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Exact Sciences Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Stock-Based Compensation  
 Operating Cash Flow  
 Investing Cash Flow  
 Financing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -207.38-157.93-108.49-59.05-9.6139.8389.28138.72Milllion

Exact Sciences Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-09-30 2013-06-30 2013-03-31 2012-09-30 2012-06-30 2012-03-31 2011-09-30 2011-06-30 2011-03-31 2010-09-30 2010-06-30 2010-03-31 2009-09-30 2009-06-30 2009-03-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-03-31 2001-09-30 
                                                                                     
  cash flows from operating activities:                                                                                   
  net income-1,185,000 -101,215,000 -864,585,000 -38,236,000 -15,808,000 -110,228,000 -49,766,000 794,000 -81,026,000 -74,151,000 -127,745,000 -148,761,000 -166,063,000 -180,937,000 -220,611,000 -166,938,000 -176,912,000 -31,164,000 -436,810,000 -219,884,000 -86,142,000 -105,697,000 77,945,000 -40,459,000 -38,420,000 -83,059,000 -53,974,000 -45,364,000 -36,387,000 -39,424,000 -21,764,000 -26,897,000 -30,790,000 -34,946,000 -37,170,000 -37,803,000 -44,765,000 -47,473,000 -39,991,000 -42,945,000 -39,066,000 -35,801,000 -32,444,000 -32,060,000 -19,437,000 -16,107,000 -11,160,000 -12,314,000 -10,854,000 -12,952,000 -14,836,000 -10,645,000 -7,773,000 -6,625,000 -4,373,000 -3,382,000 -2,477,000 -2,124,000 -1,041,000 -2,394,000 -3,839,000 -3,014,000 -2,100,000 -2,518,000 -4,195,000 -1,825,000 -1,920,000 -2,423,000 -3,083,000 -3,246,000 -4,163,000 11,810,480 -3,289,000 -3,951,000 -4,585,000 -4,403,000 -4,279,000 -5,291,000 -6,862,000 -7,884,000 -7,883,000 -7,585,885 -5,729,378 
  adjustments to reconcile net income to net cash from operating activities:                                                                                   
  depreciation31,097,000 29,960,000 29,046,000 30,336,000 29,687,000 30,632,000 30,861,000 29,262,000 27,510,000 26,815,000 26,567,000 25,043,000                                                         89,000 101,000 198,000 -597,250 162,000 226,000 210,000 276,000 299,000 336,000 619,000 434,000 469,000   
  loss on non-marketable and marketable equity securities-2,136,000 2,900,000                                                                                  
  deferred tax expense-6,000 -1,007,000  -398,000 428,000 1,797,000   -589,000 1,261,000                                                                          
  stock-based compensation55,783,000 54,618,000 49,203,000 48,757,000 56,555,000 60,370,000 58,577,000 61,871,000 61,725,000 49,139,000 45,917,000 49,533,000 58,932,000 52,441,000 55,883,000 63,603,000 56,285,000 77,292,000 41,831,000 41,476,000 40,039,000 29,560,000 47,826,000 24,348,000 20,143,000 16,166,000 15,710,000 16,498,000 15,593,000 12,463,000 12,510,000 10,778,000 6,095,000 6,129,000 6,959,000 6,166,000 4,507,000 6,100,000 4,902,000 4,980,000 4,548,000 3,620,000 2,877,000 4,165,000 2,483,000 1,995,000 1,849,000 2,856,000 955,000 1,565,000 1,424,000 1,035,000 1,101,000 1,068,000 686,000 640,000 508,000 527,000 624,000 711,000 623,000 265,000 229,000 301,000 1,376,000 720,000 409,000 561,000 668,000 710,000 1,067,000 -273,495 -81,000        328,000   
  gain on settlements of convertible notes      -10,324,000                                                                          
  amortization of acquired intangible assets24,186,000 24,101,000 24,101,000 24,435,000 23,311,000 23,311,000 23,311,000 22,992,000 22,929,000 22,928,000 22,914,000 23,526,000 26,356,000 24,654,000 24,047,000 23,940,000 23,824,000 23,190,000  23,430,000 23,430,000 23,339,000                                                              
  impairment of long-lived and indefinite-lived assets6,251,000                                                                                  
  gain on contingent consideration from sale of asset      -4,400,000                                                                             
  remeasurement of contingent consideration liabilities4,909,000 8,287,000 -1,020,000 5,310,000 -13,239,000 5,603,000 -4,993,000                                                                             
  non-cash lease expense6,730,000 6,753,000 6,281,000 6,603,000 6,990,000 7,052,000 6,973,000 7,141,000 6,971,000 6,806,000 4,187,000 7,171,000 9,918,000 7,363,000 7,478,000 6,510,000 6,097,000 5,740,000 4,679,000 4,181,000 -3,330,000 10,190,000 2,746,000 919,000 917,000 845,000                                                          
  other3,993,000 2,001,000 918,000 1,230,000 -2,896,000 229,000 -3,131,000 -435,000                                                                            
  changes in assets and liabilities:                                                                                   
  accounts receivable-73,014,000 -30,072,000 15,151,000 -509,000 -23,365,000 -37,536,000 -3,110,000 -19,814,000 4,942,000 -25,434,000 33,120,000 -2,664,000 19,612,000 11,020,000 39,188,000 -23,033,000 31,945,000 -22,950,000 -26,884,000 -42,998,000 -24,322,000 -6,322,000 8,933,000 -18,297,000 -6,718,000 -11,856,000 -1,795,000 -5,648,000 -1,693,000 -8,156,000 -1,866,000 -1,598,000 -6,377,000 -7,688,000 -663,000 -422,000 -1,820,000 -688,000 -724,000 -2,058,000 -570,000 -205,000                                          
  inventory5,106,000 -14,175,000 -25,395,000 -9,612,000 1,161,000 -1,065,000 5,384,000 -543,000 -6,704,000 -5,827,000 -3,526,000 473,000 -2,214,000 -7,964,000 -8,130,000 -5,358,000 1,035,000 3,232,000 -11,838,000 1,788,000 -12,791,000 -7,469,000 -4,516,000 -5,892,000 -3,512,000 -5,121,000 -139,000 -3,208,000 -3,029,000 -6,353,000 -7,963,000 -5,654,000 -4,551,000 -1,026,000 833,000 738,000 -247,000 -1,480,000 -645,000 243,000 -852,000 -1,406,000                                          
  operating lease liabilities-7,266,000 -6,575,000 -6,438,000 -6,388,000 -6,354,000 -6,603,000 -6,960,000 -6,975,000 -6,784,000 -5,982,000 -4,404,000 -5,574,000 -5,491,000 -5,177,000 -4,851,000 -4,739,000 -3,975,000 -3,120,000 -2,649,000 -1,138,000 -2,787,000 -2,210,000                                                              
  accounts payable and accrued liabilities39,415,000 58,633,000 5,280,000 56,123,000 35,650,000 -53,515,000 31,666,000 2,330,000 53,571,000 -4,817,000 37,088,000 -9,929,000 -13,291,000 -66,048,000 105,456,000 37,206,000 43,000,000 -15,862,000 62,773,000 39,979,000 -29,291,000 -18,296,000                                                              
