EXAS 3Q19 rev growth 85%

Exact Sciences (EXAS) reported their third quarter results on 10/29/19, here’s their company release:

http://investor.exactsciences.com/investor-relations/press-r…

EXAS was busy this quarter as they officially expanded their Cologuard label to include 45-49 Y.O., increasing their TAM by 20%. They now have 5.2% market share, with a goal of 40%. They also began using their new lab to process samples and implemented the Epic electronic health record system this quarter.

Some highlights from the release:

  • Revenue was $218.8 million, an increase of 85 percent, and Cologuard test volume was 456,000, an increase of 89 percent
  • Average Cologuard recognized revenue per test was $479, a decline of $13
  • Average Cologuard cost per test was $114, an improvement of $10 per test
  • Gross margin was 76 percent, an increase of 130 basis points
  • Operating expenses were $201.7 million, an increase of 56 percent
  • Transaction-related costs for the planned Genomic Health combination were $7.1 million, and integration-related costs were $2.1 million
  • Net loss was $40.5 million, or $0.31 per share, compared to $45.4 million, or $0.37 per share
  • Non-cash interest expense related to convertible debt was $11.0 million, or $0.08 per share, compared to $8.4 million, or $0.07 per share
  • Cash utilization was $78.9 million, compared to $36.9 million; the third quarter cash use included $43.2 million of fees paid to Pfizer for services incurred from October 2018 through the end of June 2019
  • Cash, cash equivalents and marketable securities were $1.2 billion at the end of the quarter

Their full year 2019 rev outlook is for $802-$810M. I think this is why the shares retreated after the release (along with the rotation out of high growth) as the midpoint would only be a YOY increase of 57% for Q4 when they’ve shown increases of 80%, 94%, and 85% for the past 3 quarters. Yet the avg analyst estimate for Q4 is $240M, that would be YOY rev growth of 68%.

Their rev numbers:

	Revs (Millions)						
	Q1	Q2	Q3	Q4		Total Revs	Growth

2016	 $15	 $21	 $28	 $35		 $99	        152.0%
2017	 $48	 $58	 $73	 $87		$266	        167.9%
2018	 $90	$103	$118	$143		$454	         70.7%
2019	$162	$200	$219			$581 (thru 3Q)	 28.0% (thru 3Q)

Growth numbers during same time period:

	Revs($M)  Seq Rev Growth  YOY Rev Growth   TTM Rev($M)	TTM YOY Rev Growth

1Q16	 $15	      2.8%	     244.2%	       $50	    760.3%
2Q16	 $21	     43.2%	     161.7%	       $63	    353.2%
3Q16	 $28	     32.5%	     123.0%	       $79	    196.2%
4Q16	 $35	     25.3%	     144.4%	       $99	    152.0%
1Q17	 $48	     37.5%	     227.0%	      $133	    166.3%
2Q17	 $58	     19.0%	     171.7%	      $169	    168.7%
3Q17	 $73	     26.0%	     158.4%	      $214	    172.4%
4Q17	 $87	     20.4%	     148.3%	      $266	    167.9%
1Q18	 $90	      3.0%	      86.0%	      $308	    131.5%
2Q18	$103	     14.4%	      78.8%	      $353	    108.5%
3Q18	$118	     14.6%	      62.5%	      $398	     86.3%
4Q18	$143	     21.2%	      63.6%	      $454	     70.7%
1Q19	$162	     13.3%	      80.0%	      $526	     71.0%
2Q19	$200	     23.5%	      94.2%	      $623	     76.5%
3Q19	$219	      9.5%	      85.6%	      $724	     81.7%

The increase in YOY rev growth for the past year came about from their partnership with Pfizer to help market/sell the Cologuard test.

Their TTM revs are $724M with a current run rate of $876M.

TTM P/S of 16.8 at over 80% growth for each of the past 3 quarters seems pretty attractively priced currently.

They also presented data on their blood based liver detection test that has achieved FDA breakthrough device designation. The agency’s Breakthrough Devices program expedites development, assessment, and review processes to provide patients and health care providers with timely access to new technologies.

http://investor.exactsciences.com/investor-relations/press-r…

They also completed their acquisition of Genomic Health on 11/8/19, making what they call the “leading global cancer diagnostics company” (not sure what metric they’re using for that).

http://investor.exactsciences.com/investor-relations/press-r…

They have a lot of good things going on, high growth, large market (of which they only have 5%), many other potential catalysts for continued growth, anyone else following or have any more analysis/comments?

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They have a lot of good things going on, high growth, large market (of which they only have 5%), many other potential catalysts for continued growth, anyone else following or have any more analysis/comments?

Thanks for the update!

I have a small position but would consider adding if the growth picture after the acquisition becomes clearer. Genomic Health had a much lower growth rate so this may dampen growth. On the other hand, the acquisition significantly broadens their product offerings and strengthens their competitive position. I would also hope that their sales force could help accelerate growth in the former Genomic Health products. There will likely be some synergies.

As a physician, I like the area that they are in which is on the forefront of cancer diagnostics and growing well. They have a large and growing TAM.

If they are able to maintain growth above 50% after the acquisition, they are attractively priced and I will add. Clarity on post-acquisition growth and the catalyst you mentioned should drive superior price appreciation.

Dave

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https://www.medicaldevice-network.com/news/toshiba-blood-tes…

Toshiba claims to be able to detect 13 different cancers with 99% accuracy from a single drop of blood. Bowel cancer is one of the types mentioned.

Tokyo Medical University and the National Cancer Center collaborated to develop the blood test.

The partners intend to commercialise the technology in several years, after commencing a trial next year.

Toshiba noted that its technology could be leveraged to encourage treatment of cancers from an early stage.

The newly developed blood test studies the types and concentration of microRNA molecules secreted from cancer cells in the blood.

At a press conference, Toshiba Frontier Research Laboratory chief research scientist Koji Hashimoto stated: “Compared to other companies’ methods, we have an edge in the degree of accuracy in cancer detection, the time required for detection and the cost.”

Companies such as Toray Industries have also developed methods that use microRNA molecules from a blood sample to detect cancer.

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Toshiba claims to be able to detect 13 different cancers with 99% accuracy from a single drop of blood.

Wow, sounds better than Theranos!

Hope you’re buying all the Toshiba stock you can get your hands on. :wink:

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