EXACT SCIENCES CORP, 10-Q filed on 10/30/2019
Quarterly Report
v3.19.3
Document and Entity Information - shares
9 Months Ended
Sep. 30, 2019
Oct. 28, 2019
Document and Entity Information    
Document Type 10-Q  
Document Quarterly Report true  
Document Transition Report false  
Document Period End Date Sep. 30, 2019  
Entity File Number 001-35092  
Entity Registrant Name EXACT SCIENCES CORPORATION  
Entity Incorporation, State or Country Code DE  
Entity Tax Identification Number 02-0478229  
Entity Address, Address Line One 441 Charmany Drive  
Entity Address, City or Town Madison  
Entity Address, State or Province WI  
Entity Address, Postal Zip Code 53719  
City Area Code 608  
Local Phone Number 535-8815  
Title of 12(b) Security Common Stock  
Trading Symbol EXAS  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current 1 Yes  
Entity Filer Category Large Accelerated Filer  
Entity Small Business false  
Entity Emerging Growth Company false  
Entity Shell Company false  
Current Fiscal Year End Date --12-31  
Document Fiscal Year Focus 2019  
Document Fiscal Period Focus Q3  
Entity Central Index Key 0001124140  
Amendment Flag false  
Entity Common Stock, Shares Outstanding   129,832,089
v3.19.3
Condensed Consolidated Balance Sheets - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Current Assets:    
Cash and cash equivalents $ 1,034,334 $ 160,430
Marketable securities 126,211 963,752
Accounts receivable, net 82,200 45,329
Inventory, net 53,673 39,148
Prepaid expenses and other current assets 23,560 19,408
Total current assets 1,319,978 1,228,067
Long-term Assets:    
Property, plant and equipment, net 370,532 245,259
Goodwill and intangibles, net 44,385 46,281
Other long-term assets, net 24,373 4,415
Total assets 1,759,268 1,524,022
Current Liabilities:    
Accounts payable 19,158 28,141
Accrued liabilities 134,832 100,644
Accrued interest 1,168 4,172
Convertible notes, net, current portion 315,643  
Debt, current portion 601 8
Other short-term liabilities 9,290 3,204
Total current liabilities 480,692 136,169
Long-term Liabilities:    
Long-term convertible notes, net, less current portion 476,527 664,749
Long-term debt, less current portion 24,254 24,494
Other long-term liabilities 29,511 17,669
Total liabilities 1,010,984 843,081
Commitments and contingencies
Stockholders' Equity:    
Preferred stock, $0.01 par value Authorized-5,000,000 shares issued and outstanding-no shares at September 30, 2019 and December 31, 2018
Common stock, $0.01 par value Authorized-200,000,000 shares issued and outstanding-129,817,885 and 123,192,540 shares at September 30, 2019 and December 31, 2018 1,299 1,232
Additional paid-in capital 1,945,046 1,716,894
Accumulated other comprehensive loss (360) (1,422)
Accumulated deficit (1,197,701) (1,035,763)
Total stockholders' equity 748,284 680,941
Total liabilities and stockholders' equity $ 1,759,268 $ 1,524,022
v3.19.3
Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares
Sep. 30, 2019
Dec. 31, 2018
Condensed Consolidated Balance Sheets    
Preferred stock, par value (in dollars per share) $ 0.01 $ 0.01
Preferred stock, Authorized shares 5,000,000 5,000,000
Preferred stock, Issued shares 0 0
Preferred stock, outstanding shares 0 0
Common stock, par value (in dollars per share) $ 0.01 $ 0.01
Common stock, Authorized shares 200,000,000 200,000,000
Common stock, Issued shares 129,817,885 123,192,540
Common stock, outstanding shares 129,817,885 123,192,540
v3.19.3
Condensed Consolidated Statements of Operations - USD ($)
shares in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Condensed Consolidated Statements of Operations        
Revenue $ 218,805,000 $ 118,291,000 $ 580,718,000 $ 311,481,000
Cost of sales 52,759,000 30,020,000 147,574,000 79,822,000
Gross margin 166,046,000 88,271,000 433,144,000 231,659,000
Operating expenses:        
Research and development 34,945,000 17,631,000 97,164,000 47,278,000
General and administrative 80,565,000 46,729,000 208,329,000 121,861,000
Sales and marketing 86,196,000 64,836,000 265,325,000 172,675,000
Total operating expenses 201,706,000 129,196,000 570,818,000 341,814,000
Loss from operations (35,660,000) (40,925,000) (137,674,000) (110,155,000)
Other income (expense)        
Investment income 9,093,000 6,292,000 23,417,000 14,882,000
Interest expense (13,209,000) (10,704,000) (47,911,000) (25,817,000)
Total other expense (4,116,000) (4,412,000) (24,494,000) (10,935,000)
Net loss before tax (39,776,000) (45,337,000) (162,168,000) (121,090,000)
Income tax benefit (expense) (683,000) (27,000) 230,000 (85,000)
Net loss $ (40,459,000) $ (45,364,000) $ (161,938,000) $ (121,175,000)
Net loss per share-basic and diluted (in dollars per share) $ (0.31) $ (0.37) $ (1.26) $ (0.99)
Weighted average common shares outstanding-basic and diluted (in shares) 129,567 122,671 128,344 121,946
v3.19.3
Condensed Consolidated Statements of Comprehensive Loss - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Condensed Consolidated Statements of Comprehensive Loss        
Net loss $ (40,459) $ (45,364) $ (161,938) $ (121,175)
Other comprehensive loss, before tax:        
Unrealized gain (loss) on available-for-sale investments (2,697) 462 1,431 (668)
Foreign currency translation gain (loss) (66) 10 (28) 12
Comprehensive loss, before tax (43,222) (44,892) (160,535) (121,831)
Income tax benefit (expense) related to items of other comprehensive loss 643   (341)  
Comprehensive loss, net of tax $ (42,579) $ (44,892) $ (160,876) $ (121,831)
v3.19.3
Condensed Consolidated Statements of Stockholders Equity - USD ($)
$ in Thousands
Common Stock
Additional Paid In Capital
Accumulated Other Comprehensive Income (Loss)
Accumulated Deficit
Total
Balance at Dec. 31, 2017 $ 1,205 $ 1,380,577 $ (750) $ (860,614) $ 520,418
Balance (in shares) at Dec. 31, 2017 120,497,426        
Increase (Decrease) in Stockholders' Equity          
Equity component of convertible notes, net of issuance costs   189,456     189,456
Exercise of common stock options $ 4 1,387     1,391
Exercise of common stock options (in shares) 420,129        
Issuance of common stock to fund the Company's 401(k) match $ 1 4,299     4,300
Issuance of common stock to fund the Company's 401(k) match (in shares) 86,828        
Compensation expense related to issuance of stock options and restricted stock awards $ 9 12,454     12,463
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 862,376        
Net loss       (39,424) (39,424)
Accumulated other comprehensive loss     (1,586)   (1,586)
Balance at Mar. 31, 2018 $ 1,219 1,588,173 (2,336) (900,038) 687,018
Balance (in shares) at Mar. 31, 2018 121,866,759        
Balance at Dec. 31, 2017 $ 1,205 1,380,577 (750) (860,614) 520,418
Balance (in shares) at Dec. 31, 2017 120,497,426        
Increase (Decrease) in Stockholders' Equity          
Net loss         (121,175)
Accumulated other comprehensive loss         (656)
Balance at Sep. 30, 2018 $ 1,229 1,698,695 (1,406) (981,789) 716,729
Balance (in shares) at Sep. 30, 2018 122,889,854        
Balance at Mar. 31, 2018 $ 1,219 1,588,173 (2,336) (900,038) 687,018
Balance (in shares) at Mar. 31, 2018 121,866,759        
Increase (Decrease) in Stockholders' Equity          
Equity component of convertible notes, net of issuance costs   70,788     70,788
Exercise of common stock options $ 3 4,250     4,253
Exercise of common stock options (in shares) 365,566        
Issuance of common stock to fund the Company's 401(k) match   3     3
Issuance of common stock to fund the Company's 401(k) match (in shares) 54        
Compensation expense related to issuance of stock options and restricted stock awards $ 1 15,592     15,593
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 87,322        
Purchase of employee stock purchase plan shares $ 3 2,659     2,662
Purchase of employee stock purchase plan shares (in shares) 285,013        
Net loss       (36,387) (36,387)
Accumulated other comprehensive loss     458   458
Balance at Jun. 30, 2018 $ 1,226 1,681,465 (1,878) (936,425) 744,388
Balance (in shares) at Jun. 30, 2018 122,604,714        
Increase (Decrease) in Stockholders' Equity          
Exercise of common stock options $ 1 734     735
Exercise of common stock options (in shares) 62,366        
Compensation expense related to issuance of stock options and restricted stock awards $ 2 16,496     16,498
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 222,774        
Net loss       (45,364) (45,364)
Accumulated other comprehensive loss     472   472
Balance at Sep. 30, 2018 $ 1,229 1,698,695 (1,406) (981,789) 716,729
Balance (in shares) at Sep. 30, 2018 122,889,854        
Balance at Dec. 31, 2018 $ 1,232 1,716,894 (1,422) (1,035,763) $ 680,941
Balance (in shares) at Dec. 31, 2018 123,192,540       123,192,540
Increase (Decrease) in Stockholders' Equity          
Equity component of convertible notes, net of issuance costs   268,390     $ 268,390
Shares issued to settle convertible notes $ 22 182,413     182,435
Shares issued to settle convertible notes (in shares) 2,158,991        
Settlement of convertible notes   (300,768)     (300,768)
Exercise of common stock options $ 2 3,648     3,650
Exercise of common stock options (in shares) 235,278        
Issuance of common stock to fund the Company's 401(k) match $ 1 7,408     7,409
Issuance of common stock to fund the Company's 401(k) match (in shares) 86,532        
Compensation expense related to issuance of stock options and restricted stock awards $ 35 16,131     16,166
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 3,410,481        
Net loss       (83,059) (83,059)
Accumulated other comprehensive loss     1,776   1,776
Balance at Mar. 31, 2019 $ 1,292 1,894,116 354 (1,118,822) 776,940
Balance (in shares) at Mar. 31, 2019 129,083,822        
Balance at Dec. 31, 2018 $ 1,232 1,716,894 (1,422) (1,035,763) $ 680,941
Balance (in shares) at Dec. 31, 2018 123,192,540       123,192,540
Increase (Decrease) in Stockholders' Equity          
Shares issued to settle convertible notes         $ 182,436
Shares issued to settle convertible notes (in shares)         2,159,017
Stock issuance costs         $ (409)
Net loss         (161,938)
Balance at Sep. 30, 2019 $ 1,299 1,945,046 (360) (1,197,701) $ 748,284
Balance (in shares) at Sep. 30, 2019 129,817,885       129,817,885
Balance at Mar. 31, 2019 $ 1,292 1,894,116 354 (1,118,822) $ 776,940
Balance (in shares) at Mar. 31, 2019 129,083,822        
Increase (Decrease) in Stockholders' Equity          
Equity component of convertible notes, net of issuance costs   (22)     (22)
Exercise of common stock options $ 1 1,347     1,348
Exercise of common stock options (in shares) 78,793        
Compensation expense related to issuance of stock options and restricted stock awards $ 1 20,142     20,143
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 104,845        
Purchase of employee stock purchase plan shares $ 1 4,136     4,137
Purchase of employee stock purchase plan shares (in shares) 93,588        
Net loss       (38,420) (38,420)
Accumulated other comprehensive loss     1,406   1,406
Balance at Jun. 30, 2019 $ 1,295 1,919,719 1,760 (1,157,242) 765,532
Balance (in shares) at Jun. 30, 2019 129,361,048        
Increase (Decrease) in Stockholders' Equity          
Settlement of convertible notes   1     1
Settlement of convertible notes (in shares) 26        
Exercise of common stock options $ 2 1,389     1,391
Exercise of common stock options (in shares) 178,628        
Compensation expense related to issuance of stock options and restricted stock awards $ 2 24,346     24,348
Compensation expense related to issuance of stock options and restricted stock awards (in shares) 278,180        
Purchase of employee stock purchase plan shares (in shares) 3        
Stock issuance costs   (409)     (409)
Net loss       (40,459) (40,459)
Accumulated other comprehensive loss     (2,120)   (2,120)
Balance at Sep. 30, 2019 $ 1,299 $ 1,945,046 $ (360) $ (1,197,701) $ 748,284
Balance (in shares) at Sep. 30, 2019 129,817,885       129,817,885
v3.19.3
Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Cash flows from operating activities:    
Net loss $ (161,938) $ (121,175)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization of property, plant and equipment 21,750 14,349
Loss on disposal of property, plant and equipment 880 853
Realized gain on sale of marketable securities (3,340) (243)
Deferred tax benefit (341)  
Stock-based compensation 60,657 44,554
Loss on settlement of convertible notes 10,558  
Non-cash lease expense 2,681  
Amortization of liabilities 27,656 18,433
Amortization of premium on short-term investments (2,889) (2,338)
Amortization of intangible assets 2,426 1,847
Changes in assets and liabilities:    
Accrued interest (3,004) 1,901
Accounts receivable, net (36,871) (15,497)
Inventory, net (14,525) (12,590)
Prepaid expenses and other current assets 434 (13,777)
Accounts payable (8,983) 16,603
Accrued liabilities 24,779 (1,600)
Other short-term liabilities 196 87
Other long-term liabilities 16,302 504
Other long-term assets (22,754)  
Net cash used in operating activities (86,326) (68,089)
Cash flows from investing activities:    
Purchases of marketable securities (604,129) (1,081,662)
Maturities and sales of marketable securities 1,449,330 407,287
Purchases of property, plant and equipment (130,970) (97,987)
Internally developed software (530) (135)
Net cash provided by (used in) investing activities 713,701 (772,497)
Cash flows from financing activities:    
Proceeds from issuance of convertible notes, net 729,477 896,431
Proceeds from financing obligation   6,750
Proceeds from exercise of common stock options 6,389 6,376
Proceeds in connection with the Company's employee stock purchase plan 4,137 2,663
Payments on settlement of convertible notes (493,356)  
Payments of deferred financing costs   (25)
Proceeds from construction loan 319 17,271
Payments on mortgage payable   (4,678)
Stock issuance costs (409)  
Net cash provided by financing activities 246,557 924,788
Effects of exchange rate changes on cash and cash equivalents (28) 12
Net increase in cash and cash equivalents 873,904 84,214
Cash and cash equivalents, beginning of period 160,430 77,491
Cash and cash equivalents, end of period 1,034,334 161,705
Supplemental disclosure of non-cash investing and financing activities:    
Property, plant and equipment acquired but not paid 16,933 25,714
Unrealized gain (loss) on available-for-sale investments, before tax 1,431 (668)
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 7,409 4,303
Issuance of 2,159,017 shares of common stock upon settlement of convertible notes 182,436  
Retirement of equity component of convertible notes settled (300,768)  
Interest paid $ 9,117 $ 4,638
v3.19.3
Condensed Consolidated Statements of Cash Flows (Parenthetical) - shares
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Condensed Consolidated Statements of Cash Flows    
Issuance of shares of common stock to fund the Company's 401(k) matching contribution 86,532 86,882
Issuance of common stock upon convertible notes settlement (in shares) 2,159,017  
v3.19.3
ORGANIZATION AND BASIS OF PRESENTATION
9 Months Ended
Sep. 30, 2019
ORGANIZATION AND BASIS OF PRESENTATION  
ORGANIZATION AND BASIS OF PRESENTATION

(1) ORGANIZATION AND BASIS OF PRESENTATION

Organization

Exact Sciences Corporation (together with its subsidiaries, “Exact,” or the “Company”) was incorporated in February 1995. Exact is a molecular diagnostics company currently focused on the early detection and prevention of some of the deadliest forms of cancer. The Company has developed an accurate, non-invasive, patient-friendly screening test called Cologuard® for the early detection of colorectal cancer and pre-cancer and is currently working on the development of additional tests for other types of cancer, with the goal of becoming a leader in cancer screening and diagnostics.

Basis of Presentation

The accompanying condensed consolidated financial statements, which include the accounts of Exact Sciences Corporation and those of its wholly owned subsidiaries and variable interest entities, are unaudited and have been prepared on a basis substantially consistent with the Company’s audited financial statements and notes as of and for the year ended December 31, 2018 included in the Company’s Annual Report on Form 10-K (the “2018 Form 10-K”). These condensed consolidated financial statements are prepared in conformity with accounting principles generally accepted in the United States of America (“GAAP”) and follow the requirements of the Securities and Exchange Commission (“SEC”) for interim reporting. In the opinion of management, all adjustments (consisting only of adjustments of a normal and recurring nature) considered necessary for a fair presentation of the results of operations have been included. The results of the Company’s operations for any interim period are not necessarily indicative of the results of the Company’s operations for any other interim period or for a full fiscal year. The statements should be read in conjunction with the audited financial statements and related notes included in the 2018 Form 10-K. Management has evaluated subsequent events for disclosure or recognition in the accompanying financial statements up to the filing of this report.

v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
9 Months Ended
Sep. 30, 2019
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES  
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of the Company’s wholly owned subsidiaries and variable interest entities. See Note 7 for the discussion of financing arrangements involving certain entities that are variable interest entities that are included in the Company’s condensed consolidated financial statements. All significant intercompany transactions and balances have been eliminated in consolidation.

References to “Exact”, “we”, “us”, “our”, or the “Company” refer to Exact Sciences Corporation and its wholly owned subsidiaries.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Cash and Cash Equivalents

The Company considers cash on hand, demand deposits in bank, money market funds, and all highly liquid investments with an original maturity of 90 days or less to be cash and cash equivalents. The Company had no restricted cash at September 30, 2019 or December 31, 2018.

Investments

Management determines the appropriate classification of debt securities at the time of purchase and re-evaluates such designation as of each balance sheet date. Debt securities carried at amortized cost are classified as held-to-maturity when the Company has the positive intent and ability to hold the securities to maturity. Marketable equity securities and debt securities not classified as held-to-maturity are classified as available-for-sale. Available-for-sale securities are carried at fair value. The unrealized gains and losses, net of tax, on the Company’s debt securities are reported in other comprehensive income and the unrealized gains and losses, net of tax, on the Company’s equity securities are reported in the condensed consolidated statement of operations. The amortized cost of debt securities in this category is adjusted for amortization of premiums and accretion of discounts to maturity computed under the straight-line method. Such amortization is included in investment income. Realized gains and losses and declines in value judged to be other-than-temporary on available-for-sale securities are included in investment income. The cost of securities sold is based on the specific identification method. Interest and dividends on securities classified as available-for-sale are included in investment income.

At September 30, 2019 and December 31, 2018, the Company’s marketable securities were comprised of fixed income investments, and all were deemed available-for-sale. The objectives of the Company’s investment strategy are to provide liquidity and safety of principal while striving to achieve the highest rate of return consistent with these two objectives. The Company’s investment policy limits investments to certain types of instruments issued by institutions with investment grade credit ratings and places restrictions on maturities and concentration by type and issuer. Investments in which the Company has the ability and intent, if necessary, to liquidate, in order to support its current operations (including those with a contractual term greater than one year from the date of purchase), are classified as current. All of the Company’s investments are considered current and realized gains, net of insignificant realized losses, are included in investment income. Realized gains, net of insignificant realized losses, were $3.1 million and $0.1 million for the three months ended September 30, 2019, and 2018, respectively. Realized gains, net of insignificant realized losses, were $3.3 million and $0.2 million, for the nine months ended September 30, 2019 and 2018, respectively.

