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Exact Sciences
🇺🇸 NASDAQ:EXAS
•
Dec 31, 2024

Exact Sciences Q4 2024 Earnings Report

Exact Sciences reported strong revenue growth but faced significant impairment charges leading to a large net loss.

Key Takeaways

Exact Sciences achieved 10% YoY revenue growth in Q4 2024, reaching $713.42M. Screening revenue grew by 14%, while Precision Oncology revenue remained flat. However, an $838M impairment charge led to a substantial net loss of $864.59M, significantly higher than the prior year's loss of $49.77M. Adjusted EBITDA improved to $75.38M with an 11% margin.

Total revenue grew 10% YoY to $713.42M.

Screening revenue increased by 14%, driven by Cologuard.

Net loss widened to $864.59M due to an $838M impairment charge.

Adjusted EBITDA rose to $75.38M with an 11% margin.

Total Revenue
$713M
Previous year: $647M
+10.3%
EPS
-$0.06
Previous year: -$0.27
-77.8%
Gross Margin
69%
Previous year: 70%
-1.4%
Adj. Gross Margin
72%
Previous year: 73%
-1.4%
Adjusted EBITDA
$75.4M
Previous year: $49.7M
+51.7%
Gross Profit
$429M
Previous year: $475M
-9.6%
Cash and Equivalents
$601M
Previous year: $778M
-22.7%
Free Cash Flow
$10.7M
Previous year: $34.6M
-69.0%
Total Assets
$5.93B
Previous year: $6.47B
-8.4%

Exact Sciences Revenue

Exact Sciences EPS

Exact Sciences Revenue by Segment

Forward Guidance

Exact Sciences expects revenue growth between 9%-12% in 2025, driven by new product launches and expanded screening adoption. Adjusted EBITDA is projected to improve, indicating better profitability.

Positive Outlook

  • Full-year 2025 revenue guidance of $3.03B - $3.09B (+9% - 12% YoY).
  • Screening revenue expected to grow to $2.35B - $2.39B.
  • Precision Oncology revenue forecasted at $675M - $695M.
  • Adjusted EBITDA projected to rise to $410M - $440M.
  • Launch of Cologuard Plus, Oncodetect, and Cancerguard expected in 2025.

Challenges Ahead

  • Large impairment charges could impact profitability in the near term.
  • Precision Oncology revenue showed minimal growth in Q4 2024.
  • Continued net losses despite revenue growth.
  • High operating expenses, including R&D and marketing investments.
  • Potential reimbursement and regulatory challenges for new test launches.

Revenue & Expenses

Visualization of income flow from segment revenue to net income