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Company Overview Presentation November 2014 “Improving Patient Care through exceptional cancer genetic testing services!” Time Matters. Results Count!

Neo company overview presentation 2014 11 07

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Company Overview Presentation for November 2014. -Specialized oncology reference laboratory providing the latest testing technologies, global/tech-only options, and interactive education to the pathology community. -Offer the complete spectrum of diagnostic services in FISH, Flow Cytometry, Cytogenetics, digital pathology, immunohistochemistry, and molecular testing through nationwide network of laboratories -Dedicated to providing superior service, faster TAT, and complete attention to the needs of our clients and their patients

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Page 1: Neo company overview presentation 2014 11 07

Company Overview Presentation November 2014

“Improving Patient Care through exceptional cancer genetic testing services!”

Time Matters. Results Count!

Page 2: Neo company overview presentation 2014 11 07

Forward-looking Statements

This presentation contains statements which constitute forward-looking statements within the meaning of Section 27A of the Securities Act, as amended; Section 21E of the Securities Exchange Act of 1934; and the Private Securities Litigation Reform Act of 1995. The words “may”, “would”, “could”, “will”, “expect”, “estimate”, “anticipate”, “believe”, “intend”, “plan”, “goal”, and similar expressions and variations thereof are intended to specifically identify forward-looking statements. All statements that are not statements of historical fact are forward-looking statements.

Investors and prospective investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ materially from those projected in the forward-looking statements as a result of various factors. The risks that might cause such differences are identified in our filings with the Securities and Exchange Commission. We undertake no obligation to publicly update or revise the forward looking statements made in this presentation to reflect events or circumstances after the date of this presentation or to reflect the occurrence of unanticipated events.

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Page 3: Neo company overview presentation 2014 11 07

Investment Highlights

Fast growing cancer genetics lab servicing Oncologists, Pathologists and Hospitals

Strategic client partnerships created

by “Tech-Only” model

Dynamic, rapidly- growing and consolidating industry

Industry-leading revenue & test volume

growth

Strong productivity and operating leverage leading to accelerating cash flow and net income

Strong Management Team with large cap

lab experience

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Page 4: Neo company overview presentation 2014 11 07

Experienced Management Team

• Douglas VanOort, Chairman & CEO Operating Partner, Summer Street Capital Partners Chief Operating Officer, Quest Diagnostics

• Maher Albitar, M.D., Chief Medical Officer & Director of R&D Med. Dir. for Hematopathology & Oncology and Chief of R&D, Quest Nichols Institute; Director of Leukemia and Molecular Laboratory, MD Anderson Cancer Center

• Robert Shovlin, Chief Operating Officer Chief Development Officer, Bostwick Laboratories President & Chief Executive Officer, Aureon Biosciences

• Steven Jones, Director, EVP – Finance, & Chief Compliance Officer Chairman, Aspen Capital Group; Managing Member, Medical Venture Partners Vice President, Merrill Lynch Investment Banking

• George Cardoza, Chief Financial Officer CFO, Protocol Global Solutions; Controller, Central Region, Quest Diagnostics

• Robert Horel, Vice President, Sales & Marketing Regional Mgr., US Labs; Product Specialist, Ventana Medical Systems; Pilot, U.S. Navy

• Steven Ross, Chief Information Officer Vice President Technology, Chico’s FAS, Inc.

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Page 5: Neo company overview presentation 2014 11 07

$44

$60 $66

2011 2012 2013

Company Overview

• Specialized oncology reference laboratory providing the latest testing technologies, global/tech-only options, and interactive education to the pathology community

• Offer the complete spectrum of diagnostic services in FISH, flow cytometry, cytogenetics, digital pathology, immunohistochemistry, and molecular testing through nationwide network of laboratories

• Dedicated to providing superior service, faster turn-around times, and complete attention to the needs of our clients and their patients

• Founded and went public in 2001

• First to launch tech-only FISH services in 2006

• March 2009, Doug VanOort joined as CEO

• December 2012, up-listed to NASDAQ

• Recently completed acquisition of Path Logic based in West Sacramento, California

• 70% CAGR in Revenue and Test Volume over last ten Years.