The Company periodically reviews investments in unrealized loss positions for other-than-temporary impairments. This evaluation includes, but is not limited to, significant quantitative and qualitative assessments and estimates regarding credit ratings, collateralized support, the length of time and significance of a security’s loss position, the Company’s intent not to sell the security, and whether it is more likely than not that the Company will have to sell the security before recovery of its cost basis. For the nine months ended September 30, 2019, no investments were identified with other-than-temporary declines in value.

Available-for-sale securities at September 30, 2019 consisted of the following:

September 30, 2019

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

539,087

$

15

$

$

539,102

Commercial paper

39,961

(4)

39,957

Certificates of deposit

 

7,000

 

7,000

Total cash equivalents

586,048

15

(4)

586,059

Marketable securities

U.S. government agency securities

 

90,503

17

(6)

 

90,514

Certificates of deposit

 

20,504

9

 

20,513

Corporate bonds

11,670

3

11,673

Commercial paper

 

1,999

 

1,999

Asset backed securities

 

1,512

 

1,512

Total marketable securities

126,188

29

(6)

126,211

Total available-for-sale securities

$

712,236

$

44

$

(10)

$

712,270

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.

Available-for-sale securities at December 31, 2018 consisted of the following:

December 31, 2018

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

49,982

$

3

$

$

49,985

Commercial paper

24,072

(2)

24,070

Certificates of deposit

 

11,000

 

11,000

Total cash equivalents

85,054

3

(2)

85,055

Marketable securities

Corporate bonds

392,973

33

(719)

392,287

Asset backed securities

 

277,538

30

(569)

 

276,999

U.S. government agency securities

 

250,606

43

(178)

 

250,471

Certificates of deposit

 

31,875

(31)

 

31,844

Commercial paper

12,158

(7)

12,151

Total marketable securities

965,150

106

(1,504)

963,752

Total available-for-sale securities

$

1,050,204

$

109

$

(1,506)

$

1,048,807

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.

Changes in Accumulated Other Comprehensive Income (Loss)

The amount recognized in accumulated other comprehensive income (loss) (“AOCI”) for the nine months ended September 30, 2019 were as follows:

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2018

$

(25)

$

(1,397)

$

(1,422)

Other comprehensive income (loss) before reclassifications

 

(28)

 

815

 

787

Amounts reclassified from accumulated other comprehensive loss

 

 

616

 

616

Net current period change in accumulated other comprehensive loss, before tax

 

(28)

 

1,431

 

1,403

Income tax expense related to items of other comprehensive income

(341)

(341)

Balance at September 30, 2019

$

(53)

$

(307)

$

(360)

The amounts recognized in AOCI for the nine months ended September 30, 2018 were as follows:

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2017

$

(61)

$

(689)

$

(750)

Other comprehensive loss before reclassifications

 

12

 

(883)

 

(871)

Amounts reclassified from accumulated other comprehensive loss

 

 

215

 

215

Net current period change in accumulated other comprehensive loss

 

12

 

(668)

 

(656)

Balance at September 30, 2018

$

(49)

$

(1,357)

$

(1,406)

Amounts reclassified from AOCI for the nine months ended September 30, 2019 and 2018 were as follows:

 

Affected Line Item in the

 

Nine Months Ended September 30,

Details about AOCI Components (In thousands)

Statements of Operations

2019

2018

Change in value of available-for-sale investments

Sales and maturities of available-for-sale investments

 

Investment income

$

616

$

215

Total reclassifications

$

616

$

215

Property, Plant and Equipment

Property and equipment are stated at cost and depreciated using the straight-line method over the assets’ estimated useful lives. Land is stated at cost and does not depreciate. Maintenance and repairs are expensed when incurred; additions and improvements are capitalized. The estimated useful lives of property and equipment are as follows:

Estimated

September 30,

December 31,

(In thousands)

Useful Life

2019

2018

Property, plant and equipment

Land

(1)

$

4,466

$

4,466

Leasehold and building improvements

(2)

61,951

38,895

Land improvements

15 years

1,766

1,530

Buildings

30 years

115,104

7,928

Computer equipment and computer software

3 years

42,506

36,969

Laboratory equipment

3 - 10 years

 

80,966

 

37,518

Furniture and fixtures

3 years

 

11,342

 

8,353

Assets under construction

(3)

119,163

167,462

Property, plant and equipment, at cost

437,264

303,121

Accumulated depreciation

(66,732)

(57,862)

Property, plant and equipment, net

$

370,532

$

245,259

(1)Not depreciated.
(2)Lesser of remaining lease term, building life, or useful life.
(3)Not depreciated until placed into service.

Depreciation expense for the nine months ended September 30, 2019 and 2018 was $21.8 million and $14.3 million, respectively.

At September 30, 2019, the Company had $119.2 million of assets under construction which consisted of $22.8 million related to laboratory equipment, $94.7 million related to leasehold and building improvements, and $1.7 million related to computer equipment and computer software projects. Depreciation will begin on these assets once they are placed into service. The Company expects to incur an additional $11.4 million to complete the laboratory equipment, $48.9 million to complete the building projects, and $0.2 million to complete the computer equipment and computer software projects. These projects are expected to be completed throughout 2019, 2020 and 2021. The Company evaluates its property, plant and equipment, for impairment when material events and changes in circumstances indicate that the carrying value may not be recoverable. There were no material impairment losses for the periods ended September 30, 2019 and December 31, 2018.

Software Capitalization Policy

Software development costs related to internal use software are incurred in three stages of development: the preliminary project stage, the application development stage, and the post-implementation stage. Costs incurred during the preliminary project and post-implementation stages are expensed as incurred. Costs incurred during the application development stage that meet the criteria for capitalization are capitalized and amortized, when the software is ready for its intended use, using the straight-line basis over the estimated useful life of the software.

Patent Costs, Intangible Assets and Goodwill

Patent costs, Intangible assets, and Goodwill consisted of the following:

September 30,

December 31,

(In thousands)

    

2019

    

2018

Finite-lived intangible assets

Finite-lived intangible assets

$

33,415

$

33,058

Less: Accumulated amortization

(6,533)

(4,107)

Finite-lived intangible assets, net

26,882

28,951

Internally developed technology in process

224

51

Total finite-lived intangible assets, net

27,106

29,002

Goodwill

17,279

17,279

Goodwill and intangible assets, net

$

44,385

$

46,281

Finite-Lived Intangible Assets

The following table summarizes the net-book-value and estimated remaining life of the Company’s finite-lived intangible assets as of September 30, 2019:

Weighted

Net Balance at

Average

September 30,

Remaining

(In thousands)

    

2019

    

Life (Years)

Trade name

$

653

14.1

Customer relationships

2,521

14.1

Patents

17,281

9.0

Acquired developed technology

5,708

13.1

Internally developed technology

719

2.5

Total

$

26,882

As of September 30, 2019, the estimated future amortization expense associated with the Company’s finite-lived intangible assets for each of the five succeeding fiscal years is as follows:

(In thousands)

    

    

2019

$

829

2020

 

3,312

2021

 

3,210

2022

 

3,025

2023

 

2,953

Thereafter

 

13,553

$

26,882

The Company evaluates identifiable intangibles for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future undiscounted net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. There were no impairment losses for periods ended September 30, 2019 and December 31, 2018.

Patent costs are capitalized as incurred, only if the Company determines that there is some probable future economic benefit derived from the patent costs incurred. A capitalized patent is amortized over its estimated useful life, beginning when such patent is approved. Capitalized patent costs are expensed upon disapproval, upon a decision by the Company to no longer pursue the patent or when the related intellectual property is either sold or deemed to be no longer

of value to the Company. Other than the transactions discussed below, the Company determined that all patent costs incurred during the nine months ended September 30, 2019 and 2018 should be expensed and not capitalized as the future economic benefit derived from the patent costs incurred cannot be determined.

Under a technology license and royalty agreement entered into with MDx Health (“MDx”), dated July 26, 2010 (as subsequently amended, the “MDx License Agreement”), the Company was required to pay MDx milestone-based royalties on sales of products or services covered by the licensed intellectual property. Once the achievement of a milestone occurred or was considered probable, an intangible asset and corresponding liability was reported in goodwill and intangible assets and accrued liabilities, respectively. The liability was relieved once the milestone was achieved and payment made. The intangible asset is being amortized over the estimated ten-years useful life of the licensed intellectual property through 2024, and such amortization is reported in cost of sales. Payment for all remaining milestones under the MDx License Agreement was made as part of the Royalty Buy-Out Agreement described below.

Effective April 2017, the Company and MDx entered into a royalty buy-out agreement (“Royalty Buy-Out Agreement”), which terminated the MDx License Agreement. Pursuant to the Royalty Buy-Out Agreement, the Company paid MDx a one-time fee of $8.0 million in exchange for an assignment of certain patents covered by the MDx License Agreement and the elimination of all ongoing royalties and other payments by the Company to MDx under the MDx License Agreement. Also included in the Royalty Buy-Out Agreement is a mutual release of liabilities, which includes all amounts previously accrued under the MDx License Agreement. Concurrently with entering into the Royalty Buy-Out Agreement, the Company entered into a patent purchase agreement (“Patent Purchase Agreement”) with MDx under which it paid MDx an additional $7.0 million in exchange for the assignment of certain other patent rights that were not covered by the MDx License Agreement. The total $15.0 million paid by the Company pursuant to the Royalty Buy-Out Agreement and Patent Purchase Agreement, net of liabilities relieved of $6.6 million, was recorded as an intangible asset and is being amortized over the estimated remaining useful life of the licensed intellectual property through 2024, and such amortization is reported in cost of sales. The $6.6 million of liabilities relieved were related to historical milestones and accrued royalties under the MDx License Agreement.

As of September 30, 2019, and December 31, 2018, an intangible asset of $6.7 million and $7.7 million, respectively, related to historical milestone payments made under the MDx License Agreement and intangible assets acquired as part of the Royalty Buy-Out Agreement and Patent Purchase Agreement is reported in net goodwill and intangible assets on the Company’s condensed consolidated financial statements. Amortization expense was $0.3 million for the three months ended September 30, 2019 and 2018. Amortization expense was $1.0 million for the nine months ended September 30, 2019 and 2018.

In December 2017, the Company entered into an asset purchase agreement (the “Armune Purchase Agreement”) with Armune BioScience, Inc. (“Armune”), pursuant to which the Company acquired intellectual property and certain other assets underlying Armune’s APIFINY®, APIFINY® PRO and APIFINY® ACTIVE SURVEILLANCE prostate cancer diagnostic tests. The Company has utilized the Armune assets in its research and development program. The total consideration was comprised of an up-front cash payment of $12.0 million and $17.5 million in contingent payment obligations that will become payable upon the Company’s achievement of development and commercial milestones using the acquired intellectual property. The satisfaction of these milestones is subject to many risks and is therefore uncertain.  The Company will not record the contingent consideration until it is probable that the milestones will be met.  There is no other consideration due to Armune beyond the milestone payments and the Company is not subject to future royalty obligations should a product be developed and commercialized. In connection with the Armune Purchase Agreement, Armune terminated a license agreement pursuant to which it licensed certain patent rights and know-how from the Regents of the University of Michigan (“University of Michigan”), and the Company entered into a license agreement with the University of Michigan with respect to such patent rights and know-how, as well as certain additional intellectual property rights. Pursuant to the Company’s agreement with the University of Michigan, it is required to pay the University of Michigan a low single-digit royalty on its net sales of products using the licensed intellectual property.

The Company accounted for the transaction as an asset acquisition under GAAP. The asset is comprised of a portfolio of biomarkers, related technology and know-how, which is a group of complementary assets concentrated in a single identifiable asset.  The transaction costs directly related to the asset acquisition were added to the asset in accordance with GAAP.  As such, the collective asset value from the acquisition resulted in an intangible asset of $12.2 million.  The intellectual property asset, which includes related transaction costs, is being amortized on a straight-line basis over the period the Company expects to be benefited, which is in line with the legal life of the patents acquired. The Company capitalized these costs as there is a reasonable expectation that the assets acquired will be used in an alternative manner in the future, that is not contingent on future development subsequent to acquisition, and the Company anticipates there to be economic benefit from these alternative uses. For the three and nine months ended September 30, 2019 and 2018, the Company recorded amortization expense of $0.2 million and $0.7 million, respectively. At September 30, 2019 and December 31, 2018, the net balance of $10.6 million and $11.3 million, respectively, is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheet.

In August 2017, the Company acquired all of the equity interests of Sampleminded, Inc. (“Sampleminded”). As a result of the acquisition, the Company recorded an intangible asset of $1.0 million, which was comprised of developed technology acquired of $0.9 million, customer relationships of $0.1 million, and non-compete agreements of $32,000. The intangible assets acquired are being amortized over the remaining useful life, which was determined to be eight years for developed technology acquired, three years for customer relationships, and five years for non-compete agreements. For the three months ended September 30, 2019 and 2018, the Company recorded amortization expense of $36,000. For the nine months ended September 30, 2019 and 2018, the Company recorded amortization expense of $0.1 million. At September 30, 2019 and December 31, 2018, the net balance of $0.7 million and $0.8 million, respectively, is reported in net intangible assets in the Company’s condensed consolidated balance sheets.

In October 2018, the Company completed a full acquisition of Biomatrica, Inc. (“Biomatrica”, and the “Biomatrica Acquisition”). As a result of the Biomatrica Acquisition, the Company recorded an intangible asset of $8.8 million which was comprised of acquired developed technology of $5.4 million, customer relationships of $2.7 million, and trade names of $0.7 million. The intangible assets acquired are being amortized over the remaining useful life, which was determined to be fifteen years for the acquired developed technology, fifteen years for the customer relationships, and fifteen years for the trade names. For the three and nine months ended September 30, 2019, the Company recorded amortization expense of $0.1 million and $0.5 million, respectively. At September 30, 2019 and December 31, 2018, the net balance of $8.2 million and $8.7 million, respectively, is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheets.

Goodwill

In 2018, the Company recognized goodwill of $15.3 million from the acquisition of Biomatrica. Goodwill is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheet. The Company evaluates goodwill impairment on an annual basis, or more frequently should an event or change in circumstance occur that indicates the carrying amount is in excess of the fair value. There were no impairment losses for the periods ended September 30, 2019 and December 31, 2018.

Net Loss Per Share

Basic net loss per common share was determined by dividing net loss applicable to common stockholders by the weighted average common shares outstanding during the period. Basic and diluted net loss per share is the same because all outstanding common stock equivalents have been excluded, as they are anti-dilutive as a result of the Company’s losses.

The following potentially issuable common shares were not included in the computation of diluted net loss per share because they would have an anti-dilutive effect due to net losses for each period:

September 30,

(In thousands)

    

2019

    

2018

Shares issuable upon exercise of stock options

 

2,199

 

2,856

Shares issuable upon the release of restricted stock awards

 

3,902

 

6,280

Shares issuable upon conversion of convertible notes

 

12,197

 

12,044

 

18,298

 

21,180

Revenue Recognition

The Company’s revenue is primarily generated by screening services using its Cologuard test, and the service is completed upon delivery of a patient’s test result to the ordering physician. The Company accounts for revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), which was adopted on January 1, 2018, using the modified retrospective method, which was elected to apply to all contracts. Application of the modified retrospective method did not impact amounts previously reported by the Company, nor did it require a cumulative effect adjustment upon adoption, as the Company’s method of recognizing revenue under ASC 606 was analogous to the method utilized immediately prior to adoption. Accordingly, there is no need for the Company to disclose the amount by which each financial statement line item was affected as a result of applying the new standard and an explanation of significant changes.

The core principle of ASC 606 is that the Company recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. The Company recognizes revenue from its Cologuard test in accordance with that core principle, and key aspects considered by the Company include the following:

Contracts

The Company’s customer is the patient. However, the Company does not enter into a formal reimbursement contract with a patient, as formal reimbursement contracts, including a national coverage determination for Cologuard by the Centers for Medicare and Medicaid Services (“CMS”), are established with payers. Accordingly, the Company establishes a contract with a patient in accordance with other customary business practices.

Approval of a contract is established via the order submitted by the patient’s physician and the return of a sample by the patient.
The Company is obligated to perform its laboratory services upon receipt of a sample from a patient, and the patient and/or applicable payer are obligated to reimburse the Company for services rendered based on the patient’s insurance benefits.
Payment terms are a function of a patient’s existing insurance benefits, including the impact of coverage decisions with CMS and applicable reimbursement contracts established between the Company and payers, unless the patient is a self-pay patient, whereby the Company requires payment from the patient prior to the Company shipping a collection kit to the patient.
Once the Company delivers a patient’s test result to the ordering physician the contract with a patient has commercial substance, as the Company is legally able to collect payment and bill an insurer and/or patient and depending on payer contract status or patient insurance benefit status.
The Company’s consideration is deemed to be variable, and the Company considers collection of such consideration to be probable to the extent that it is unconstrained.

Performance obligations

A performance obligation is a promise in a contract to transfer a distinct good or service (or a bundle of goods or services) to the customer. The Company’s contracts have a single performance obligation, which is satisfied upon rendering of services, which culminates in the delivery of a patient’s Cologuard test result to the ordering physician. The duration of time between sample receipt and delivery of a valid test result to the ordering physician is typically less than two weeks. Accordingly, the Company elects the practical expedient and therefore, the Company does not disclose the value of unsatisfied performance obligations.

Transaction price

The transaction price is the amount of consideration that the Company expects to collect in exchange for transferring promised goods or services to a customer, excluding amounts collected on behalf of third parties (for example, some sales taxes). The consideration expected from a contract with a customer may include fixed amounts, variable amounts, or both.

The consideration derived from the Company’s contracts is deemed to be variable, though the variability is not explicitly stated in any contract. Rather, the implied variability is due to several factors, such as the amount of contractual adjustments, any patient co-payments, deductibles or patient adherence incentives, the existence of secondary payers and claim denials.

The Company estimates the amount of variable consideration using the expected value method, which represents the sum of probability-weighted amounts in a range of possible consideration amounts. When estimating the amount of variable consideration, the Company considers several factors, such as historical collections experience, patient insurance eligibility and payer reimbursement contracts.

The Company limits the amount of variable consideration included in the transaction price to the unconstrained portion of such consideration. In other words, the Company recognizes revenue up to the amount of variable consideration that is not subject to a significant reversal until additional information is obtained or the uncertainty associated with the additional payments or refunds is subsequently resolved. Differences between original estimates and subsequent revisions, including final settlements, represent changes in the estimate of variable consideration and are included in the period in which such revisions are made. Revenue recognized from changes in transaction prices was $1.2 million and $2.4 million for the three months ended September 30, 2019 and 2018, respectively. Revenue recognized from changes in transaction prices was $4.6 million and $14.2 million for the nine months ended September 30, 2019 and 2018, respectively.

The Company monitors its estimates of transaction price to depict conditions that exist at each reporting date. If the Company subsequently determines that it will collect more consideration than it originally estimated for a contract with a patient, it will account for the change as an increase in the estimate of the transaction price (i.e., an upward revenue adjustment) in the period identified. Similarly, if the Company subsequently determines that the amount it expects to collect from a patient is less than it originally estimated, it will generally account for the change as a decrease in the estimate of the transaction price (i.e., a downward revenue adjustment), provided that such downward adjustment does not result in a significant reversal of cumulative revenue recognized.

When the Company does not have significant historical experience or that experience has limited predictive value, the constraint over estimates of variable consideration may result in no revenue being recognized upon delivery of a patient’s Cologuard test result to the ordering physician, with recognition, generally occurring at the date of cash receipt.

Allocate transaction price

The transaction price is allocated entirely to the performance obligation contained within the contract with a patient.

Point in time recognition

The Company’s single performance obligation is satisfied at a point in time, and that point in time is defined as the date a patient’s successful test result is delivered to the patient’s ordering physician. The Company considers this date to be the time at which the patient obtains control of the promised Cologuard test service.

