Free cash flow has reached an inflection point, improving from a $120.0 million deficit in 2024Q1 to a $120.4 million surplus in 2025Q4.
| Metric | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 |
|---|
| Cash from Operations | 491.44M | 210.54M | 156.12M | -223.56M | -102.24M | 136.48M | -111.66M | -69.33M | -71.72M | -130.07M | -134.02M | -80.91M | -39.3M | -44.16M | -27.82M | -13.48M | -12.64M | -7.9M | -8.77M | -12.15M | -15.98M | -21.17M | -13.87M | -11.92M | -15.84M | -7.99M | -4.61M |
| Operating CF Margin % | 15.14% | 7.63% | 6.25% | -10.73% | -5.79% | 9.15% | -12.74% | -15.25% | -26.96% | -130.88% | -339.83% | -4500.11% | -948.24% | -1065.52% | -668.36% | -252.21% | -265.66% | 911.65% | -298.71% | -255.87% | -376.05% | -429.06% | -478.11% | -1328.54% | -31131.48% | - | - |
| Operating CF Growth % | 133.42% | 34.86% | 169.83% | -118.67% | -174.91% | 222.24% | -61.06% | 3.34% | 44.86% | 2.95% | -65.63% | -105.91% | 11.01% | -58.69% | -106.44% | -6.63% | -59.92% | 9.84% | 27.87% | 23.95% | 24.52% | -52.66% | -16.39% | 24.75% | -98.17% | -73.44% | - |
| Net Income | -207.95M | -1.03B | -204.15M | -623.51M | -595.63M | -848.53M | -213.09M | -175.15M | -114.4M | -167.21M | -157.8M | -100.05M | -46.51M | -52.42M | -28.68M | -11.56M | -9.13M | -9.74M | -11.96M | -12.91M | -14.52M | -18.52M | -28.34M | -29.88M | -23.49M | -11.88M | -4.96M |
| Depreciation & Amortization | 221.58M | 214.86M | 206.61M | 197.56M | 180.35M | 163.36M | 50.25M | 23.08M | 15.55M | 11.51M | 7.75M | 3.71M | 1.42M | 985K | 411K | 230K | 175K | 626K | -2.24M | -3.01M | -2.93M | -2.79M | -62K | 2.16M | 1.07M | 404.14K | 424.29K |
| Stock-Based Compensation | 217.67M | 214.88M | 231.31M | 206.82M | 253.06M | 152.91M | 108.48M | 60.26M | 35.51M | 23.73M | 18.05M | 11.52M | 7.74M | 5.49M | 4.25M | 2.25M | 2.63M | 1.01M | 2.81M | 3.01M | 505K | 498K | 1.12M | 0 | 0 | 0 | 0 |
| Deferred Taxes | -1.54M | -10.12M | -955K | -11.9M | -253.17M | -9.86M | -193.6M | -2.78M | -115K | 800K | 363K | 891K | 736K | 532K | 24.53M | -5.32M | 0 | -1.35M | -2.72M | -3.01M | -505K | -498K | -1.12M | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 261.69M | 875.78M | -76.36M | 33.84M | 202.04M | 721.34M | 189.87M | 26.17M | -601K | -347K | -529K | -294K | -4.14M | -2.99M | -28.57M | 107K | 1.78M | 66K | 2.81M | 3.01M | 1.42M | 498K | 1.12M | 1.16M | 3.79M | 3.18M | 13.78K |
| Working Capital Changes | 0 | -56.01M | -342K | -26.38M | 111.11M | -42.73M | -53.56M | -911K | -7.68M | 1.45M | -1.85M | 3.31M | 1.47M | 4.25M | 221K | 810K | -8.1M | 1.49M | 2.54M | 763K | 47K | -363K | 13.41M | 14.65M | 2.79M | 303.17K | -81.74K |
| Change in Receivables | -48.89M | -46.26M | -43.42M | 61.09M | 25.15M | -100.53M | -27.63M | -17.29M | -17.53M | -3.59M | -3.56M | -1.38M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -3.77M | -34.91M | -7.69M | -13.23M | -9.22M | -30.31M | -19.04M | -12.73M | -19.19M | -156K | -2.66M | -4.02M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 214.04M | 43.54M | 0 | 0 | 0 | 46.38M | 0 | 11.33M | 15.38M | -2.6M | 661K | 1.89M | -2.89M | 2.89M | -263K | 873K | -528K | 438K | 87K | -310K | 103K | -292K | -501K | 0 | 0 | 0 | 0 |
| Cash from Investing | 195.12M | -442.15M | 49.68M | 74.07M | -1.08B | -702.04M | -124.43M | -781.91M | -160.81M | -11.52M | -64.75M | -117.84M | -35.5M | -38.32M | -43.05M | -14.88M | -2.87M | 8.25M | 8.04M | 4.53M | 15.76M | -23.88M | 9.47M | -28.1M | -4.57M | -1.08M | -721.57K |
