Competitive PressuresThe competitive landscape for Exact Sciences' flagship product, Cologuard, has become more complicated following the approval of Guardant's Shield test.
EPS DilutionThe acquisition would reduce Adjusted EPS by $0.20 in 2026 and $0.16 in 2027, with expected recovery thereafter.
Lack Of Additional SynergiesThere is a lack of additional synergies, with the expected $100 million in annual pre-tax synergies by 2028 being considered a floor.