Exact Sciences Corp ((EXAS)) has held its Q3 earnings call. Read on for the main highlights of the call.
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Exact Sciences Corp’s recent earnings call revealed a robust sentiment, underscored by strong financial and operational performance. The company reported significant revenue growth, primarily driven by the success of Cologuard and new product launches. However, challenges were noted in maintaining gross margins and completing payer contracts for Cologuard Plus.
Record Revenue Growth
Exact Sciences achieved a remarkable 20% year-over-year increase in total revenue, reaching $851 million. This marks the highest quarterly growth rate in over two years, showcasing the company’s strong market position and effective growth strategies.
Cologuard Plus Success
The launch of Cologuard Plus has been a significant contributor to revenue growth, demonstrating 95% sensitivity and 94% specificity. Positive coverage decisions from the top 10 payers have further bolstered its success, highlighting the product’s market acceptance and potential.
Strong Financial Performance
Exact Sciences reported a 37% year-over-year growth in adjusted EBITDA, reaching $135 million. Margins expanded by 200 basis points to 16%, and free cash flow increased by $77 million to $190 million for the quarter, indicating robust financial health.
Cancerguard Launch
The company introduced Cancerguard, a multi-cancer early detection test, aiming to improve cancer screening rates. This launch represents a strategic move to address the low percentage of cancers detected through current screening methods.
Precision Oncology Growth
Precision Oncology revenue saw a 12% year-over-year increase, reaching $183 million. This growth was driven by the expansion of Oncotype DX and partner revenues, reinforcing the segment’s importance in the company’s portfolio.
Gross Margin Decline
Despite overall growth, non-GAAP gross margins declined by 100 basis points to 71%. This was attributed to record care gap shipments, causing temporary timing differences between cost of goods and revenue.
Challenges in Contracting
Exact Sciences is engaged in ongoing discussions with six of the top 10 payers for contracting Cologuard Plus. There is some uncertainty regarding the timeline for completing these contracts, which could impact future revenue streams.
High R&D Expenses
Increased R&D spending, particularly for clinical evidence generation, impacted operating expenses. However, this investment is seen as supporting the company’s long-term growth strategies.
Forward-Looking Guidance
Exact Sciences provided an optimistic outlook for the future, raising its full-year revenue guidance to between $3.22 billion and $3.235 billion, and adjusted EBITDA guidance to between $470 million and $480 million. The company emphasized its strategic focus on driving commercial effectiveness and leveraging its ExactNexus platform to achieve long-term growth and meet 2027 financial targets.
In conclusion, Exact Sciences Corp’s earnings call highlighted a strong financial performance with significant revenue growth, driven by successful product launches and strategic initiatives. Despite facing challenges in gross margin maintenance and payer contracting, the company remains optimistic about its future prospects, supported by a robust forward-looking guidance.