  other assets8,624,000 -3,837,000 -8,681,000 3,639,000 9,305,000 -6,586,000 -7,932,000 5,938,000 3,998,000 -13,622,000                                                                          
  other liabilities-7,219,000 -5,814,000 -1,389,000 1,174,000 12,845,000 -2,904,000 7,607,000 -5,508,000 5,395,000 -1,161,000                                                                          
  net cash from operating activities89,017,000 30,809,000 47,063,000 138,719,000 107,065,000 -82,311,000 69,549,000 24,361,000 100,424,000 -38,215,000 52,037,000 -40,926,000 -60,916,000 -173,754,000 -24,572,000 -40,774,000 40,337,000 -77,227,000 111,404,000 81,775,000 -6,870,000 -49,827,000 -28,684,000 -29,080,000 17,161,000 -74,407,000 -1,236,000 -4,053,000 -25,514,000 -38,522,000 -764,000 -5,450,000 -31,872,000 -33,638,000 -27,129,000 -24,966,000 -35,624,000 -42,347,000 -33,804,000 -34,525,000 -31,187,000 -34,501,000                                          
  capex-42,342,000 -31,174,000 -36,316,000 -26,158,000 -35,866,000 -37,649,000 -34,922,000 -25,187,000 -34,721,000 -29,360,000 -72,876,000 -44,637,000 -63,326,000 -33,623,000 -59,392,000 -38,870,000 -24,584,000 -12,920,000 -16,570,000 -14,327,000 -20,770,000 -12,685,000 -40,832,000 -51,522,000 -68,791,000 -10,657,000 -52,106,000 -53,623,000 -29,036,000 -15,328,000 -24,038,000 -15,794,000 -5,903,000 -2,745,000 -2,685,000 -5,751,000 -4,026,000 -2,389,000 -2,544,000 -6,798,000 -7,535,000 -3,207,000                                          
  free cash flows46,675,000 -365,000 10,747,000 112,561,000 71,199,000 -119,960,000 34,627,000 -826,000 65,703,000 -67,575,000 -20,839,000 -85,563,000 -124,242,000 -207,377,000 -83,964,000 -79,644,000 15,753,000 -90,147,000 94,834,000 67,448,000 -27,640,000 -62,512,000 -69,516,000 -80,602,000 -51,630,000 -85,064,000 -53,342,000 -57,676,000 -54,550,000 -53,850,000 -24,802,000 -21,244,000 -37,775,000 -36,383,000 -29,814,000 -30,717,000 -39,650,000 -44,736,000 -36,348,000 -41,323,000 -38,722,000 -37,708,000                                          
  cash flows from investing activities:                                                                                   
  purchases of marketable securities-13,481,000 -80,315,000 -59,646,000 -81,013,000 -147,047,000 -177,325,000 -64,758,000 -24,440,000 -42,067,000 -8,589,000 -29,048,000 -23,328,000 -8,843,000 -70,267,000 -142,493,000 -106,268,000 -752,791,000 -162,498,000 -199,941,000 -249,927,000 -214,917,000 -425,168,000 -29,988,000 -92,542,000 -248,700,000 -262,887,000 -110,844,000 -186,806,000 -266,354,000 -628,502,000 -12,012,000 -156,791,000 -157,685,000 -30,563,000 -38,533,000 -145,338,000 -6,118,000 -7,057,000 -178,679,000 -8,173,000 -11,145,000                                          
  maturities and sales of marketable securities252,872,000 77,557,000 54,905,000 70,581,000 36,357,000 43,978,000 35,102,000 57,229,000 149,493,000 121,332,000  108,130,000 118,680,000 150,630,000  99,450,000 89,085,000 236,295,000  291,424,000 229,340,000 39,143,000                                                              
  purchases of property, plant and equipment-42,342,000 -31,174,000 -36,316,000 -26,158,000 -35,866,000 -37,649,000 -34,922,000 -25,187,000 -34,721,000 -29,360,000 -72,876,000 -44,637,000 -63,326,000 -33,623,000 -59,392,000 -38,870,000 -24,584,000 -12,920,000 -16,570,000 -14,327,000 -20,770,000 -12,685,000 -40,832,000 -51,522,000 -68,791,000 -10,657,000                                                          
  purchases of non-marketable investments                                                                                   
  proceeds from contingent consideration receivable                                                                                   
  other investing activities650,000 -505,000 -20,000 -205,000 500,000 250,000   -500,000 -42,000 -7,000 -500,000 -103,000 -141,000 -137,000 272,000 -186,000 -330,000                                                              
  net cash from investing activities224,895,000 -34,437,000 -41,872,000 -81,716,000 -147,129,000 -171,438,000 -66,767,000 -32,969,000 66,474,000 82,941,000 -58,159,000 65,005,000 21,659,000 45,561,000 78,437,000 -49,243,000 -793,767,000 -317,512,000 -306,638,000 16,828,000 -6,380,000 -405,847,000 -834,774,000 857,442,000 -102,672,000 -41,069,000 -9,417,000 -78,988,000 -130,778,000 -562,731,000 24,654,000 -126,596,000 -82,791,000 23,928,000 9,290,000 -105,280,000 31,298,000 53,173,000 40,956,000 -141,975,000 19,500,000 16,764,000    17,304,000   6,824,000             2,221,000 3,192,000 2,560,000 5,499,000 1,591,000 1,516,000 8,000 -3,209,000 6,104,000 1,622,000 -16,806,240 2,773,000 11,919,000 2,130,000    -7,968,000 9,837,000 2,568,000   
  cash flows from financing activities:                                                                                   
  payments on settlement of convertible notes-249,172,000                 -150,054,000 -1,000 -493,355,000                                                          
  proceeds from exercise of common stock options, net of cash paid for taxes293,000 -422,000  2,132,000 43,000 -1,408,000                                                                              
  proceeds in connection with the company’s employee stock purchase plan                                                                             
  payments on accounts receivable securitization facility                                                                                 
  proceeds from issuance of convertible notes    137,976,000         1,125,547,000 -2,000 -57,000 729,536,000 -1,000 6,000 225,334,000 671,091,000                                                      
  payments on settlement of contingent consideration liabilities                                                                                   
  other financing activities-1,840,000 -6,577,000 -2,210,000 -2,358,000 -11,592,000 -1,594,000 -2,267,000 -985,000 -1,155,000 -5,344,000 -417,000 -706,000 -2,860,000 -1,547,000 -544,000 -1,674,000 -1,554,000 -1,514,000 -2,067,000 -312,000 -313,000 -313,000                                                              
  net cash from financing activities-4,514,000 -256,171,000 10,499,000 -226,000 224,603,000 -3,002,000 10,037,000 92,000 16,041,000 133,596,000 10,103,000 235,000 63,412,000 2,735,000 -12,196,000 81,000 13,342,000 7,245,000 879,859,000 4,158,000 16,124,000 979,480,000 6,624,000 980,000 5,451,000 240,126,000 9,354,000 19,074,000 233,277,000 672,437,000 2,718,000 2,460,000 255,775,000 3,000 3,366,000 144,706,000 1,267,000 247,000 2,509,000 174,166,000 4,795,000 295,000 105,865,000 136,000 138,025,000 2,000 636,000 73,616,000 8,000 57,981,000 222,000 1,642,000 331,000 211,000 14,000 1,434,000 17,743,000 1,109,000 804,000 8,071,000 22,614,000 100,000 6,000 117,000 15,000 354,000 48,000 18,000 53,000 -137,863 65,000 4,000 69,000 105,000 266,000 43,566,000 847,000 124,000 181,000 251,460 139,980 
