Summary of Exact Sciences (EXAS) FY Conference Call - June 03, 2025 Company Overview - Exact Sciences is focused on cancer detection and prevention, particularly through its flagship product, Cologuard, which screens for colon cancer using stool samples [3][4][5] - The company aims to eradicate cancer by preventing it, detecting it earlier, and guiding treatment [5] Key Points and Arguments Business Model and Growth - Exact Sciences has invested over $1 billion into its technology platform, which is designed to serve consumers, patients, health systems, and payers [5] - The company expects to generate over $3 billion in revenue this year, with a focus on growing profitability [7] - Cologuard has significantly increased colon cancer screening rates from approximately 60% to over 72% in the population over 50 years old [9] - The company has screened 20 million people with Cologuard, which is protected for three years, contributing to double-digit revenue growth [9][10] Technology and Innovation - Exact Sciences has developed a technology platform called Exact Nexus, built on the Epic EMR system, which enhances billing efficiency and electronic ordering [15][16] - The company is launching three new products this year, including Cologuard Plus, OncoDetect, and CancerGuard, which aim to improve cancer detection rates [36][37][38] - Cologuard Plus has a sensitivity of 95% and a specificity of 94%, detecting 43% of precancerous polyps [25][26] Market Opportunity - There are 55 million people in the U.S. who are not up to date with colon cancer screening, representing a significant growth opportunity for Exact Sciences [24] - The company anticipates increasing the number of people tested annually from 4 million to at least 14 million [24] - The market for care gap programs, driven by payers and health systems, is expected to grow into a billion-dollar opportunity [31] Financial Performance - Exact Sciences has achieved a 16% growth rate over the past five years, with a projected 14% growth in its screening portfolio this year [46] - The company turned adjusted EBITDA positive two years ago and expects to double profitability within two years [47] - Gross margins are nearly 75%, with significant margin expansion expected from the launch of Cologuard Plus and general administrative optimization [48][49] Future Outlook - The company is positioned for sustainable growth through its innovative products and technology platform, with a long-term revenue objective of mid-teens growth and over 20% adjusted EBITDA [50] - Exact Sciences emphasizes the importance of early detection and intervention in reducing cancer mortality rates [51] Additional Important Information - The company has a strong focus on clinical evidence, with multiple publications in reputable journals supporting its products [13] - Exact Sciences is working with nine of the top ten payers to enhance screening rates, which is crucial for qualifying for Medicare Advantage and commercial bonuses [20] - The company is leveraging AI and machine learning to improve performance and guide treatment decisions [35]

Financial Data and Key Metrics Changes - Total results delivered to patients reached 1,200,000, with core revenue growing by 11% and non-GAAP operating expenses increasing by only 4%, leading to a more than 60% increase in adjusted EBITDA [4][10] - Screening revenue exceeded guidance, increasing by 14% to $540 million, while Precision Oncology revenue grew by 4% to $167 million on a core basis [10][11] - Adjusted EBITDA margin expanded by 280 basis points, driven by volume leverage, productivity, and cost-cutting initiatives [11][12] - Free cash flow reached breakeven, showing a year-over-year improvement of $120 million, with expectations for strong cash generation throughout the year [12][13] Business Line Data and Key Metrics Changes - Cologuard growth was primarily driven by rescreens, CareGAP programs, and an increase in new ordering providers [10][11] - Rescreens accounted for over 25% of total Cologuard orders, with expectations for further growth in this segment [53] - The launch of Cologuard Plus is expected to enhance performance and margins, with early adoption showing promising results [17][18] Market Data and Key Metrics Changes - Customer engagement by the field force increased by over 30% year-over-year, with more than 190,000 providers ordering during the first quarter, marking a nearly 10% increase year-over-year [14][15] - The Care Gap program grew triple digits last year and is expected to continue strong double-digit growth this year [6][7] Company Strategy and Development Direction - The company is focused on expanding its commercial organization and enhancing provider engagement to drive growth [4][5] - New product launches, including Cologuard Plus and OncoDetect, are central to the company's strategy for sustained growth [8][19] - The company aims to position Cologuard as the first option in colorectal cancer screening, with a goal of increasing screening rates to 80% [18][116] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the early successes of commercial initiatives and the potential for continued growth in screening and oncology segments [4][8] - The company is navigating a challenging operating environment but remains confident in its ability to drive growth through strategic investments and operational efficiencies [10][12] - Management highlighted the importance of maintaining focus on long-term value creation despite short-term market challenges [76][78] Other Important Information - The company ended the quarter with cash and securities totaling $786 million, reflecting a $249 million convertible note paydown [13] - The company is actively working with Medicare to secure reimbursement for its tests, with expectations for updates in the near future [20] Q&A Session Summary Question: Focus on commercial execution and changes made - Management highlighted that the volume of calls by sales representatives is up, with improved productivity and engagement with healthcare providers [26][28] Question: Unpacking guidance and revenue outlook - Management indicated that the increased guidance is primarily due to improvements in commercial execution and visibility into orders for Q2 [39] Question: Sales and marketing investments - Management acknowledged higher sales and marketing expenses but emphasized that revenue growth significantly outpaced these investments [41][44] Question: Rescreens contribution to total volume - Management confirmed that rescreens are a significant growth driver and could increase their contribution to total volume this year [53][54] Question: Blood testing timeline and hurdles - Management expressed confidence in the timeline for blood testing developments, with a focus on quality measures and ongoing discussions with payers [62][64] Question: Capital allocation priorities - Management indicated a focus on organic growth opportunities while also considering potential acquisitions as the financial profile improves [106][108]