Disaggregation of Revenue

The following table presents the Company’s revenues disaggregated by revenue source:

Three Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

108,617

$

65,870

Commercial

99,352

48,624

Other

10,836

3,797

Total

$

218,805

$

118,291

Nine Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

295,103

$

178,052

Commercial

261,521

123,045

Other

24,094

10,384

Total

$

580,718

$

311,481

Contract Balances

The timing of revenue recognition, billings and cash collections results in billed accounts receivable and deferred revenue on the condensed consolidated balance sheets. Generally, billing occurs subsequent to delivery of a patient’s test result to the ordering physician, resulting in an account receivable. However, the Company sometimes receives advance payment from a patient, particularly a self-pay patient, before a Cologuard test result is completed, resulting in deferred revenue. The deferred revenue balance is relieved upon delivery of the applicable patient’s test result to the ordering physician. Changes in accounts receivable and deferred revenue were not materially impacted by any other factors.

Deferred revenue balances are reported in other short-term liabilities in the Company’s condensed consolidated balance sheets and were $0.7 million and $0.5 million as of September 30, 2019 and December 31, 2018, respectively.

Revenue recognized for the three months ended September 30, 2019 and 2018, which was included in the deferred revenue balance at the beginning of each period was $0.2 million and $0.1 million, respectively. Revenue recognized for the nine months ended September 30, 2019 and 2018, which was included in the deferred revenue balance at the beginning of each period was $0.5 million and $0.1 million, respectively.

Practical Expedients

The Company does not adjust the transaction price for the effects of a significant financing component, as at contract inception, the Company expects the collection cycle to be one year or less.

The Company expenses sales commissions when incurred because the amortization period would have been one year or less. These costs are recorded within sales and marketing expenses in the Company’s condensed consolidated statements of operations.

The Company incurs certain other costs that are incurred regardless of whether a contract is obtained. Such costs are primarily related to legal services and patient communications (e.g. compliance reminder letters). These costs are expensed as incurred and recorded within general and administrative expenses in the Company’s condensed consolidated statements of operations.

Inventory

Inventory is stated at the lower of cost or net realizable value. The Company determines the cost of inventory using the first-in, first out method (“FIFO”). The Company estimates the recoverability of inventory by reference to internal estimates of future demands and product life cycles, including expiration. The Company periodically analyzes its inventory levels to identify inventory that may expire prior to expected sale or has a cost basis in excess of its estimated net realizable value and records a charge to cost of sales for such inventory, as appropriate. In addition, the materials used in performing Cologuard tests are subject to strict quality control and monitoring which the Company performs throughout the manufacturing process. If certain batches or units of product no longer meet quality specifications or become obsolete due to expiration, the Company records a charge to cost of sales to write down such unmarketable inventory to its estimated net realizable value.

Direct and indirect manufacturing costs incurred during process validation and for other research and development activities, which are not permitted to be sold, have been expensed to research and development in the Company’s condensed consolidated statements of operations.

Inventory consisted of the following:

September 30,

December 31,

(In thousands)

    

2019

    

2018

Raw materials

$

19,009

$

12,761

Semi-finished and finished goods

 

34,664

 

26,387

Total inventory

$

53,673

$

39,148

Foreign Currency Translation

For the Company’s international subsidiaries, the local currency is the functional currency. Assets and liabilities of these subsidiaries are translated into United States dollars at the period-end exchange rate or historical rates, as appropriate. Condensed consolidated statements of operations are translated at average exchange rates for the period. The cumulative translation adjustments resulting from changes in exchange rates are included in the Company’s condensed consolidated balance sheet as a component of accumulated other comprehensive income (loss) in stockholders’ equity. Transaction gains and losses are included in the Company’s condensed consolidated statement of operations.

Reclassifications

Certain prior period amounts have been reclassified to conform to the current period presentation in the Company’s condensed consolidated financial statements and accompanying notes to the Company’s condensed consolidated financial statements.

v3.19.3
MAYO LICENSE AGREEMENT
9 Months Ended
Sep. 30, 2019
MAYO LICENSE AGREEMENT  
MAYO LICENSE AGREEMENT

(3) MAYO LICENSE AGREEMENT

Overview

In June 2009 the Company entered into a license agreement with Mayo Foundation for Medical Education and Research (“Mayo”). The Company’s license agreement with Mayo was amended and restated in February 2015 and further amended in January 2016, October 2017, and January 2019. Under the license agreement, Mayo granted the Company an exclusive, worldwide license to certain Mayo patents and patent applications, as well as a non-exclusive, worldwide license with regard to certain Mayo know-how. The scope of the license, as amended, covers any screening, surveillance or diagnostic test or tool for use in connection with any type of cancer, pre-cancer, disease or condition.

Pursuant to the Company’s agreement with Mayo, the Company is required to pay Mayo a low-single-digit royalty on the Company’s net sales of products using the licensed Mayo intellectual property, with minimum annual royalty fees of $25,000 each year through 2033, the year the last patent expires. The January 2016 amendment to the Mayo license agreement established various low-single-digit royalty rates on net sales of current and future products and clarified how net sales will be calculated. As part of the October 2017 amendment, the royalty rate on the Company’s net sales of Cologuard increased and, if in the future, improvements are made to the Cologuard product, the royalty rate may further increase, but pursuant to the terms of the January 2016 and October 2017 amendment, the rate remains a low-single-digit percentage of net sales.

In addition to royalties, the Company is required to pay Mayo cash of $0.2 million, $0.8 million and $2.0 million upon each product using the licensed Mayo intellectual property reaching $5.0 million, $20.0 million and $50.0 million in cumulative net sales, respectively.

As part of the February 2015 amendment and restatement of the license agreement, the Company agreed to pay Mayo an additional $5.0 million, payable in five annual installments, through 2019. The Company paid Mayo the annual installment of $1.0 million in the first quarter of each of 2015, 2016, 2018, and 2019. The Company paid Mayo the 2017 installment in December 2016. The Company records the $1.0 million installments to prepaid expenses and other current assets and amortizes each installment over a twelve-month period commencing on February 1 of each year. For the three and nine months ended September 30, 2019 and 2018 the Company has recorded $0.3 million and $0.7 million in amortization of the installments, respectively.

In addition, the Company is paying Mayo for research and development efforts. As part of the Company’s research collaboration with Mayo, the Company incurred charges of $1.0 million and $3.6 million for the three and nine months ended September 30, 2019. The Company made payments of $1.4 million and $4.3 million for the three and nine months ended September 30, 2019. The Company recorded an estimated liability of $1.2 million for research and development efforts as of September 30, 2019. The Company incurred charges of $0.7 million and $3.4 million for the three and nine months ended September 30, 2018. The Company made payments of $0.9 million and $3.5 million for the three and nine months ended September 30, 2018. The Company recorded an estimated liability of $1.7 million for research and development efforts as of September 30, 2018.

v3.19.3
PFIZER PROMOTION AGREEMENT
9 Months Ended
Sep. 30, 2019
PFIZER PROMOTION AGREEMENT  
PFIZER PROMOTION AGREEMENT

(4) PFIZER PROMOTION AGREEMENT

In August 2018, the Company entered into a Promotion Agreement (“Promotion Agreement”) with Pfizer Inc. (“Pfizer”). Under the terms of the Promotion Agreement, Pfizer will promote Cologuard and provide certain sales, marketing, analytical and other commercial operations support services. The Company and Pfizer committed in the Promotion Agreement to invest specified amounts in the advertising and promotion of Cologuard.

The Company agreed to pay Pfizer for promotion, sales and marketing costs incurred on behalf of the Company. The Company incurred charges of $15.8 million and $49.8 million for promotion, sales and marketing services performed by Pfizer on behalf of the Company during the three and nine months ended September 30, 2019. The Company recorded a liability of $15.8 million and $0.5 million for promotion, sales and marketing services performed by Pfizer on behalf of the Company in accrued liabilities in the Company’s condensed consolidated balance sheets as of September 30, 2019 and December 31, 2018, respectively. These costs are recorded in sales and marketing in the Company’s condensed consolidated statements of operations.

The Company also agreed to pay Pfizer a service fee based on incremental gross profits over specified baselines during the term and royalties for Cologuard related revenues for a specified period after the expiration or termination of the Promotion Agreement. The initial term of the Promotion Agreement runs through December 31, 2021. The Company incurred charges of $16.0 million and $54.5 million for this service fee during the three and nine months ended September 30, 2019. These costs are recorded in sales and marketing in the Company’s condensed consolidated statements of operations. The Company recorded a liability of $16.0 million and $4.8 million for the service fee earned by Pfizer as of September 30, 2019 and December 31, 2018, respectively, in accrued liabilities in the Company’s condensed consolidated balance sheets.

v3.19.3
STOCK-BASED COMPENSATION
9 Months Ended
Sep. 30, 2019
STOCK-BASED COMPENSATION  
STOCK-BASED COMPENSATION

(5) STOCK-BASED COMPENSATION

Stock-Based Compensation Plans

The Company maintains the 2019 Omnibus Long-Term Incentive Plan, the 2010 Omnibus Long-Term Incentive Plan (As Amended and Restated Effective July 27, 2017), the 2010 Employee Stock Purchase Plan, the 2015 Inducement Award Plan, the 2016 Inducement Award Plan and the 2000 Stock Option and Incentive Plan (collectively, the “Stock Plans”). At the Company’s 2019 Annual Stockholders Meeting held July 25, 2019, the Company’s stockholders approved the Company’s 2019 Omnibus Long-Term Incentive Plan.

Stock-Based Compensation Expense

The Company records stock-based compensation expense in connection with the amortization of restricted stock and restricted stock unit awards (“RSUs”), stock purchase rights granted under the Company’s employee stock purchase plan and stock options granted to employees, non-employee consultants and non-employee directors. The Company recorded $24.3 million and $60.7 million in stock-based compensation expense during the three and nine months ended September 30, 2019. The Company recorded $16.5 million and $44.6 million in stock-based compensation expense during the three and nine months ended September 30, 2018.

In connection with the April 2018 transition of the Company’s former Chief Operating Officer, the Company accelerated the vesting of 69,950 shares under his previously unvested stock options and 54,350 shares under his previously unvested restricted stock units whereby such unvested stock options and unvested restricted stock units vested on December 31, 2018. It was determined that the continuing service to be provided by the Company’s Chief Operating Officer to the Company through December 31, 2018 was substantive and, as a result, the Company recognized the additional non-cash stock-based compensation expense for the modified awards evenly over the transition term of April 25, 2018 through December 31, 2018. During the transition period in 2018, the Company recorded $3.9 million of non-cash stock-based compensation expense for the modified awards.

In February 2019, the Company issued performance-based equity awards to certain employees which vest upon the achievement of certain performance goals, including financial performance targets and operational milestones. Determining the appropriate amount to expense based on the anticipated achievement of the stated goals requires judgment, including forecasting future financial results. The estimate of the timing of the expense recognition is revised periodically based on the probability of achieving the goals and adjustments are made as appropriate. The cumulative impact of any revision is reflected in the period of the change. If the financial performance targets and operational milestones are not achieved, the award would not vest, so no compensation cost would be recognized and any previously recognized stock-based compensation expense would be reversed.

Determining Fair Value

Valuation and Recognition – The fair value of each option award is estimated on the date of grant using the Black-Scholes option-pricing model. The fair value of each market measure-based award is estimated on the date of grant using a Monte Carlo simulation pricing model. The fair value of service-based awards for each restricted stock unit award is determined on the date of grant using the closing stock price on that day. The estimated fair value of these awards is recognized to expense using the straight-line method over the vesting period. The Black-Scholes and Monte Carlo pricing models utilize the following assumptions:

Expected Term – Expected life of an option award is the average length of time over which the Company expects employees will exercise their options, which is based on historical experience with similar grants. Expected life of a market measure-based award is based on the applicable performance period.

Expected Volatility - Expected volatility is based on the Company’s historical stock volatility data over the expected term of the awards.

Risk-Free Interest Rate - The Company bases the risk-free interest rate used in the Black-Scholes and Monte Carlo valuation models on the implied yield currently available on U.S. Treasury zero-coupon issues with an equivalent expected term.

Forfeitures - The Company records the effects of actual forfeitures at the time they occur.

The fair value of each option and market measure-based award is based on the assumptions in the following table:

Three Months Ended

Nine Months Ended

September 30,

September 30,

2019

2018

    

2019

    

2018

Option Plan Shares

Risk-free interest rates

(1)

(1)

 

2.54% - 2.59%

2.73% - 2.79%

Expected term (in years)

(1)

(1)

 

6.28

5.45 - 6.43

Expected volatility

(1)

(1)

 

64.95% - 64.99%

61.82% - 66.17%

Dividend yield

(1)

(1)

 

0 %

0 %

Weighted average fair value per share of options granted during the period

(1)

(1)

$ 57.11

$ 24.55

ESPP Shares

Risk-free interest rates

(2)

(2)

2.31% - 2.44%

2.05%  -  2.50%

Expected term (in years)

(2)

(2)

0.5 - 2.0

0.5  -  2.0

Expected volatility

(2)

(2)

55.00% - 57.97%

51.75%  -  65.39%

Dividend yield

(2)

(2)

0 %

0 %

Weighted average fair value per share of stock purchase rights granted during the period

(2)

(2)

$ 35.91

$ 18.68

(1)The Company did not grant options under its 2010 Omnibus Long-Term Incentive Plan or 2019 Omnibus Long-Term Incentive Plan during the period indicated.
(2)The Company did not issue stock purchase rights under its 2010 Employee Stock Purchase Plan during the respective period.

Stock Option, Restricted Stock, and Restricted Stock Unit Activity

A summary of stock option activity under the Stock Plans during the nine months ended September 30, 2019 is as follows:

    

    

    

Weighted

    

Weighted

Average

Average

Remaining

Aggregate

Exercise

Contractual

Intrinsic

Options

Shares

Price

Term (Years)

Value(1)

(Aggregate intrinsic value in thousands)

Outstanding, January 1, 2019

 

2,531,561

$

17.86

 

6.6

Granted

 

186,044

92.61

Exercised

 

(492,699)

12.97

Forfeited

 

(25,792)

33.25

Outstanding, September 30, 2019

 

2,199,114

$

25.10

6.4

$

143,943

Exercisable, September 30, 2019

 

1,252,387

$

15.28

5.4

$

94,038

(1)The aggregate intrinsic value of options outstanding, exercisable and vested and expected to vest is calculated as the difference between the exercise price of the underlying options and the market price of the Company’s common stock for options that had exercise prices that were lower than the $90.37 market price of the Company’s common stock at September 30, 2019. The total intrinsic value of options exercised during the nine months ended September 30, 2019 and 2018 was $41.7 million and $40.1 million, respectively.

As of September 30, 2019, there was $188.4 million of total unrecognized compensation cost related to non-vested share-based compensation arrangements granted under all Stock Plans. Total unrecognized compensation cost will be adjusted for future forfeitures. The Company expects to recognize that cost over a weighted average period of 2.8 years.

A summary of restricted stock and restricted stock unit activity under the Stock Plans during the nine months ended September 30, 2019 is as follows:

    

    

Weighted

Restricted

Average Grant

Shares and RSUs

Date Fair Value

Outstanding, January 1, 2019

 

6,246,174

$

23.16

Granted

 

1,672,854

94.07

Released

 

(3,808,767)

14.80

Forfeited

 

(207,978)

55.96

Outstanding, September 30, 2019

 

3,902,283

$

60.37

v3.19.3
FAIR VALUE MEASUREMENTS
9 Months Ended
Sep. 30, 2019
FAIR VALUE MEASUREMENTS  
FAIR VALUE MEASUREMENTS

(6) FAIR VALUE MEASUREMENTS

The Financial Accounting Standards Board (“FASB”) has issued authoritative guidance that requires fair value should be based on the assumptions market participants would use when pricing an asset or liability and establishes a fair value hierarchy that prioritizes the information used to develop those assumptions. Under that standard, fair value measurements are separately disclosed by level within the fair value hierarchy. The fair value hierarchy establishes and prioritizes the inputs used to measure fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs. Observable inputs are inputs that reflect the assumptions that market participants would use in pricing the asset or liability developed based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions about the assumptions market participants would use in pricing the asset or liability developed based on the best information available in the circumstances.

The three levels of the fair value hierarchy established are as follows:

Level 1

Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access as of the reporting date. Active markets are those in which transactions for the asset or liability occur in sufficient frequency and volume to provide pricing information on an ongoing basis.

Level 2

Pricing inputs other than quoted prices in active markets included in Level 1, which are either directly or indirectly observable as of the reporting date. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.

Level 3

Unobservable inputs that reflect the Company’s assumptions about the assumptions that market participants would use in pricing the asset or liability. Unobservable inputs shall be used to measure fair value to the extent that observable inputs are not available.

Fixed-income securities are valued using a third-party pricing agency. The valuation is based on observable inputs including pricing for similar assets and other observable market factors. There has been no material pricing change from period to period. The estimated fair value of the Company’s long-term debt represents a Level 2 measurement. When determining the estimated fair value of the Company’s long-term debt, the Company used market-based risk measurements, such as credit risk. The fair value of contingent consideration related to the Biomatrica Acquisition was categorized as a Level 3 liability, as the measurement amount is based primarily on significant inputs not observable in the market. The Company evaluates the fair value of expected contingent consideration and the corresponding liability each annual reporting period using the Monte Carlo Method, which is consistent with the initial measurement of the expected Biomatrica Acquisition earn-out liability. This fair value measurement is considered a Level 3 measurement because the Company estimates projections during the earn-out period utilizing various potential pay-out scenarios. Probabilities were applied to each potential scenario and the resulting values were discounted using a rate that considers weighted average cost of capital as well as a specific risk premium associated with the riskiness of the earn out itself, the related projections, and the overall business. The contingent earn-out liability is classified as a component of other long-term liabilities in the Company’s condensed consolidated balance sheet. There were no changes in the fair value assessed between the acquisition date and September 30, 2019, however, there was an earn-out payment made during that time resulting in a decrease in the liability at September 30, 2019.

The following table presents the Company’s fair value measurements as of September 30, 2019 along with the level within the fair value hierarchy in which the fair value measurements in their entirety fall.

    

    

Quoted Prices

    

Significant

    

in Active

Other

Significant

Markets for

Observable

Unobservable

Fair Value at

Identical Assets

Inputs

Inputs

(In thousands)

September 30, 2019

(Level 1)

(Level 2)

(Level 3)

Cash and cash equivalents

Cash and money market

$

448,275

$

448,275

$

$

U.S. government agency securities

539,102

539,102

Commercial paper

39,957

39,957

Certificates of deposit

7,000

7,000

Available-for-sale

Marketable securities

Corporate bonds

 

11,673

11,673

Asset backed securities

 

1,512

1,512

U.S. government agency securities

 

90,514

90,514

Certificates of deposit

 

20,513

20,513

Commercial paper

1,999

1,999

Other long-term assets

Deferred compensation plan assets

470

470

Contingent consideration

(2,947)

(2,947)

Total

$

1,158,068

$

448,275

$

712,740

$

(2,947)

The following table presents the Company’s fair value measurements as of December 31, 2018 along with the level within the fair value hierarchy in which the fair value measurements in their entirety fall.