| Capital Expenditures | -134.66M | -135.99M | -124.19M | -214.46M | -135.77M | -64.35M | -172.65M | -150.67M | -69.24M | -14.85M | -21.98M | -12.54M | -9.28M | -681K | -2.12M | -626K | -462K | -104K | -132K | -394K | -227K | -287K | -11.01M | -1.33M | -2.62M | -762.65K | -292.18K |
| CapEx % of Revenue | 4.15% | 4.93% | 4.97% | 10.29% | 7.68% | 4.31% | 19.7% | 33.15% | 26.03% | 14.94% | 55.74% | 697.27% | 223.99% | 16.43% | 50.8% | 11.71% | 9.71% | -12% | 4.5% | 8.29% | 5.34% | 5.82% | 379.49% | 148.83% | 5141.34% | - | - |
| Acquisitions | -75M | -45M | -52.41M | -14.69M | -517.77M | -22.61M | -973.86M | -17.91M | -5.98M | 230K | 1.9M | -240K | 47K | 92K | -15K | -2K | -1K | 100K | 0 | 245K | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 28.27M | -225K | -250K | 24.45M | -58.82M | -411.8M | -1M | -614.3M | -109.34M | -230K | -1.9M | 240K | -47K | -92K | 15K | 2K | 1K | 174K | 8K | -245K | -159K | 107K | -710K | -417K | -1.95M | -317.85K | -429.38K |
| Cash from Financing | -338.09M | 231.87M | 159.77M | 76.48M | 8.47M | 1.88B | 253.18M | 934.14M | 260.96M | 149.59M | 181.76M | 244.03M | 74.76M | 60.04M | 27.9M | 85.19M | 32.49M | 107K | 386K | 473K | 137K | 43.94M | 1.16M | 615K | 50.78M | 31.99M | 56.68K |
| Debt Issued (Net) | 0 | 216.75M | 137.98M | 50M | -23.75M | 974.24M | 236.12M | 920.67M | -376K | -166K | 4.66M | 2.05M | -333K | -107K | 0 | 0 | 1M | 0 | 0 | 0 | 0 | 370K | 58K | 0 | 0 | 0 | -6.41K |
| Equity Issued (Net) | 0 | 1000K | 0 | 0 | 0 | 1000K | 0 | 0 | 1000K | 1000K | 1000K | 0 | 1000K | 1000K | 1000K | 1000K | 1000K | 0 | 286K | 253K | 137K | 1000K | 1000K | 367K | 1000K | 1000K | 59.02K |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 26.54M | 0 | 0 | 0 | 0 | 0 | 0 | 4.89M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -4K | -8K | 0 | 0 |
| Other Financing | -338.09M | -17.75M | 21.79M | 26.48M | 32.22M | 43.68M | 17.06M | 13.48M | 7.94M | 5.51M | 2.97M | 241.98M | 1.79M | 2.39M | 685K | 2.86M | 17.43M | 107K | 100K | 220K | 0 | 0 | 0 | 248K | -337 | 81.53K | 4.07K |
| Net Change in Cash | 349.36M | -3.04M | 366.88M | -72.98M | -1.18B | 1.31B | 17.1M | 82.94M | 28.57M | 7.79M | -17M | 45.28M | -494K | -22.44M | -42.97M | 56.83M | 16.99M | 451K | -345K | -7.16M | -85K | -1.11M | -3.24M | -39.4M | 30.37M | 22.92M | -5.27M |
| Free Cash Flow | 356.78M | 74.55M | 31.93M | -438.02M | -238M | 72.13M | -284.31M | -220M | -140.96M | -144.92M | -156M | -93.45M | -48.58M | -44.84M | -29.94M | -14.1M | -13.1M | -8.01M | -8.9M | -12.55M | -16.21M | -21.46M | -24.88M | -13.25M | -18.45M | -8.75M | -4.9M |
| FCF Margin % | 10.99% | 2.7% | 1.28% | -21.02% | -13.47% | 4.84% | -32.44% | -48.41% | -53% | -145.83% | -395.57% | -5197.39% | -1172.22% | -1081.95% | -719.17% | -263.92% | -275.37% | 923.64% | -303.2% | -264.17% | -381.39% | -434.87% | -857.6% | -1477.37% | -36272.82% | - | - |
| FCF Growth % | 378.6% | 133.48% | 107.29% | -84.04% | -429.96% | 125.37% | -29.23% | -56.07% | 2.73% | 7.11% | -66.94% | -92.37% | -8.34% | -49.76% | -112.27% | -7.65% | -63.61% | 10.01% | 29.08% | 22.59% | 24.47% | 13.74% | -87.74% | 28.18% | -110.78% | -78.66% | - |
| FCF per Share | 1.89 | 0.40 | 0.18 | -2.48 | -1.39 | 0.48 | -2.17 | -1.80 | -1.22 | -1.42 | -1.69 | -1.16 | -0.72 | -0.75 | -0.57 | -0.35 | -0.40 | -0.29 | -0.33 | -0.47 | -0.62 | -0.85 | -1.32 | -0.72 | -1.12 | -5.99 | -3.35 |
| FCF Conversion (FCF/Net Income) | -2.36x | -0.20x | -0.76x | 0.36x | 0.17x | -0.17x | 0.52x | 0.40x | 0.63x | 0.78x | 0.85x | 0.81x | 0.84x | 0.84x | 0.97x | 1.17x | 1.39x | 0.81x | 0.73x | 0.94x | 1.10x | 1.14x | 0.49x | 0.40x | 0.67x | 0.67x | 0.93x |