  effects of exchange rate changes on cash and cash equivalents574,000 290,000 -3,721,000 1,873,000 -306,000 -1,140,000 1,947,000 -1,235,000 59,000 550,000 3,206,000 -2,429,000 -510,000 -237,000          -66,000 -82,000 120,000 24,000 10,000 -18,000 20,000 46,000 16,000   -51,000                                                 
  net increase in cash, cash equivalents and restricted cash   58,650,000 184,233,000 -257,891,000 14,766,000 -9,751,000 182,998,000 178,872,000     41,692,000 -89,936,000 -740,088,000 -387,494,000 684,625,000 102,761,000 2,874,000 523,806,000                                                              
  cash, cash equivalents and restricted cash, beginning of period606,636,000  609,675,000  242,790,000  315,768,000  1,491,594,000  177,528,000                                                              
  cash, cash equivalents and restricted cash, end of period309,972,000 347,127,000  58,650,000 184,233,000 351,784,000  -9,751,000 182,998,000 421,662,000  21,885,000 23,645,000 190,073,000  -89,936,000 -740,088,000 1,104,100,000  102,761,000 2,874,000 701,334,000                                                              
  loss on contingent consideration from sale of asset     268,000                                                                              
  net decrease in cash, cash equivalents and restricted cash -259,509,000          21,885,000 23,645,000 -125,695,000                                                                      
  (gain) loss on non-marketable and marketable equity investments                                                                                   
  deferred tax benefit      -676,000    -2,555,000 -4,406,000 -3,028,000 -1,912,000 -4,453,000 -4,207,000 -1,379,000 -243,130,000 -1,886,000 -4,754,000 -1,304,000 -1,918,000 -184,768,000 643,000 -464,000 -520,000     116,000                                                     
  gain on settlement of convertible notes                                                                                   
  loss on sale of asset                                                                                  
  changes in assets and liabilities, net of effects of acquisition:                                                                                   
  proceeds from sale of asset                                                                                  
  maturities and sales of investments in non-marketable securities                                                                                   
  investments in non-marketable securities                                                                                   
  business combination, net of cash acquired and issuance costs          -15,371,000                                                                        
  asset acquisitions, net of cash acquired                                                                                   
  proceeds from accounts receivable securitization facility                                                                                 
  proceeds from exercise of common stock options      304,000 1,077,000 852,000 964,000 558,000 941,000 743,000 4,282,000 1,065,000 1,755,000 2,858,000 8,759,000 11,669,000 4,470,000 6,638,000 4,300,000 2,398,000 1,391,000 1,348,000 3,650,000 260,000 731,000 4,254,000 1,391,000 1,753,000 2,578,000 725,000 47,000 2,362,000 500,000 261,000 288,000 287,000 102,000 473,000 386,000 2,216,000 231,000 105,000 88,000                                      
  proceeds in connection with the company's employee stock purchase plan                      4,259,000   2,232,000 2,000   1,212,000   1,051,000 1,000   960,000 1,000                                            
  net increase in cash, cash equivalents, and restricted cash                                                                                   
  cash, cash equivalents, and restricted cash at the beginning of period                                                                                   
  cash, cash equivalents, and restricted cash at the end of period                                                                                   
  impairment of long-lived assets   18,698,000 8,152,000 4,446,000 552,000 69,000 3,432,000                                                                         
  remeasurement of contingent consideration from sale of asset   -3,100,000                                                                                
  business combination, net of cash acquired              -84,181,000 -72,301,000 -343,248,000 -4,000 153,000 -6,807,000                                                              
  asset acquisition, net of cash acquired                                                                                   
  purchases of non-marketable securities                                                                                   
  sales of investments in non-marketable securities                                                                                   
  loss on non-marketable and marketable equity investments    -1,303,000 2,418,000                                                                              
  investments in privately held companies     -237,000 -10,274,000 -117,000 -5,731,000 -442,000  -160,000 -25,495,000 -1,172,000  -3,555,000 -10,000,000                                                                  
  post-combination expense for acceleration of unvested equity              80,960,000                                                                  
  asset acquisition ipr&d expense              33,074,000 52,263,000                                                                  
  maturities and sales of investments in privately held companies                                                                                   
  payments on construction loan                                                                                   
  cash, cash equivalents and restricted cash at the beginning of period                                                                                   
  cash, cash equivalents and restricted cash at the end of period                                                                                   
