Tearsheet

Exact Sciences (EXAS)


Market Price (9/18/2025): $51.99 | Market Cap: $9.8 Bil
Sector: Health Care | Industry: Life Sciences Tools & Services

Exact Sciences (EXAS)


Market Price (9/18/2025): $51.99
Market Cap: $9.8 Bil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights

0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 10%
Weak multi-year price returns
2Y Excs Rtn is -81%, 3Y Excs Rtn is -35%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -151 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -5.1%
1 Low stock price volatility
Vol 12M is 49%
  Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 32x
2   Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -15%
0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 10%
1 Low stock price volatility
Vol 12M is 49%
2 Weak multi-year price returns
2Y Excs Rtn is -81%, 3Y Excs Rtn is -35%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -151 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -5.1%
4 Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 32x
5 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -15%

Market Valuation

 9/18/252024202320222021
Share Price CYE$51.99$56.19$73.98$49.51$77.83
Market Cap CYE ($ Bil)9.810.413.48.813.4
Total Debt ($ Bil)2.52.82.62.42.4
Total Cash ($ Bil)0.91.00.80.61.0
Enterprise Value ($ Bil)11.513.216.011.215.8
Valuation Ratios     
P/S TTM3.33.85.34.27.5
P/EBIT TTM-9.9-10.3-75.2-14.1-16.1
P/E TTM-9.8-10.1-65.3-14.0-22.4
Sector Ratios     
P/S TTM (Sector)3.83.64.14.57.3
P/EBIT TTM (Sector)-1.6-1.3-1.4-1.3-2.9
P/E TTM (Sector)-1.8-1.5-1.5-1.3-2.9
 9/18/2520242023
Share Price CYE$51.99$56.19$73.98
Market Cap CYE ($ Bil)9.810.413.4
Total Debt ($ Bil)2.52.82.6
Total Cash ($ Bil)0.91.00.8
Enterprise Value ($ Bil)11.513.216.0
Valuation Ratios   
P/S TTM3.33.85.3
P/EBIT TTM-9.9-10.3-75.2
P/E TTM-9.8-10.1-65.3
Sector Ratios   
P/S TTM (Sector)3.83.64.1
P/EBIT TTM (Sector)-1.6-1.3-1.4
P/E TTM (Sector)-1.8-1.5-1.5

Business Description

Exact 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. Show more

Price Returns Compared

Expand for Detailed View

 202020212022202320242025Total [1]
Returns
EXAS Return43%-41%-36%49%-24%-7%-42%
Peers Return41%48%-28%-6%0%-20%13%
S&P 500 Return16%27%-19%24%23%12%104%

[1] Cumulative total returns since the beginning of 2020
[2] Peers: TNDM, TMO, DHR, A, IQV. See EXAS Returns vs. Peers.
[3] 2025 data is for the year up to 9/17/2025 (YTD)

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Latest Trefis Analyses

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Peer Comparisons for Exact Sciences

Financials

EXASTNDMTMODHRAIQVMedian
NameExact Sc.Tandem D.Thermo F.Danaher Agilent .IQVIA  
Mkt Price52.3812.18472.64192.94126.72186.69156.70
Mkt Cap9.90.8178.7138.236.032.134.0
Rev LTM2,9401,00243,21124,0136,78815,70011,244
Op Inc LTM-151-1797,8604,4171,4442,2631,854
FCF LTM170-516,1704,8621,0882,0101,549
FCF 3Y Avg15-446,6625,7331,3081,8061,557
CFO LTM306107,5786,1691,4952,6172,056
CFO 3Y Avg166-28,2067,0131,6622,4332,047

Growth & Margins

EXASTNDMTMODHRAIQVMedian
NameExact Sc.Tandem D.Thermo F.Danaher Agilent .IQVIA  
Rev Chg LTM12.6%25.8%2.0%1.9%4.5%3.6%4.0%
Rev Chg 3Y Avg14.9%9.9%0.3%-2.6%0.8%3.6%2.2%
Rev Chg Q16.0%8.5%3.0%3.4%10.1%5.3%6.9%
QoQ Delta Rev Chg LTM4.0%1.9%0.7%0.8%2.4%1.3%1.6%
Op Mgn LTM-5.1%-17.9%18.2%18.4%21.3%14.4%16.3%
Op Mgn 3Y Avg-9.8%-24.9%17.4%21.6%21.5%13.7%15.6%
QoQ Delta Op Mgn LTM0.8%0.2%-0.1%-1.9%-0.1%-0.3%-0.1%
CFO/Rev LTM10.4%1.0%17.5%25.7%22.0%16.7%17.1%
CFO/Rev 3Y Avg6.0%-0.3%19.1%29.9%24.6%16.0%17.6%
FCF/Rev LTM5.8%-5.1%14.3%20.2%16.0%12.8%13.5%
FCF/Rev 3Y Avg0.2%-5.1%15.5%24.4%19.4%11.9%13.7%

