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Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call reveals strong financial performance with 11% revenue growth and improved EBITDA margins. The company raised revenue and EBITDA guidance, indicating confidence in future performance. New product launches and cost optimization efforts are positive signals. Despite competitive pressures and supply chain challenges, the company's operational efficiency and break-even free cash flow are promising. The Q&A section shows positive analyst sentiment, with increased Cologuard orders and strategic investments. Although some uncertainties exist, the overall outlook suggests a positive stock price movement.
Total Revenue $540 million, an increase of 11% year-over-year, driven by broad-based Cologuard growth, particularly in rescreens and care gap programs.
Screening Revenue $540 million, up 14% year-over-year, exceeding guidance due to continued success in rescreens and growth in new ordering providers.
Precision Oncology Revenue $167 million, an increase of 4% year-over-year, driven by strength in Oncotype DX adoption internationally.
Adjusted EBITDA $63 million, an increase of 61% year-over-year, with margin expansion of 280 basis points due to volume leverage, productivity, and cost-cutting initiatives.
Adjusted G&A Decreased by 7% year-over-year, improving more than 520 basis points as a percentage of revenue, partially offset by increased sales and marketing investments.
Free Cash Flow Reached break even, a year-over-year improvement of $120 million, driven by productivity and working capital initiatives.
Cash and Securities $786 million, reflecting a $249 million convertible note paydown.
New Product Launches: Launched Cologuard Plus, a next-generation colorectal cancer screening test with Medicare coverage and quality measure inclusion. Launched Oncodetect, a molecular residual disease test aimed at benefiting 6 million cancer patients.
Upcoming Product Launches: Cancerguard, a multi-cancer screening test, is set to launch in the second half of 2025.
Market Expansion: Engaging providers with the highest potential to order at record rates, expanding the number of providers engaged each quarter. Customer initiated ordering platform grew triple digits in Q1 2025.
Operational Efficiencies: Took $25 million in actions to optimize costs, expecting annual savings of $18 million. Adjusted G&A improved more than 520 basis points and was down 7% year-over-year.
Strategic Shifts: Shifted to a purpose-built commercial organization and expanded field team to enhance provider engagement. Focus on increasing adherence in care gap programs, which grew triple digits last year.
Regulatory Issues: Exact Sciences is actively working with Medicare to secure reimbursement for their new test, Oncodetect, in colorectal cancer, which is expected to occur this quarter.
Competitive Pressures: The company faces competitive pressures in the market for cancer screening tests, particularly with the launch of Cologuard Plus, which aims to establish itself as a first option in healthcare provider screening toolkits.
Supply Chain Challenges: There is a potential risk related to the launch of Cologuard Plus, which may temporarily impact cash flow due to an expected build in accounts receivable.
Economic Factors: The company navigated through one of the worst flu seasons in years, which could have impacted their operations and revenue.
Operational Efficiency: While the company has taken actions to optimize costs and increase operational efficiency, there is an ongoing challenge to maintain this momentum and ensure that these initiatives deliver the expected savings.
Cologuard Plus Launch: Launched Cologuard Plus, a next-generation colorectal cancer screening test with Medicare coverage and quality measure inclusion.
Oncodetect Launch: Launched Oncodetect, a molecular residual disease test aimed at benefiting 6 million cancer patients.
Commercial Initiatives: Expanded commercial organization and field team to engage high-potential providers, resulting in increased customer engagement and satisfaction.
Care Gap Program: Grew care gap program triple digits last year, with expectations for strong double-digit growth this year.
Customer Initiated Ordering Platform: Grew triple digits in the first quarter, with plans for further improvements.
Cancerguard Launch: On track for the launch of Cancerguard in the second half of 2025.
Total Revenue Guidance: Increased total revenue guidance to between $3.07 billion and $3.12 billion for the year.
Screening Revenue Guidance: Expect screening revenue between $595 million and $605 million for Q2 and between $2.39 billion and $2.425 billion for the full year.
Precision Oncology Revenue Guidance: Expect precision oncology revenue between $170 million and $175 million for Q2 and between $680 million and $695 million for the full year.
Adjusted EBITDA Guidance: Raised adjusted EBITDA guidance to between $425 million and $455 million for the full year, implying 14.2% adjusted EBITDA margins at midpoint.
Free Cash Flow Expectations: Expect strong full-year cash generation with meaningful growth in free cash flow.
Cost Optimization Actions: Took $25 million in actions to optimize costs, expecting annual savings of $18 million.
Free Cash Flow: Free cash flow reached break even during the first quarter, a year-over-year improvement of $120 million.
Cash and Securities: We ended the quarter with cash and securities of $786 million, which reflects the $249 million convertible note paydown.
Annual Savings from Cost Optimization: We expect these actions to deliver annual savings of $18 million with $9 million coming in 2025.
Revenue Guidance: We are increasing total revenue guidance to between $3.07 and $3.12 billion for the year, an increase of $40 million at midpoint.
Adjusted EBITDA Guidance: We are raising adjusted EBITDA guidance to between $425 million to $455 million for the full year.
The earnings call reflects strong financial performance with raised revenue and EBITDA guidance, a solid productivity plan, and promising product developments like Cologuard Plus and Cancerguard. The Q&A section highlights ongoing payer negotiations and future growth potential, despite some uncertainties in timelines and pricing strategies. The overall sentiment is positive, supported by optimistic guidance and strategic initiatives aimed at long-term growth.
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