    

    

Quoted Prices

    

Significant

    

in Active

Other

Significant

Markets for

Observable

Unobservable

Fair Value at

Identical Assets

Inputs

Inputs

(In thousands)

December 31, 2018

(Level 1)

(Level 2)

(Level 3)

Cash and cash equivalents

Cash and money market

$

75,375

$

75,375

$

$

U.S. government agency securities

49,985

49,985

Commercial paper

24,070

24,070

Certificates of deposit

11,000

11,000

Available-for-sale

Marketable securities

Corporate bonds

 

392,287

392,287

Asset backed securities

 

276,999

276,999

U.S. government agency securities

 

250,471

250,471

Certificates of deposit

 

31,844

31,844

Commercial paper

12,151

12,151

Contingent consideration

(3,060)

(3,060)

Total

$

1,121,122

$

75,375

$

1,048,807

$

(3,060)

The Company monitors investments for other-than-temporary impairment. It was determined that unrealized gains and losses as of September 30, 2019 and December 31, 2018 are temporary in nature because the change in market value for those securities has resulted from fluctuating interest rates rather than a deterioration of the credit worthiness of the issuers. So long as the Company holds these securities to maturity, it is unlikely to experience gains or losses. In the event that the Company disposes of these securities before maturity, it is expected that realized gains or losses, if any, will be immaterial.

The following table summarizes the gross unrealized losses and fair values of investments in an unrealized loss position as of September 30, 2019, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position:

Less than 12 months

12 months or greater

Total

(In thousands)

    

Fair Value

    

Gross Unrealized Loss

    

Fair Value

    

Gross Unrealized Loss

    

Fair Value

    

Gross Unrealized Loss

 

Cash equivalents

Commercial paper

$

39,957

$

(4)

$

$

$

39,957

$

(4)

Total cash equivalents

39,957

(4)

39,957

(4)

Marketable securities

Corporate bonds

5,170

5,170

U.S. government agency securities

14,994

(6)

14,994

(6)

Asset backed securities

503

503

Total marketable securities

20,667

(6)

20,667

(6)

Total available-for-sale securities

$

60,624

$

(10)

$

$

$

60,624

$

(10)

The following table summarizes contractual underlying maturities of the Company’s available-for-sale investments at September 30, 2019:

Due one year or less

Due after one year through four years

(In thousands)

    

Cost

    

Fair Value

Cost

    

Fair Value

Cash equivalents

U.S. government agency securities

$

539,087

$

539,102

$

$

Commercial paper

39,961

39,957

Certificates of deposit

7,000

7,000

Total cash equivalents

586,048

586,059

Marketable securities

Corporate bonds

7,670

7,670

4,000

4,003

U.S. government agency securities

40,506

40,509

49,997

50,005

Asset backed securities

1,512

1,512

Certificates of deposit

20,504

20,513

Commercial paper

1,999

1,999

Total marketable securities

70,679

70,691

55,509

55,520

Total available-for-sale securities

$

656,727

$

656,750

$

55,509

$

55,520

Fair Value of Long-Term Debt and Convertible Notes

The Company measures the fair value of its convertible notes and long-term debt for disclosure purposes. The following table summarizes the Company’s outstanding convertible notes and long-term debt:

September 30, 2019

December 31, 2018

(In thousands)

    

Carrying Amount (1)

    

Fair Value

    

Carrying Amount (1)

    

Fair Value

2027 Convertible notes (2)

$

476,527

$

810,514

$

$

2025 Convertible notes (2)

315,643

586,332

664,749

956,196

Construction loan (3)

24,855

24,855

24,502

24,502

(1)The carrying amounts presented are net of debt discounts and debt issuance costs (see Note 8 and Note 11 of the condensed consolidated financial statements for further information).

(2)The fair values are based on observable market prices for this debt, which is traded in active markets and therefore is classified as a Level 2 fair value measurement.

(3)The carrying amount of the construction loan approximates fair value due to the short-term nature of this instrument. The construction loan is privately held with no public market for this debt and therefore is classified as a Level 3 fair value measurement.
v3.19.3
NEW MARKET TAX CREDIT
9 Months Ended
Sep. 30, 2019
NEW MARKET TAX CREDIT  
NEW MARKET TAX CREDIT

(7) NEW MARKET TAX CREDIT

During the fourth quarter of 2014, the Company received approximately $2.4 million in net proceeds from financing agreements related to working capital and capital improvements at one of its Madison, Wisconsin facilities. This financing arrangement was structured with an unrelated third-party financial institution (the “Investor”), an investment fund, and its majority owned community development entity in connection with the Company’s participation in transactions qualified under the federal New Markets Tax Credit (“NMTC”) program, pursuant to Section 45D of the Internal Revenue Code of 1986, as amended. The Investor and its majority owned community development entity are consolidated Variable Interest Entities (“VIEs”) and the Company is the primary beneficiary of the VIEs. Because the Company is the primary beneficiary of the VIEs, they have been included in the consolidated financial statements. There are no other assets, liabilities or transactions in these VIEs outside of the financing transactions executed as part of the NMTC arrangement. The $2.4 million was recorded in other long-term liabilities on the Company’s condensed consolidated balance sheets. The benefit of this net $2.4 million contribution will be recognized as a decrease in expenses, included in cost of sales, as the Company amortizes the contribution liability over the seven-year compliance period as it is being earned through the Company’s on-going compliance with the conditions of the NMTC program. The Company has recorded $0.1 million and $0.3 million as a decrease of expenses for the three and nine months ended September 30, 2019. At September 30, 2019, the remaining balance of $0.7 million is included in other long-term liabilities in the Company’s condensed consolidated balance sheets. The Company recorded $0.1 million and $0.3 million as a decrease of expenses for the three and nine months ended September 30, 2018. At December 31, 2018, the remaining balance of $1.0 million was included in other long-term liabilities in the Company’s condensed consolidated balance sheets. The Company incurred approximately $0.2 million of debt issuance costs related to the above transactions, which are recorded as a direct deduction from the liability. The debt issuance costs are being amortized over the life of the agreements.

v3.19.3
LONG-TERM DEBT
9 Months Ended
Sep. 30, 2019
LONG-TERM DEBT.  
LONG-TERM DEBT

(8) LONG-TERM DEBT

Building Purchase Mortgage

During June 2015, the Company entered into a $5.1 million credit agreement with a third-party financial institution to finance the purchase of a research and development building located in Madison, Wisconsin. The credit agreement was collateralized by the acquired building.

In September 2018, the Company entered into a Purchase and Sale Agreement with a third-party to sell its research and development building. The Company also simultaneously entered into a Master Lease Agreement with the third-party to lease the facility back. The sale-leaseback arrangement is recorded under the financing method of accounting as the Company has continuing involvement in planned expansions of the building and construction of the adjacent corporate headquarters building. Under the financing method, the Company does not recognize the proceeds received from the third party as a sale of the building. The facility remains in property, plant and equipment on the Company’s condensed consolidated balance sheet, and the consideration of $6.8 million received in the sale is recorded as a financing obligation in other long-term liabilities on the Company’s condensed consolidated balance sheet as of September 30, 2019. A portion of the proceeds received from the sale were used to repay the mortgage on the building, and as of September 2018, the $4.5 million outstanding balance of the mortgage had been fully repaid in connection with the termination of the credit agreement. The remaining proceeds were utilized to fund the initial construction of the Company’s corporate headquarters discussed in more detail in Note 9.

Revolving Loan Agreement

During December 2017, the Company entered into a revolving loan agreement (the “Revolving Loan Agreement”) with Fifth Third Bank (formerly MB Financial Bank, N.A.). The Revolving Loan Agreement provides the Company with a 24-month secured revolving credit facility of up to $15.0 million (the “Revolver”). The Revolver is collateralized by the Company’s accounts receivable and inventory. The Revolver is available for general working capital purposes and all other lawful corporate purposes, provided that the Company may not use the Revolver to purchase or carry margin stock.

Borrowings under the Revolving Loan Agreement accrue interest at one of the following per annum rates, as elected by the Company (i) the sum of the 1-month LIBOR rate plus 2.00 percent, (ii) the sum of the 3-month LIBOR rate plus 2.00 percent, or (iii) the Fifth Third Reference Rate minus 0.5 percent. Loans under the Revolving Loan Agreement may be prepaid at any time without penalty. The Revolver’s maturity date is December 10, 2019.

The Company has agreed in the Revolving Loan Agreement to various financial covenants including minimum liquidity and minimum tangible net worth. As of September 30, 2019, the Company is in compliance with all covenants.

As of September 30, 2019, the Company has not drawn funds from, nor are any amounts outstanding under, the Revolving Loan Agreement.

Construction Loan Agreement

During December 2017, the Company entered into a loan agreement with Fifth Third Bank (formerly MB Financial Bank, N.A.) (the “Construction Loan Agreement”), which provides the Company with a non-revolving construction loan (the “Construction Loan”) of $25.6 million. The Company is using the Construction Loan proceeds to finance the construction of an additional clinical laboratory and related facilities in Madison, Wisconsin. The Construction Loan is collateralized by the additional clinical laboratory and related facilities.

Pursuant to the Construction Loan Agreement, funds drawn will bear interest at a rate equal to the sum of the 1-month LIBOR rate plus 2.25 percent. Regular monthly payments are interest-only for the first 24 months, with further payments based on a 20-year amortization schedule. Amounts borrowed pursuant to the Construction Loan Agreement may be prepaid at any time without penalty. The maturity date of the Construction Loan Agreement is December 10, 2022.

In November 2017, Fifth Third Bank, on behalf of the Company, issued an Irrevocable Standby Letter of Credit in the amount of $0.6 million in favor of the City of Madison, Wisconsin (the “City Letter of Credit”). The City Letter of Credit is deemed to have been issued pursuant to the Construction Loan Agreement. The amount of the City Letter of Credit will reduce, dollar for dollar, the amount available for borrowing under the Construction Loan Agreement.

As a condition to Fifth Third’s initial advance of loan proceeds under the Construction Loan Agreement, the Company was required to first invest at least $16.4 million of its own cash into the construction project. The Company fulfilled its required initial investment and made its first draw on the Construction Loan in June 2018. In accordance with the Construction Loan Agreement, the Company will make monthly interest-only payments through November 2019. The Company has made interest-only payments of $0.2 million and $0.5 million during the three and nine months ended September 30, 2019. Starting in December 2019, the Company will make monthly payments towards the outstanding principal balance plus accrued interest. As of September 30, 2019, the Company has drawn $25.0 million from the Construction Loan, including $0.7 million of interest incurred, which is accrued for as an interest reserve and represents a portion of the $25.0 million loan balance as of September 30, 2019. The Company capitalized the $0.7 million of interest to the construction project. As of December 31, 2018, the Company had drawn $24.7 million from the Construction Loan. The Company incurred approximately $0.2 million of debt issuance costs related to the Construction Loan, which are recorded as a direct deduction from the liability. The debt issuance costs are being amortized over the life of the Construction Loan.

The Company has agreed in the Construction Loan Agreement to various financial covenants including minimum liquidity and minimum tangible net worth. As of September 30, 2019, the Company is in compliance with all covenants.

Tax Increment Financing Loan Agreements

The Company entered into two separate Tax Increment Financing Loan Agreements (“TIFs”) in February 2019 and June 2019 with the City of Madison, Wisconsin. The TIFs provide for $4.6 million of financing in the aggregate. In return for the incentives, the Company is obligated to create and maintain 500 full-time jobs over a five-year period, starting on the date of occupancy of the buildings constructed. In the event that the job creation goals are not met, the Company would be required to pay a penalty.

The Company records the earned financial incentives as the full-time equivalent positions are filled. The amount earned is recorded as a liability and amortized as a reduction of operating expenses over a two-year period, which is the timeframe when the TIFs will be repaid through property taxes.

As of September 30, 2019, the Company has earned $4.6 million and received payment of $2.6 million from the City of Madison. The remaining receivable is $2.0 million, which is reported in prepaid expenses and other current assets on the Company’s condensed consolidated balance sheet. As of September 30, 2019, the Company also has recorded a $2.9 million liability in other short-term liabilities and a $0.7 million liability in other long-term liabilities on the Company’s condensed consolidated balance sheet, reflecting when the expected benefit of the financial incentives amortization will reduce future operating expenses.

v3.19.3
COMMITMENTS AND CONTINGENCIES
9 Months Ended
Sep. 30, 2019
COMMITMENTS AND CONTINGENCIES  
COMMITMENTS AND CONTINGENCIES

(9) COMMITMENTS AND CONTINGENCIES

The Company acts as lessee under all its lease agreements, which includes operating leases for corporate offices, lab space, warehouse space, vehicles and certain lab and office equipment. As of September 30, 2019, the Company is not a party to any finance leases. The leases have remaining lease terms of 1 year to 6 years, some of which include options to extend the lease for up to 10 years, and some of which include options to terminate the lease within 1 year. The Company includes any renewal or termination option in its lease payment calculations if it is reasonably certain to exercise the option. “Reasonably certain” is assessed internally based on economic, industry, company, strategic and contractual factors. The components of lease expense were as follows:

Three Months Ended

Nine Months Ended

(In thousands)

September 30, 2019

September 30, 2019

Operating lease cost (cost resulting from lease payments)

$

1,310

$

3,702

Short-term lease cost

 

37

 

140

Total

$

1,347

$

3,842

Certain vehicle leases include variable lease payments that depend on an index or rate. Those lease payments are initially measured using the index or rate at the lease commencement date.

The Company calculates its incremental borrowing rates for specific lease terms, used to discount future lease payments, as a function of the U.S. Treasury rate and an indicative Moody’s rating for operating leases. The Company’s weighted average discount rate and weighted average lease term remaining on lease liabilities is approximately 7.81% and 5.80 years, respectively.

Supplemental disclosure of cash flow information related to our operating leases included in cash flows provided by operating activities in our condensed consolidated statements of cash flows is as follows:

Three Months Ended

Nine Months Ended

(In thousands)

September 30, 2019

September 30, 2019

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases

$

1,325

$

3,744

Non-cash investing and financing activities:

Right-of-use assets obtained in exchange for new operating lease liabilities (1)

$

32

$

20,147

(1)For the nine months ended September 30, 2019, this includes the amounts related to adopting ASC 842.

As of September 30, 2019, the Company’s right-of-use assets are $19.1 million, which are reported in other long-term assets in the Company’s condensed consolidated balance sheet. As of September 30, 2019, the Company has outstanding lease obligations of $19.7 million, of which $3.6 million is reported in other short-term liabilities and $16.1 million is reported in long-term obligations in the Company’s condensed consolidated balance sheet.

The Company has taken advantage of certain practical expedients offered to registrants at adoption of ASC 842. The Company does not apply the recognition requirements of ASC 842 to short-term leases. Instead, those lease payments are recognized in profit or loss on a straight-line basis over the lease term. Further, as a practical expedient, all lease contracts are accounted for as one single lease component, as opposed to separating lease and non-lease components to allocate the consideration within a single lease contract.

Maturities of operating lease liabilities on an annual basis as of September 30, 2019 were as follows:

(In thousands)

    

    

2019

$

5,077

2020

 

4,592

2021

 

3,917

2022

 

3,775

2023

 

3,787

Thereafter

 

7,162

Total minimum lease payments

28,310

Imputed interest

(8,626)

Total

$

19,684

On January 1, 2019, the Company elected the modified retrospective method of transition to adopt the new lease standard ASC 842, which resulted in no restatement of prior period results. At December 31, 2018, prior to adoption of the new lease standard, operating lease obligations were not included as a liability on the balance sheet. Therefore, the operating lease obligations are included in the table for comparative purposes only and the total lease liability is not included as it is not applicable.

The Company’s future minimum lease payments as of December 31, 2018, were as follows:

(In thousands)

    

2019

$

3,861

2020

 

5,135

2021

 

4,995

2022

 

5,027

2023

 

5,146

Thereafter

 

44,286

Total minimum lease payments

$

68,450

The Company evaluates whether it is the accounting owner of leased assets during the construction period when it is involved in the construction of the leased asset. Due to the funding provided by the Company for costs related to the construction of its new headquarters, as of December 31, 2018, the Company was considered, for accounting purposes only, the owner of the construction project in accordance with build-to-suit accounting under the accounting guidance that was superseded by ASC 842 on January 1, 2019. As of December 31, 2018, the Company had contributed $2.7 million towards the project. All project construction costs paid by the landlord were accounted for as assets under construction. As of December 31, 2018, the landlord funded $3.9 million towards construction costs related to this project, of which $2.1 million was included as a financing obligation and recorded in other long-term liabilities and $1.8 million was included as a financing obligation and recorded in accrued expenses in the Company’s condensed consolidated balance sheets. Upon transition to ASC 842 on January 1, 2019, the Company is no longer considered to be the owner of the construction project under build-to-suit accounting. As such, the amounts funded by the landlord, previously recognized as an asset under construction and corresponding financing obligation, have been de-recognized.

The Company’s new headquarters building is expected to be completed in 2020. Upon completion, the Company will lease the building for an initial term of 15 years with an option to extend for an additional 10 years. Construction of the building is the responsibility of the landlord; however, the Company has funded $4.5 million of construction costs as of September 30, 2019. This contribution is accounted for as prepaid rent and will be included in the beginning right-of-use asset balance of the leased building. The Company can also receive up to $5.5 million as a tenant improvement allowance. The reimbursement will be accounted for as prepaid rent and will decrease the beginning right-of-use asset balance of the leased building. As of September 30, 2019, the Company earned $2.8 million of the available tenant improvement allowance. The Company anticipates an additional $32.2 million to be recognized at lease commencement for the right-of-use asset and lease liability.

v3.19.3
WISCONSIN ECONOMIC DEVELOPMENT TAX CREDITS
9 Months Ended
Sep. 30, 2019
WISCONSIN ECONOMIC DEVELOPMENT TAX CREDITS  
WISCONSIN ECONOMIC DEVELOPMENT TAX CREDITS

(10) WISCONSIN ECONOMIC DEVELOPMENT TAX CREDITS

During the first quarter of 2015, the Company entered into an agreement with the Wisconsin Economic Development Corporation (“WEDC”) to earn $9.0 million in refundable tax credits if the Company expends $26.3 million in capital investments and establishes and maintains 758 full-time positions over a seven-year period. The tax credits earned are first applied against the tax liability otherwise due, and if there is no such liability present, the claim for tax credits will be reimbursed in cash to the Company. The maximum amount of the refundable tax credit to be earned for each year is fixed, and the Company earns the credits by meeting certain capital investment and job creation thresholds over the seven-year period. Should the Company earn and receive the job creation tax credits but not maintain those full-time positions through the end of the agreement, the Company may be required to pay those credits back to the WEDC.

The Company records the earned tax credits as job creation and capital investments occur. The amount of tax credits earned is recorded as a liability and amortized as a reduction of operating expenses over the expected period of benefit. The tax credits earned from capital investment are recognized as an offset to depreciation expense over the expected life of the acquired capital assets. The tax credits earned related to job creation are recognized as an offset to operational expenses over the life of the agreement, as the Company is required to maintain the minimum level of full-time positions through the seven-year period.

As of September 30, 2019, the Company has earned $9.0 million of tax credits and has received payment of $4.3 million from the WEDC. The unpaid portion is $4.7 million, of which $1.6 million is reported in prepaid expenses and other current assets and $3.1 million is reported in other long-term assets, reflecting when collection of the refundable tax credits is expected to occur. As of September 30, 2019, the Company also has recorded a $2.3 million liability in other short-term liabilities and a $0.5 million liability in other long-term liabilities, reflecting when the expected benefit of the tax credit amortization will reduce future operating expenses.

