Question-and-Answer SessionKevin, maybe kick it off, we'll start with the base business and the strength you're seeing in screening. Obviously, a number of pieces here between care gap, rescreens. Just talk about kind of the durability, the momentum you're seeing, sustainability of some of the trends we've seen this year.Kevin ConroyChairman of The Board & CEO Yes, it's been exciting. A year ago, we were in a totally different place, weren't we, Tycho. It was -- what we have seen over the course of the last ...

Summary of Exact Sciences Conference Call Company Overview - **Company**: Exact Sciences (NasdaqCM:EXAS) - **Industry**: Life Sciences, specifically focused on cancer screening and diagnostics Key Points Business Performance - Exact Sciences has experienced significant commercial execution over the past year, enhancing connectivity with health systems, providers, and consumers [3][4] - The company reported a total growth of **20%** in the third quarter, with screening growth accelerating to **22%** [9] - Free cash generation has tripled compared to the previous year, indicating strong financial health [9] Product Offerings - The Cologuard brand, including the new Cologuard Plus, is addressing the needs of **50 million** people in the U.S. who are not up to date with screening [3] - The precision oncology business is growing at **12%** in the last quarter [4] - CareGap, a relatively new business, has shown significant growth, contributing mid-single digits to top-line growth [10] Sales and Marketing Strategy - The sales force has been expanded to its previous size, focusing on direct sales rather than partnerships with Quest Diagnostics and LabCorp [6] - Each sales representative owns their territory, supported by data and AI tools to optimize outreach [7] - The company plans to increase sales and marketing spend by **$30 million-$40 million** in the fourth quarter [16] Financial Outlook - Exact Sciences expects nearly **50%** profit growth in 2025, with a long-term goal of achieving **20%+** EBITDA margins by 2027 [14] - A cost-out program is in place, targeting **$50 million** in savings this year and **$150 million** next year [14] Market Dynamics - The company is working to secure contracts with the remaining top commercial payers, which represent over **60%** of all lives in the U.S. [18] - Cologuard Plus is expected to replace Cologuard, with a modest price increase of **16%** after 11 years without a price hike [18] Competitive Landscape - Blood-based testing for colon cancer screening is emerging, but performance is currently not as strong as Cologuard or colonoscopy [23] - Exact Sciences plans to launch its CRC blood test in mid-2024, targeting individuals who refuse traditional screening methods [24][28] Future Initiatives - The company is expanding its capabilities with new tests like CancerGuard and Oncodetect, leveraging existing relationships with healthcare providers [31] - Exact Sciences aims to enhance its technology platform to support broader cancer screening initiatives [32] Conclusion - Exact Sciences is positioned for growth with a strong product pipeline, effective sales strategies, and a focus on expanding its market presence in cancer diagnostics. The company is optimistic about future profitability and market share expansion through innovative testing solutions and strategic partnerships.

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Financial Data and Key Metrics Changes - Total revenue grew 20% year-over-year to $851 million, exceeding guidance by $43 million [4][5] - Adjusted EBITDA increased by 37% year-over-year to $135 million, with adjusted EBITDA margins expanding by 200 basis points to 16% [5][6] - Free cash flow for the quarter was $190 million, a 270% increase year-over-year, with year-to-date free cash flow reaching $236 million [6] Business Line Data and Key Metrics Changes - Screening revenue increased 22% year-over-year to $666 million, driven by strong Cologuard performance [5][6] - Precision oncology revenue grew 12% year-over-year to $183 million, supported by Oncotype DX expansion [5][6] Market Data and Key Metrics Changes - Cologuard brand awareness is recognized by over 90% of consumers, contributing to increased adoption among the 55 million Americans not up to date with colorectal cancer screening [8][9] - The company signed contracts with major payers, including Aetna and Highmark, to expand access to Cologuard Plus [9] Company Strategy and Development Direction - The company is focused on expanding access to Cologuard Plus and driving adoption of Cancerguard, a multi-cancer early detection test [4][12] - Plans to sunset the original Cologuard test in favor of Cologuard Plus, which has superior sensitivity and specificity [36] - The company aims to achieve its 2027 financial targets and create long-term value through innovative diagnostics [7][16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's momentum and operational leverage, indicating a strong position for future growth [7][16] - The company is optimistic about the impact of care gap programs and the potential for increased screening rates [25][46] Other Important Information - The company is investing in direct-to-consumer marketing for Cancerguard, leveraging its established brand [13][40] - The company plans to present data on Oncoguard Liver at an upcoming liver meeting, highlighting its potential for liver cancer surveillance [15] Q&A Session Summary Question: What drove the strong screening performance in Q3? - Management attributed the performance to improved relationships with health systems, targeted messaging, and the introduction of new products [20] Question: What is the outlook for 2026? - Management indicated that guidance for 2026 will be provided in the next earnings call, but they are currently pacing ahead of long-term growth targets [22] Question: How will care gap strength impact margins? - Management noted that while care gap programs have lower gross margins, they are highly accretive to the overall bottom line and expect margins to improve in Q4 [26] Question: What is the strategy for Cancerguard reimbursement? - Management emphasized a long-term approach to securing coverage across Medicare and commercial payers, focusing on the positive impact of screening [29] Question: What are the timelines for Freenome? - Management expects to present data for Freenome V2 at a scientific conference in the coming months [32] Question: How is the Cologuard Plus contributing to growth? - Management indicated that Cologuard Plus is expected to contribute 300-400 basis points to growth in Q4 [44] Question: What is the status of the $150 million cost savings program? - Management reported good progress on the cost savings program, expecting to deliver $150 million in savings by 2026 [54] Question: How will the company manage the launch of CRC blood tests? - Management plans to leverage insights from previous launches to avoid channel conflicts and ensure appropriate patient testing [66]

