EXACT SCIENCES CORP
Business
Exact Sciences Corporation develops, manufactures, and commercializes cancer screening, molecular diagnostic, and precision oncology tests to provide earlier and actionable clinical insights. Its main products and services include non-invasive stool- and blood-based screening tests (Cologuard, Cologuard Plus, Cancerguard), laboratory-developed MRD and liquid biopsy tests (Oncodetect, Oncoliquid), genomic and hereditary testing (Oncotype DX, OncoExTra, Riskguard), and related laboratory services. The company organizes operations across screening, precision oncology, and international commercial functions. It primarily serves the U.S. market while marketing Oncotype tests in roughly 120 countries through health systems, payers, provider networks, distributors, and direct-to-consumer channels.
Summary from filing dated 2025-02-19
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −208 | −1,029 | −204 | −624 | −596 | |
| Net loss before tax | −204 | −1,036 | −202 | −633 | −843 | |
| Loss from operations | −206 | −1,049 | −215 | −594 | −856 | |
| Gross profit | 2,263 | 1,919 | 1,762 | 1,423 | — | |
| Revenue | 3,247 | 2,759 | 2,500 | 2,084 | 1,767 | |
| Cost of sales | 984 | 840 | 738 | 661 | 459 | |
| Total operating expenses | 2,469 | 2,977 | 2,056 | 2,003 | — | |
| Research and development | 523 | 431 | 427 | 394 | 386 | |
| Sales and marketing | 1,050 | 894 | 828 | 930 | 862 | |
| General and administrative | 889 | 782 | 800 | 663 | 801 | |
| Impairment of long-lived and indefinite-lived assets | 7 | 869 | 621,000 | 16 | — | |
| Other operating income | 0 | 9 | 78 | −13 | 0 | |
| Total other income (expense) | 2 | 13 | 13 | −39 | 13 | |
| Investment income, net | 42 | 40 | 33 | −19 | 32 | |
| Interest Expense, Nonoperating | −39 | −27 | −19 | −20 | — | |
| Income Tax Expense (Benefit) | −4 | 7 | −2 | 9 | 247 | |
| Increase (decrease) in net loss per share (in usd per share) | −1.1 | −5.59 | −1.13 | −3.54 | −3.48 | |
| Increase (decrease) in net loss per share (in usd per share) | −1.1 | −5.59 | −1.13 | −3.54 | −3.48 | |
| Weighted average number of shares outstanding, basic (in shares) | 189 | 184 | 180 | 176 | 171 | |
| Weighted average number of shares outstanding, diluted (in shares) | 189 | 184 | 180 | 176 | 171 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2022 2022-05-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 956 | 601 | 605 | 242 | — | |
| Marketable securities | 9 | 437 | 172 | 390 | — | |
| Accounts receivable, net | 299 | 249 | 204 | 158 | — | |
| Inventory | 166 | 162 | 127 | 118 | — | |
| Prepaid expenses and other current assets | 126 | 122 | 86 | 74 | — | |
| Total current assets | 1,556 | 1,571 | 1,194 | 982 | — | |
| Property, plant and equipment, net | 709 | 694 | 698 | 685 | — | |
| Operating lease right-of-use assets | 122 | 117 | 144 | 167 | 8 | |
| Goodwill | 2,368 | 2,367 | 2,367 | 2,346 | — | |
| Intangible assets, net | 920 | 1,010 | 1,890 | 1,956 | — | |
| Other long-term assets, net | 186 | 170 | 177 | 91 | — | |
| Total assets | 5,861 | 5,928 | 6,471 | 6,227 | — | |
| Accounts payable | 176 | 90 | 79 | 75 | — | |
| Accrued liabilities | 416 | 328 | 342 | 299 | — | |
| Operating lease liabilities, current portion | 34 | 27 | 29 | 28 | — | |
| Other current liabilities | 15 | 38 | 15 | 10 | — | |
| Convertible Notes Payable, Current | 0 | 249 | 0 | — | — | |
| Total current liabilities | 641 | 732 | 515 | 413 | — | |
| Convertible notes, net, less current portion | 2,327 | 2,321 | 2,314 | 2,186 | — | |
| Other long-term liabilities | 329 | 316 | 336 | 352 | — | |
| Operating lease liabilities, less current portion | 162 | 157 | 161 | 182 | — | |
| Total liabilities | 3,460 | 3,526 | 3,326 | 3,184 | — | |
| 3459577000 | — | — | — | — | — | |
| Preferred stock, $0.01 par value Authorized5,000,000 shares issued and outstandingno shares at December 31, 2025 and December 31, 2024 | 0 | 0 | 0 | 0 | — | |