Description Financial

History

76

115 137

2011 2012 2013

($ in millions) Revenue Tests Performed

(in thousands)

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Page 6: Neo company overview presentation 2014 11 07

Proven Track Record of Consistent Growth

Annual Revenue Tests Performed ($, 000s)

$558 $1,885

$6,476

$11,505

$20,015

$29,469

$34,371

$43,484

$59,866

$66,467

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

1,152 4,082

12,838

20,998

32,539

45,675

57,332

76,288

114,606

137,317

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Page 7: Neo company overview presentation 2014 11 07

U.S. Cancer Testing Market Size $10-12 Billion

Hematopoietic Cancers Solid Tumor Cancers

Total Testing Market: $3 - 4 Billion $7 - 8 Billion

Est. Genetic Mkt. (TAM) ~$2 - 3 Billion

~$2 - 3 Billion

Patients in Treatment: 850,000 7.0 million

New Diagnoses/Yr.: 150,000 1.45 million

Specimen Types: Bone Marrow (350K/Yr)

Per. Blood (150K/Yr) Lymph Nodes

Tiss. Biopsies (8-10MM) Fine Needle Aspirates

Other Bodily Fluids

Neo Revenue Split: ~80% ~20%

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Page 8: Neo company overview presentation 2014 11 07

NeoGenomics’ Cancer Testing Services

Key Testing Methodologies

• Cytogenetics: chromosome analysis − “Neighborhood view of 46 houses from 1000 feet”

• Flow Cytometry & IHC: cell surface marker analysis − “Single house view from 500 feet”

• Fluorescence in-situ Hybridization (FISH): gene analysis − “Door and window view of one house”

• Molecular Testing: DNA/RNA analysis − “View of serial number on door lock”

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Page 9: Neo company overview presentation 2014 11 07

Customer Targets

Pathologists & Hospital Pathology Groups (about 74% of Revenue YTD 9/30) • Enable community Pathologists to practice using sophisticated tools and tests • Innovative technical component (TC or “tech-only”) services – Flow, FISH, IHC • Outstanding Web-based Lab System & extensive training programs

Oncologists & Clinician Groups (about 23% of Revenue YTD 9/30) • Includes Hematologists, Oncologists, Dermatologists, Urologists • Disease Panels and comprehensive molecular menus • Increasing Opportunity to service larger practices with Tech-only model

Clinical Trials & Other (about 3% of Revenue YTD 9/30) • Contract research/clinical trial support work for Pharma clients

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Page 10: Neo company overview presentation 2014 11 07

Accelerating Pace of Innovation

• 4 molecular tests • 3 FISH • FL – IHC menu

• 10-color Flow Cytometry • Implemented State-of-the-art

MolDx platform in lieu of Kits • 28 new Molecular Assays • Proprietary method for

increasing sensitivity of Sanger sequencing

• 7 NeoTYPE MolDx Panels • New Aperio Digital Image

Analysis • SVM for FISH (Patent App) • Barrett’s Esoph. FISH (Patent

App) • NeoARRAY/SNP Cytogenetics • Internalized 99% of send-outs

• 40 new Molecular tests • Add’l NeoTYPE Panels • Next Generation Sequencing

(48 genes) • ROS1 FISH • NeoSITE Melanoma FISH • Plasma/Urine-based Prostate

Test (Patent App) • SVM-based Cytogenetics

Analysis System • SVM-based Automated FISH

Analysis System v2 • Began development of

NeoLAB (Liquid Alternative to Biopsy) Prostate Cx test

2011

2012

2013

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Page 11: Neo company overview presentation 2014 11 07

