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Catherine.Roberts


Exact Sciences: Advancing Cancer Diagnostics and Driving Growth

2023-08-04

Exact Sciences, a company dedicated to eradicating cancer through innovative diagnostic tests, held its second quarter 2023 earnings call. Led by Chairman and CEO Kevin Conroy and CFO Jeff Elliott, the meeting highlighted the company's financial results and progress. One of the key topics discussed was the growth and future plans for Cologuard, a product developed by Exact Sciences.

Cologuard aims to improve colon cancer outcomes by increasing the number of people screened for the disease with a more accurate test. Early detection is crucial for successful treatment, making this development significant in the fight against cancer.

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Another notable topic discussed was the company's focus on developing new cancer diagnostic tests. Exact Sciences' Precision Oncology team secured reimbursement for the Oncotype DX breast test in Japan, presenting a significant opportunity in a country with a high number of breast cancer cases. By educating doctors, hospitals, and communities about the value of genomic testing, the company aims to enable better personalized treatment decisions for women.

The company's pipeline teams are also focused on two major opportunities in cancer research: molecular residual disease and multi-cancer early detection. Collaborating with the Broad Institute, Exact Sciences aims to enhance their molecular residual disease platform, Onco detect, to provide better performance at a reasonable cost point. This platform can help monitor and manage cancer recurrence, a crucial aspect of cancer treatment.

Furthermore, Exact Sciences is conducting the ASCEND 2 trial to validate their multi-cancer early detection approach. Early detection of multiple types of cancer can significantly improve patient outcomes, making this trial a promising endeavor.

Overall, Exact Sciences' dedication to eradicating cancer through innovative diagnostic tests and their focus on improving personalized treatment decisions and early detection strategies make them a compelling topic for a deep-dive analysis.

In terms of market outlook, the company expects positive growth driven by the Thrive earnout, which is a significant part of their growth strategy. Exact Sciences is experiencing mid-single digit growth and anticipates increased growth in the second half of the year. They are investing in Market Research and Development due to the rapidly evolving market and their confidence in their technology. Hiring is expected to increase to support continued growth. The company's commercial organization is focused on expanding the penetration of their product, Cologuard, within existing accounts. With a 10% penetration rate for Cologuard and a large number of Americans who are not up to date, there is still room for growth.

The key drivers of the business discussed in the meeting were the Thrive earnout, investments in MRD (Molecular Residual Disease), hiring, the focus on growing Cologuard until Cologuard 2.0 receives FDA approval, and penetration.

Exact Sciences' plans for its product and services include expecting significant growth from the Thrive earnout, investing more in MRD, hiring more employees to support growth, focusing on growing Cologuard until Cologuard 2.0 receives FDA approval, and deepening penetration within accounts rather than adding new orders.

During the meeting, the company highlighted several key performance indicators (KPIs) that are crucial for their success. These include the thrive earnout, growth rate, investments in MRD, and hiring. The thrive earnout represents a significant part of the company's growth, while the mid-single digit growth rate indicates their ability to expand and increase revenue. Exact Sciences plans to accelerate investments in MRD, reflecting their commitment to staying competitive and innovative. Additionally, they plan to increase hiring in the second half of the year to support their growth objectives.

Looking ahead, Exact Sciences has a positive outlook for the quarter and year. They expect growth in the mid-single digits, with an increase in the second half of the year compared to the first half. The company plans to hire more employees to support continued growth and has confidence in their technology and approach in the MRD market. They also intend to focus on deepening penetration within existing accounts for their product, Cologuard, and using data and analytics to effectively target the right physicians. Overall, Exact Sciences feels optimistic about the state of the business and its long-term prospects, with a foundation built for scalability and driving margin and cash flow improvement in the future.

Participants in the Exact Sciences second quarter 2023 earnings call included Kevin Conroy (Chairman and CEO), Jeff Elliott (CFO), and Everett Cunningham (Chief Commercial Officer).

Exact Sciences has made significant progress during the second quarter, positioning themselves as a leader in developing innovative cancer diagnostic tests using advanced technologies. Their achievements include being certified as a great place to work for the fifth consecutive year and delivering over 1 million test results to patients. With $617 million in core revenue, a $119 million improvement year over year, Exact Sciences' commitment to improving cancer care through cutting-edge diagnostics is evident.

The company's dedication to improving colon cancer outcomes and their plans to fuel growth through their Cologuard test were discussed during the meeting. They also highlighted securing reimbursement for the Oncotype DX breast test in Japan, presenting a significant opportunity outside the U.S. Exact Sciences' pipeline teams are focused on molecular residual disease and multi-cancer early detection, with plans to enhance their molecular residual disease platform and complete the ASCEND 2 trial. By investing in their people, reaching more patients with their current tests, and developing new cancer diagnostic tests, Exact Sciences is poised for continued growth.

The CFO mentioned an overall increase in operating expenses, with sales and marketing declining, R&D increasing, and some changes in general and administrative expenses. Despite this, the company expects double-digit revenue growth, improved operating leverage, and meaningful cash flow for years to come.