  unrealized loss on equity investments       5,523,000 7,090,000 3,009,000                                                                          
  realized (gain) loss on non-marketable investment                                                                                   
  sales of investments in privately held companies                                                                                   
  realized gain on non-marketable investment                                                                                   
  remeasurement of contingent consideration        4,250,000 -8,937,000 1,002,000 -5,860,000 -25,079,000 -26,680,000 -4,626,000 1,785,000 6,322,000 2,879,000                                                                  
  loss on disposal of property, plant and equipment         284,000 -220,000 1,917,000 -155,000 321,000 127,000 289,000 302,000 337,000 1,540,000 280,000 378,000 272,000 514,000 669,000 129,000 82,000                                                          
  amortization of deferred financing costs, convertible note debt discount and issuance costs, and other liabilities         1,783,000 1,854,000 1,853,000 1,720,000 1,700,000 1,735,000 1,666,000 1,649,000 1,633,000                                                                  
  accretion (amortization) of discount (premium) on short-term investments         -54,000                                                                          
  unrealized (gain) loss on equity investments            2,897,000 1,350,000 -445,000                                                                     
  realized (gain) loss on non-marketable investments                                                                                   
  loss on settlement of convertible notes                  7,954,000 10,558,000                                                          
  amortization of premium on short-term investments          50,000 302,000 537,000 956,000  1,649,000 1,177,000 439,000  537,000 450,000 53,000 -213,000 -309,000 -1,274,000 -1,306,000 -1,320,000 -1,189,000 -877,000 -515,000 9,000 -1,000 20,000 37,000 51,000 66,000 132,000 214,000 303,000 318,000 325,000 377,000 214,000 258,000 225,000 145,000 188,000 130,000 140,000                                   
  other assets and liabilities          6,079,000 -1,990,000 2,337,000 -7,834,000 -37,801,000 -20,040,000 -1,127,000 1,033,000 6,767,000 -8,460,000 52,857,000 -9,438,000                                                              
  maturities of marketable securities                        215,059,000 232,615,000 171,884,000 161,445,000 164,681,000 81,161,000 75,981,000 49,010,000 89,239,000 57,236,000 50,508,000 45,809,000 35,324,000 61,680,000 52,457,000 43,502,000 35,208,000 31,116,000 26,483,000 32,921,000 20,349,000 24,419,000 15,421,000 13,636,000 16,431,000 15,251,000 10,238,000 16,334,000 4,752,000 11,128,000 1,498,000 1,672,000 3,670,000 1,756,000 11,974,000   2,243,000 4,213,000 5,080,000 7,868,000 7,226,000 8,850,000 7,871,000 9,671,000 11,397,000 7,361,000 -32,116,578 9,137,000 14,509,000 8,511,000         
  investment in privately held companies                                                                                   
  proceeds from sale of common stock, net of issuance costs                              -1,000 -74,000   -5,000       100,916,000 -6,000   -6,000                                   
  realized (gain) loss on preferred stock investment                                                                                   
  asset acquisition               -33,073,000 -25,000,000                                                                  
  realized gain on preferred stock investment              -30,500,000                                                                  
  intangible asset impairment charge                                                                                 
  depreciation and amortization             22,993,000 21,078,000 22,260,000 21,499,000 20,508,000  19,713,000 17,626,000 16,006,000                                     18,000                       449,494 325,252 
  unrealized gain on equity investments                -2,479,000 -7,000                                                                  
  depreciation and other amortization                                                                                   
  unrealized net (gain) loss on revaluation of equity securities                                                                                   
  loss on preferred stock investment                                                                                   
  amortization of convertible note debt discount and issuance costs                  21,257,000 20,584,000 20,085,000 14,553,000                                                              
  amortization of deferred financing costs and other liabilities                  -275,000 -1,109,000 -1,432,000 -1,073,000                                                              
  amortization of acquired intangibles                                                                                   
  proceeds from construction loan, net deferred financing costs                                                                                   
  unrealized loss on revaluation of marketable equity securities                    -336,000 669,000                                                              
  proceeds from construction loan                       24,000 295,000 6,989,000 16,174,000                                                        
  realized gain on sale of marketable securities                      -15,000                                                             
  unrealized net income on revaluation of equity securities                                                                                   
  amortization of liabilities                      -32,123,000 9,173,000 10,063,000 8,420,000                                                          
  purchases of intangible assets                                                                                   
  proceeds from financing obligation, net payments on mortgage payable                                                                                   
  depreciation and amortization of property, plant and equipment                       8,351,000 7,075,000 6,324,000                                                          
  amortization of intangible assets                       811,000 805,000 810,000 755,000 619,000 616,000 612,000 410,000 355,000 240,000 50,000 50,000 50,000 50,000 50,000                                              