Solid Tumor Assays* Hematopoietic Assays*

90+ New Assays Launched Since January 2012

Molecular Assays: 1. IDH1 & IDH2 Mutation Analysis 2. c-KIT Mutation Analysis 3. PIK3CA Mutation Analysis 4. NRAS Mutation Analysis 5. TP53 Mutation Analysis 6. NeoARRAY SNP/Cytogenetic Profile 7. KRAS Mutation Analysis 8. BRAF Mutation Analysis 9. EGFR Mutation Analysis 10. Microsatellite Instability Analysis 11. NeoTYPE Breast Profile 12. NeoTYPE Colorectal Profile 13. NeoTYPE Gastric Profile 14. NeoTYPE Lung Profile 15. NeoTYPE Solid Tumor (Other) Profile 16. TPMT Genotyping 17. UGT1A1 Genotyping 18. Kit/PDGFRa Mutation Analysis 19. HRAS Mutation Analysis 20. PTEN Mutation Analysis 21. HOXB13 Genotyping 22. GNAS Mutation Analysis 23. MLH1 Promoter Methylation Analysis 24. MGMT Promoter Methylation Analysis 25. Next Gen Sequencing Solid Tumor Profile 26. ATRX Gene Mutation Analysis

FISH/ISH Assays: 1. ISH – Kappa ISH 2. ISH – Lambda ISH 3. NeoSITE Barrett’s Esophagus FISH 4. ROS1 FISH 5. NeoSITE Melanoma FISH 6. 1p/19q Deletion FISH Test 7. RET Gene Amplification 8. MET Gene Amplification

Molecular Assays: 1. BCR-ABL1 Translocation, t(9;22) 2. ABL1 Kinase Domain Mutation Anal 3. IgVH Mutation Analysis 4. FLT3 Mutation Analysis 5. NPM1 Mutation Analysis 6. JAK2 V617F Mutation Analysis 7. JAK2 Exon 12-14 Mutation Anal 8. BCL2 Translocation, t(14;18) 9. BCL1 Translocation, t(11;14) 10. MPL Mutation Analysis 11. MPN Reflex Panel 12. DNMT3A Mutation Analysis 13. RUNX1-RUNX1T1 (AML1-ETO)

Translocation, t(8;21) 14. SF3B1 Mutation Analysis 15. B-Cell Gene Rearrangement 16. T-Cell Gene Rearrangement 17. CBFB/MYH11 Translocation, inv(16) 18. PML-RARA Translocation, t(15;17) 19. CEBPA Mutation Analysis 20. WT1 Mutation Analysis 21. NeoTYPE CLL Prognostic Profile 22. NeoTYPE AML Prognostic Profile 23. ETV6-RUNX1 (TEL-AML1)

Translocation, t(12;21) 24. CARD11 Mutation Analysis 25. CD79B Mutation Analysis 26. MYD88 Mutation Analysis 27. RUNX1 Mutation Analysis 31. NOTCH1 Mutation Analysis 32. EZH2 Mutation Analysis 33. Chimerism/DNA Fingerprinting

Analysis

34. TET2 Mutation Analysis 35. CBL Mutation Analysis 36. ASXL1 Mutation Analysis 37. PTPN11 Mutation Analysis 38. CSF3R Mutation Analysis 39. PTPN11 Mutation Analysis 40. STAT3 Mutation Analysis 41. ETV6 Mutation Analysis 42. NeoTYPE Lymphoma Profile 43. NeoTYPE MDS/CMML Profile 44. NeoTYPE Spliceosome Profile 45. Calreticulin Mutation Analysis 46. SETBP-1 Mutation Analysis 47. C-MET Mutation Analysis 48. Next Gen Sequencing MDS Profile 49. 315 Gene NGS Discovery Panel + FISH FISH/ISH Assays: 1. NHL FISH Panel (Revised) 2. MYC/IgH t(8;14) 3. CLL FISH Panel (Revised) 4. MDS FISH Panel (Revised) 5. MPN FISH Panel (Revised) 6. AML FISH Panel (Revised) 7. Eosinophilia FISH Panel 8. IGH/MAFB FISH 9. PTEN FISH

BOLD = Multi-assay tests customizable to meet client needs (assays may also be ordered individually).

