NeoGenomics, Inc.NEO
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NeoGenomics, Inc. Morgan Stanley 24th Annual Global Healthcare Conference

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Transcript

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Speaker

Yeah. All right. Thank you everyone for joining us. My pleasure to introduce the NeoGenomics team. We are glad to have you here at the Morgan Stanley Healthcare Conference this morning. I am joined by Tony Zook, Chief Executive Officer, Warren Stone, COO and President, and Abhishek Jain, the Chief Financial Officer. So thank you all for being here.

Warren StoneCOO and President

Thanks for having us. Thank you.

Speaker

Great. Maybe for Tony, for an investor that is not necessarily incredibly familiar with the NeoGenomics story, what is the simplest way to understand what you all do, how you fit into the precision oncology market, and now that you have been in the seat for a while, what do you think is the biggest misconception that you hear or that you encounter with investors when it comes to your company?

Tony ZookCEO

Sure. I guess first, NeoGenomics, pure play oncology, I think is an important factor. We remain focused in oncology because we think it allows us to better understand and serve our customers. We focus in the community. We are proud of that fact. We help bring innovation into the community setting. Why? That is where the patients are. Almost 80% of patients seek treatment in the local community, so we focus relentlessly on that community provider. Our genesis, while that was in diagnosis, our portfolio has continued to evolve in through therapy selection and MRD. I would say the area that is probably not as well understood, and it is our effort to do so, we are obviously the market leader in hematopathology. How we leverage that hematopathology position enables us to grow and penetrate into other market segments.

Tony ZookCEO

I think a lot of investors, when they step back and you look at NeoGenomics in totality, while it is only 10% of our portfolio is NGS, it is a third of our clinical revenue. So we actually have a portfolio that is over $250 million in NGS, and it is growing at 26%. So we believe that there is still ample opportunity for us to continue to drive. In fact, our future is very much dependent on how we continue to drive our NGS and an MRD business. So I think sometimes people ask us the question, how will you compete as if we are starting from scratch, when in reality, we have a $250 million business that is growing quite nicely. So I think it is incumbent upon us to continue to educate and drive that message home.

Speaker

That is right. Since you have joined the company, where have you been most focused? What has been the greatest area of change that you have looked to lead within the organization and how should investors think about that across the different high level priorities, whether it is the indications that you are operating in, therapeutic categories, capital allocation?

Tony ZookCEO

Yeah, you actually hit it in the question with the focus. Where do I focus? When I joined NeoGenomics, I could tell you, there was not a place you could not point that you would not see an opportunity, right? This is a company that grew primarily through acquisition, so a lot of the fundamentals were not in place quite yet, right? It is not an organization that had invested heavily in R&D, so there was an opportunity. You could look to commercial, and there was an opportunity. You could look over to IT, and there was an opportunity. I think for us, the biggest challenge was focus, focus. Where do we want to put our resources? Where do we want to make sure that we are at our top three or four things that are going to drive value for us, and then really focus relentlessly on those.

Tony ZookCEO

And I think that simplicity has actually unlocked a lot of value. Today, we always talk about the midnight question. We try to boil down things at NeoGenomics to what is most important for the N, the E, and the O of Neo to be successful, and it is for our R&D team to continue to drive our next generation portfolio. For our commercial team, it is how do they continue to build out their commercial organization and infrastructure to better serve their customers. In our labs, it is the lab of the future initiatives. This simplicity of focus is unlocking a lot of value for us.

Speaker

A lot of investors, when they look at the space, I think they are more familiar with the precision oncology that is practiced in academic medical centers or in research.

Speaker

Sure. You all obviously have a pretty big competitive advantage in the community oncology setting.

Speaker

How do you want investors to understand your focus in community oncology? What do you think is underappreciated about community oncology? Why is that a structural advantage for you all?

Tony ZookCEO

Sure. I will kick it off and then Warren- Yeah.

Tony ZookCEO

Maybe can drive more color. Again, I think companies are built in purpose of their pursuit, right? I think those organizations that are built to serve academia, they focus on innovation and they have deserved their right with some of the great products that they bring to market. But in the community, that practicing physician has completely different needs. They are ground in guidelines. They are ground in practicalities. They are dealing with patient flow. They want to take out friction within the system. Just like that drive on innovation can be a competitive advantage, so is a deep understanding of what your customer needs are at the community level. Simple things like how you prepare your lab reports could actually be the most important thing in their day. Right? You have to be built for purpose, and we think that we are very much focused on what their needs are.

Tony ZookCEO

For them, better serving their customers with pragmatic solutions that unlock time so that they can more effectively treat their patients is something that we focus relentlessly on everything from through our labs, to our commercial, to even how we position our portfolio of solutions, not a product. I think there is a big difference in how companies are built to serve those. Warren, maybe some color? Yeah.

Warren StoneCOO and President

I think, and you have hit a lot of the key points there. I think most importantly, first and foremost, ASCO does a survey every year about where do patients actually want to be treated. The survey in 2026 basically indicated almost 80% of patients want to be treated within 50 miles of where they live. That is a pretty small radius. Why is that? They want to be treated where their family, their infrastructure is because they are going through arguably one of the biggest events in their life, and they need support structures in order to support them through that journey, so they want to stay close to home. That is really the relevance with regards to the community. Also, if you think about a community practice, either that practice or in some cases even that oncologist is a generalist.

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