  accrued interest                       -1,702,000 1,804,000 -3,106,000 2,692,000 -2,253,000 2,747,000 1,407,000         -112,000 6,000 6,000 5,000 5,000 6,000 6,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000                          
  prepaid expenses and other current assets                       4,716,000 -730,000 -3,552,000 4,701,000 -7,367,000 -3,598,000 -2,812,000 396,000 -1,633,000 571,000 -329,000 -941,000 1,622,000 427,000 -347,000 -1,150,000 -1,616,000 73,000 -364,000                       75,000   131,000 378,000   -618,318            
  accounts payable                       -738,000 2,344,000 -10,589,000 -5,271,000 21,746,000 -1,282,000 -3,861,000 7,361,000 6,495,000 1,346,000 181,000 -1,625,000 -800,000 294,000 -467,000 1,805,000 158,000 -656,000 -646,000 -1,988,000   570,000    263,000 -182,000 184,000    -182,000 272,000 134,000     75,000 30,000 103,000             129,000   229,000 354,772  
  accrued liabilities                       -8,708,000 25,596,000 7,891,000 23,344,000 8,198,000 -9,175,000 -623,000 5,848,000 9,574,000 -1,472,000 1,204,000 1,896,000 2,802,000 3,315,000 -664,000 -381,000 4,624,000 4,654,000 -1,473,000                                          
  other short-term liabilities                       112,000 144,000 -60,000 85,000 18,000 98,000 -29,000 148,000                                                     
  other long-term liabilities                       -678,000 19,072,000 -2,092,000                                                          
  other long-term assets                       1,301,000 -1,321,000 -22,734,000                                                          
  internally developed software                       -150,000 -240,000 -140,000 -443,000 -4,000 -69,000 -62,000 -45,000                                                     
  proceeds from financing obligation                          12,000                                                         
  payments of deferred financing costs                          1,000 -1,000                                                        
  payments on mortgage payable                          -4,588,000 -45,000 -45,000 -44,000 -44,000 -42,000 -44,000 -42,000 -42,000 -41,000 -41,000                                              
  stock issuance costs                                                                                   
  ​                                                                                   
  net increase in cash and cash equivalents                       829,276,000 -80,142,000 124,770,000 -1,275,000 -63,957,000 76,967,000 71,204,000 26,654,000 -129,570,000 141,201,000 -9,715,000 -14,524,000 14,435,000 -3,141,000 11,016,000 9,613,000 -2,243,000 -6,914,000 -17,452,000 30,302,000 7,121,000 2,902,000 4,955,000             10,490,000   565,000           -501,000     9,979,000     -4,596,378 
  cash and cash equivalents, beginning of period                       160,430,000 77,491,000 48,921,000 41,135,000 58,131,000 12,851,000 13,345,000 35,781,000 78,752,000 21,924,000 4,937,000 4,486,000 4,831,000  13,007,000 -13,078,908 13,092,000 14,200,000 17,439,000 56,842,722 
  cash and cash equivalents, end of period                       829,276,000 -80,142,000 285,200,000 -1,275,000 -63,957,000 76,967,000 148,695,000 26,654,000 -129,570,000 141,201,000 39,206,000 -14,524,000 14,435,000 -3,141,000 52,151,000 9,613,000 -2,243,000 -6,914,000 40,679,000 30,302,000 7,121,000 2,902,000 17,806,000 -11,808,000 13,465,000 8,053,000 6,634,000 -6,266,000 12,292,000 -33,269,000 -33,809,000 72,073,000 -3,417,000 6,061,000 18,171,000 10,490,000 8,693,000 3,595,000 565,000 1,505,000 3,999,000 3,329,000 -17,000 3,852,000  -5,841,000 3,441,000 10,391,000 -17,110,993 -501,000 8,292,000 9,333,000 2,708,000 -10,334,000 24,179,000 1,369,000 2,953,000 11,783,000 50,195,303 -4,596,378 
  supplemental disclosure of non-cash investing and financing activities:                                                                                   
  property, plant and equipment acquired but not paid                       -7,469,000 -17,717,000 42,119,000                                                          
  unrealized gain on available-for-sale investments, before tax                       -2,697,000 1,952,000 2,176,000                                                          
  issuance of 86,532 and 86,882 shares of common stock to fund the company’s 401(k) matching contribution for 2018 and 2017, respectively                                                                                  
  issuance of 2,159,017 shares of common stock upon settlement of convertible notes                                                                                   
  retirement of equity component of convertible notes settled                       -300,768,000                                                          
  interest paid                       3,729,000 174,000 5,214,000 4,541,000 49,000 48,000 50,000 50,000 51,000 50,000 52,000 52,000 52,000 53,000                                              
  issuance of 2,158,991 shares of common stock upon settlement of convertible notes                        182,435,000                                                          
  long-term obligations                         18,492,000                                                          
  issuance of 86,532 and 86,828 shares of common stock to fund the company’s 401(k) matching contribution for 2018 and 2017, respectively                         7,409,000                                                          
  depreciation and amortization of property and equipment                          6,133,000 5,541,000                                                        
  loss on disposal of property and equipment                          -500,000 757,000 -2,000 98,000 653,000 210,000 71,000 20,000 50,000 57,000           66,000 25,000                                   
  amortization of debt discount                          7,732,000 7,737,000 6,171,000 4,651,000                                                      
  amortization of debt issuance costs                          676,000 677,000 518,000 402,000                                                      
  amortization of other liabilities                          -691,000 -673,000 -603,000 -533,000 -475,000 -430,000 -392,000 -377,000 -300,000 -268,000 -237,000 -208,000 -174,000 -158,000                                            