* Certain assays may be useful in both solid tumor and hematopoietic cancers. Each assay listed in area of primary use.

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Page 12: Neo company overview presentation 2014 11 07

Large & Growing Clinical Trials Opportunity

• World class Molecular menu opening up numerous opportunities to directly service pharmaceutical companies.

• Exclusive 5 year Agreement with Covance, with a two year renewal option.

− Leverages Pathologists expertise, Lab systems, Tech-only model, comprehensive menus for new segment.

− Ability to expand into world-wide markets

− Potential for developing companion diagnostics

− NEO provides professional interpretations for all AP and Histology testing ordered with new trials

− NEO provides technical component services for all U.S. based testing that is not otherwise performed by Covance’s Lab-within-a-Lab (LWL) facility at NEO

− NEO does all TC FISH for U.S. based testing

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Page 13: Neo company overview presentation 2014 11 07

A Growing Commercial & Facility Footprint

NV

OR

WA

MT

MN

NE

SD

ND

ID

WY

OK

KS CO UT

TX

NM

SC

FL

GA AL MS

LA

AR

MO

IA

VA

NC

IN

KY

IL

MI WI

PA

WV

VT

RI

NH

AZ

OH DE MD

NY

CA

NJ

MI

MA

States sending specimens in 2014

ME

CT

Irvine, CA 25k sf

Nashville, TN 7k sf

Ft. Myers, FL 45k sf

Tampa, FL 5k sf

W. Sacramento, CA

17k sf

Fresno, CA 3k sf

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Page 14: Neo company overview presentation 2014 11 07

$10

• On July 8, 2014, NEO announced and closed the acquisition of Path Labs, LLC dba “Path Logic” for $6 million

2013 Revenue of $9.8 million

Implied Enterprise Value/Revenue of 0.6x

Includes $150,000 in capital lease obligations

$5.85 million at closing paid with cash on hand and borrowings from its revolving credit facility with and $.60 million held in escrow

• Path Logic will operate as a wholly-owned subsidiary of NeoGenomics

Acquisition of Path Logic

Strategic Rationale Path Logic Overview

Transaction Summary

• A specialized AP laboratory serving California and the western United States

• Sub-specialties in renal pathology, dermatopathology, women’s health and gastrointestinal and genitourinary pathology

• Approximately 65 employees as of July 2014, including 9 in-house pathologists and 12 consulting pathologists

• Founded in 1999 and headquartered in West Sacramento, California

• NEO expects $3 – 4 million of revenue synergies by offering NEO tests to Path Logic customers and Path Logic tests to NEO customers

• Additional cost synergies with increased run rate and NeoGenomics experience

• Doubles pathology staff

• Expansion of geographic footprint in Northern California with West Sacramento, California laboratory

- Location to be added to NeoGenomics - Locations to be discontinued

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Page 15: Neo company overview presentation 2014 11 07

2014 and 2015 Strategic Priorities

• Next Gen Sequencing

• Develop Prostate Cancer Test

• Launch New Products

• Grow Clinical Trials

• Optimize Covance partnership

• Higher Productivity

• Lower Costs

• Become a “Digital Lab”

• Expand Sales Team

• Add new clients

• Improve Informatics

Growth Get LEAN

Innovate Diversify

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Page 16: Neo company overview presentation 2014 11 07

Accelerating Cash Flow & Earnings

($, 000's) 2011 2012 2013 Total Revenue $ 43,484 $ 59,867 $ 66,467 % Growth 26.5% 37.7% 11.0%

Total Gross Margin 19,428 26,836 31,737 Gross Margin % 44.7% 44.8% 47.7%

SG&A Expenses 19,837 25,624 28,563 Total SG&A as a % of Rev 45.6% 42.8% 43.0%

Net Income/(Loss) $ (1,177) $ 65 $ 2,034 Diluted EPS ($0.03) $0.00 $0.02

Adjusted EBITDA $ 2,134 $ 5,997 $ 8,515 % Growth NA 181.0% 42.0%

Summary Operating Metrics % Growth in Tests Performed 33.1% 50.2% 19.8%

Avg. Revenue/Test $ 570 $ 522 $ 484 % Change -4.9% -8.4% -7.3%

Avg. Cost of Goods Sold/Test $ 315 $ 288 $ 253 % Change -2.7% -8.6% -12.2%

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Page 17: Neo company overview presentation 2014 11 07

