Capital Expenditures
We currently forecast capital expenditures in order to execute on our business plan and maintain growth; however, the actual amount and timing of such capital expenditures will ultimately be determined by the volume of business. We currently anticipate that our cash payments for capital expenditures for the year ending December 31, 20192020 will be in the range of $16$25 million to $20$30 million. During the three months ended March 31, 2019,2020, we purchased, with cash, approximately $5.2$4.7 million of capital equipment, software and leasehold improvements of which $2.0 million was acquired through capital lease obligations.improvements. We have historically funded and plan to continue funding these capital expenditures with lease financing arrangements,obligations, 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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There have been no significant changes to our critical accounting policies from those disclosed in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, except for the adoption of new accounting standards, including the new standard related to standards.
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leases. For further details regarding our leases, see Note C.

Related Party Transactions
On November 4, 2016, the Company entered into an amended and restated consulting agreement (the “Amended and Restated Consulting Agreement”) with Steven C. Jones, a director, officer and shareholder of the Company whereby Mr. Jones would provide consulting services to the Company in the capacity of Executive Vice President. The Amended and Restated Consulting Agreement has an initial term of November 4, 2016 through April 30, 2020, which automatically renews for additional one year periods unless either party provides notice of termination at least three months prior to the expiration of the initial term or any renewal term. On May 6, 2019, the Company and Mr. Jones entered into a letter agreement to modify certain provisions of the consulting agreement (the “Letter Agreement”)Amended and Restated Consulting Agreement which modifications included, by mutual agreement of the parties, the following: automatic expiration of the consulting agreementAmended and Restated Consulting Agreement on April 30, 2020 unless the parties mutually agree to renew it in writing; a description of consulting services to be provided to the Company (the “Services”) with a target of up to 15 hours per month of working time and attention to the Company; a fixed monthly cash consulting fee in the amount of $5,000 per month for the provision of the Services; and continuation of health insurance coverage at the levels currently in effect. In addition, Mr. Jones relinquished the title of Executive Vice President effective as of April 4, 2019.
During the three months ended March 31, 2020 and 2019, and 2018, Mr. Jonesearned approximately $38,000$15,750 and $46,000,$38,000, respectively, for consulting work performed in connection with his duties as Executive Vice President and for reimbursement of related expenses. During the same period,three months ended March 31, 2020 and 2019, Mr. Jones also earned $12,500approximately $13,125 and $12,500,$12,500, respectively, as compensation for his services on the Board. Mr. Jones also received approximately $58,000$0 and $32,000$58,000 during the three months ended March 31, 20192020 and 2018,2019, respectively, as payment of his annual bonus compensation for the previous fiscal years. The Company did not grant stock options or restricted stock to any of its Board members, including Mr. Jones, duringduring the three months ended March 31, 20192020 or March 31, 2018.2019.
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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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
Market risk is the potential loss arising from adverse changes in market rates and prices, such as foreign currency exchange rates, interest rates and other relevant market rate or price changes. We are exposed to market risk associated with changes in the LIBOR interest rate and foreign currency exchange rates. We regularly evaluate our 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 limited 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 March 31, 20192020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
 
 
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PART II — OTHER INFORMATION
 
ITEM 1. LEGAL PROCEEDINGS
From time to timeNone for the Company is engaged in legal proceedings in the ordinary course of business, see Note L.quarterly period ended March 31, 2020.
 
ITEM 1A. RISK FACTORS
There have been no material changes in ourThe following risk factors from those set forthare in Part I,addition to the risks described in the Company’s Form 10-K under Item 1A, “Risk Factors” contained in our Annual Report on Form 10-K for the for the year ended December 31, 2018;2019; as filed with the SEC on February 28, 2019. The effects of the events and circumstances described in the following risk factors may heighten the risks contained in the Company’s Form 10-K.