  amortization of deferred financing costs                          20,000 37,000 26,000 23,000 14,000 14,000 12,000 14,000 12,000 14,000 13,000 13,000 11,000                                             
  proceeds from refundable tax credits                                                                                   
  lease incentive obligation                          -159,000 -179,000 836,000 -153,000 -154,000 -154,000 -154,000 -154,000 -153,000 -136,000 -153,000 130,000 -138,000 -139,000 -138,000 -138,000                                          
  purchases of property and equipment                          -52,106,000 -53,623,000 -29,036,000 -15,328,000 -24,038,000 -15,794,000 -5,903,000 -2,745,000 -2,685,000 -5,751,000 -4,026,000 -2,389,000 -2,544,000 -6,798,000 -7,535,000 -3,207,000                                          
  business acquisition, net of cash acquired                              16,000                                                     
  investment in privately-held company                                                                                   
  payments on capital lease                                                                                   
  property and equipment acquired but not paid                          7,738,000 693,000 12,508,000 12,513,000 4,888,000 1,825,000 1,330,000 775,000 106,000 -506,000 21,000 1,034,000                                              
  property acquired under build-to-suit lease                                                                                   
  unrealized loss on available-for-sale investments                                                   -35,000                                
  issuance of 86,882, 158,717, and 341,507 shares of common stock to fund the company’s 401(k) matching contribution for 2017, 2016, and 2015, respectively                                                                                   
  business acquisition contingent consideration liability                                                                                   
  unrealized gain on available-for-sale investments                             -1,606,000 -482,000 49,000   -180,000 -145,000 82,000 473,000 -540,000 75,000 -59,000 195,000 -109,000   8,000 33,000 14,000 -7,000 39,000    -11,000 -2,000 -18,000 -1,000 -1,000                          
  issuance of 86,882 and 158,717 shares of common stock to fund the company’s 401(k) matching contribution for 2017 and 2016, respectively                                                                                  
  depreciation and amortization of fixed assets                             4,281,000 3,993,000 3,751,000 3,509,000 3,247,000 3,072,000 2,948,000 2,816,000 2,473,000 2,188,000 2,035,000 1,790,000 1,587,000                                          
  issuance of 86,828 and 158,717 shares of common stock to fund the company’s 401(k) matching contribution for 2017 and 2016, respectively                             4,300,000                                                      
  forgiveness of long-term debt                                                                                 
  purchased intangible assets                              -12,248,000                                                     
  payments on capital lease obligations                                      -177,000 -92,000 -91,000                                          
  proceeds from mortgage payable                                      1,306,000 100,000                                            
  issuance of 158,717, 341,507 and 21,826 shares of common stock to fund the company’s 401(k) matching contribution for 2016, 2015, and 2014 respectively                                                                                   
  issuance of 158,717 and 341,507 shares of common stock to fund the company’s 401(k) matching contribution for 2016 and 2015, respectively                               3,008,000                                                  
  amortization of deferred license fees                                                                                   
  proceeds from new market tax credit financing agreements                                                                                   
  issuance of 341,507, 21,826 and 32,666 shares of common stock to fund the company’s 401(k) matching contribution for 2015, 2014 and 2013, respectively                                                                                   
  issuance of 341,507 and 21,826 shares of common stock to fund the company’s 401(k) matching contribution for 2015 and 2014, respectively                                                                                   
  effects of exchange rate on cash and cash equivalents                                    -82,000 -57,000 -48,000 91,000 -22,000 -10,000                                          
  issuance of 340,950 and 21,826 shares of common stock to fund the company’s 401(k) matching contribution for 2015 and 2014, respectively                                    5,000 2,146,000                                              
  issuance of 21,826, 32,666 and 30,538 shares of common stock to fund the company’s 401(k) matching contribution for 2014, 2013 and 2012, respectively                                                                                   
  issuance of 21,826 and 32,669 shares of common stock to fund the company’s 401(k) matching contribution for 2014 and 2013, respectively                                                                                  
  amortization of other long-term liabilities                                         -58,000                                          
  issuance of 21,826 and 32,666 shares of common stock to fund the company’s 401(k) matching contribution for 2014 and 2013, respectively                                         835,000                                          
  warrant licensing expense                                                 125,000 27,000   27,000 26,000 27,000 27,000                          
  restricted stock licensing expense                                                                                  
  accrued expenses                                          2,832,000 2,568,000 1,754,000 1,456,000 1,498,000 1,143,000 372,000 355,000   429,000   207,000         516,000 258,000 38,000 289,000 -64,000       67,000 60,000 344,000    233,528 814,623 
  issuance of 32,666, 30,538, and 32,872 shares of common stock to fund the company’s 401(k) matching contribution for 2013, 2012, and 2011, respectively                                                                                   
