Adjusted EBITDA was $10.7 million, down 2% from prior year, impacted by Pathline acquisition ramp; excluding Pathline, adjusted EBITDA grew 13%.
Adjusted gross profit improved by $4.6 million or 6% over prior year.
Cash flow from operations was positive $20 million, up 44% year-over-year, with cash and marketable securities ending at $164 million.
Clinical revenue grew 16% year-over-year with organic clinical revenue up 13%, driven by a 10% increase in test volumes and a 3% increase in average unit price (AUP).
NeoGenomics reported Q2 2025 revenue of $181 million, representing 10% year-over-year growth but slightly below guidance.
NGS testing accounted for 32% of total clinical revenue and grew 23%, slightly below the 25% target but above market growth rates.
Nonclinical revenue declined 26% year-over-year due to weakness in pharma and biotech customer demand.
The company retired $201 million of convertible notes in Q2, significantly reducing debt.
Commercial Transformation and Sales Process Overhaul
The commercial transformation aims to capitalize on large enterprise and IDN opportunities, with a focus on moving from early-stage to later-stage deals.
The company has retooled its sales team to target hospital CNOs and other key decision-makers, emphasizing change management and clinical benefits.
Progress includes a more disciplined approach to sales forecasting, pipeline management, and deal closure, setting the stage for sustained growth.
Leadership Transition and CEO Retirement Announcement
Tim Hingtgen announced his decision to retire at the end of September for personal reasons, emphasizing his desire to spend more time with family and pursue personal interests.
He expressed confidence in Kevin Hammons' ability to lead CHS forward and committed to supporting a seamless transition.
Tim highlighted his 17-year tenure and contributions to the company's regional network development.
FDA Breakthrough Designation for DecisionDx-Melanoma and Strategic Path to FDA Approval
Castle Biosciences received FDA Breakthrough Device Designation for DecisionDx-Melanoma, signaling a significant regulatory milestone.
The company is actively progressing towards an FDA submission, with no specific public timeline disclosed.
Management expressed confidence that existing data supports FDA approval, emphasizing the importance of the breakthrough designation in accelerating regulatory pathway.
Successful Large-Scale Portfolio Transitions Using Decentralized Approach
Ensign successfully transitioned a portfolio of 17 operations in California in 2023, treating it as 6-7 smaller deals to ensure quality and attention.
This approach allowed each operation to receive dedicated resources, support, and integration into existing clusters, leading to high clinical ratings (12 out of 17 achieved 4- or 5-star CMS ratings).
The strategy emphasizes local leadership and a phased, manageable transition process, which has proven scalable and effective for larger deals spanning multiple states and markets.