During the three and nine months ended September 30, 2019, the Company amortized $0.6 million and $1.8 million, respectively, of the tax credits earned as a reduction of operating expenses. During the three and nine months ended September 30, 2018, the Company amortized $0.6 million and $1.6 million, respectively, of the tax credits earned as a reduction of operating expenses.

v3.19.3
CONVERTIBLE NOTES
9 Months Ended
Sep. 30, 2019
CONVERTIBLE NOTES.  
CONVERTIBLE NOTES

(11) CONVERTIBLE NOTES

Convertible note obligations included in the condensed consolidated balance sheets consisted of the following:

(In thousands)

    

Coupon Interest Rate

Effective Interest Rate

Fair Value of Liability Component at Issuance (1)

September 30, 2019

December 31, 2018

2027 Convertible notes

0.375%

6.3%

$

472,501

$

747,500

$

2025 Convertible notes

1.000%

6.0%

299,187

415,102

908,500

Total Convertible notes

1,162,602

908,500

Less: Debt discount (2)

(353,283)

(227,403)

Less: Debt issuance costs (3)

(17,149)

(16,348)

Net convertible debt including current maturities

792,170

664,749

Less: Current maturities (4)

(315,643)

Net long-term convertible debt

$

476,527

$

664,749

(1)As each of the convertible instruments may be settled in cash upon conversion, for accounting purposes, they were separated into a liability component and an equity component. The amount allocated to the equity component is the difference between the principal value of the instrument and the fair value of the liability component at issuance. The resulting debt discount is being amortized to interest expense at the respective effective interest rate over the contractual term of the debt. In March 2019, a portion of the 2025 Convertible Notes were extinguished. The fair value of the liability component at issuance reflected above represents the liability value at issuance for the applicable portion of the 2025 Notes which remain outstanding at September 30, 2019. The fair value of the liability component of the 2025 Notes at December 31, 2018 was $654.8 million with the equity component being $269.7 million including a $14.2 million premium.

(2) The unamortized discount consists of the following:

(In thousands)

    

September 30, 2019

December 31, 2018

2027 Convertible notes

$

260,370

$

2025 Convertible notes

92,913

227,403

Total unamortized discount

$

353,283

$

227,403

(3)Debt issuance costs consists of the following:

(In thousands)

    

September 30, 2019

December 31, 2018

2027 Convertible notes

$

10,602

$

2025 Convertible notes

6,547

16,348

Total debt issuance costs

$

17,149

$

16,348

(4)As of September 30, 2019, the 2025 Convertible Notes were convertible and included within convertible notes, net, current portion on the condensed consolidated balance sheet. As of December 31, 2018, the 2025 Convertible Notes were not convertible and included within long-term convertible notes, net on the condensed consolidated balance sheet.

Issuances and Settlements

In January 2018, the Company issued and sold $690.0 million in aggregate principal amount of 1.0% Convertible Notes (the “January 2018 Notes”) with a maturity date of January 15, 2025 (the “Maturity Date”). The January 2018 Notes accrue interest at a fixed rate of 1.0% per year, payable semi-annually in arrears on January 15 and July 15 of each year, beginning on July 15, 2018. The net proceeds from the issuance of the January 2018 Notes were approximately $671.1 million, after deducting underwriting discounts and commissions and the offering expenses payable by the Company.

In June 2018, the Company issued and sold an additional $218.5 million in aggregate principal amount of 1.0% Convertible Notes (the “June 2018 Notes”). The June 2018 Notes were issued under the same indenture pursuant to which the Company previously issued the January 2018 Notes (the “Indenture”). The January 2018 Notes and the June 2018 Notes (collectively, the “2025 Notes”) have identical terms and will be treated as a single series of securities. The net proceeds from the issuance of the June 2018 Notes were approximately $225.3 million, after deducting underwriting discounts and commissions and the offering expenses payable by the Company.

In March 2019, the Company issued and sold $747.5 million in aggregate principal amount of 0.375% Convertible Notes (the “2027 Notes” and, collectively with the 2025 Notes, the “Notes”) with a maturity date of March 15, 2027 (the “Maturity Date”). The 2027 Notes accrue interest at a fixed rate of 0.375% per year, payable semi-annually in arrears on March 15 and September 15 of each year, beginning on September 15, 2019. The net proceeds from the issuance of the 2027 Notes were approximately $729.5 million, after deducting underwriting discounts and commissions and the offering expenses payable by the Company.

The Company utilized a portion of the proceeds from the issuance of the 2027 Notes to settle a portion of the 2025 Notes in privately negotiated transactions. In March 2019, the Company used cash of $494.0 million and an aggregate of 2.2 million shares of the Company’s common stock valued at $182.4 million for total consideration of $676.5 million to settle $493.4 million of the 2025 Notes, of which $375.1 million was allocated to the liability component, $300.8 million was allocated to the equity component, and $0.6 million was used to pay off interest accrued on the 2025 Notes. The consideration transferred was allocated to the liability and equity components of the 2025 Notes using the equivalent rate that reflected the borrowing rate for a similar non-convertible debt instrument immediately prior to settlement. The transaction resulted in a loss on settlement of convertible notes of $10.6 million, which is recorded in interest income (expense) in the Company’s condensed consolidated statement of operations. The loss represents the difference between (i) the fair value of the liability component and (ii) the sum of the carrying value of the debt component and any unamortized debt issuance costs at the time of repurchase.

Summary of Conversion Features

Until the six-months immediately preceding the maturity date of the applicable series of Notes, each series of Notes is convertible only upon the occurrence of certain events and during certain periods, as set forth in the Indenture. The Notes will be convertible into cash, shares of the Company’s common stock (plus, if applicable, cash in lieu of any fractional share), or a combination of cash and shares of the Company’s common stock, at the Company’s election. On or after the date that is six-months immediately preceding the maturity date of the applicable series of Notes until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert such Notes at any time.

It is the Company’s intent and policy to settle all conversions through combination settlement. The initial conversion rate is 13.2569 and 8.9554 shares of common stock per $1,000 principal amount for the 2025 Notes and 2027 Notes, respectively, which is equivalent to an initial conversion price of approximately $75.43 and $111.66 per share of the Company’s common stock for the 2025 Notes and 2027 Notes, respectively. The conversion rate is subject to adjustment upon the occurrence of certain specified events but will not be adjusted for accrued and unpaid interest. In addition, holders of the Notes who convert their Notes in connection with a “make-whole fundamental change” (as defined in the Indenture), will, under certain circumstances, be entitled to an increase in the conversion rate.

If the Company undergoes a “fundamental change” (as defined in the Indenture), holders of the Notes may require the Company to repurchase for cash all or part of their Notes at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus accrued and unpaid interest.

As of September 30, 2019, the 2027 Notes were not convertible. The holders of the 2025 Notes had the right to convert their debentures between July 1, 2019 and September 30, 2019, and two notes were converted during the period, which were settled through the issuance of common shares equivalent to the conversion rate with any fractional shares settled in cash. The holders of the 2025 Notes will continue to have the right to convert their debentures between October 1, 2019 and December 31, 2019, because the closing price of the Company’s common stock exceeded the Conversion Price by 130% for at least 20 trading days (whether or not consecutive) in the period of the 30 consecutive trading days ending on September 30, 2019.

Based on the closing price of our common stock of $90.37 on September 30, 2019, the if-converted values on our 2025 Notes exceed the principal amount by $82.2 million and the 2027 Notes fall short of the principal amount by $142.5 million, respectively.

Ranking of Convertible Notes

The Notes are the Company’s senior unsecured obligations and (i) rank senior in right of payment to all of its future indebtedness that is expressly subordinated in right of payment to the Notes; equal in right of payment to all of the Company’s future liabilities that are not so subordinated, unsecured indebtedness; (ii) are effectively junior to all of our existing and future secured indebtedness and other secured obligations, to the extent of the value of the assets securing that indebtedness and other secured obligations; and (iii) are structurally subordinated to all indebtedness and other liabilities of the Company’s subsidiaries.

The 2025 Notes are classified as current on the Company’s condensed consolidated balance sheets at September 30, 2019, while the 2027 Notes are classified as long-term on the Company’s condensed consolidated balance sheets at September 30, 2019. The future convertibility and resulting balance sheet classification of the Notes will be monitored at each quarterly reporting date and will be analyzed dependent upon market prices of the Company’s common stock during the prescribed measurement periods. In the event that the holders of the Notes have the election to convert the Notes at any time during the prescribed measurement period, the Notes would then be classified as a current obligation.

The Company allocated the total transaction costs of approximately $18.8 million related to the issuance of the January 2018 Notes to the liability and equity components of the January 2018 Notes based on their relative values, with $13.6 million being allocated to the liability component of the January 2018 Notes. Transaction costs attributable to the liability component are amortized to interest expense over the seven-year term of the January 2018 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The Company allocated the total transaction costs of approximately $7.4 million related to the issuance of the June 2018 Notes to the liability and equity components of the June 2018 Notes based on their relative values, with $5.1 million being allocated to the liability component of the June 2018 Notes. Transaction costs attributable to the liability component are amortized to interest expense over the remaining six-and-a-half-year term of the June 2018 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The Company allocated the total transaction costs of approximately $18.0 million related to the issuance of the 2027 Notes to the liability and equity components of the 2027 Notes based on their relative values, with $11.4 million being allocated to the liability component of the 2027 Notes. Transaction costs attributable to the liability component are amortized to interest expense over the eight-year term of the 2027 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The Notes do not contain any financial or operating covenants or any restrictions on the payment of dividends, the issuance of other indebtedness or the issuance or repurchase of securities by the Company.

Interest expense includes the following:

Three Months Ended

Nine Months Ended

September 30,

September 30,

(In thousands)

2019

2018

    

2019

    

2018

Debt issuance costs amortization

$

658

$

677

$

1,989

$

1,597

Debt discount amortization

10,322

7,737

28,789

18,559

Loss on settlement of convertible notes

10,558

Coupon interest expense

1,739

2,242

5,585

5,513

Total interest expense on convertible notes

12,719

10,656

46,921

25,669

Other interest expense

490

48

990

148

Total interest expense

$

13,209

$

10,704

$

47,911

$

25,817

The remaining period over which the unamortized debt discount will be recognized as non-cash interest expense is 7.46 years and 5.30 years for the 2027 Notes and 2025 Notes, respectively.

v3.19.3
ACQUISITIONS
9 Months Ended
Sep. 30, 2019
ACQUISITIONS  
ACQUISITIONS

(12) ACQUISITIONS

On July 28, 2019, the Company entered into a definitive agreement and plan of merger (the “Merger Agreement”) with Genomic Health, Inc. (“Genomic Health”), and Spring Acquisition Corp., a wholly owned subsidiary of the Company (“Merger Sub”). Upon the terms and subject to the conditions set forth in the Merger Agreement, Merger Sub will merge with and into Genomic Health, with Genomic Health surviving as a wholly owned subsidiary of the Company (the “Merger”), in a cash and stock transaction valued at approximately $2.8 billion. Pursuant to the terms and subject to the conditions set forth in the Merger Agreement, which has been unanimously approved by the boards of directors of Genomic Health and the Company, at the effective time of the Merger each share of Genomic Health common stock issued and outstanding immediately prior to the effective time of the Merger (except for certain excluded shares as otherwise provided in the Merger Agreement) will be converted into the right to receive (a) $27.50 in cash, without interest, and (b) a number of shares of Exact Sciences common stock equal to (i) 0.36854, if the average of the volume-weighted prices per share of Exact Sciences common stock on the Nasdaq Stock Market for each of the fifteen consecutive trading days ending immediately prior to the closing date (the “measurement price”) is equal to or greater than $120.75, (ii) an amount equal to the quotient obtained by dividing $44.50 by the measurement price if the measurement price is greater than $98.79 but less than $120.75, and (iii) 0.45043, if the measurement price is equal or less than $98.79, less any applicable withholding taxes. The Company currently expects the Merger will be completed in November 2019, subject to the approval of Genomic Health’s stockholders and other customary closing conditions.

v3.19.3
INCOME TAXES
9 Months Ended
Sep. 30, 2019
INCOME TAXES  
INCOME TAXES

(13) INCOME TAXES

The Company recorded an income tax expense of $0.7 million and income tax benefit of $0.2 million for the three and nine months ended September 30, 2019, respectively, and an income tax expense of $27,000 and $0.1 million for the three and nine months ended September 30, 2018, respectively, in continuing operations. The Company’s income tax benefit recorded during the three and nine months ended September 30, 2019, is primarily related to the intraperiod tax allocation rules that require the Company to allocate the provision for income taxes between continuing operations and other categories of earnings. The Company continues to maintain a full valuation allowance against its deferred tax assets based on management’s determination that it is more likely than not the benefit will not be realized.

v3.19.3
RELATED PARTY TRANSACTION
9 Months Ended
Sep. 30, 2019
RELATED PARTY TRANSACTION  
RELATED PARTY TRANSACTION

(14) RELATED PARTY TRANSACTION

In May 2017, the Company entered into a professional services agreement for recruiting and related services with a firm whose principal is a non-employee director. The Company did not incur charges or make any payments during the three and nine months ended September 30, 2019. The Company incurred charges of $0.2 million and $0.3 million for the three and nine months ended September 30, 2018. The Company made payments of $0.2 million and $0.3 million for the three and nine months ended September 30, 2018.

v3.19.3
RECENT ACCOUNTING PRONOUNCEMENTS
9 Months Ended
Sep. 30, 2019
RECENT ACCOUNTING PRONOUNCEMENTS  
RECENT ACCOUNTING PRONOUNCEMENTS

(15) RECENT ACCOUNTING PRONOUNCEMENTS

Recently Adopted Accounting Pronouncements

In February 2016, the Financial Accounting Standards Board issued ASU No. 2016-02, Leases (Topic 842) and subsequent amendments to the initial guidance: ASU 2017-13, ASU 2018-10, ASU 2018-11, ASU 2018-20 and ASU 2019-01, (collectively, “Update 2016-02”). Update 2016-02 requires recognition of right-of-use assets and lease liabilities on the balance sheet, including those leases classified as operating leases under previous GAAP. Update 2016-02 provides an option of recognizing a cumulative-effect adjustment to the opening balance of retained earnings upon adoption. The amendments in this update are effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The Company adopted Update 2016-02 on January 1, 2019 using the modified retrospective method of adoption. As a result of the adoption, the Company recorded an opening right-of-use asset balance of $20.6 million, which is included in other long-term assets in the Company’s condensed consolidated financial statements. The Company also recorded an opening lease liability of $20.1 million, of which $3.0 million was classified in other short-term liabilities and $17.1 million was classified in long-term obligations in the Company’s condensed consolidated financial statements. See Note 9 for more detail.

In June 2018, the Financial Accounting Standards Board issued ASU No. 2018-07 (Topic 718), Improvements to Nonemployee Share-Based Payment Accounting, (“Update 2018-07”). Update 2018-07 expands the scope of Topic 718 to include share-based payment transactions for acquiring goods and services from nonemployees. An entity should apply the requirements to Topic 718 to nonemployee awards except for certain exemptions specified in the amendment. The guidance is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within that fiscal year. The Company adopted this guidance on January 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

In July 2018, the Financial Accounting Standards Board issued ASU 2018-09, Codification Improvements, (“Update 2018-09”). Update 2018-09 provided various minor codification updates and improvements to address comments that the FASB had received regarding unclear or vague accounting guidance. The guidance is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within that fiscal year. The Company adopted this guidance on January 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

In July 2019, the Financial Accounting Standards Board issued ASU No. 2019-07, Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure Update and Simplification, and Nos. 33-10231 and 33-10442, Investment Company Reporting Modernization, and Miscellaneous Updates (“Update 2019-07”). Update 2019-07 simplifies the disclosure requirements in certain areas to avoid redundant disclosures. The amendments in this update were effective upon issuance. The Company adopted this guidance on July 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

Recently Issued Accounting Pronouncements Not Yet Adopted

In August 2018, the Financial Accounting Standards Board issued ASU 2018-13, Fair Value Measurement (Topic 820); Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement, (“Update 2018-13”). Update 2018-13 provided an update to the disclosure requirements for fair value measurements under the scope of ASC 820. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In August 2018, the Financial Accounting Standards Board issued ASU 2018-15, Intangibles – Goodwill and Other – Internal-Use Software, (“Update 2018-15”). Update 2018-15 provided guidance for evaluating the accounting for fees paid by a customer in a cloud computing arrangement that is a service contract. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In November 2018, the Financial Accounting Standards Board issued ASU 2018-18, Collaborative Arrangements (Topic 808), (“Update 2018-18”). Update 2018-18 provided additional guidance regarding the interaction between Topic 808 on Collaborative Arrangements and Topic 606 on Revenue Recognition. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In April 2019, the Financial Accounting Standards Board issued ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments – Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments, (“Update 2019-04”). Update 2019-04 provides clarity regarding measurement of securities without readily determinable fair values. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)
9 Months Ended
Sep. 30, 2019
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES  
Principles of Consolidation

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of the Company’s wholly owned subsidiaries and variable interest entities. See Note 7 for the discussion of financing arrangements involving certain entities that are variable interest entities that are included in the Company’s condensed consolidated financial statements. All significant intercompany transactions and balances have been eliminated in consolidation.

References to “Exact”, “we”, “us”, “our”, or the “Company” refer to Exact Sciences Corporation and its wholly owned subsidiaries.

Use of Estimates

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Cash and Cash Equivalents

Cash and Cash Equivalents

The Company considers cash on hand, demand deposits in bank, money market funds, and all highly liquid investments with an original maturity of 90 days or less to be cash and cash equivalents. The Company had no restricted cash at September 30, 2019 or December 31, 2018.

Investments

Investments

Management determines the appropriate classification of debt securities at the time of purchase and re-evaluates such designation as of each balance sheet date. Debt securities carried at amortized cost are classified as held-to-maturity when the Company has the positive intent and ability to hold the securities to maturity. Marketable equity securities and debt securities not classified as held-to-maturity are classified as available-for-sale. Available-for-sale securities are carried at fair value. The unrealized gains and losses, net of tax, on the Company’s debt securities are reported in other comprehensive income and the unrealized gains and losses, net of tax, on the Company’s equity securities are reported in the condensed consolidated statement of operations. The amortized cost of debt securities in this category is adjusted for amortization of premiums and accretion of discounts to maturity computed under the straight-line method. Such amortization is included in investment income. Realized gains and losses and declines in value judged to be other-than-temporary on available-for-sale securities are included in investment income. The cost of securities sold is based on the specific identification method. Interest and dividends on securities classified as available-for-sale are included in investment income.

At September 30, 2019 and December 31, 2018, the Company’s marketable securities were comprised of fixed income investments, and all were deemed available-for-sale. The objectives of the Company’s investment strategy are to provide liquidity and safety of principal while striving to achieve the highest rate of return consistent with these two objectives. The Company’s investment policy limits investments to certain types of instruments issued by institutions with investment grade credit ratings and places restrictions on maturities and concentration by type and issuer. Investments in which the Company has the ability and intent, if necessary, to liquidate, in order to support its current operations (including those with a contractual term greater than one year from the date of purchase), are classified as current. All of the Company’s investments are considered current and realized gains, net of insignificant realized losses, are included in investment income. Realized gains, net of insignificant realized losses, were $3.1 million and $0.1 million for the three months ended September 30, 2019, and 2018, respectively. Realized gains, net of insignificant realized losses, were $3.3 million and $0.2 million, for the nine months ended September 30, 2019 and 2018, respectively.

The Company periodically reviews investments in unrealized loss positions for other-than-temporary impairments. This evaluation includes, but is not limited to, significant quantitative and qualitative assessments and estimates regarding credit ratings, collateralized support, the length of time and significance of a security’s loss position, the Company’s intent not to sell the security, and whether it is more likely than not that the Company will have to sell the security before recovery of its cost basis. For the nine months ended September 30, 2019, no investments were identified with other-than-temporary declines in value.