Exact Sciences (NasdaqCM:EXAS) Q3 2025 Earnings Call November 03, 2025 05:00 PM ET Speaker3Hello, and welcome to the Exact Sciences third quarter 2025 earnings call. All lines have been placed on mute to prevent any background noise. After the speaker's remarks, there will be a question-and-answer session, and if you would like to ask a question, please press star one on your telephone keypad. I would now like to turn the conference over to Derek Leckow. You may begin.Speaker4Thank you for joining us for Ex ...

Core Viewpoint - Exact Sciences is experiencing an improving outlook with innovative products leading to a stock rebound, having increased by 41% over the past six months [1] Group 1: Company Performance - Exact Sciences is known for Cologuard, a stool-based test for early colorectal cancer detection, which has been used in over 20 million screenings since its launch in 2014 [2][3] - The company reported a 16% year-over-year revenue increase in Q2, reaching $811 million, with $628 million from screening revenue and $183 million from precision oncology [4] - Despite not being profitable, the company is showing improvement, with a net loss per share of $0.01 in Q2, better than the $0.09 loss per share in Q2 2024 [5] Group 2: Growth Opportunities - Exact Sciences launched Cologuard Plus in March, which is more accurate than its predecessor, and acquired rights to a blood-based CRC test from Freenome for $75 million [6] - There are over 55 million eligible patients in the U.S. aged 45 to 85 who have not been screened for CRC, indicating significant market potential [7] - The company also launched Oncodetect in April for testing recurrence across multiple cancers, and Cancerguard, a blood-based multicancer screening test, in September [8] Group 3: Market Potential - Exact Sciences estimates a total addressable market of nearly $60 billion across its services, with trailing-12-month revenue of $2.94 billion indicating room for growth [10] - The company has been growing revenue while reducing marketing costs as a percentage of sales, suggesting a strengthening reputation in the healthcare sector [11] - Cologuard Plus is 5% cheaper to manufacture, which could further enhance profitability [13]

Industry Overview - The integration of genomics into cancer care has shifted treatment from uniform therapies to precision medicine, tailoring clinical decisions to individual tumor genetics and molecular profiles [1] - The genomics in cancer care market was valued at $21.07 billion in 2024, with an expected CAGR of 16.2% from 2025 to 2030, driven by technology innovation and clinical validation [1] Company Profiles Tempus AI - Tempus AI reported $241.8 million in Genomics revenues for the quarter ended June 2025, marking a nearly 115% year-over-year increase, supported by a 26% volume growth in oncology tests [5] - The company launched a new liquid biopsy assay, xM for Treatment Response Monitoring, designed to track tumor fraction changes in patients undergoing immune-checkpoint inhibitor therapies [6] - Tempus plans to introduce its first whole-genome sequencing test, Xh, next year, and is developing a companion diagnostic with Verastem Oncology [7] - Tempus AI's Genomics revenues surged 115% year over year, with significant contributions from testing growth and acquisitions [9] - The Data and Services segment saw a 35.7% year-over-year increase in sales, driven by a 40.7% rise in Insights, the data licensing business [10] - A notable development includes a $200 million data and modeling license agreement with AstraZeneca and Pathos, enhancing Tempus' contract value to over $1 billion [11] Exact Sciences - Exact Sciences is strengthening its position in cancer diagnostics, with international adoption of its Oncotype DX and validation of its Oncodetect test for predicting recurrence in colorectal cancer [12] - The company launched Cologuard Plus, an enhanced colorectal cancer screening test expected to reduce false-positive results by over 40% compared to the original [13] - Exact Sciences introduced Cancerguard, a multi-cancer early detection blood test, which is the first commercially available test analyzing multiple biomarker classes [14] - Cologuard remains a cornerstone of Exact Sciences' portfolio, with the company delivering its 20 millionth result, doubling its total from three years ago [15] Valuation and Performance - Tempus AI is trading at a forward 12-month price-to-sales ratio of 10.52, while Exact Sciences has a forward sales multiple of 3.46, indicating that Tempus is trading at a premium [16] - The Zacks Consensus Estimate for Tempus' 2025 sales implies an 81.21% year-over-year growth, while Exact Sciences' sales are expected to rise by 14.4% [17][20] - Tempus AI has seen a year-to-date share price increase of 158.8%, while Exact Sciences has gained 12.6% [4] Investment Considerations - Tempus AI's strong momentum in genomic testing and data partnerships, alongside Exact Sciences' advancements in molecular diagnostics, positions both companies as key players in the genomics landscape [20] - Exact Sciences, currently rated as a Strong Buy, is viewed as more attractively valued compared to Tempus AI, which holds a Hold rating [21][22]