| Common stock, $0.01 par value Authorized400,000,000 shares issued and outstanding190,802,322 and 185,616,438 shares at December 31, 2025 and December 31, 2024 | 2 | 2 | 2 | 2 | — | |
| Additional paid-in capital | 7,103 | 6,899 | 6,611 | 6,312 | — | |
| Accumulated other comprehensive income (loss) | 2 | −944,000 | 1 | −5 | — | |
| Accumulated deficit | −4,706 | −4,498 | −3,469 | −3,265 | — | |
| Total stockholders equity | 2,401 | 2,402 | 3,145 | 3,043 | — | |
| Total liabilities and stockholders equity | 5,861 | 5,928 | 6,471 | 6,227 | — |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −208 | −1,029 | −204 | −624 | −596 | |
| Depreciation | 125 | 120 | 114 | 100 | — | |
| Equity Securities, FV-NI, Gain (Loss) | 3 | −3 | 4 | −22 | 29 | |
| Deferred tax benefit | −2 | −10 | −955,000 | −12 | — | |
| Share-Based Payment Arrangement, Noncash Expense | 218 | 215 | 231 | 207 | 253 | |
| Gain on settlements of convertible notes, net | 0 | −10 | −10 | 0 | 0 | |
| Amortization of Intangible Assets | 97 | 95 | 92 | 97 | — | |
| Impairment of long-lived and indefinite-lived assets | 7 | 869 | 621,000 | 16 | — | |
| Research and Development Asset Acquired in Transaction Other than Business Combination or Joint Venture Formation, Writeoff | 75 | 0 | 500,000 | — | — | |
| Gain (Loss) On Contingent Consideration From Disposition Of Asset | 0 | −9 | −73 | 0 | 0 | |
| Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability | 27 | −3 | −18 | −57 | 6 | |
| Non-cash lease expense | 27 | 27 | 28 | 29 | 26 | |
| Other Noncash Income (Expense) | 7 | −519,000 | 399,000 | 11 | — | |
| Accounts receivable, net | −49 | −46 | −43 | 61 | 25 | |
| Inventory, net | −4 | −35 | −8 | −13 | −9 | |
| Operating lease liabilities | −29 | −26 | −27 | −21 | −17 | |
| Accounts payable and accrued liabilities | 214 | 44 | 83 | −52 | 170 | |
| Increase (Decrease) in Other Operating Assets | −6 | −2 | −12 | −84,000 | −25 | |
| Increase (Decrease) in Other Operating Liabilities | −5 | 10 | 6 | −1 | −33 | |
| Net cash provided by operating activities | 491 | 211 | 156 | −224 | −102 | |
| Purchases of marketable securities | −140 | −465 | −140 | −131 | −1,164 | |
| Maturities and sales of marketable securities | 572 | 206 | 363 | 453 | 794 | |
| Purchases of property, plant and equipment | −135 | −136 | −124 | −214 | −136 | |
| Proceeds From Contingent Consideration Receivable | 28 | 0 | 0 | — | — | |
| Proceeds From Sale Of Investments In Privately-Held Companies | 0 | 0 | 20 | 0 | 0 | |
| Payments to Acquire Other Investments | −55 | −2 | −17 | −43 | −18 | |
| Business combination, net of cash acquired and issuance costs | 0 | 0 | −52 | −15 | −500 | |
| Asset acquisitions, net of cash acquired | −75 | −45 | −500,000 | 0 | −58 | |
| Other investing activities | 297,000 | −225,000 | 250,000 | −549,000 | −744,000 | |
| Net cash provided by (used in) investing activities | 195 | −442 | 50 | 74 | −1,082 | |
| Proceeds, Issuance of Shares, Share-Based Payment Arrangement, Including Option Exercised | 2 | 2 | 3 | 7 | 14 | |
| Proceeds in connection with the Company's employee stock purchase plan | 27 | 31 | 28 | 25 | 23 | |
| Proceeds from issuance of convertible notes | 0 | 267 | 138 | 0 | 0 | |
| Repayments of Accounts Receivable Securitization | 0 | 50 | 0 | 0 | — | |
| Repayments of convertible debt | 249 | 0 | 0 | — | — | |
| Payment, Tax Withholding, Share-Based Payment Arrangement | 86 | 0 | 0 | — | — | |
| Payment for Contingent Consideration Liability, Financing Activities | 19 | 0 | 0 | — | — | |
| Other financing activities | −12 | −18 | −10 | −6 | −5 | |
| Net cash provided by (used in) financing activities | −338 | 232 | 160 | 76 | 8 | |
| Effects of exchange rate changes on cash and cash equivalents | 891,000 | −3 | 1 | 30,000 | 23,000 | |
| Net increase (decrease) in cash, cash equivalents, and restricted cash | 349 | −3 | 367 | −73 | −1,176 | |
| Property, plant and equipment acquired but not paid | 16 | 14 | 19 | 16 | 33 | |
| Interest paid | 30 | 28 | 19 | 12 | 11 |