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Exact Sciences Corp. (EXAS)
NASDAQ:EXAS
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Exact Sciences (EXAS) AI Stock Analysis

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EXAS

Exact Sciences

(NASDAQ:EXAS)

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Neutral 62 (OpenAI - 4o)
Rating:62Neutral
Price Target:
$71.00
▼(-29.90% Downside)
Exact Sciences' stock score is primarily driven by strong technical indicators and positive earnings call sentiment, reflecting robust revenue growth and strategic product launches. However, the company's financial performance and valuation are weighed down by ongoing profitability challenges and a negative P/E ratio, which temper the overall score.
Positive Factors
Revenue Growth
The 20% YoY revenue growth indicates strong demand for Exact Sciences' products, particularly Cologuard, supporting long-term market expansion and financial health.
Product Innovation
The launch of Cancerguard enhances Exact Sciences' product portfolio, positioning it as a leader in cancer diagnostics and driving future revenue streams.
Strategic Acquisition
The acquisition by Abbott provides Exact Sciences with increased resources and market reach, potentially accelerating growth and innovation in cancer diagnostics.
Negative Factors
Profitability Challenges
Ongoing profitability challenges could hinder Exact Sciences' ability to reinvest in growth and innovation, impacting long-term financial stability.
Gross Margin Decline
A decline in gross margins indicates potential cost pressures and efficiency issues, which could affect future profitability and competitiveness.
High R&D Expenses
While R&D is crucial for innovation, high expenses without immediate returns can strain financial resources and delay profitability improvements.

Exact Sciences (EXAS) vs. SPDR S&P 500 ETF (SPY)

Exact Sciences Business Overview & Revenue Model

Company DescriptionExact Sciences Corporation provides cancer screening and diagnostic test products in the United States and internationally. The company offers Cologuard, a non-invasive stool-based DNA screening test to detect DNA and hemoglobin biomarkers associated with colorectal cancer and pre-cancer. It also provides Oncotype DX, a gene expression tests for breast, prostate, and colon cancers; Oncotype Test, a tissue test delivering tumor profiling to aid therapy selection for patients with advanced, metastatic, refractory, or recurrent cancer; Oncotype DX AR-V7 Nucleus Detect Test, a liquid-based test for advanced stage prostate cancer; Oncomap ExTra, that provides a complete biological picture of certain refractory, rare, or aggressive cancers; and Covid-19 testing services. The company's pipeline products focus on enhancing the Cologuard test's performance characteristics and developing blood and other fluid-based tests. It has license agreements with MAYO Foundation for Medical Education and Research; and Hologic, Inc. Exact Sciences Corporation was incorporated in 1995 and is headquartered in Madison, Wisconsin.
How the Company Makes MoneyExact Sciences generates revenue primarily through the sale of its diagnostic tests, with Cologuard being the most significant contributor to its earnings. The company operates on a direct-to-consumer model as well as through partnerships with healthcare providers and laboratories. It bills insurance companies and Medicare for the tests performed, which is a key revenue stream. Additionally, Exact Sciences has established strategic partnerships with other healthcare organizations and life sciences companies to expand its reach and enhance its testing portfolio, further driving its revenue growth. The company also invests in research and development to innovate and introduce new products, which can lead to additional revenue opportunities.

Exact Sciences Key Performance Indicators (KPIs)

Any
Any
Revenue By Segment
Revenue By Segment
Chart Insights
Data provided by:The Fly