The COVID-19 pandemic is highly dynamic in the United States and throughout the world and may adversely affect our operations and financial condition.
We are subject to risks related to the public health crises such as the global pandemic associated with COVID-19. Economic and health conditions in the United States and across most of the globe continue to change rapidly. The Company saw a material impact to volume growth rates and clinical test volume in the last two weeks of March and in early April. Demand may continue to decrease from historically low levels depending on the duration and severity of the COVID-19 pandemic, the length of time it takes for normal economic and operating conditions to resume, additional governmental actions that may be taken and/or extensions of time for restrictions that have been imposed to date, and numerous other uncertainties. Such events may result in business disruption, reduced revenues and number of tests, any of which could materially affect our business, financial condition, and results of operations.
FebruaryNumerous state and local jurisdictions have imposed, and others in the future may impose, “shelter-in-place” orders, quarantines, executive orders and similar government orders and restrictions for their residents to control the spread of COVID-19. Starting in mid-March 2020, the governor of California, where several of our laboratories are located, issued “shelter-in-place” or “stay at home” orders restricting non-essential activities, travel and business operations for an indefinite period of time, subject to certain exceptions for necessary activities, which has been followed by similar orders in other states in which we operate, including in Florida where our headquarters is located. Such orders or restrictions, have resulted in our headquarters closing, work stoppages, slowdowns and delays, travel restrictions and cancellation of events, among other effects, thereby negatively impacting our operations. 26, 2019Other disruptions or potential disruptions include restrictions on our personnel and as amendedpersonnel of partners to travel and filed with the SEC on May 8, 2019.access customers; delays in approvals by regulatory bodies; delays in product development efforts; and additional government requirements or other incremental mitigation efforts that may further impact our testing capacity.
The COVID-19 pandemic is affecting the Company’s customers, suppliers, vendors, and other business partners, but the Company is not able to assess the full extent of the current impact nor predict the ultimate consequences that may result. At this time, we have not experienced interruptions in our operations due to supplier delays. We have established a COVID-19 procurement team to partner with our suppliers to reduce the risk of disruption. Distribution channels have not been disrupted as incoming and outgoing tests are delivered via major carriers.
While the potential economic impact brought by and the duration of COVID-19 may be difficult to assess or predict, the widespread pandemic has resulted in, and may continue to result in, significant disruption of global financial markets and a recession or market correction resulting from the spread of COVID-19 could materially affect our business and the value of our common stock. The Company is continuously monitoring its own operations and intends to take appropriate actions to mitigate the risks arising from the COVID-19 pandemic to the best of its abilities, but there can be no assurances that the Company will be successful in doing so. To the extent the Company is able to obtain information about and maintain communications with its customers, suppliers, vendors, and other business partners, the Company will seek to minimize disruptions to its supply chain. The ultimate extent of the effects of the COVID-19 pandemic on the Company is highly uncertain and will depend on future developments which cannot be predicted.

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

Unregistered Sales of Equity Securities
None for the quarterly period ended March 31, 2020.
Issuer Purchases of Equity Securities
The following table sets forth information concerning our purchases of common stock for the periods indicated:
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Period of Repurchase
Total Number of Shares Purchased(1)
Average Price Paid per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number (or Approximate Dollar Value) of Shares that May Yet Be Purchased Under the Plans or Programs
January 1, 2020 - January 31, 2020—  $—  —  —  
February 1, 2020 - February 29, 2020—  —  —  —  
March 1, 2020 - March 31, 20207,533  28.19  —  —  
Total7,533  $28.19  —  —  
.
(1) The Company’s Equity Incentive Plan, as amended on May 25, 2017, allows participants to surrender already-owned shares having a fair market value equal to the required withholding tax related to the vesting of restricted stock. Pursuant to a share withholding election made by participants in connection with the vesting of such awards, all of which were outside of a publicly-announced repurchase plan, we acquired from such participants the shares noted in the table above to satisfy tax withholding obligations related to the vesting of their restricted stock. The average prices listed in the above table are averages of the fair market prices at which we valued shares withheld for purposes of calculating the number of shares to be withheld.
 
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
Not applicable.applicable.
 
 
ITEM 4. MINE SAFETY DISCLOSURES
Not applicable.applicable.
 
ITEM 5. OTHER INFORMATION
None.None.
 
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NEOGENOMICS, INC.

ITEM 6. EXHIBITS
EXHIBIT
NO.
 DESCRIPTION
10.1 
10.2 
10.3 
31.1  
   
31.2  
   
32.1  
   
101  The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2019,2020, formatted in Inline Extensible Business Reporting Language (XBRL)(iXBRL): (i) the Consolidated Balance Sheets, (ii) the Consolidated Statements of Operations, (iii) the Consolidated Statements of Cash Flows, (iv) the Consolidated Statements of Comprehensive Income (Loss) and (v) related notes

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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: May 8, 2019April 29, 2020 NEOGENOMICS, INC.
     
  By: /s/ Douglas M. VanOort
 Name:Douglas M. VanOort
  Title: Chairman and Chief Executive Officer
     
  By: /s/ Sharon A. ViragKathryn B. McKenzie
  Name: Sharon A. ViragKathryn B. McKenzie
  Title: Chief Financial Officer
     

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