Available-for-sale securities at September 30, 2019 consisted of the following:

September 30, 2019

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

539,087

$

15

$

$

539,102

Commercial paper

39,961

(4)

39,957

Certificates of deposit

 

7,000

 

7,000

Total cash equivalents

586,048

15

(4)

586,059

Marketable securities

U.S. government agency securities

 

90,503

17

(6)

 

90,514

Certificates of deposit

 

20,504

9

 

20,513

Corporate bonds

11,670

3

11,673

Commercial paper

 

1,999

 

1,999

Asset backed securities

 

1,512

 

1,512

Total marketable securities

126,188

29

(6)

126,211

Total available-for-sale securities

$

712,236

$

44

$

(10)

$

712,270

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.

Available-for-sale securities at December 31, 2018 consisted of the following:

December 31, 2018

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

49,982

$

3

$

$

49,985

Commercial paper

24,072

(2)

24,070

Certificates of deposit

 

11,000

 

11,000

Total cash equivalents

85,054

3

(2)

85,055

Marketable securities

Corporate bonds

392,973

33

(719)

392,287

Asset backed securities

 

277,538

30

(569)

 

276,999

U.S. government agency securities

 

250,606

43

(178)

 

250,471

Certificates of deposit

 

31,875

(31)

 

31,844

Commercial paper

12,158

(7)

12,151

Total marketable securities

965,150

106

(1,504)

963,752

Total available-for-sale securities

$

1,050,204

$

109

$

(1,506)

$

1,048,807

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.
Changes in Accumulated Other Comprehensive Income (Loss)

Changes in Accumulated Other Comprehensive Income (Loss)

The amount recognized in accumulated other comprehensive income (loss) (“AOCI”) for the nine months ended September 30, 2019 were as follows:

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2018

$

(25)

$

(1,397)

$

(1,422)

Other comprehensive income (loss) before reclassifications

 

(28)

 

815

 

787

Amounts reclassified from accumulated other comprehensive loss

 

 

616

 

616

Net current period change in accumulated other comprehensive loss, before tax

 

(28)

 

1,431

 

1,403

Income tax expense related to items of other comprehensive income

(341)

(341)

Balance at September 30, 2019

$

(53)

$

(307)

$

(360)

The amounts recognized in AOCI for the nine months ended September 30, 2018 were as follows:

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2017

$

(61)

$

(689)

$

(750)

Other comprehensive loss before reclassifications

 

12

 

(883)

 

(871)

Amounts reclassified from accumulated other comprehensive loss

 

 

215

 

215

Net current period change in accumulated other comprehensive loss

 

12

 

(668)

 

(656)

Balance at September 30, 2018

$

(49)

$

(1,357)

$

(1,406)

Amounts reclassified from AOCI for the nine months ended September 30, 2019 and 2018 were as follows:

 

Affected Line Item in the

 

Nine Months Ended September 30,

Details about AOCI Components (In thousands)

Statements of Operations

2019

2018

Change in value of available-for-sale investments

Sales and maturities of available-for-sale investments

 

Investment income

$

616

$

215

Total reclassifications

$

616

$

215

Property, Plant and Equipment

Property, Plant and Equipment

Property and equipment are stated at cost and depreciated using the straight-line method over the assets’ estimated useful lives. Land is stated at cost and does not depreciate. Maintenance and repairs are expensed when incurred; additions and improvements are capitalized. The estimated useful lives of property and equipment are as follows:

Estimated

September 30,

December 31,

(In thousands)

Useful Life

2019

2018

Property, plant and equipment

Land

(1)

$

4,466

$

4,466

Leasehold and building improvements

(2)

61,951

38,895

Land improvements

15 years

1,766

1,530

Buildings

30 years

115,104

7,928

Computer equipment and computer software

3 years

42,506

36,969

Laboratory equipment

3 - 10 years

 

80,966

 

37,518

Furniture and fixtures

3 years

 

11,342

 

8,353

Assets under construction

(3)

119,163

167,462

Property, plant and equipment, at cost

437,264

303,121

Accumulated depreciation

(66,732)

(57,862)

Property, plant and equipment, net

$

370,532

$

245,259

(1)Not depreciated.
(2)Lesser of remaining lease term, building life, or useful life.
(3)Not depreciated until placed into service.

Depreciation expense for the nine months ended September 30, 2019 and 2018 was $21.8 million and $14.3 million, respectively.

At September 30, 2019, the Company had $119.2 million of assets under construction which consisted of $22.8 million related to laboratory equipment, $94.7 million related to leasehold and building improvements, and $1.7 million related to computer equipment and computer software projects. Depreciation will begin on these assets once they are placed into service. The Company expects to incur an additional $11.4 million to complete the laboratory equipment, $48.9 million to complete the building projects, and $0.2 million to complete the computer equipment and computer software projects. These projects are expected to be completed throughout 2019, 2020 and 2021. The Company evaluates its property, plant and equipment, for impairment when material events and changes in circumstances indicate that the carrying value may not be recoverable. There were no material impairment losses for the periods ended September 30, 2019 and December 31, 2018.

Software Capitalization Policy

Software Capitalization Policy

Software development costs related to internal use software are incurred in three stages of development: the preliminary project stage, the application development stage, and the post-implementation stage. Costs incurred during the preliminary project and post-implementation stages are expensed as incurred. Costs incurred during the application development stage that meet the criteria for capitalization are capitalized and amortized, when the software is ready for its intended use, using the straight-line basis over the estimated useful life of the software.

Patent Costs, Intangible Assets and Goodwill

Patent Costs, Intangible Assets and Goodwill

Patent costs, Intangible assets, and Goodwill consisted of the following:

September 30,

December 31,

(In thousands)

    

2019

    

2018

Finite-lived intangible assets

Finite-lived intangible assets

$

33,415

$

33,058

Less: Accumulated amortization

(6,533)

(4,107)

Finite-lived intangible assets, net

26,882

28,951

Internally developed technology in process

224

51

Total finite-lived intangible assets, net

27,106

29,002

Goodwill

17,279

17,279

Goodwill and intangible assets, net

$

44,385

$

46,281

Finite-Lived Intangible Assets

The following table summarizes the net-book-value and estimated remaining life of the Company’s finite-lived intangible assets as of September 30, 2019:

Weighted

Net Balance at

Average

September 30,

Remaining

(In thousands)

    

2019

    

Life (Years)

Trade name

$

653

14.1

Customer relationships

2,521

14.1

Patents

17,281

9.0

Acquired developed technology

5,708

13.1

Internally developed technology

719

2.5

Total

$

26,882

As of September 30, 2019, the estimated future amortization expense associated with the Company’s finite-lived intangible assets for each of the five succeeding fiscal years is as follows:

(In thousands)

    

    

2019

$

829

2020

 

3,312

2021

 

3,210

2022

 

3,025

2023

 

2,953

Thereafter

 

13,553

$

26,882

The Company evaluates identifiable intangibles for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future undiscounted net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. There were no impairment losses for periods ended September 30, 2019 and December 31, 2018.

Patent costs are capitalized as incurred, only if the Company determines that there is some probable future economic benefit derived from the patent costs incurred. A capitalized patent is amortized over its estimated useful life, beginning when such patent is approved. Capitalized patent costs are expensed upon disapproval, upon a decision by the Company to no longer pursue the patent or when the related intellectual property is either sold or deemed to be no longer

of value to the Company. Other than the transactions discussed below, the Company determined that all patent costs incurred during the nine months ended September 30, 2019 and 2018 should be expensed and not capitalized as the future economic benefit derived from the patent costs incurred cannot be determined.

Under a technology license and royalty agreement entered into with MDx Health (“MDx”), dated July 26, 2010 (as subsequently amended, the “MDx License Agreement”), the Company was required to pay MDx milestone-based royalties on sales of products or services covered by the licensed intellectual property. Once the achievement of a milestone occurred or was considered probable, an intangible asset and corresponding liability was reported in goodwill and intangible assets and accrued liabilities, respectively. The liability was relieved once the milestone was achieved and payment made. The intangible asset is being amortized over the estimated ten-years useful life of the licensed intellectual property through 2024, and such amortization is reported in cost of sales. Payment for all remaining milestones under the MDx License Agreement was made as part of the Royalty Buy-Out Agreement described below.

Effective April 2017, the Company and MDx entered into a royalty buy-out agreement (“Royalty Buy-Out Agreement”), which terminated the MDx License Agreement. Pursuant to the Royalty Buy-Out Agreement, the Company paid MDx a one-time fee of $8.0 million in exchange for an assignment of certain patents covered by the MDx License Agreement and the elimination of all ongoing royalties and other payments by the Company to MDx under the MDx License Agreement. Also included in the Royalty Buy-Out Agreement is a mutual release of liabilities, which includes all amounts previously accrued under the MDx License Agreement. Concurrently with entering into the Royalty Buy-Out Agreement, the Company entered into a patent purchase agreement (“Patent Purchase Agreement”) with MDx under which it paid MDx an additional $7.0 million in exchange for the assignment of certain other patent rights that were not covered by the MDx License Agreement. The total $15.0 million paid by the Company pursuant to the Royalty Buy-Out Agreement and Patent Purchase Agreement, net of liabilities relieved of $6.6 million, was recorded as an intangible asset and is being amortized over the estimated remaining useful life of the licensed intellectual property through 2024, and such amortization is reported in cost of sales. The $6.6 million of liabilities relieved were related to historical milestones and accrued royalties under the MDx License Agreement.

As of September 30, 2019, and December 31, 2018, an intangible asset of $6.7 million and $7.7 million, respectively, related to historical milestone payments made under the MDx License Agreement and intangible assets acquired as part of the Royalty Buy-Out Agreement and Patent Purchase Agreement is reported in net goodwill and intangible assets on the Company’s condensed consolidated financial statements. Amortization expense was $0.3 million for the three months ended September 30, 2019 and 2018. Amortization expense was $1.0 million for the nine months ended September 30, 2019 and 2018.

In December 2017, the Company entered into an asset purchase agreement (the “Armune Purchase Agreement”) with Armune BioScience, Inc. (“Armune”), pursuant to which the Company acquired intellectual property and certain other assets underlying Armune’s APIFINY®, APIFINY® PRO and APIFINY® ACTIVE SURVEILLANCE prostate cancer diagnostic tests. The Company has utilized the Armune assets in its research and development program. The total consideration was comprised of an up-front cash payment of $12.0 million and $17.5 million in contingent payment obligations that will become payable upon the Company’s achievement of development and commercial milestones using the acquired intellectual property. The satisfaction of these milestones is subject to many risks and is therefore uncertain.  The Company will not record the contingent consideration until it is probable that the milestones will be met.  There is no other consideration due to Armune beyond the milestone payments and the Company is not subject to future royalty obligations should a product be developed and commercialized. In connection with the Armune Purchase Agreement, Armune terminated a license agreement pursuant to which it licensed certain patent rights and know-how from the Regents of the University of Michigan (“University of Michigan”), and the Company entered into a license agreement with the University of Michigan with respect to such patent rights and know-how, as well as certain additional intellectual property rights. Pursuant to the Company’s agreement with the University of Michigan, it is required to pay the University of Michigan a low single-digit royalty on its net sales of products using the licensed intellectual property.

The Company accounted for the transaction as an asset acquisition under GAAP. The asset is comprised of a portfolio of biomarkers, related technology and know-how, which is a group of complementary assets concentrated in a single identifiable asset.  The transaction costs directly related to the asset acquisition were added to the asset in accordance with GAAP.  As such, the collective asset value from the acquisition resulted in an intangible asset of $12.2 million.  The intellectual property asset, which includes related transaction costs, is being amortized on a straight-line basis over the period the Company expects to be benefited, which is in line with the legal life of the patents acquired. The Company capitalized these costs as there is a reasonable expectation that the assets acquired will be used in an alternative manner in the future, that is not contingent on future development subsequent to acquisition, and the Company anticipates there to be economic benefit from these alternative uses. For the three and nine months ended September 30, 2019 and 2018, the Company recorded amortization expense of $0.2 million and $0.7 million, respectively. At September 30, 2019 and December 31, 2018, the net balance of $10.6 million and $11.3 million, respectively, is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheet.

In August 2017, the Company acquired all of the equity interests of Sampleminded, Inc. (“Sampleminded”). As a result of the acquisition, the Company recorded an intangible asset of $1.0 million, which was comprised of developed technology acquired of $0.9 million, customer relationships of $0.1 million, and non-compete agreements of $32,000. The intangible assets acquired are being amortized over the remaining useful life, which was determined to be eight years for developed technology acquired, three years for customer relationships, and five years for non-compete agreements. For the three months ended September 30, 2019 and 2018, the Company recorded amortization expense of $36,000. For the nine months ended September 30, 2019 and 2018, the Company recorded amortization expense of $0.1 million. At September 30, 2019 and December 31, 2018, the net balance of $0.7 million and $0.8 million, respectively, is reported in net intangible assets in the Company’s condensed consolidated balance sheets.

In October 2018, the Company completed a full acquisition of Biomatrica, Inc. (“Biomatrica”, and the “Biomatrica Acquisition”). As a result of the Biomatrica Acquisition, the Company recorded an intangible asset of $8.8 million which was comprised of acquired developed technology of $5.4 million, customer relationships of $2.7 million, and trade names of $0.7 million. The intangible assets acquired are being amortized over the remaining useful life, which was determined to be fifteen years for the acquired developed technology, fifteen years for the customer relationships, and fifteen years for the trade names. For the three and nine months ended September 30, 2019, the Company recorded amortization expense of $0.1 million and $0.5 million, respectively. At September 30, 2019 and December 31, 2018, the net balance of $8.2 million and $8.7 million, respectively, is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheets.

Goodwill

In 2018, the Company recognized goodwill of $15.3 million from the acquisition of Biomatrica. Goodwill is reported in net goodwill and intangible assets in the Company’s condensed consolidated balance sheet. The Company evaluates goodwill impairment on an annual basis, or more frequently should an event or change in circumstance occur that indicates the carrying amount is in excess of the fair value. There were no impairment losses for the periods ended September 30, 2019 and December 31, 2018.

Net Loss Per Share

Net Loss Per Share

Basic net loss per common share was determined by dividing net loss applicable to common stockholders by the weighted average common shares outstanding during the period. Basic and diluted net loss per share is the same because all outstanding common stock equivalents have been excluded, as they are anti-dilutive as a result of the Company’s losses.

The following potentially issuable common shares were not included in the computation of diluted net loss per share because they would have an anti-dilutive effect due to net losses for each period:

September 30,

(In thousands)

    

2019

    

2018

Shares issuable upon exercise of stock options

 

2,199

 

2,856

Shares issuable upon the release of restricted stock awards

 

3,902

 

6,280

Shares issuable upon conversion of convertible notes

 

12,197

 

12,044

 

18,298

 

21,180

Revenue Recognition

Revenue Recognition

The Company’s revenue is primarily generated by screening services using its Cologuard test, and the service is completed upon delivery of a patient’s test result to the ordering physician. The Company accounts for revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), which was adopted on January 1, 2018, using the modified retrospective method, which was elected to apply to all contracts. Application of the modified retrospective method did not impact amounts previously reported by the Company, nor did it require a cumulative effect adjustment upon adoption, as the Company’s method of recognizing revenue under ASC 606 was analogous to the method utilized immediately prior to adoption. Accordingly, there is no need for the Company to disclose the amount by which each financial statement line item was affected as a result of applying the new standard and an explanation of significant changes.

The core principle of ASC 606 is that the Company recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. The Company recognizes revenue from its Cologuard test in accordance with that core principle, and key aspects considered by the Company include the following:

Contracts

The Company’s customer is the patient. However, the Company does not enter into a formal reimbursement contract with a patient, as formal reimbursement contracts, including a national coverage determination for Cologuard by the Centers for Medicare and Medicaid Services (“CMS”), are established with payers. Accordingly, the Company establishes a contract with a patient in accordance with other customary business practices.

Approval of a contract is established via the order submitted by the patient’s physician and the return of a sample by the patient.
The Company is obligated to perform its laboratory services upon receipt of a sample from a patient, and the patient and/or applicable payer are obligated to reimburse the Company for services rendered based on the patient’s insurance benefits.
Payment terms are a function of a patient’s existing insurance benefits, including the impact of coverage decisions with CMS and applicable reimbursement contracts established between the Company and payers, unless the patient is a self-pay patient, whereby the Company requires payment from the patient prior to the Company shipping a collection kit to the patient.
Once the Company delivers a patient’s test result to the ordering physician the contract with a patient has commercial substance, as the Company is legally able to collect payment and bill an insurer and/or patient and depending on payer contract status or patient insurance benefit status.
The Company’s consideration is deemed to be variable, and the Company considers collection of such consideration to be probable to the extent that it is unconstrained.

Performance obligations

A performance obligation is a promise in a contract to transfer a distinct good or service (or a bundle of goods or services) to the customer. The Company’s contracts have a single performance obligation, which is satisfied upon rendering of services, which culminates in the delivery of a patient’s Cologuard test result to the ordering physician. The duration of time between sample receipt and delivery of a valid test result to the ordering physician is typically less than two weeks. Accordingly, the Company elects the practical expedient and therefore, the Company does not disclose the value of unsatisfied performance obligations.

Transaction price

The transaction price is the amount of consideration that the Company expects to collect in exchange for transferring promised goods or services to a customer, excluding amounts collected on behalf of third parties (for example, some sales taxes). The consideration expected from a contract with a customer may include fixed amounts, variable amounts, or both.

The consideration derived from the Company’s contracts is deemed to be variable, though the variability is not explicitly stated in any contract. Rather, the implied variability is due to several factors, such as the amount of contractual adjustments, any patient co-payments, deductibles or patient adherence incentives, the existence of secondary payers and claim denials.

The Company estimates the amount of variable consideration using the expected value method, which represents the sum of probability-weighted amounts in a range of possible consideration amounts. When estimating the amount of variable consideration, the Company considers several factors, such as historical collections experience, patient insurance eligibility and payer reimbursement contracts.

The Company limits the amount of variable consideration included in the transaction price to the unconstrained portion of such consideration. In other words, the Company recognizes revenue up to the amount of variable consideration that is not subject to a significant reversal until additional information is obtained or the uncertainty associated with the additional payments or refunds is subsequently resolved. Differences between original estimates and subsequent revisions, including final settlements, represent changes in the estimate of variable consideration and are included in the period in which such revisions are made. Revenue recognized from changes in transaction prices was $1.2 million and $2.4 million for the three months ended September 30, 2019 and 2018, respectively. Revenue recognized from changes in transaction prices was $4.6 million and $14.2 million for the nine months ended September 30, 2019 and 2018, respectively.

The Company monitors its estimates of transaction price to depict conditions that exist at each reporting date. If the Company subsequently determines that it will collect more consideration than it originally estimated for a contract with a patient, it will account for the change as an increase in the estimate of the transaction price (i.e., an upward revenue adjustment) in the period identified. Similarly, if the Company subsequently determines that the amount it expects to collect from a patient is less than it originally estimated, it will generally account for the change as a decrease in the estimate of the transaction price (i.e., a downward revenue adjustment), provided that such downward adjustment does not result in a significant reversal of cumulative revenue recognized.

When the Company does not have significant historical experience or that experience has limited predictive value, the constraint over estimates of variable consideration may result in no revenue being recognized upon delivery of a patient’s Cologuard test result to the ordering physician, with recognition, generally occurring at the date of cash receipt.

Allocate transaction price

The transaction price is allocated entirely to the performance obligation contained within the contract with a patient.

Point in time recognition

The Company’s single performance obligation is satisfied at a point in time, and that point in time is defined as the date a patient’s successful test result is delivered to the patient’s ordering physician. The Company considers this date to be the time at which the patient obtains control of the promised Cologuard test service.