Adjusted EBITDA Metrics

-$566

$2,134

$5,998

$8,515

-9.5%

29.6% 23.6%

38.1%

$(2,000)

$-

$2,000

$4,000

$6,000

$8,000

$10,000

FY 2010 FY 2011 FY 2012 FY 2013-20.0%

-10.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Adjusted EBITDA & Incremental Adjusted EBITDA as % of Incremental Revenue

Adjusted EBITDA Incremental Adjusted EBITDA as % of Incremental Revenue

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Page 18: Neo company overview presentation 2014 11 07

Increasing Margins Despite Lower Avg Unit Prices – Base NEO

(1) Productivity calculated as the average number of lab tests completed per month per laboratory FTE. (2) The expiration of the Medicare Technical Component (TC) Grandfather Clause took effect on 7/1/12 and resulted in an ~11% YoY Reduction in Avg Rev/Test.

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47.3% 48.4% 46.1% 44.7% 44.6% 43.9% 44.5% 44.8% 45.2%

47.1% 47.2%

41.5% 43.2% 46.3% 45.9% 48.4%

50.0% 47.9% 49.5%

46.4%

-24.5%

51.7%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

50%

60%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Q

4 09

Q1

10

Q2

10

Q3

10

Q4

10

Q1

11

Q2

11

Q3

11

Q4

11

Q1

12

Q2

12

Q3

12

Q4

12

Q1

13

Q2

13

Q3

13

Q4

13

Q1

14

Q2

14

Q3

14

Gross Margin % Cum Change in Avg Rev/Test(2) Cum Change in Productivity(1)

Page 19: Neo company overview presentation 2014 11 07

Operating Cost per Test & Adj. EBITDA Margin

Cost Management & Operating Leverage – Base NEO

19

$723

$642 $642 $671

$649 $618

$576 $565 $555

$531 $512 $526 $482 $478 $464 $466 $439

$459 $442 $457

-12%

-1% -2%

-5%

0% -1%

5% 6%

8%

12%

12%

6%

10% 11% 12% 13%

15%

9%

10%

14%

-15%

-10%

-5%

0%

5%

10%

15%

20%

$0

$100

$200

$300

$400

$500

$600

$700

$800

Cogs Cost/Test G&A Net of R&D Cost/TestS&M Cost/Test R&D Cost/Test

Page 20: Neo company overview presentation 2014 11 07

Quarterly Financial Information (P&L)

($, 000's)

Q3 13

Q4 13

Q1 14(1)

Q2 14(1) Base NEO Q3 14(1)(2)

Consolid. Q3 14(1)(2)(3)

Total Revenue $ 16,884 $18,323 $ 18,182 $ 20,670 $ 20,835 $ 23,218 % Growth (YoY) 18.9% 23.0% 16.1% 32.5% 23.4% 37.5%

Total Gross Margin 8,171 9,163 8,710 10,240 9,664 10,294 Gross Margin % 48.4% 50.0% 47.9% 49.5% 46.4% 44.3%

Total SG&A (Incl R&D) Exp 7,011 7,959 8,316 9,661 9,369 10,367 SG&A as a % of Rev 41.5% 43.4% 45.7% 46.7% 45.0% 44.7%

Net Income/(Loss) $ 900 $ 858 $ 102 $ 274 $ 23 $ (290) Diluted EPS $0.02 $0.02 $0.00 $0.01 $0.00 $(0.01)

Adjusted EBITDA $ 2,163 $ 2,733 $ 1,685 $ 2,114 $ 2,862 $ 2,637

Operating Data – Base NEO % Growth in Tests Performed (YoY) 19.1% 27.8% 20.7% 39.8% 33.4%