Valuation

EXASTNDMTMODHRAIQVMedian
NameExact Sc.Tandem D.Thermo F.Danaher Agilent .IQVIA  
Mkt Cap9.90.8178.7138.236.032.134.0
P/S3.40.84.15.85.32.03.8
P/EBIT-10.0-4.221.331.723.814.417.8
P/E-9.8-4.027.140.529.525.926.5
P/CFO32.484.023.622.424.112.323.8
Total Yield-10.2%-25.2%3.7%2.5%4.2%3.9%3.1%
Dividend Yield0.0%0.0%0.0%0.0%0.8%0.0%0.0%
FCF Yield 3Y Avg0.3%-2.7%3.6%3.4%3.7%5.3%3.5%
D/E0.30.50.20.10.10.50.2
Net D/E0.20.20.20.10.10.40.2

Returns

EXASTNDMTMODHRAIQVMedian
NameExact Sc.Tandem D.Thermo F.Danaher Agilent .IQVIA  
1M Rtn16.2%12.4%-3.0%-7.7%7.3%-3.0%2.1%
3M Rtn0.1%-40.3%20.5%-0.6%9.9%20.7%5.0%
6M Rtn14.6%-40.9%-8.7%-8.0%4.1%-0.1%-4.0%
12M Rtn-23.0%-71.7%-22.3%-28.8%-7.7%-22.2%-22.6%
3Y Rtn33.5%-78.7%-11.9%-20.5%-0.3%-8.9%-10.4%
1M Excs Rtn13.8%10.0%-5.3%-10.0%4.9%-5.4%-0.2%
3M Excs Rtn-10.6%-49.6%10.9%-11.6%-0.9%10.8%-5.8%
6M Excs Rtn-0.9%-56.8%-26.7%-26.6%-14.2%-18.5%-22.6%
12M Excs Rtn-37.4%-89.6%-39.7%-46.6%-24.3%-39.1%-39.4%
3Y Excs Rtn-34.7%-139.5%-78.2%-85.5%-68.0%-78.2%-78.2%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Development and global commercialization of clinical laboratory services2,5002,084   
COVID-19 Testing  143236 
Commercial  750596398
International  1107711
Medicare parts B & C  636523429
Other  1286038
Total2,5002,0841,7671,491876


Net Income by Segment
$ Mil20242023202220212020
Development and global commercialization of clinical laboratory services-204-624   
Total-204-624   


Price Behavior

Short Interest

Short Interest: As Of Date8292025
Short Interest: Shares Quantity7,336,134
Short Interest: % Change Since 8152025-22.5%
Average Daily Volume2,513,605
Days-to-Cover Short Interest2.92
Basic Shares Quantity188,902,000
Short % of Basic Shares3.9%

Earnings Returns History

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 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/6/2025-8.0%-4.3%14.7%
5/1/20259.3%12.5%19.0%
2/19/2025-1.9%-3.9%-12.3%
11/5/2024-23.5%-29.9%-12.4%
7/31/202426.8%22.6%36.3%
5/8/2024-9.0%-10.3%-27.8%
2/21/2024-6.0%-11.0%-2.0%
11/1/2023-1.7%-1.1%5.5%
...
SUMMARY STATS   
# Positive71010
# Negative161313
Median Positive10.9%12.2%13.0%
Median Negative-5.3%-10.2%-12.4%
Max Positive26.8%35.9%40.8%
Max Negative-23.5%-29.9%-27.8%

SEC Filings

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Report DateFiling DateFiling
6302025806202510-Q 6/30/2025
3312025501202510-Q 3/31/2025
12312024219202510-K 12/31/2024
93020241105202410-Q 9/30/2024
6302024731202410-Q 6/30/2024
3312024508202410-Q 3/31/2024
12312023221202410-K 12/31/2023
93020231101202310-Q 9/30/2023
6302023801202310-Q 6/30/2023
3312023509202310-Q 3/31/2023
12312022221202310-K 12/31/2022
93020221103202210-Q 9/30/2022
6302022802202210-Q 6/30/2022
3312022426202210-Q 3/31/2022
12312021222202210-K 12/31/2021
93020211102202110-Q 9/30/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Doyle James Edward 8142025Sell42.021,48562,4002,519,603Form
1Conroy Kevin TPresident and CEO11132024Buy51.3519,5001,001,32555,159,708Form
2Baranick BrianEVP, GM, Precision Oncology10092024Sell70.0092965,030893,060Form
3Baranick BrianEVP, GM, Precision Oncology9192024Sell70.0092965,030958,090Form