Exact Sciences Earnings Call Summary

Earnings Call Date:Nov 03, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 24, 2026
Earnings Call Sentiment Positive
Exact Sciences reported strong financial and operational performance with significant revenue growth driven by Cologuard and new product launches. However, there were challenges in maintaining gross margins and completing payer contracts for Cologuard Plus.
Q3-2025 Updates
Positive Updates
Record Revenue Growth
Exact Sciences reported a 20% year-over-year increase in total revenue, reaching $851 million, marking the highest quarterly growth rate in over two years.
Cologuard Plus Success
The launch of Cologuard Plus demonstrated 95% sensitivity and 94% specificity, with positive coverage decisions from the top 10 payers, contributing significantly to the revenue growth.
Strong Financial Performance
Adjusted EBITDA grew by 37% year-over-year to $135 million, with margins expanding by 200 basis points to 16%. Free cash flow increased by $77 million to $190 million for the quarter.
Cancerguard Launch
The company launched Cancerguard, a multi-cancer early detection test, aiming to address the low percentage of cancers found through screening.
Precision Oncology Growth
Precision Oncology revenue increased by 12% year-over-year on a core basis to $183 million, driven by Oncotype DX expansion and partner revenues.
Negative Updates
Gross Margin Decline
Non-GAAP gross margins were 71%, down 100 basis points compared to last year, due to record care gap shipments causing temporary timing differences between cost of goods and revenue.
Challenges in Contracting
Ongoing discussions with six of the top 10 payers for contracting Cologuard Plus, with some uncertainty on the timeline for completion.
High R&D Expenses
Increased R&D spending, particularly for clinical evidence generation, impacted the operating expenses, though it supports long-term growth strategies.
Company Guidance
During Exact Sciences' third-quarter 2025 earnings call, the company provided updated guidance, reflecting a strong performance and increased outlook for the year. The company reported a 20% year-over-year revenue growth to $851 million, driven by the success of their Cologuard test, which contributed to a screening revenue increase of 22% to $666 million. The Precision Oncology segment also grew by 12% to $183 million. Adjusted EBITDA rose by 37% to $135 million, with margins expanding by 200 basis points to 16%. The company raised 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. They highlighted the launch of Cancerguard, a multi-cancer early detection test, and the expansion of patient access to Cologuard Plus, which offers improved sensitivity and specificity. The call emphasized the company's strategic focus on driving commercial effectiveness, leveraging their ExactNexus platform, and building momentum across their product portfolio to achieve long-term growth and meet 2027 financial targets.

Exact Sciences Financial Statement Overview

Summary
Exact Sciences shows moderate revenue growth and improving cash flow, which are positive indicators. However, challenges with profitability and return on equity persist, and the company needs to enhance operational efficiency and profitability to improve overall financial health.
Income Statement
45
Neutral
Exact Sciences shows a moderate revenue growth rate of 4.83% TTM, indicating some positive momentum. However, the company is struggling with profitability, as evidenced by negative net profit, EBIT, and EBITDA margins. The gross profit margin remains relatively strong at 68.19%, but the consistent net losses highlight ongoing challenges in achieving operational efficiency.
Balance Sheet
50
Neutral
The company's debt-to-equity ratio of 1.02 TTM suggests a balanced approach to leveraging, but the negative return on equity indicates that the company is not generating sufficient returns on shareholders' investments. The equity ratio is not provided, but the overall leverage appears manageable, albeit with room for improvement in profitability.
Cash Flow
55
Neutral
Exact Sciences has shown a significant improvement in free cash flow growth at 45.67% TTM, which is a positive sign. The operating cash flow to net income ratio of 0.59 indicates some efficiency in converting income to cash, though the free cash flow to net income ratio of 0.56 suggests that cash generation relative to net income could be better.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.08B2.76B2.50B2.08B1.77B1.49B
Gross Profit2.08B1.92B1.76B1.42B1.31B1.14B
EBITDA-761.42M-789.33M29.28M-421.11M-649.28M-653.88M
Net Income-986.58M-1.03B-204.15M-623.51M-595.63M-823.61M
Balance Sheet
Total Assets5.90B5.93B6.47B6.23B6.68B4.93B
Cash, Cash Equivalents and Short-Term Investments1.00B1.04B777.64M632.06M1.03B1.84B
Total Debt2.54B2.75B2.55B2.45B2.38B2.33B
Total Liabilities3.40B3.53B3.33B3.18B3.30B2.69B
Stockholders Equity2.50B2.40B3.15B3.04B3.39B2.24B
Cash Flow
Free Cash Flow247.08M74.55M31.93M-438.02M-238.00M72.13M
Operating Cash Flow386.81M210.54M156.12M-223.56M-102.24M136.48M
Investing Cash Flow62.13M-442.15M49.68M74.07M-1.08B-702.04M
Financing Cash Flow-251.72M231.87M159.77M76.48M8.47M1.88B

Exact Sciences Technical Analysis

Technical Analysis Sentiment
Positive
Last Price101.29
Price Trends
50DMA
66.70
Positive
100DMA
57.82
Positive
200DMA
53.78
Positive
Market Momentum
MACD
10.48
Negative
RSI
90.74
Negative
STOCH
98.39
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For EXAS, the sentiment is Positive. The current price of 101.29 is above the 20-day moving average (MA) of 78.55, above the 50-day MA of 66.70, and above the 200-day MA of 53.78, indicating a bullish trend. The MACD of 10.48 indicates Negative momentum. The RSI at 90.74 is Negative, neither overbought nor oversold. The STOCH value of 98.39 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for EXAS.