| Interest Paid | 0 | 0 | 18.78M | 11.52M | 10.73M | 0 | 5.13M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Regulatory reimbursement and competition
As reported in financial statements, Exact Sciences consistently exhibits a significant disconnect between net income and operating cash flow, with the company reporting a net loss of $86.0 million in 2025Q4 while simultaneously generating $151.7 million in operating cash flow, highlighting a complex earnings quality profile.
The recurring gap between accounting losses and positive cash flow suggests that non-cash charges, particularly stock-based compensation and depreciation, are masking the underlying operational burn. Investors should monitor whether this cash conversion improvement is sustainable or merely a byproduct of aggressive working capital management rather than core profitability.
Based on recent quarterly filings, the company's free cash flow trajectory has shifted from a negative $120.0 million in 2024Q1 to a positive $120.4 million in 2025Q4, representing a 13.7% FCF margin that suggests a potential turning point in the firm's self-funding capabilities.
This transition toward positive free cash flow appears to be driven by improved operational scale rather than a reduction in capital intensity. However, the volatility in these margins across the last ten quarters warrants caution, as the company remains sensitive to fluctuations in test volume and reimbursement timing.
According to the provided cash flow data, Exact Sciences has maintained a consistent capital expenditure profile, with CapEx as a percentage of revenue hovering between 3.5% and 5.9% over the last ten quarters, indicating a disciplined approach to laboratory infrastructure investment despite aggressive top-line growth.
The stability of these capital outlays suggests that the company is successfully leveraging its existing laboratory footprint to support higher volumes without requiring exponential increases in fixed asset spending. This efficiency is critical for long-term margin expansion, provided that future technological upgrades do not necessitate a massive, unforeseen capital cycle.
As evidenced by the $120.2 million working capital inflow in 2025Q3 followed by periods of contraction, the company's cash flow is highly sensitive to timing differences in collections and payables, which often obscures the true underlying cash-generating efficiency of the core diagnostic business operations.
The erratic nature of these working capital swings suggests that the company's cash position is susceptible to shifts in payer reimbursement cycles and inventory management. Analysts should investigate whether these fluctuations represent genuine operational improvements or temporary timing benefits that could reverse in subsequent reporting periods.
Quick answers to the most common questions about buying EXAS stock.
Exact Sciences Corporation (EXAS) generated $491.4M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Exact Sciences Corporation (EXAS) generated $356.8M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Exact Sciences Corporation (EXAS) spent $134.7M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Exact Sciences Corporation (EXAS) spent $26.5M on share repurchases. This shows the company's commitment to returning capital to its equity investors.