Market Overview - U.S. stocks experienced significant gains in Q3 2025, with the Nasdaq Composite, S&P 500, and Dow Jones Industrial Average rising by 11.2%, 7.8%, and 5.2% respectively [1] - The growth was fueled by expectations of further Federal Reserve rate cuts, strong Q2 earnings, and optimism surrounding artificial intelligence (AI) [2] Recommended Growth Stocks - Five growth stocks are recommended for Q4 2025: Micron Technology Inc. (MU), Workday Inc. (WDAY), Exact Sciences Corp. (EXAS), Evercore Inc. (EVR), and Coeur Mining Inc. (CDE) [2] - These stocks exhibit strong revenue and earnings growth potential, with positive earnings estimate revisions in the past 30 days [3] Micron Technology Inc. (MU) - Micron is a leader in the AI infrastructure boom, driven by high demand for its high-bandwidth memory (HBM) solutions and record sales in the data center market [6][9] - The company is capitalizing on the growing adoption of AI servers, which require more memory than traditional servers, boosting demand for DRAM [7] - Micron's expected revenue and earnings growth rates are 42.4% and over 100% respectively for the current year, with a 27% improvement in the Zacks Consensus Estimate for earnings over the last 30 days [10] Workday Inc. (WDAY) - Workday's diversified product portfolio and cloud-based business model are key growth drivers, with strong customer traction in international markets [11] - Significant investment from Elliott Investment Management is expected to enhance innovation, particularly in AI and machine learning [12] - Workday's expected revenue and earnings growth rates are 12.6% and 21.1% respectively for the current year, with a 0.3% improvement in the Zacks Consensus Estimate for earnings over the last 30 days [13] Exact Sciences Corp. (EXAS) - Exact Sciences benefits from strong adoption of its Cologuard product, with the recent introduction of Cologuard Plus gaining Medicare coverage [14] - The launch of Oncodetect has advanced MRD testing, with secured Medicare reimbursement opening access for cancer patients [15] - Exact Sciences has an expected revenue and earnings growth rate of 14.4% and over 100% respectively for the current year, with a 9.1% improvement in the Zacks Consensus Estimate for earnings over the last 30 days [16] Evercore Inc. (EVR) - Evercore is expanding its advisory client base and diversifying revenue sources, which is expected to support top-line growth [17] - The company has a strong liquidity position, allowing for capital distribution through dividend hikes and share repurchase programs [17] - Evercore's expected revenue and earnings growth rates are 17.4% and 34.4% respectively for the current year, with a 2.1% improvement in the Zacks Consensus Estimate for earnings over the last 30 days [18] Coeur Mining Inc. (CDE) - Coeur Mining operates as a primary silver and gold producer with mines in the Americas, including properties in Mexico, Bolivia, Nevada, and Alaska [19] - The company has an expected revenue and earnings growth rate of 88.3% and over 100% respectively for the current year, with a 3.8% improvement in the Zacks Consensus Estimate for earnings over the last 30 days [20]

Core Insights - Exact Sciences Corporation (EXAS) is positioned for growth due to the momentum in its Cologuard and Oncotype DX tests, with ongoing investments in innovative cancer diagnostic solutions [1][4][9] - The company has a market capitalization of $10.20 billion and an estimated long-term earnings growth rate of 30.1%, outperforming the industry average of 21% [3] - Exact Sciences aims for 15% compounded revenue growth and over 20% adjusted EBITDA margins, with expected annual savings of more than $150 million by 2026 [5][9] Growth Drivers - Cologuard's growth is supported by rescreens, care gap programs, and improved commercial execution, with a focus on making it the standard of care [4] - Oncotype DX is experiencing strong international uptake, with a significant opportunity for growth as 70% of eligible patients outside the U.S. are not currently tested [4] - The launch of new products, such as Oncodetect and Cologuard Plus, enhances the company's offerings and addresses market needs [6][7][10] Operational Challenges - The company faces macroeconomic pressures, including high-interest rates and limited access to capital markets, which could impact profitability [13] - A competitive landscape in the colorectal cancer screening market poses risks, with competitors having greater resources and capabilities [14] Financial Performance - In the past year, EXAS stock has declined by 13.6%, while the S&P 500 has risen by 18.9% [2] - The Zacks Consensus Estimate for Exact Sciences' 2025 earnings has increased by 13.8% to 33 cents, with revenues projected to reach $3.16 billion, reflecting a 14.4% increase from 2023 [15]

Group 1 - The core focus is on the fundamentals of Exact in Q2, which were influenced by Freenome developments [1] - Cologuard experienced an 18% year-over-year growth for the second consecutive quarter, indicating strong performance [1] - The guidance suggests that Cologuard will exit the year with a growth rate in the high teens, supported by pricing strategies for Cologuard Plus [1]