Avg. Revenue/Test $ 501 $ 470 $ 469 $ 455 $ 463 % Change (YoY) -0.2% -3.7% -3.8% -5.3% -7.5%

Avg. COGS/Test $ 258 $ 235 $ 245 $ 229 $ 248 % Change (YoY) -12.0% -15.3% -6.7% -11.7% -3.9%

(1) 2014 Revenue Impacted by Company's Election to Account for Medicare FISH Revenue using a worst case interpretation of the recent NCCI Guidelines, which CMS has yet to clarify. This has resulted in a Year-to-Date reduction in FISH revenue recorded of approximately $3.0 million.

(2) SG&A includes $571,000 of one-time transaction expenses related to the PathLogic acquisition and the termination of the Company’s Credit Facility. (3) Q3 consolidated financials include the results of the Path Logic Acquisition from 7/8/14.

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Page 21: Neo company overview presentation 2014 11 07

Balance Sheet ($, 000's) 6/30/14

Actual Path Logic (1) Adjustments

Equity Raise Adjustments(2)

6/30/14 Proforma

9/30/14 Actual

ASSETS:

Cash & Cash Equivs $ 5,023 $ (2,645) $ 34,558 $ 36,936 $ 34,366

Other Current Assets 23,059 1,838 - 24,897 22,877

Prop and Equip, Net 12,974 804 - 13,778 14,636

Other LT Assets 2,582 4,449 - 7,031 6,940

Total Assets $ 43,638 $ 4,446 $ 34,558 $ 82,642 $ 78,820

LIABILITIES & STOCK HOLDERS’ EQUITY: Current Liabilities $ 15,226 $ 4,783 $ - $ 20,009 $ 13,954

Long-Term Liabilities 5,279 13 - 5,292 5,801

Total Liabilities 20,505 4,796 - 25,301 19,755

Stockholders’ Equity 23,133 (350) 34,558 57,341 59,065

Total Liabilities and Stockholders’ Equity $ 43,638 $ 4,446 $ 34,558 $ 82,642 $ 78,820

(1) On July 8, 2014, NeoGenomics acquired the equity interests of Path Logic for $6.0 MM in an all cash transaction. (2) On August 20, 2014, NeoGenomics completed the sale of 8.05 million shares of common stock at $4.60/share, which resulted in net

proceeds of $34.6 million after deducting the underwriters’ commissions and offering expenses.

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Page 22: Neo company overview presentation 2014 11 07

Recent Share Price (11/14/14): $ 4.68

Common Shares Outstanding: 60.0 M

Current Market Cap: $280.7 M

Fully Diluted Shares: 64.6 M

Avg. Daily Trading Volume (3 Mos.): 352,722

Key Financial Information

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Page 23: Neo company overview presentation 2014 11 07

NeoGenomics Summary

• Emerging leader in fastest-growing segment of lab testing industry

• Robust competitive advantages and product portfolio

• Strong Management Team with outstanding industry experience

• Accelerating profitability driven by growth and operating leverage

• Fragmented industry undergoing consolidation likely to present additional strategic opportunities

• Recent Guidance(1): Q4 2014 FY 2014(2)

Revenue ($, MMs) $23.0 - $24.5 $85.0 - $86.5

EPS $0.00 – $0.01 $0.01 - $0.03 (1) Guidance includes the impacts from the acquisition of Path Logic on 7/8/14 (excluding transaction related expenses), and is before

factoring any potential positive impacts from a favorable resolution of the issues regarding the National Correct Coding Initiative FISH edits. See 8-K filed on 2/19/2014 for additional information on this topic.

(2) NeoGenomics preliminarily estimates that a favorable resolution of the NCCI FISH edits issue would increase revenue by approximately $3.5 million and net income by approximately $0.04 - $0.05 per share for the full year FY 2014. Q3 revenue and EPS would have been increased by approximately $1.2 million and $0.01 - $0.02/share in the event of a favorable resolution.

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