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Side-by-side financial comparison of NEOGENOMICS INC (NEO) and PROASSURANCE CORP (PRA). Click either name above to swap in a different company.

PROASSURANCE CORP is the larger business by last-quarter revenue ($269.6M vs $186.7M, roughly 1.4× NEOGENOMICS INC). PROASSURANCE CORP runs the higher net margin — 12.4% vs -57.9%, a 70.2% gap on every dollar of revenue. On growth, NEOGENOMICS INC posted the faster year-over-year revenue change (11.1% vs -7.1%). Over the past eight quarters, NEOGENOMICS INC's revenue compounded faster (6.5% CAGR vs -2.7%).

NeoGenomics Laboratories, Inc., also known as NeoGenomics or Neo, is an American CLIA-certified clinical laboratory, pharma services and information services company that specializes in cancer genetics diagnostic testing. The company's testing services include cytogenetics, fluorescence in situ hybridization (FISH), flow cytometry, immunohistochemistry, anatomic pathology, and molecular genetics.

ProAssurance Corporation, headquartered in Birmingham, Alabama, is a property and casualty company that sells professional liability insurance to doctors. The company was founded in 1976 as Mutual Assurance and was later renamed to Medical Assurance in 1997. The name "ProAssurance" was created in 2001 when Medical Assurance merged with Professionals Group. The company is currently the fourth largest medical professional liability insurance writer and has over $6 billion in assets.

NEO vs PRA — Head-to-Head

Bigger by revenue
PRA
PRA
1.4× larger
PRA
$269.6M
$186.7M
NEO
Growing faster (revenue YoY)
NEO
NEO
+18.1% gap
NEO
11.1%
-7.1%
PRA
Higher net margin
PRA
PRA
70.2% more per $
PRA
12.4%
-57.9%
NEO
Faster 2-yr revenue CAGR
NEO
NEO
Annualised
NEO
6.5%
-2.7%
PRA

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
NEO
NEO
PRA
PRA
Revenue
$186.7M
$269.6M
Net Profit
$-108.0M
$33.4M
Gross Margin
43.3%
Operating Margin
46.9%
17.3%
Net Margin
-57.9%
12.4%
Revenue YoY
11.1%
-7.1%
Net Profit YoY
42.0%
106.4%
EPS (diluted)
$-0.13
$0.65

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
NEO
NEO
PRA
PRA
Q1 26
$186.7M
Q4 25
$190.2M
$269.6M
Q3 25
$187.8M
$279.6M
Q2 25
$181.3M
$276.8M
Q1 25
$168.0M
$272.1M
Q4 24
$172.0M
$290.1M
Q3 24
$167.8M
$285.3M
Q2 24
$164.5M
$290.4M
Net Profit
NEO
NEO
PRA
PRA
Q1 26
$-108.0M
Q4 25
$33.4M
Q3 25
$-27.1M
$1.4M
Q2 25
$-45.1M
$21.9M
Q1 25
$-25.9M
$-5.8M
Q4 24
$16.2M
Q3 24
$-17.7M
$16.4M
Q2 24
$-18.6M
$15.5M
Gross Margin
NEO
NEO
PRA
PRA
Q1 26
43.3%
Q4 25
43.8%
Q3 25
42.8%
Q2 25
42.6%
Q1 25
43.6%
Q4 24
44.9%
Q3 24
44.6%
Q2 24
44.1%
Operating Margin
NEO
NEO
PRA
PRA
Q1 26
46.9%
Q4 25
-7.1%
17.3%
Q3 25
-14.4%
1.6%
Q2 25
-26.3%
9.9%
Q1 25
-16.6%
-2.3%
Q4 24
-10.7%
6.5%
Q3 24
-12.6%
7.4%
Q2 24
-13.3%
6.2%
Net Margin
NEO
NEO
PRA
PRA
Q1 26
-57.9%
Q4 25
12.4%
Q3 25
-14.4%
0.5%
Q2 25
-24.9%
7.9%
Q1 25
-15.4%
-2.1%
Q4 24
5.6%
Q3 24
-10.5%
5.8%
Q2 24
-11.3%
5.3%
EPS (diluted)
NEO
NEO
PRA
PRA
Q1 26
$-0.13
Q4 25
$0.65
Q3 25
$0.03
Q2 25
$0.42
Q1 25
$-0.11
Q4 24
$0.32
Q3 24
$0.32
Q2 24
$0.30