  laboratory equipment acquired with a capital lease                                                                                   
  depreciation of property and equipment                                              330,000 332,000 314,000 249,000 215,000 202,000 117,000 78,000 67,000 62,000                            
  issuance of 32,269 and 30,534 shares of common stock to fund the company’s 401(k) matching contribution for 2013 and 2012, respectively                                                                                   
  depreciation of fixed assets                                            688,000 656,000            48,000   12,000   59,000                    
  loss on disposal of fixed asset                                                                                   
  issuance of 32,266 and 30,534 shares of common stock to fund the company’s 401(k) matching contribution for 2013 and 2012, respectively                                                                                   
  issuance of 32,666 and 30,534 shares of common stock to fund the company’s 401(k) matching contribution for 2013 and 2012, respectively                                             456,000                                      
  proceeds from exercise of common stock options and stock purchase plan                                              726,000 396,000 90,000 226,000 222,000 1,642,000 331,000 211,000 14,000 146,000 147,000 704,000 9,000 14,000 6,000 17,000 15,000 134,000 48,000 18,000 53,000 -137,863 65,000 5,000 68,000 102,000 2,000 160,000 845,000 123,000 127,000   
  issuance of 30,534 and 32,872 shares of common stock to fund the company’s 401(k) matching contribution for 2012 and 2011, respectively                                                                                  
  conversion of accrued expenses into 34,442 and 34,336 shares of common stock in connection with the company’s employee stock purchase plan for 2013 and 2012, respectively.                                                                                  
  net decrease in cash and cash equivalents                                                                                   
  issuance of 30,534 and 32,872 shares of common stock to fund the                                                                                   
  company’s 401(k) matching contribution for 2012 and 2011, respectively                                                354,000                                   
  issuance of 32,872 and 27,872 shares of common stock to fund the company’s 401(k) matching contribution for 2011 and 2010, respectively                                                 274,000                                
  conversion of accrued expenses into 34,336 and 27,110 shares of common stock in connection with the company’s employee stock purchase plan for 2012 and 2011, respectively                                                                                  
  proceeds from genzyme collaboration, license and purchase agreement                                                       934,000 962,000 16,650,000                       
  decrease in restricted cash                                                                                   
  issuance of 27,872 and 15,460 shares of common stock to fund the company’s 401(k) matching contribution for 2010 and 2009, respectively                                                    1,000 168,000                             
  amortization and write-offs of patents                                                            95,000 5,000 281,000 34,000 110,000 68,000 171,000 136,000 326,000 297,000 142,000             
  third party royalty obligation                                                             1,000,000 500,000 300,000                    
  proceeds from sale of common stock to genzyme                                                          6,000,000                       
  payment for repurchase of stock options                                                                                   
  issuance of 15,460 and 24,430 shares of common stock to fund the company’s 401(k) matching contribution for 2009 and 2008, respectively                                                                                   
  issuance of 15,460 and 24,430 shares of common stock to fund the company’s 401(k) matching contribution for 2009 and 2008 respectively                                                                                   
  issuance of 15,460 shares of common stock to fund the company’s 401(k) matching contribution for 2009                                                         65,000                          
  restructuring                                                                       -281,718 282,000         
  warrant expense for license fees                                                          28,000                         
  amortization of deferred revenue                                                                                   
  increase in patent costs and other assets                                                                                   
  payment to repurchase stock options                                                                                   
  supplemental disclosure for non-cash investing and financing activities:                                                                                   
  issuance of 24,430 shares of common stock to fund the company’s 401(k) matching contribution for 2008                                                                                   
  issuance of 27,660 shares of common stock to fund the company’s 401(k) matching contribution for 2007                                                             1,000                      
  depreciation and write-offs of fixed assets                                                             58,000   66,000 54,000 56,000                 
  proceeds from sale of fixed assets                                                                                   
  issuance of 34,030 shares of common stock to fund the company’s 401(k) matching contribution for 2006                                                                                  
  issuance of 56,675 shares of restricted common stock to collaborator in lieu of cash to settle semi-annual license obligation                                                                158,000                 
