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Side-by-side financial comparison of BIODESIX INC (BDSX) and EXACT SCIENCES CORP (EXAS). Click either name above to swap in a different company.
EXACT SCIENCES CORP is the larger business by last-quarter revenue ($878.4M vs $28.8M, roughly 30.5× BIODESIX INC). EXACT SCIENCES CORP runs the higher net margin — -9.8% vs -13.8%, a 4.1% gap on every dollar of revenue. On growth, BIODESIX INC posted the faster year-over-year revenue change (40.8% vs 23.1%). EXACT SCIENCES CORP produced more free cash flow last quarter ($120.4M vs $692.0K). Over the past eight quarters, BIODESIX INC's revenue compounded faster (39.3% CAGR vs 17.4%).
Biodesix Inc is a molecular diagnostics enterprise specializing in developing and commercializing innovative blood-based testing solutions for oncology and infectious disease fields. It primarily serves healthcare providers, biopharmaceutical partners and patients across North America, with core business covering personalized medicine products that support clinical decision making.
Exact Sciences Corporation is an American molecular diagnostics company based in Madison, Wisconsin, specializing in the detection of early-stage cancers. The company provides products for the detection and prevention of colorectal cancer, including Cologuard, the first stool DNA test for colorectal cancer, along with additional screening and precision oncological tests for other types of cancer.
BDSX vs EXAS — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $28.8M | $878.4M |
| Net Profit | $-4.0M | $-86.0M |
| Gross Margin | — | 70.1% |
| Operating Margin | -6.8% | -9.4% |
| Net Margin | -13.8% | -9.8% |
| Revenue YoY | 40.8% | 23.1% |
| Net Profit YoY | 51.8% | 90.1% |
| EPS (diluted) | $-3.35 | $-0.45 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q4 25 | $28.8M | $878.4M | ||
| Q3 25 | $21.8M | $850.7M | ||
| Q2 25 | $20.0M | $811.1M | ||
| Q1 25 | $18.0M | $706.8M | ||
| Q4 24 | $20.4M | $713.4M | ||
| Q3 24 | $18.2M | $708.7M | ||
| Q2 24 | $17.9M | $699.3M | ||
| Q1 24 | $14.8M | $637.5M |
| Q4 25 | $-4.0M | $-86.0M | ||
| Q3 25 | $-8.7M | $-19.6M | ||
| Q2 25 | $-11.5M | $-1.2M | ||
| Q1 25 | $-11.1M | $-101.2M | ||
| Q4 24 | $-8.3M | $-864.6M | ||
| Q3 24 | $-10.3M | $-38.2M | ||
| Q2 24 | $-10.8M | $-15.8M | ||
| Q1 24 | $-13.6M | $-110.2M |
| Q4 25 | — | 70.1% | ||
| Q3 25 | — | 68.6% | ||
| Q2 25 | — | 69.3% | ||
| Q1 25 | — | 70.8% | ||
| Q4 24 | — | 69.0% | ||
| Q3 24 | — | 69.4% | ||
| Q2 24 | — | 69.8% | ||
| Q1 24 | — | 70.0% |
| Q4 25 | -6.8% | -9.4% | ||
| Q3 25 | -32.4% | -3.0% | ||
| Q2 25 | -48.6% | -0.3% | ||
| Q1 25 | -50.9% | -13.6% | ||
| Q4 24 | -32.5% | -122.8% | ||
| Q3 24 | -47.3% | -5.6% | ||
| Q2 24 | -46.0% | -3.8% | ||
| Q1 24 | -74.4% | -16.7% |
| Q4 25 | -13.8% | -9.8% | ||
| Q3 25 | -40.0% | -2.3% | ||
| Q2 25 | -57.3% | -0.1% | ||
| Q1 25 | -61.8% | -14.3% | ||
| Q4 24 | -40.4% | -121.2% | ||
| Q3 24 | -56.5% | -5.4% | ||
| Q2 24 | -60.3% | -2.3% | ||
| Q1 24 | -91.9% | -17.3% |
| Q4 25 | $-3.35 | $-0.45 | ||
