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Stock Comparison

NEO vs EXAS

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
NEO
NeoGenomics, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$290M
5Y Perf.-64.0%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+18.9%

NEO vs EXAS — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
NEO logoNEO
EXAS logoEXAS
IndustryMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$290M$20.02B
Revenue (TTM)$746M$3.25B
Net Income (TTM)$-99M$-208M
Gross Margin42.1%69.7%
Operating Margin-13.9%-6.4%
Forward P/E61.9x582.8x
Total Debt$472M$2.52B
Cash & Equiv.$160M$956M

NEO vs EXASLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

NEO
EXAS
StockJun 20Jun 26Return
NeoGenomics, Inc. (NEO)10036.0-64.0%
Exact Sciences Corp… (EXAS)100118.9+18.9%

Price return only. Dividends and distributions are not included.

Quick Verdict: NEO vs EXAS

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: EXAS leads in 4 of 7 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. NeoGenomics, Inc. is the stronger pick specifically for valuation and capital efficiency and capital preservation and lower volatility. As sector peers, any of these can serve as alternatives in the same allocation.
🥇EXAS emerged as the overall leader. Track its performance:
NEO
NeoGenomics, Inc.
The Defensive Pick

NEO is the clearest fit if your priority is sleep-well-at-night and defensive.

  • Lower volatility, beta 1.37, Low D/E 56.5%, current ratio 4.26x
  • Beta 1.37, current ratio 4.26x
  • Lower P/E (61.9x vs 582.8x)
Best for: sleep-well-at-night and defensive
EXAS
Exact Sciences Corporation
The Growth Play

EXAS carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.

  • Rev growth 17.7%, EPS growth 80.3%, 3Y rev CAGR 15.9%
  • 13.9% 10Y total return vs NEO's 42.1%
  • 17.7% revenue growth vs NEO's 10.1%
Best for: growth exposure and long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthEXAS logoEXAS17.7% revenue growth vs NEO's 10.1%
ValueNEO logoNEOLower P/E (61.9x vs 582.8x)
Quality / MarginsEXAS logoEXAS-6.4% margin vs NEO's -13.3%
Stability / SafetyNEO logoNEOLower D/E ratio (56.5% vs 105.1%)
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)EXAS logoEXAS+94.2% vs NEO's +50.9%
Efficiency (ROA)EXAS logoEXAS-3.5% ROA vs NEO's -7.2%, ROIC -3.6% vs -4.3%

NEO vs EXAS — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

NEONeoGenomics, Inc.
FY 2025
Commercial Insurance
100.0%$118M
EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M

NEO vs EXAS — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLEXASLAGGINGNEO

Income & Cash Flow (Last 12 Months)

EXAS leads this category, winning 6 of 6 comparable metrics.

EXAS is the larger business by revenue, generating $3.2B annually — 4.4x NEO's $746M. EXAS is the more profitable business, keeping -6.4% of every revenue dollar as net income compared to NEO's -13.3%. On growth, EXAS holds the edge at +23.1% YoY revenue growth, suggesting stronger near-term business momentum.

MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
RevenueTrailing 12 months$746M$3.2B
EBITDAEarnings before interest/tax-$54M-$41M
Net IncomeAfter-tax profit-$99M-$208M
Free Cash FlowCash after capex-$5M$357M
Gross MarginGross profit ÷ Revenue+42.1%+69.7%
Operating MarginEBIT ÷ Revenue-13.9%-6.4%
Net MarginNet income ÷ Revenue-13.3%-6.4%
FCF MarginFCF ÷ Revenue-0.7%+11.0%
Rev. Growth (YoY)Latest quarter vs prior year+11.1%+23.1%
EPS Growth (YoY)Latest quarter vs prior year+35.0%+90.4%
EXAS leads this category, winning 6 of 6 comparable metrics.

Valuation Metrics

NEO leads this category, winning 3 of 4 comparable metrics.
MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
Market CapShares × price$290M$20.0B
Enterprise ValueMkt cap + debt − cash$603M$21.6B
Trailing P/EPrice ÷ TTM EPS-2.65x-95.37x
Forward P/EPrice ÷ next-FY EPS est.61.94x582.83x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple345.49x
Price / SalesMarket cap ÷ Revenue0.40x6.16x
Price / BookPrice ÷ Book value/share0.34x8.24x
Price / FCFMarket cap ÷ FCF56.10x
NEO leads this category, winning 3 of 4 comparable metrics.

Profitability & Efficiency

EXAS leads this category, winning 6 of 9 comparable metrics.

EXAS delivers a -8.7% return on equity — every $100 of shareholder capital generates $-9 in annual profit, vs $-12 for NEO. NEO carries lower financial leverage with a 0.56x debt-to-equity ratio, signaling a more conservative balance sheet compared to EXAS's 1.05x. On the Piotroski fundamental quality scale (0–9), EXAS scores 7/9 vs NEO's 5/9, reflecting strong financial health.

MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
ROE (TTM)Return on equity-11.8%-8.7%
ROA (TTM)Return on assets-7.2%-3.5%
ROICReturn on invested capital-4.3%-3.6%
ROCEReturn on capital employed-5.1%-4.0%
Piotroski ScoreFundamental quality 0–957
Debt / EquityFinancial leverage0.56x1.05x
Net DebtTotal debt minus cash$313M$1.6B
Cash & Equiv.Liquid assets$160M$956M
Total DebtShort + long-term debt$472M$2.5B
Interest CoverageEBIT ÷ Interest expense-30.15x-5.47x
EXAS leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

EXAS leads this category, winning 6 of 6 comparable metrics.

A $10,000 investment in EXAS five years ago would be worth $8,392 today (with dividends reinvested), compared to $2,559 for NEO. Over the past 12 months, EXAS leads with a +94.2% total return vs NEO's +50.9%. The 3-year compound annual growth rate (CAGR) favors EXAS at 4.8% vs NEO's -11.6% — a key indicator of consistent wealth creation.

MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
YTD ReturnYear-to-date-5.2%+3.1%
1-Year ReturnPast 12 months+50.9%+94.2%
3-Year ReturnCumulative with dividends-31.0%+15.2%
5-Year ReturnCumulative with dividends-74.4%-16.1%
10-Year ReturnCumulative with dividends+42.1%+1390.2%
CAGR (3Y)Annualised 3-year return-11.6%+4.8%
EXAS leads this category, winning 6 of 6 comparable metrics.

Risk & Volatility

EXAS leads this category, winning 2 of 2 comparable metrics.

EXAS is the less volatile stock with a -0.05 beta — it tends to amplify market swings less than NEO's 1.37 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXAS currently trades 99.9% from its 52-week high vs NEO's 81.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
Beta (5Y)Sensitivity to S&P 5001.37x-0.05x
52-Week HighHighest price in past year$13.74$104.98
52-Week LowLowest price in past year$4.72$38.81
% of 52W HighCurrent price vs 52-week peak+81.1%+99.9%
RSI (14)Momentum oscillator 0–10070.876.4
Avg Volume (50D)Average daily shares traded1.9M21.6M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates NEO as "Buy" and EXAS as "Buy". Consensus price targets imply 70.4% upside for NEO (target: $19) vs 0.1% for EXAS (target: $105).

MetricNEO logoNEONeoGenomics, Inc.EXAS logoEXASExact Sciences Co…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$19.00$105.00
# AnalystsCovering analysts2941
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises0
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+0.1%
Insufficient data to determine a leader in this category.
Key Takeaway

EXAS leads in 4 of 6 categories (Income & Cash Flow, Profitability & Efficiency). NEO leads in 1 (Valuation Metrics).

Best OverallExact Sciences Corporation (EXAS)Leads 4 of 6 categories
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NEO vs EXAS: Frequently Asked Questions

9 questions · data-driven answers · updated daily

01

Is NEO or EXAS a better buy right now?

For growth investors, Exact Sciences Corporation (EXAS) is the stronger pick with 17.

7% revenue growth year-over-year, versus 10. 1% for NeoGenomics, Inc. (NEO). Analysts rate NeoGenomics, Inc. (NEO) a "Buy" — based on 29 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which is the better long-term investment — NEO or EXAS?

Over the past 5 years, Exact Sciences Corporation (EXAS) delivered a total return of -16.

1%, compared to -74. 4% for NeoGenomics, Inc. (NEO). Over 10 years, the gap is even starker: EXAS returned +1390% versus NEO's +42. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — NEO or EXAS?

By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at -0.

05β versus NeoGenomics, Inc. 's 1. 37β — meaning NEO is approximately -3047% more volatile than EXAS relative to the S&P 500. On balance sheet safety, NeoGenomics, Inc. (NEO) carries a lower debt/equity ratio of 56% versus 105% for Exact Sciences Corporation — giving it more financial flexibility in a downturn.

04

Which is growing faster — NEO or EXAS?

By revenue growth (latest reported year), Exact Sciences Corporation (EXAS) is pulling ahead at 17.

7% versus 10. 1% for NeoGenomics, Inc. (NEO). On earnings-per-share growth, the picture is similar: Exact Sciences Corporation grew EPS 80. 3% year-over-year, compared to -35. 5% for NeoGenomics, Inc.. Over a 3-year CAGR, EXAS leads at 15. 9% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

05

Which has better profit margins — NEO or EXAS?

Exact Sciences Corporation (EXAS) is the more profitable company, earning -6.

4% net margin versus -14. 9% for NeoGenomics, Inc. — meaning it keeps -6. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: EXAS leads at -6. 4% versus -9. 1% for NEO. At the gross margin level — before operating expenses — EXAS leads at 69. 7%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Is NEO or EXAS more undervalued right now?

On forward earnings alone, NeoGenomics, Inc.

(NEO) trades at 61. 9x forward P/E versus 582. 8x for Exact Sciences Corporation — 520. 9x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for NEO: 70. 4% to $19. 00.

07

Which pays a better dividend — NEO or EXAS?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

08

Is NEO or EXAS better for a retirement portfolio?

For long-horizon retirement investors, Exact Sciences Corporation (EXAS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β -0.

05), +1390% 10Y return). Both have compounded well over 10 years (EXAS: +1390%, NEO: +42. 1%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

09

What are the main differences between NEO and EXAS?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: NEO is a small-cap quality compounder stock; EXAS is a mid-cap high-growth stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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