NeoGenomics, Inc. (NEO) Cash Flow Statement

NASDAQ: NEOOperating cash, capex, free cash flow and buybacks.

Where NEO’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$5.2M
−25.5% vs 2024
Capital expenditures
$27.0M
3.7% of revenue
Free cash flow
−$21.8M
−3.0% margin
Returned to shareholders
—
Change in cash
−$207.4M
cash at year-end $159.6M
Investments (net): $19.6MInvestments (net)$19.6MDrawn from cash: $207.4MDrawn from cash$207.4MCash from operations, Shares issued: $6.2MOther sources$6.2MDebt repayment: $201.2MDebt repayment$201.2M · 86%Capital expenditures: $27.0MCapital expenditures$27.0M · 12%Acquisitions & other: $4.9MAcquisitions & other$4.9M · 2%$233.1M
Cash from operations
$5.2M
Capital expenditures
−$27.0M
Investments (net)
+$19.6M
Acquisitions & other
−$4.9M
Net borrowing (repayment)
−$201.2M
Shares issued
+$962,000
Change in cash
−$207.4M

Drawn to scale: where the cash came from and how it was used. Hover for values.

NEO operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

NEO cash flow trends, 2016–2025

NeoGenomics, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow$21.5M2016$5.2M2025−14.5%/yr
Capital expenditures$7.5M2016$27.0M2025+15.2%/yr
Free cash flow$13.9M2016−$21.8M2025—
Free cash flow margin5.7%2016−3.0%2025−8.7 pts
Operating cash flow / net income16.9620180.352020−16.61
Stock-based compensation$5.4M2016$41.3M2025+25.3%/yr
Dividends paid$87.9M2016$9.6M2018−66.9%/yr
Share buybacks (net)$55.0M2016$02022−100.0%
Capex / revenue3.1%20163.7%2025+0.6 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

NEO cash flow by activity

OperatingInvestingFinancingChange in cash

NEO net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

NEO cash flow statement

NeoGenomics, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income−$108.0M−$78.7M−$88.0M−$144.2M−$8.3M$4.2M$8.0M$2.6M−$846,000−$5.7M
Depreciation & amortization$67.8M$72.5M$72.6M$69.4M$53.4M$35.7M$30.3M$21.7M$22.6M$23.2M
Stock-based compensation$41.3M$33.4M$24.6M$24.7M$22.5M$10.2M$10.0M$7.0M$6.4M$5.4M
Change in working capital−$32.1M−$32.6M−$25.5M−$31.7M−$4.6M−$61.7M−$32.4M$12.5M−$30.5M−$21.4M
Other non-cash items$36.2M$12.4M$14.3M$15.9M−$89.6M$13.1M$7.5M$946,000$20.4M$19.9M
Cash from operating activities$5.2M$7.0M−$2.0M−$66.0M−$26.7M$1.5M$23.4M$44.8M$18.0M$21.5M
Investing activities
Capital expenditures−$27.0M−$41.1M−$28.8M−$30.9M−$64.1M−$29.1M−$20.0M−$14.3M−$13.7M−$7.5M
Investments (net)$19.6M$12.9M$76.7M$517,000−$133.8M−$93.3M−$19.6M−$139.7M−$13.7M−$6.5M
Acquisitions & other investing−$4.9M$41.1M$28.8M$30.9M−$434.4M−$37.0M$20.0M$14.3M$13.7M$7.5M
Cash from investing activities−$12.3M$12.9M$76.7M$517,000−$632.4M−$159.4M−$19.6M−$139.7M−$13.7M−$6.5M
Financing activities
Dividends paid———————−$9.6M$0−$87.9M
Share repurchases & issuance (net)———$12.6M$15.1M$20.3M$11.2M−$50.1M$2.6M−$55.0M
Net borrowing (repayment)−$201.2M$0$0−$758,000$331.4M$96.9M−$5.3M−$2.0M−$6.7M$25.4M
Shares issued$962,000$4.6M$4.6M$12.6M$423.2M$147.6M$172.0M$144.1M$0$0
Other financing$0$0−$70,000−$12.6M−$44.4M−$29.2M−$18.4M$9.6M$0$91.6M
Cash from financing activities−$200.3M$4.6M$4.6M$11.8M$725.3M$235.6M$159.5M$92.0M−$4.1M−$25.9M
Summary
Net change in cash−$207.4M$24.5M$79.3M−$53.6M$66.2M$77.6M$163.2M−$3.0M$296,000−$10.9M
Cash at end of period$159.6M$367.0M$342.5M$263.2M$316.8M$250.6M$173.0M$9.8M$12.8M$12.5M
Free cash flow−$21.8M−$34.0M−$30.7M−$96.9M−$90.9M−$27.6M$3.3M$30.5M$4.3M$13.9M
Free cash flow margin−3.0%−5.2%−5.2%−19.0%−18.8%−6.2%0.8%11.0%1.8%5.7%
Capex / revenue3.7%6.2%4.9%6.1%13.2%6.5%4.9%5.2%5.7%3.1%
Operating cash flow / net income—————0.352.9216.96——

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

NEO cash generation

In fiscal 2025 (ended December 31, 2025), NeoGenomics generated $5.2 million of cash from operations (down 25.5%) and spent $27.0 million on capital expenditures, leaving free cash flow of -$21.8 million, −3.0% of revenue. Cash and equivalents fell by $207.4 million over the year.

Related: NEO income statement, NEO balance sheet. See the NEO stock overview for the latest quote and news.

NEO cash flow FAQ

What is NeoGenomics's free cash flow?

NeoGenomics's free cash flow was -$21.8 million in fiscal 2025: $5.2 million of operating cash flow minus $27.0 million of capital expenditures It was -$34.0 million a year earlier..

How much cash does NeoGenomics generate from operations?

NeoGenomics generated $5.2 million of cash from operating activities in fiscal 2025.

How much does NeoGenomics spend on capital expenditures?

NeoGenomics spent $27.0 million on capital expenditures in fiscal 2025, 3.7% of revenue, compared with $41.1 million the year before.

Diagnostics & Research: cash flow