| Q3 25 | $-1.16 | $-0.10 | ||
| Q2 25 | $-0.08 | $-0.01 | ||
| Q1 25 | $-0.08 | $-0.54 | ||
| Q4 24 | $-5.02 | $-4.69 | ||
| Q3 24 | $-1.40 | $-0.21 | ||
| Q2 24 | $-0.08 | $-0.09 | ||
| Q1 24 | $-0.14 | $-0.60 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $19.0M | $964.7M |
| Total DebtLower is stronger | $50.0M | — |
| Stockholders' EquityBook value | $-2.5M | $2.4B |
| Total Assets | $87.5M | $5.9B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $19.0M | $964.7M | ||
| Q3 25 | $16.6M | $1.0B | ||
| Q2 25 | $20.7M | $858.4M | ||
| Q1 25 | $17.6M | $786.2M | ||
| Q4 24 | $26.2M | $1.0B | ||
| Q3 24 | $31.4M | $1.0B | ||
| Q2 24 | $42.2M | $946.8M | ||
| Q1 24 | $11.5M | $652.1M |
| Q4 25 | $50.0M | — | ||
| Q3 25 | $50.0M | — | ||
| Q2 25 | $50.0M | — | ||
| Q1 25 | $40.0M | — | ||
| Q4 24 | $40.0M | — | ||
| Q3 24 | $40.0M | — | ||
| Q2 24 | $40.1M | — | ||
| Q1 24 | $40.1M | — |
| Q4 25 | $-2.5M | $2.4B | ||
| Q3 25 | $-1.7M | $2.5B | ||
| Q2 25 | $1.1M | $2.5B | ||
| Q1 25 | $11.1M | $2.4B | ||
| Q4 24 | $20.9M | $2.4B | ||
| Q3 24 | $27.9M | $3.2B | ||
| Q2 24 | $36.3M | $3.2B | ||
| Q1 24 | $-5.5M | $3.1B |
| Q4 25 | $87.5M | $5.9B | ||
| Q3 25 | $88.7M | $5.9B | ||
| Q2 25 | $87.7M | $5.8B | ||
| Q1 25 | $86.2M | $5.7B | ||
| Q4 24 | $97.2M | $5.9B | ||
| Q3 24 | $102.7M | $6.7B | ||
| Q2 24 | $115.8M | $6.7B | ||
| Q1 24 | $87.2M | $6.4B |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | 43.95× | — | ||
| Q1 25 | 3.62× | — | ||
| Q4 24 | 1.92× | — | ||
| Q3 24 | 1.44× | — | ||
| Q2 24 | 1.10× | — | ||
| Q1 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $778.0K | $151.7M |
| Free Cash FlowOCF − Capex | $692.0K | $120.4M |
| FCF MarginFCF / Revenue | 2.4% | 13.7% |
| Capex IntensityCapex / Revenue | 0.3% | 3.6% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-23.5M | $356.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $778.0K | $151.7M | ||
| Q3 25 | $-8.9M | $219.9M | ||
| Q2 25 | $-6.6M | $89.0M | ||
| Q1 25 | $-8.6M | $30.8M | ||
| Q4 24 | $-4.1M | $47.1M | ||
| Q3 24 | $-10.7M | $138.7M | ||
| Q2 24 | $-18.6M | $107.1M | ||
| Q1 24 | $-15.3M | $-82.3M |
| Q4 25 | $692.0K | $120.4M | ||
| Q3 25 | $-8.9M | $190.0M | ||
| Q2 25 | $-6.6M | $46.7M | ||
| Q1 25 | $-8.7M | $-365.0K | ||
| Q4 24 | $-4.9M | $10.7M | ||
| Q3 24 | $-10.9M | $112.6M | ||
| Q2 24 | $-20.5M | $71.2M | ||
| Q1 24 | $-15.5M | $-120.0M |
| Q4 25 | 2.4% | 13.7% | ||
| Q3 25 | -41.0% | 22.3% | ||
| Q2 25 | -33.1% | 5.8% | ||
| Q1 25 | -48.3% | -0.1% | ||
| Q4 24 | -24.2% | 1.5% | ||
| Q3 24 | -60.1% | 15.9% | ||
| Q2 24 | -114.3% | 10.2% | ||
| Q1 24 | -104.9% | -18.8% |
| Q4 25 | 0.3% | 3.6% | ||
| Q3 25 | 0.2% | 3.5% | ||
| Q2 25 | 0.3% | 5.2% | ||
| Q1 25 | 0.4% | 4.4% | ||
| Q4 24 | 4.1% | 5.1% | ||
| Q3 24 | 1.3% | 3.7% | ||
| Q2 24 | 10.7% | 5.1% | ||
| Q1 24 | 1.6% | 5.9% |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
BDSX
| Diagnostic Tests | $25.1M | 87% |
| Development Services | $3.6M | 13% |
EXAS
| Screening | $695.1M | 79% |
| Precision Oncology | $183.2M | 21% |