  issuance of 56,675 shares of restricted common stock to collaborators in lieu of cash payments                                                                                   
  issuance of 85,800 shares of common stock to fund the company’s 401(k) matching contribution for 2005                                                                                  
  increase in restricted cash                                                                                   
  non-cash revenue reduction recorded in connection with warrant extension                                                                       -629,370           
  net proceeds from sale of common stock                                                                           -78,000 43,383,000     -7,896 
  repayment of notes receivable                                                                          1,000 3,000 342,000 23,000 2,000 1,000 54,000   
  cash and cash equivalents, beginning of year                                                                                   
  cash and cash equivalents, end of year                                                                                   
  repurchase of restricted stock through forgiveness of notes receivable                                                                           2,000 83,000      
  forgiveness of notes receivable and accumulated interest                                                                           228,000      
  supplemental disclosure of non-cash financing activities:                                                                                   
  deferred license fees                                                                                   
  amortization                                                                        275,000 128,000 138,000 144,000 114,000 132,000 234,000 326,000 116,000   
  stock based compensation                                                                          303,000         
  adjustments to reconcile net income to net cash from operating activities –                                                                                   
  non-cash stock-based compensation expense                                                                           154,000 120,000 126,000 329,000   567,801 865,887 
  amortization of deferred licensing fees                                                                                   
  prepaid expenses                                                                                   
  purchase of marketable securities                                                                                   
  maturity and sale of marketable securities                                                                           15,686,000 5,768,000 9,168,000      
  adjustments to reconcile net income to net cash from operating activities                                                                                   
  net sale (purchase) of marketable securities                                                                                   
  purchase of treasury shares                                                                                   
  sale of marketable securities                                                                               10,891,000 3,122,000   
  adjustments to reconcile net income to net cash from operating activities–                                                                                   
  depreciation and amortization expense                                                                                   
  amortization of licensing fees                                                                                   
  non-cash expense associated with issuance of warrants                                                                                   
  interest receivable                                                                                   
  net proceeds from sale of preferred stock                                                                                   
  proceeds from exercise of common stock options and purchase plans                                                                                   
  repayment of stock subscription receivable                                                                                 189,410 3,940 
  sale of restricted stock through issuance of notes receivable                                                                                  -69 
  issuance of warrants to purchase common stock                                                                                   
  purchase of treasury shares through the forgiveness of notes                                                                                   
  equipment purchased through capital lease obligations                                                                                   
  adjustments to reconcile net income to net cash from operating activities—                                                                                   
  proceeds from exercise of common stock options and stock purchase plans                                                                                 65,987  
  repurchase of treasury shares                                                                                   
  adjustments to reconcile net income to net cash from operating activities-                                                                                   
  payments on capital lease bligations                                                                                   
  net proceeds from sale of convertible preferred stock                                                                                   
  adjustments to reconcile net income to net cash from operating activities;                                                                                   

We provide you with 20 years of cash flow statements for Exact Sciences stock, allowing you to gain comprehensive visibility into the fundamentals of the company. Our detailed breakdowns include key financial metrics such as operating cash flows, cash levels, capital expenditures, profits, stock-based compensations and profit margins. This in-depth information is essential for making informed investment decisions and understanding the financial health and performance of Exact Sciences stock. Explore the full financial landscape of Exact Sciences stock with our expertly curated income statements.

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