Disaggregation of Revenue

The following table presents the Company’s revenues disaggregated by revenue source:

Three Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

108,617

$

65,870

Commercial

99,352

48,624

Other

10,836

3,797

Total

$

218,805

$

118,291

Nine Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

295,103

$

178,052

Commercial

261,521

123,045

Other

24,094

10,384

Total

$

580,718

$

311,481

Contract Balances

The timing of revenue recognition, billings and cash collections results in billed accounts receivable and deferred revenue on the condensed consolidated balance sheets. Generally, billing occurs subsequent to delivery of a patient’s test result to the ordering physician, resulting in an account receivable. However, the Company sometimes receives advance payment from a patient, particularly a self-pay patient, before a Cologuard test result is completed, resulting in deferred revenue. The deferred revenue balance is relieved upon delivery of the applicable patient’s test result to the ordering physician. Changes in accounts receivable and deferred revenue were not materially impacted by any other factors.

Deferred revenue balances are reported in other short-term liabilities in the Company’s condensed consolidated balance sheets and were $0.7 million and $0.5 million as of September 30, 2019 and December 31, 2018, respectively.

Revenue recognized for the three months ended September 30, 2019 and 2018, which was included in the deferred revenue balance at the beginning of each period was $0.2 million and $0.1 million, respectively. Revenue recognized for the nine months ended September 30, 2019 and 2018, which was included in the deferred revenue balance at the beginning of each period was $0.5 million and $0.1 million, respectively.

Practical Expedients

The Company does not adjust the transaction price for the effects of a significant financing component, as at contract inception, the Company expects the collection cycle to be one year or less.

The Company expenses sales commissions when incurred because the amortization period would have been one year or less. These costs are recorded within sales and marketing expenses in the Company’s condensed consolidated statements of operations.

The Company incurs certain other costs that are incurred regardless of whether a contract is obtained. Such costs are primarily related to legal services and patient communications (e.g. compliance reminder letters). These costs are expensed as incurred and recorded within general and administrative expenses in the Company’s condensed consolidated statements of operations.

Inventory

Inventory

Inventory is stated at the lower of cost or net realizable value. The Company determines the cost of inventory using the first-in, first out method (“FIFO”). The Company estimates the recoverability of inventory by reference to internal estimates of future demands and product life cycles, including expiration. The Company periodically analyzes its inventory levels to identify inventory that may expire prior to expected sale or has a cost basis in excess of its estimated net realizable value and records a charge to cost of sales for such inventory, as appropriate. In addition, the materials used in performing Cologuard tests are subject to strict quality control and monitoring which the Company performs throughout the manufacturing process. If certain batches or units of product no longer meet quality specifications or become obsolete due to expiration, the Company records a charge to cost of sales to write down such unmarketable inventory to its estimated net realizable value.

Direct and indirect manufacturing costs incurred during process validation and for other research and development activities, which are not permitted to be sold, have been expensed to research and development in the Company’s condensed consolidated statements of operations.

Inventory consisted of the following:

September 30,

December 31,

(In thousands)

    

2019

    

2018

Raw materials

$

19,009

$

12,761

Semi-finished and finished goods

 

34,664

 

26,387

Total inventory

$

53,673

$

39,148

Foreign Currency Translation

Foreign Currency Translation

For the Company’s international subsidiaries, the local currency is the functional currency. Assets and liabilities of these subsidiaries are translated into United States dollars at the period-end exchange rate or historical rates, as appropriate. Condensed consolidated statements of operations are translated at average exchange rates for the period. The cumulative translation adjustments resulting from changes in exchange rates are included in the Company’s condensed consolidated balance sheet as a component of accumulated other comprehensive income (loss) in stockholders’ equity. Transaction gains and losses are included in the Company’s condensed consolidated statement of operations.

Reclassifications

Reclassifications

Certain prior period amounts have been reclassified to conform to the current period presentation in the Company’s condensed consolidated financial statements and accompanying notes to the Company’s condensed consolidated financial statements.

Recent Events

Recently Adopted Accounting Pronouncements

In February 2016, the Financial Accounting Standards Board issued ASU No. 2016-02, Leases (Topic 842) and subsequent amendments to the initial guidance: ASU 2017-13, ASU 2018-10, ASU 2018-11, ASU 2018-20 and ASU 2019-01, (collectively, “Update 2016-02”). Update 2016-02 requires recognition of right-of-use assets and lease liabilities on the balance sheet, including those leases classified as operating leases under previous GAAP. Update 2016-02 provides an option of recognizing a cumulative-effect adjustment to the opening balance of retained earnings upon adoption. The amendments in this update are effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The Company adopted Update 2016-02 on January 1, 2019 using the modified retrospective method of adoption. As a result of the adoption, the Company recorded an opening right-of-use asset balance of $20.6 million, which is included in other long-term assets in the Company’s condensed consolidated financial statements. The Company also recorded an opening lease liability of $20.1 million, of which $3.0 million was classified in other short-term liabilities and $17.1 million was classified in long-term obligations in the Company’s condensed consolidated financial statements. See Note 9 for more detail.

In June 2018, the Financial Accounting Standards Board issued ASU No. 2018-07 (Topic 718), Improvements to Nonemployee Share-Based Payment Accounting, (“Update 2018-07”). Update 2018-07 expands the scope of Topic 718 to include share-based payment transactions for acquiring goods and services from nonemployees. An entity should apply the requirements to Topic 718 to nonemployee awards except for certain exemptions specified in the amendment. The guidance is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within that fiscal year. The Company adopted this guidance on January 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

In July 2018, the Financial Accounting Standards Board issued ASU 2018-09, Codification Improvements, (“Update 2018-09”). Update 2018-09 provided various minor codification updates and improvements to address comments that the FASB had received regarding unclear or vague accounting guidance. The guidance is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within that fiscal year. The Company adopted this guidance on January 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

In July 2019, the Financial Accounting Standards Board issued ASU No. 2019-07, Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure Update and Simplification, and Nos. 33-10231 and 33-10442, Investment Company Reporting Modernization, and Miscellaneous Updates (“Update 2019-07”). Update 2019-07 simplifies the disclosure requirements in certain areas to avoid redundant disclosures. The amendments in this update were effective upon issuance. The Company adopted this guidance on July 1, 2019, and it did not have an impact on the Company’s condensed consolidated financial statements.

Recently Issued Accounting Pronouncements Not Yet Adopted

In August 2018, the Financial Accounting Standards Board issued ASU 2018-13, Fair Value Measurement (Topic 820); Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement, (“Update 2018-13”). Update 2018-13 provided an update to the disclosure requirements for fair value measurements under the scope of ASC 820. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In August 2018, the Financial Accounting Standards Board issued ASU 2018-15, Intangibles – Goodwill and Other – Internal-Use Software, (“Update 2018-15”). Update 2018-15 provided guidance for evaluating the accounting for fees paid by a customer in a cloud computing arrangement that is a service contract. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In November 2018, the Financial Accounting Standards Board issued ASU 2018-18, Collaborative Arrangements (Topic 808), (“Update 2018-18”). Update 2018-18 provided additional guidance regarding the interaction between Topic 808 on Collaborative Arrangements and Topic 606 on Revenue Recognition. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

In April 2019, the Financial Accounting Standards Board issued ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments – Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments, (“Update 2019-04”). Update 2019-04 provides clarity regarding measurement of securities without readily determinable fair values. The guidance is effective for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of the guidance on its condensed consolidated financial statements.

v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)
9 Months Ended
Sep. 30, 2019
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES  
Schedule of available-for-sale securities

September 30, 2019

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

539,087

$

15

$

$

539,102

Commercial paper

39,961

(4)

39,957

Certificates of deposit

 

7,000

 

7,000

Total cash equivalents

586,048

15

(4)

586,059

Marketable securities

U.S. government agency securities

 

90,503

17

(6)

 

90,514

Certificates of deposit

 

20,504

9

 

20,513

Corporate bonds

11,670

3

11,673

Commercial paper

 

1,999

 

1,999

Asset backed securities

 

1,512

 

1,512

Total marketable securities

126,188

29

(6)

126,211

Total available-for-sale securities

$

712,236

$

44

$

(10)

$

712,270

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.

Available-for-sale securities at December 31, 2018 consisted of the following:

December 31, 2018

    

    

Gains in Accumulated

    

Losses in Accumulated

    

Other Comprehensive

Other Comprehensive

Estimated Fair

(In thousands)

Amortized Cost

Income (Loss) (1)

Income (Loss) (1)

Value

Cash equivalents

U.S. government agency securities

$

49,982

$

3

$

$

49,985

Commercial paper

24,072

(2)

24,070

Certificates of deposit

 

11,000

 

11,000

Total cash equivalents

85,054

3

(2)

85,055

Marketable securities

Corporate bonds

392,973

33

(719)

392,287

Asset backed securities

 

277,538

30

(569)

 

276,999

U.S. government agency securities

 

250,606

43

(178)

 

250,471

Certificates of deposit

 

31,875

(31)

 

31,844

Commercial paper

12,158

(7)

12,151

Total marketable securities

965,150

106

(1,504)

963,752

Total available-for-sale securities

$

1,050,204

$

109

$

(1,506)

$

1,048,807

(1)Gains and losses in accumulated other comprehensive income (loss) are reported before tax impact.
Schedule of amounts recognized in accumulated other comprehensive income (loss) (AOCI)

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2018

$

(25)

$

(1,397)

$

(1,422)

Other comprehensive income (loss) before reclassifications

 

(28)

 

815

 

787

Amounts reclassified from accumulated other comprehensive loss

 

 

616

 

616

Net current period change in accumulated other comprehensive loss, before tax

 

(28)

 

1,431

 

1,403

Income tax expense related to items of other comprehensive income

(341)

(341)

Balance at September 30, 2019

$

(53)

$

(307)

$

(360)

Foreign

Unrealized

Accumulated

Currency

Gain (Loss)

Other

Translation

on Marketable

Comprehensive

(In thousands)

    

Adjustments

    

Securities

    

Income (Loss)

Balance at December 31, 2017

$

(61)

$

(689)

$

(750)

Other comprehensive loss before reclassifications

 

12

 

(883)

 

(871)

Amounts reclassified from accumulated other comprehensive loss

 

 

215

 

215

Net current period change in accumulated other comprehensive loss

 

12

 

(668)

 

(656)

Balance at September 30, 2018

$

(49)

$

(1,357)

$

(1,406)

Schedule of amounts reclassified from accumulated other comprehensive income (loss)

 

Affected Line Item in the

 

Nine Months Ended September 30,

Details about AOCI Components (In thousands)

Statements of Operations

2019

2018

Change in value of available-for-sale investments

Sales and maturities of available-for-sale investments

 

Investment income

$

616

$

215

Total reclassifications

$

616

$

215

Schedule of Property, plant and equipment, net

Estimated

September 30,

December 31,

(In thousands)

Useful Life

2019

2018

Property, plant and equipment

Land

(1)

$

4,466

$

4,466

Leasehold and building improvements

(2)

61,951

38,895

Land improvements

15 years

1,766

1,530

Buildings

30 years

115,104

7,928

Computer equipment and computer software

3 years

42,506

36,969

Laboratory equipment

3 - 10 years

 

80,966

 

37,518

Furniture and fixtures

3 years

 

11,342

 

8,353

Assets under construction

(3)

119,163

167,462

Property, plant and equipment, at cost

437,264

303,121

Accumulated depreciation

(66,732)

(57,862)

Property, plant and equipment, net

$

370,532

$

245,259

(1)Not depreciated.
(2)Lesser of remaining lease term, building life, or useful life.
(3)Not depreciated until placed into service.
Schedule of Goodwill and Intangible assets

September 30,

December 31,

(In thousands)

    

2019

    

2018

Finite-lived intangible assets

Finite-lived intangible assets

$

33,415

$

33,058

Less: Accumulated amortization

(6,533)

(4,107)

Finite-lived intangible assets, net

26,882

28,951

Internally developed technology in process

224

51

Total finite-lived intangible assets, net

27,106

29,002

Goodwill

17,279

17,279

Goodwill and intangible assets, net

$

44,385

$

46,281

Schedule of net-book value and estimated remaining life and finite lived intangible assets

Weighted

Net Balance at

Average

September 30,

Remaining

(In thousands)

    

2019

    

Life (Years)

Trade name

$

653

14.1

Customer relationships

2,521

14.1

Patents

17,281

9.0

Acquired developed technology

5,708

13.1

Internally developed technology

719

2.5

Total

$

26,882

Schedule of estimated future amortization expense, intangible assets

As of September 30, 2019, the estimated future amortization expense associated with the Company’s finite-lived intangible assets for each of the five succeeding fiscal years is as follows:

(In thousands)

    

    

2019

$

829

2020

 

3,312

2021

 

3,210

2022

 

3,025

2023

 

2,953

Thereafter

 

13,553

$

26,882

Schedule of potentially issuable common shares not included in the computation of diluted net loss per share because they would have an anti-dilutive effect

September 30,

(In thousands)

    

2019

    

2018

Shares issuable upon exercise of stock options

 

2,199

 

2,856

Shares issuable upon the release of restricted stock awards

 

3,902

 

6,280

Shares issuable upon conversion of convertible notes

 

12,197

 

12,044

 

18,298

 

21,180

Schedule of disaggregation of revenue

Three Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

108,617

$

65,870

Commercial

99,352

48,624

Other

10,836

3,797

Total

$

218,805

$

118,291

Nine Months Ended September 30,

(In thousands)

    

2019

    

2018

Medicare Parts B & C

$

295,103

$

178,052

Commercial

261,521

123,045

Other

24,094

10,384

Total

$

580,718

$

311,481

Schedule of inventory

Inventory consisted of the following:

September 30,

December 31,

(In thousands)

    

2019

    

2018

Raw materials

$

19,009

$

12,761

Semi-finished and finished goods

 

34,664

 

26,387

Total inventory

$

53,673

$

39,148

v3.19.3
STOCK-BASED COMPENSATION (Tables)
9 Months Ended
Sep. 30, 2019
STOCK-BASED COMPENSATION  
Schedule of valuation assumptions

Three Months Ended

Nine Months Ended

September 30,

September 30,

2019

2018

    

2019

    

2018

Option Plan Shares

Risk-free interest rates

(1)

(1)

 

2.54% - 2.59%

2.73% - 2.79%

Expected term (in years)

(1)

(1)

 

6.28

5.45 - 6.43

Expected volatility

(1)

(1)

 

64.95% - 64.99%

61.82% - 66.17%

Dividend yield

(1)

(1)

 

0 %

0 %

Weighted average fair value per share of options granted during the period

(1)

(1)

$ 57.11

$ 24.55

ESPP Shares

Risk-free interest rates

(2)

(2)

2.31% - 2.44%

2.05%  -  2.50%

Expected term (in years)

(2)

(2)

0.5 - 2.0

0.5  -  2.0

Expected volatility

(2)

(2)

55.00% - 57.97%

51.75%  -  65.39%

Dividend yield

(2)

(2)

0 %

0 %

Weighted average fair value per share of stock purchase rights granted during the period

(2)

(2)

$ 35.91

$ 18.68

(1)The Company did not grant options under its 2010 Omnibus Long-Term Incentive Plan or 2019 Omnibus Long-Term Incentive Plan during the period indicated.
(2)The Company did not issue stock purchase rights under its 2010 Employee Stock Purchase Plan during the respective period.

Summary of stock option activity under the Stock Plans

    

    

    

Weighted

    

Weighted

Average

Average

Remaining

Aggregate

Exercise

Contractual

Intrinsic

Options

Shares

Price

Term (Years)

Value(1)

(Aggregate intrinsic value in thousands)

Outstanding, January 1, 2019

 

2,531,561

$

17.86

 

6.6

Granted

 

186,044

92.61

Exercised

 

(492,699)

12.97

Forfeited

 

(25,792)

33.25

Outstanding, September 30, 2019

 

2,199,114

$

25.10

6.4

$

143,943

Exercisable, September 30, 2019

 

1,252,387

$

15.28

5.4

$

94,038

(1)The aggregate intrinsic value of options outstanding, exercisable and vested and expected to vest is calculated as the difference between the exercise price of the underlying options and the market price of the Company’s common stock for options that had exercise prices that were lower than the $90.37 market price of the Company’s common stock at September 30, 2019. The total intrinsic value of options exercised during the nine months ended September 30, 2019 and 2018 was $41.7 million and $40.1 million, respectively.

Summary of restricted stock and restricted stock unit activity under the Stock Plans

    

    

Weighted

Restricted

Average Grant

Shares and RSUs

Date Fair Value

Outstanding, January 1, 2019

 

6,246,174

$

23.16

Granted

 

1,672,854

94.07

Released

 

(3,808,767)

14.80

Forfeited

 

(207,978)

55.96

Outstanding, September 30, 2019

 

3,902,283

$

60.37

v3.19.3
FAIR VALUE MEASUREMENTS (Tables)
9 Months Ended
Sep. 30, 2019
FAIR VALUE MEASUREMENTS  
Schedule of fair value measurements along with the level within the fair value hierarchy in which the fair value measurements fall

    

    

Quoted Prices

    

Significant

    

in Active

Other

Significant

Markets for

Observable

Unobservable

Fair Value at

Identical Assets

Inputs

Inputs

(In thousands)

September 30, 2019

(Level 1)

(Level 2)

(Level 3)

Cash and cash equivalents

Cash and money market

$

448,275

$

448,275

$

$

U.S. government agency securities

539,102

539,102

Commercial paper

39,957

39,957

Certificates of deposit

7,000

7,000

Available-for-sale

Marketable securities

Corporate bonds

 

11,673

11,673

Asset backed securities

 

1,512

1,512

U.S. government agency securities

 

90,514

90,514

Certificates of deposit

 

20,513

20,513

Commercial paper

1,999

1,999

Other long-term assets

Deferred compensation plan assets

470

470

Contingent consideration

(2,947)

(2,947)

Total

$

1,158,068

$

448,275

$

712,740

$

(2,947)

    

    

Quoted Prices

    

Significant

    

in Active

Other

Significant

Markets for

Observable

Unobservable

Fair Value at

Identical Assets

Inputs

Inputs

(In thousands)

December 31, 2018

(Level 1)

(Level 2)

(Level 3)

Cash and cash equivalents

Cash and money market

$

75,375

$

75,375

$

$

U.S. government agency securities

49,985

49,985

Commercial paper

24,070

24,070

Certificates of deposit

11,000

11,000

Available-for-sale

Marketable securities

Corporate bonds

 

392,287

392,287

Asset backed securities

 

276,999

276,999

U.S. government agency securities

 

250,471

250,471

Certificates of deposit

 

31,844

31,844

Commercial paper

12,151

12,151

Contingent consideration

(3,060)

(3,060)

Total

$

1,121,122

$

75,375

$

1,048,807

$

(3,060)

Schedule of gross unrealized losses and fair values of investments in an unrealized loss position

Less than 12 months

12 months or greater

Total

(In thousands)

    

Fair Value

    

Gross Unrealized Loss

    

Fair Value

    

Gross Unrealized Loss

    

Fair Value

    

Gross Unrealized Loss

 

Cash equivalents

Commercial paper

$

39,957

$

(4)

$

$

$

39,957

$

(4)

Total cash equivalents

39,957

(4)

39,957

(4)

Marketable securities

Corporate bonds

5,170

5,170

U.S. government agency securities

14,994

(6)

14,994

(6)

Asset backed securities

503

503

Total marketable securities

20,667

(6)

20,667

(6)

Total available-for-sale securities

$

60,624

$

(10)

$

$

$

60,624

$

(10)

Schedule of contractual maturities of available-for-sale investments

Due one year or less

Due after one year through four years

(In thousands)

    

Cost

    

Fair Value

Cost

    

Fair Value

Cash equivalents

U.S. government agency securities

$

539,087

$

539,102

$

$

Commercial paper

39,961

39,957

Certificates of deposit

7,000

7,000

Total cash equivalents

586,048

586,059

Marketable securities

Corporate bonds

7,670

7,670

4,000

4,003

U.S. government agency securities

40,506

40,509

49,997

50,005

Asset backed securities

1,512

1,512

Certificates of deposit

20,504

20,513

Commercial paper

1,999

1,999

Total marketable securities

70,679

70,691

55,509

55,520

Total available-for-sale securities

$

656,727

$

656,750

$

55,509

$

55,520

Schedule of fair value of long-term debt and convertible notes

September 30, 2019

December 31, 2018

(In thousands)

    

Carrying Amount (1)

    

Fair Value

    

Carrying Amount (1)

    

Fair Value

2027 Convertible notes (2)

$

476,527

$

810,514

$

$

2025 Convertible notes (2)

315,643

586,332

664,749

956,196

Construction loan (3)

24,855

24,855

24,502

24,502

(1)The carrying amounts presented are net of debt discounts and debt issuance costs (see Note 8 and Note 11 of the condensed consolidated financial statements for further information).