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
NEO
NEO
PRA
PRA
Cash + ST InvestmentsLiquidity on hand
$146.1M
$36.5M
Total DebtLower is stronger
$420.4M
Stockholders' EquityBook value
$828.8M
$1.3B
Total Assets
$1.3B
$5.4B
Debt / EquityLower = less leverage
0.31×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
NEO
NEO
PRA
PRA
Q1 26
$146.1M
Q4 25
$159.6M
$36.5M
Q3 25
$164.1M
$54.5M
Q2 25
$154.7M
$41.6M
Q1 25
$346.2M
$43.5M
Q4 24
$367.0M
$54.9M
Q3 24
$362.0M
$45.3M
Q2 24
$355.1M
$36.9M
Total Debt
NEO
NEO
PRA
PRA
Q1 26
Q4 25
$341.9M
$420.4M
Q3 25
$421.5M
Q2 25
$422.6M
Q1 25
$423.7M
Q4 24
$541.1M
$424.9M
Q3 24
$425.9M
Q2 24
$426.9M
Stockholders' Equity
NEO
NEO
PRA
PRA
Q1 26
$828.8M
Q4 25
$836.6M
$1.3B
Q3 25
$838.3M
$1.3B
Q2 25
$854.0M
$1.3B
Q1 25
$888.3M
$1.2B
Q4 24
$902.3M
$1.2B
Q3 24
$908.2M
$1.2B
Q2 24
$915.9M
$1.1B
Total Assets
NEO
NEO
PRA
PRA
Q1 26
$1.3B
Q4 25
$1.4B
$5.4B
Q3 25
$1.4B
$5.6B
Q2 25
$1.4B
$5.5B
Q1 25
$1.6B
$5.5B
Q4 24
$1.6B
$5.6B
Q3 24
$1.6B
$5.7B
Q2 24
$1.6B
$5.6B
Debt / Equity
NEO
NEO
PRA
PRA
Q1 26
Q4 25
0.41×
0.31×
Q3 25
0.32×
Q2 25
0.33×
Q1 25
0.34×
Q4 24
0.60×
0.35×
Q3 24
0.35×
Q2 24
0.38×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
NEO
NEO
PRA
PRA
Operating Cash FlowLast quarter
$-8.1M
$-25.6M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
-0.77×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
NEO
NEO
PRA
PRA
Q1 26
$-8.1M
Q4 25
$1.3M
$-25.6M
Q3 25
$8.9M
$27.2M
Q2 25
$20.3M
$-28.1M
Q1 25
$-25.3M
$-11.6M
Q4 24
$9.8M
$-10.7M
Q3 24
$9.2M
$14.0M
Q2 24
$13.9M
$-12.8M
Free Cash Flow
NEO
NEO
PRA
PRA
Q1 26
Q4 25
$-6.5M
Q3 25
$570.0K
Q2 25
$14.0M
Q1 25
$-29.8M
Q4 24
$-1.8M
Q3 24
$-1.6M
Q2 24
$814.0K
FCF Margin
NEO
NEO
PRA
PRA
Q1 26
Q4 25
-3.4%
Q3 25
0.3%
Q2 25
7.7%
Q1 25
-17.8%
Q4 24
-1.0%
Q3 24
-0.9%
Q2 24
0.5%
Capex Intensity
NEO
NEO
PRA
PRA
Q1 26
Q4 25
4.1%
Q3 25
4.4%
Q2 25
3.5%
Q1 25
2.7%
Q4 24
6.7%
Q3 24
6.4%
Q2 24
8.0%
Cash Conversion
NEO
NEO
PRA
PRA
Q1 26
Q4 25
-0.77×
Q3 25
18.81×
Q2 25
-1.28×
Q1 25
Q4 24
-0.66×
Q3 24
0.85×
Q2 24
-0.83×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

NEO
NEO

Segment breakdown not available.

PRA
PRA

Workers Compensation Insurance Segment$164.4M61%
Other$59.6M22%
Segregated Portfolio Cell Reinsurance$45.7M17%

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