Exact Sciences Risk Analysis

Exact Sciences disclosed 53 risk factors in its most recent earnings report. Exact Sciences reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Exact Sciences Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$883.61M14.4124.11%14.46%
77
Outperform
$10.35B25.7611.29%3.14%5.32%336.29%
62
Neutral
$19.25B-34.54%14.47%-353.69%
60
Neutral
$932.01M-3.80%13.60%74.64%
58
Neutral
$14.03B30.38%24.17%
55
Neutral
$1.57B-12.99%10.10%-44.29%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
EXAS
Exact Sciences
101.29
39.60
64.19%
QGEN
Qiagen
47.75
4.33
9.97%
NEO
NeoGenomics
12.10
-5.90
-32.78%
CDNA
CareDx
17.87
-7.77
-30.30%
FLGT
Fulgent Genetics
29.58
10.01
51.15%
GH
Guardant Health
108.42
72.90
205.24%

Exact Sciences Corporate Events

Exact Sciences Reports Record Q3 Revenue and Raises Guidance
Nov 4, 2025

Exact Sciences Corp., a prominent player in the cancer screening and diagnostics sector, continues to innovate with products like Cologuard® and Cancerguard, aiming to enhance early cancer detection and patient outcomes.

Exact Sciences’ Latest Study on Breast Cancer Recurrence Detection: A Potential Game Changer
Oct 27, 2025

Study Overview: The EXActDNA-003 / NSABP B-64 study, officially titled ‘Breast Cancer Clinical Validation Study to Predict Recurrence of High-Risk Early Breast Cancer Treated With Neoadjuvant Therapy Using a Bespoke Circulating Tumor DNA Assay to Detect Molecular Residual Disease,’ aims to explore the use of a circulating tumor DNA (ctDNA) assay to detect molecular residual disease (MRD) in patients with high-risk early breast cancer. This study is significant as it seeks to improve recurrence prediction, potentially enhancing patient outcomes.

Exact Sciences’ MCED Test Study: A Potential Game-Changer in Early Cancer Detection
Oct 27, 2025

Exact Sciences Corp is currently recruiting participants for its study titled ‘Falcon – The Exact Sciences Multicancer Early Detection (MCED) Real World Evidence (RWE) Registry.’ The primary objective of this study is to gather real-world evidence on the performance of the Exact Sciences MCED test, which is significant for advancing early cancer detection methods.

Exact Sciences Corp’s Strong Earnings Call Highlights
Aug 8, 2025

Exact Sciences Corp’s recent earnings call showcased a robust performance, marked by impressive revenue and EBITDA growth. The company highlighted successful expansions and new coverage agreements, which are set to bolster future prospects. However, challenges such as underperformance in blood-based test results and restructuring costs were also noted, impacting the financial landscape.

Exact Sciences Corp. Reports Strong Q2 2025 Results
Aug 7, 2025

Exact Sciences Corp., a prominent player in the cancer screening and diagnostics sector, continues to innovate and expand its offerings, providing vital tools for early cancer detection and management.

Business Operations and StrategyFinancial DisclosuresProduct-Related Announcements
Exact Sciences Announces Collaboration with Freenome Holdings
Positive
Aug 6, 2025

On August 6, 2025, Exact Sciences announced a collaboration with Freenome Holdings to develop blood-based colorectal cancer screening products. The company reported record second-quarter revenue of $811 million, a 16% increase from the previous year, and raised its full-year revenue and adjusted EBITDA guidance. Key achievements included gaining Medicare coverage for its Oncodetect test and launching a multi-year productivity plan targeting $150 million in savings by 2026.

The most recent analyst rating on (EXAS) stock is a Buy with a $65.00 price target. To see the full list of analyst forecasts on Exact Sciences stock, see the EXAS Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 21, 2025