(2)The fair values are based on observable market prices for this debt, which is traded in active markets and therefore is classified as a Level 2 fair value measurement.

(3)The carrying amount of the construction loan approximates fair value due to the short-term nature of this instrument. The construction loan is privately held with no public market for this debt and therefore is classified as a Level 3 fair value measurement.
v3.19.3
COMMITMENTS AND CONTINGENCIES (Tables)
9 Months Ended
Sep. 30, 2019
COMMITMENTS AND CONTINGENCIES  
Summary of components of lease expense

Three Months Ended

Nine Months Ended

(In thousands)

September 30, 2019

September 30, 2019

Operating lease cost (cost resulting from lease payments)

$

1,310

$

3,702

Short-term lease cost

 

37

 

140

Total

$

1,347

$

3,842

Supplemental disclosure of cash flow information related to our operating leases

Three Months Ended

Nine Months Ended

(In thousands)

September 30, 2019

September 30, 2019

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases

$

1,325

$

3,744

Non-cash investing and financing activities:

Right-of-use assets obtained in exchange for new operating lease liabilities (1)

$

32

$

20,147

(1)For the nine months ended September 30, 2019, this includes the amounts related to adopting ASC 842.
Summary of maturities of operating lease liabilities Maturities of operating lease liabilities on an annual basis as of September 30, 2019 were as follows:

(In thousands)

    

    

2019

$

5,077

2020

 

4,592

2021

 

3,917

2022

 

3,775

2023

 

3,787

Thereafter

 

7,162

Total minimum lease payments

28,310

Imputed interest

(8,626)

Total

$

19,684

Future minimum lease payments as of December 31, 2018

The Company’s future minimum lease payments as of December 31, 2018, were as follows:

(In thousands)

    

2019

$

3,861

2020

 

5,135

2021

 

4,995

2022

 

5,027

2023

 

5,146

Thereafter

 

44,286

Total minimum lease payments

$

68,450

v3.19.3
CONVERTIBLE NOTES (Tables)
9 Months Ended
Sep. 30, 2019
CONVERTIBLE NOTES.  
Schedule of Convertible note obligations included in the condensed consolidated balance sheets

(In thousands)

    

Coupon Interest Rate

Effective Interest Rate

Fair Value of Liability Component at Issuance (1)

September 30, 2019

December 31, 2018

2027 Convertible notes

0.375%

6.3%

$

472,501

$

747,500

$

2025 Convertible notes

1.000%

6.0%

299,187

415,102

908,500

Total Convertible notes

1,162,602

908,500

Less: Debt discount (2)

(353,283)

(227,403)

Less: Debt issuance costs (3)

(17,149)

(16,348)

Net convertible debt including current maturities

792,170

664,749

Less: Current maturities (4)

(315,643)

Net long-term convertible debt

$

476,527

$

664,749

(1)As each of the convertible instruments may be settled in cash upon conversion, for accounting purposes, they were separated into a liability component and an equity component. The amount allocated to the equity component is the difference between the principal value of the instrument and the fair value of the liability component at issuance. The resulting debt discount is being amortized to interest expense at the respective effective interest rate over the contractual term of the debt. In March 2019, a portion of the 2025 Convertible Notes were extinguished. The fair value of the liability component at issuance reflected above represents the liability value at issuance for the applicable portion of the 2025 Notes which remain outstanding at September 30, 2019. The fair value of the liability component of the 2025 Notes at December 31, 2018 was $654.8 million with the equity component being $269.7 million including a $14.2 million premium.

(2) The unamortized discount consists of the following:

(In thousands)

    

September 30, 2019

December 31, 2018

2027 Convertible notes

$

260,370

$

2025 Convertible notes

92,913

227,403

Total unamortized discount

$

353,283

$

227,403

(3)Debt issuance costs consists of the following:

(In thousands)

    

September 30, 2019

December 31, 2018

2027 Convertible notes

$

10,602

$

2025 Convertible notes

6,547

16,348

Total debt issuance costs

$

17,149

$

16,348

(4)As of September 30, 2019, the 2025 Convertible Notes were convertible and included within convertible notes, net, current portion on the condensed consolidated balance sheet. As of December 31, 2018, the 2025 Convertible Notes were not convertible and included within long-term convertible notes, net on the condensed consolidated balance sheet.
Schedule of interest expense

Three Months Ended

Nine Months Ended

September 30,

September 30,

(In thousands)

2019

2018

    

2019

    

2018

Debt issuance costs amortization

$

658

$

677

$

1,989

$

1,597

Debt discount amortization

10,322

7,737

28,789

18,559

Loss on settlement of convertible notes

10,558

Coupon interest expense

1,739

2,242

5,585

5,513

Total interest expense on convertible notes

12,719

10,656

46,921

25,669

Other interest expense

490

48

990

148

Total interest expense

$

13,209

$

10,704

$

47,911

$

25,817

v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Cash and Cash Equivalents (Details) - USD ($)
Sep. 30, 2019
Dec. 31, 2018
Cash and Cash equivalents    
Restricted cash $ 0 $ 0
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Investments (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Available-for-sale securities          
Realized gains $ 3,100,000 $ 100,000 $ 3,340,000 $ 243,000  
Investments identified with other-than-temporary declines in value     $ 0    
Minimum contractual term of certain current investments which can be liquidated     1 year    
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 712,236,000   $ 712,236,000   $ 1,050,204,000
Gains in Accumulated Other Comprehensive Income (Loss) 44,000   44,000   109,000
Losses in Accumulated Other Comprehensive Income (Loss) (10,000)   (10,000)   (1,506,000)
Estimated Fair Value 712,270,000   712,270,000   1,048,807,000
Cash equivalents          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 586,048,000   586,048,000   85,054,000
Gains in Accumulated Other Comprehensive Income (Loss) 15,000   15,000   3,000
Losses in Accumulated Other Comprehensive Income (Loss) (4,000)   (4,000)   (2,000)
Estimated Fair Value 586,059,000   586,059,000   85,055,000
Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 126,188,000   126,188,000   965,150,000
Gains in Accumulated Other Comprehensive Income (Loss) 29,000   29,000   106,000
Losses in Accumulated Other Comprehensive Income (Loss) (6,000)   (6,000)   (1,504,000)
Estimated Fair Value 126,211,000   126,211,000   963,752,000
U.S. government agency securities | Cash equivalents          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 539,087,000   539,087,000   49,982,000
Gains in Accumulated Other Comprehensive Income (Loss) 15,000   15,000   3,000
Estimated Fair Value 539,102,000   539,102,000   49,985,000
U.S. government agency securities | Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 90,503,000   90,503,000   250,606,000
Gains in Accumulated Other Comprehensive Income (Loss) 17,000   17,000   43,000
Losses in Accumulated Other Comprehensive Income (Loss) (6,000)   (6,000)   (178,000)
Estimated Fair Value 90,514,000   90,514,000   250,471,000
Commercial paper. | Cash equivalents          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 39,961,000   39,961,000   24,072,000
Losses in Accumulated Other Comprehensive Income (Loss) (4,000)   (4,000)   (2,000)
Estimated Fair Value 39,957,000   39,957,000   24,070,000
Commercial paper. | Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 1,999,000   1,999,000   12,158,000
Losses in Accumulated Other Comprehensive Income (Loss)         (7,000)
Estimated Fair Value 1,999,000   1,999,000   12,151,000
Certificates of deposit | Cash equivalents          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 7,000,000   7,000,000   11,000,000
Estimated Fair Value 7,000,000   7,000,000   11,000,000
Certificates of deposit | Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 20,504,000   20,504,000   31,875,000
Gains in Accumulated Other Comprehensive Income (Loss) 9,000   9,000    
Losses in Accumulated Other Comprehensive Income (Loss)         (31,000)
Estimated Fair Value 20,513,000   20,513,000   31,844,000
Corporate bonds | Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 11,670,000   11,670,000   392,973,000
Gains in Accumulated Other Comprehensive Income (Loss) 3,000   3,000   33,000
Losses in Accumulated Other Comprehensive Income (Loss)         (719,000)
Estimated Fair Value 11,673,000   11,673,000   392,287,000
Asset backed securities | Marketable securities          
Available-for-sale securities, Amortized Cost to Fair Value          
Amortized Cost 1,512,000   1,512,000   277,538,000
Gains in Accumulated Other Comprehensive Income (Loss)         30,000
Losses in Accumulated Other Comprehensive Income (Loss)         (569,000)
Estimated Fair Value $ 1,512,000   $ 1,512,000   $ 276,999,000
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Changes in Accumulated Other Comprehensive Income (Loss) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Sep. 30, 2019
Sep. 30, 2018
Changes in Accumulated Other Comprehensive Income (Loss)                
Beginning Balance     $ (1,422)     $ (750) $ (1,422) $ (750)
Other comprehensive income (loss) before reclassifications             787 (871)
Amounts reclassified from accumulated other comprehensive loss             616 215
Net current period change in accumulated other comprehensive loss, before tax             1,403  
Income tax expense related to items of other comprehensive income             (341)  
Net current period change in accumulated other comprehensive income (loss) $ (2,120) $ 1,406 1,776 $ 472 $ 458 (1,586)   (656)
Ending Balance (360)     (1,406)     (360) (1,406)
Foreign Currency Translation Adjustments                
Changes in Accumulated Other Comprehensive Income (Loss)                
Beginning Balance     (25)     (61) (25) (61)
Other comprehensive income (loss) before reclassifications             (28) 12
Net current period change in accumulated other comprehensive loss, before tax             (28)  
Net current period change in accumulated other comprehensive income (loss)               12
Ending Balance (53)     (49)     (53) (49)
Unrealized Gain (Loss) on Marketable Securities                
Changes in Accumulated Other Comprehensive Income (Loss)                
Beginning Balance     $ (1,397)     $ (689) (1,397) (689)
Other comprehensive income (loss) before reclassifications             815 (883)
Amounts reclassified from accumulated other comprehensive loss             616 215
Net current period change in accumulated other comprehensive loss, before tax             1,431  
Income tax expense related to items of other comprehensive income             (341)  
Net current period change in accumulated other comprehensive income (loss)               (668)
Ending Balance $ (307)     $ (1,357)     $ (307) $ (1,357)
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Details About AOCI (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Details about AOCI Components        
Investment income $ 9,093 $ 6,292 $ 23,417 $ 14,882
Reclassification Out Of Accumulated Other Comprehensive Income        
Details about AOCI Components        
Investment income     616 215
Unrealized Gain (Loss) on Marketable Securities | Reclassification Out Of Accumulated Other Comprehensive Income        
Details about AOCI Components        
Investment income     $ 616 $ 215
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Property, Plant and Equipment, Patent Costs, Intangible Assets and Goodwill (Details)
3 Months Ended 9 Months Ended 12 Months Ended
Oct. 02, 2018
USD ($)
Dec. 15, 2017
USD ($)
Aug. 01, 2017
USD ($)
Apr. 25, 2017
USD ($)
Sep. 30, 2019
USD ($)
item
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
item
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Property, plant and equipment                  
Property, plant and equipment, at cost         $ 437,264,000   $ 437,264,000   $ 303,121,000
Accumulated depreciation         (66,732,000)   (66,732,000)   (57,862,000)
Property, plant and equipment, net         370,532,000   370,532,000   245,259,000
Assets under construction         $ 119,200,000   119,200,000    
Impairment of long-lived assets             $ 0   0
Software Capitalization Policy                  
Software development stages | item         3   3    
Goodwill and Intangible assets                  
Finite-lived intangible assets         $ 33,415,000   $ 33,415,000   33,058,000
Less: Accumulated amortization         (6,533,000)   (6,533,000)   (4,107,000)
Finite-lived intangible assets, net         26,882,000   26,882,000   28,951,000
Total Finite-lived intangible assets, net         27,106,000   27,106,000   29,002,000
Goodwill         17,279,000   17,279,000   17,279,000
Goodwill and intangible assets, net         44,385,000   44,385,000   46,281,000
Finite-Lived Intangible Assets                  
Intangibles, net         26,882,000   26,882,000   28,951,000
Amortization expense over remaining useful life                  
2019         829,000   829,000    
2020         3,312,000   3,312,000    
2021         3,210,000   3,210,000    
2022         3,025,000   3,025,000    
2023         2,953,000   2,953,000    
Thereafter         13,553,000   13,553,000    
Finite-lived intangible assets, net         26,882,000   26,882,000   28,951,000
Amortization of intangible assets             2,426,000 $ 1,847,000  
Depreciation expense             21,800,000 14,300,000  
Impairment losses             0   0
Recognized Goodwill                  
Goodwill         17,279,000   17,279,000   17,279,000
Impairment             0   0
Sampleminded Inc                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         700,000   700,000   800,000
Finite-Lived Intangible Assets                  
Intangibles, net         700,000   700,000   800,000
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         700,000   700,000   800,000
Amortization of intangible assets         36,000 $ 36,000 100,000 100,000  
Identifiable intangible assets     $ 1,000,000.0            
Biomatrica, Inc                  
Goodwill and Intangible assets                  
Finite-lived intangible assets $ 8,800,000                
Finite-lived intangible assets, net         8,200,000   8,200,000   8,700,000
Goodwill                 15,300,000
Finite-Lived Intangible Assets                  
Intangibles, net         8,200,000   8,200,000   8,700,000
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         8,200,000   8,200,000   8,700,000
Amortization of intangible assets         100,000   500,000    
Recognized Goodwill                  
Goodwill                 15,300,000
Trade name                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         653,000   653,000    
Finite-Lived Intangible Assets                  
Intangibles, net         653,000   $ 653,000    
Weighted Average Remaining Life (Years)             14 years 1 month 6 days    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         653,000   $ 653,000    
Trade name | Biomatrica, Inc                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net 700,000                
Finite-Lived Intangible Assets                  
Intangibles, net 700,000                
Weighted Average Remaining Life (Years)             15 years    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net 700,000                
Customer Relationships                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         2,521,000   $ 2,521,000    
Finite-Lived Intangible Assets                  
Intangibles, net         2,521,000   $ 2,521,000    
Weighted Average Remaining Life (Years)             14 years 1 month 6 days    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         2,521,000   $ 2,521,000    
Customer Relationships | Sampleminded Inc                  
Property, plant and equipment                  
Estimated Useful Life     3 years            
Amortization expense over remaining useful life                  
Identifiable intangible assets     $ 100,000            
Customer Relationships | Biomatrica, Inc                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net 2,700,000                
Finite-Lived Intangible Assets                  
Intangibles, net 2,700,000                
Weighted Average Remaining Life (Years)             15 years    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net 2,700,000                
Patents                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         17,281,000   $ 17,281,000    
Finite-Lived Intangible Assets                  
Intangibles, net         17,281,000   $ 17,281,000    
Weighted Average Remaining Life (Years)             9 years    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         17,281,000   $ 17,281,000    
Acquired developed technology                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net 5,400,000       5,708,000   5,708,000    
Finite-Lived Intangible Assets                  
Intangibles, net 5,400,000       5,708,000   $ 5,708,000    
Weighted Average Remaining Life (Years)             13 years 1 month 6 days    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net $ 5,400,000       5,708,000   $ 5,708,000    
Acquired developed technology | Sampleminded Inc                  
Property, plant and equipment                  
Estimated Useful Life     8 years            
Amortization expense over remaining useful life                  
Identifiable intangible assets     $ 900,000            
Acquired developed technology | Biomatrica, Inc                  
Finite-Lived Intangible Assets                  
Weighted Average Remaining Life (Years) 15 years                
Internally developed technology                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         719,000   719,000    
Finite-Lived Intangible Assets                  
Intangibles, net         719,000   $ 719,000    
Weighted Average Remaining Life (Years)             2 years 6 months    
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         719,000   $ 719,000    
Licensed intellectual property and patents                  
Amortization expense over remaining useful life                  
Intangible asset, estimated useful life             10 years    
Noncompete Agreements | Sampleminded Inc                  
Property, plant and equipment                  
Estimated Useful Life     5 years            
Amortization expense over remaining useful life                  
Identifiable intangible assets     $ 32,000            
Armune | Licensed intellectual property and patents                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         10,600,000   $ 10,600,000   11,300,000
Finite-Lived Intangible Assets                  
Intangibles, net         10,600,000   10,600,000   11,300,000
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         10,600,000   10,600,000   11,300,000
Amortization of intangible assets         200,000 200,000 700,000 700,000  
Asset Purchase Agreement | Armune | Licensed intellectual property and patents                  
Amortization expense over remaining useful life                  
Purchases of intangible assets   $ 12,000,000.0              
Contingent payment obligations   17,500,000              
Intangible asset acquired   $ 12,200,000              
MDx Health                  
Amortization expense over remaining useful life                  
Liabilities relieved were related to historical milestones and accrued royalties       $ 6,600,000          
MDx Health | Patents                  
Amortization expense over remaining useful life                  
Amount paid in exchange for intangible assets       15,000,000.0          
MDx Health | Royalty Buy-Out Agreement | Patents                  
Amortization expense over remaining useful life                  
Amount paid in exchange for intangible assets       8,000,000.0          
MDx Health | Royalty Buy-Out Agreement | Licensed intellectual property and patents                  
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         6,700,000   6,700,000   7,700,000
Finite-Lived Intangible Assets                  
Intangibles, net         6,700,000   6,700,000   7,700,000
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         6,700,000   6,700,000   7,700,000
Amortization of intangible assets         300,000 $ 300,000 1,000,000.0 $ 1,000,000.0  
MDx Health | Patent Purchase Agreement | Patents                  
Amortization expense over remaining useful life                  
Amount paid in exchange for intangible assets       $ 7,000,000.0          
Land                  
Property, plant and equipment                  
Property, plant and equipment, at cost         4,466,000   4,466,000   4,466,000
Leasehold and building improvements                  
Property, plant and equipment                  
Property, plant and equipment, at cost         61,951,000   61,951,000   38,895,000
Assets under construction         94,700,000   94,700,000    
Expected cost to complete project         48,900,000   48,900,000    
Land improvements                  
Property, plant and equipment                  
Property, plant and equipment, at cost         1,766,000   $ 1,766,000   $ 1,530,000
Estimated Useful Life             15 years   15 years
Buildings                  
Property, plant and equipment                  
Property, plant and equipment, at cost         115,104,000   $ 115,104,000   $ 7,928,000
Estimated Useful Life             30 years   30 years
Computer equipment and computer software                  
Property, plant and equipment                  
Property, plant and equipment, at cost         42,506,000   $ 42,506,000   $ 36,969,000
Estimated Useful Life             3 years   3 years
Assets under construction         1,700,000   $ 1,700,000    
Expected cost to complete project         200,000   200,000    
Laboratory equipment                  
Property, plant and equipment                  
Property, plant and equipment, at cost         80,966,000   80,966,000   $ 37,518,000
Assets under construction         22,800,000   22,800,000    
Expected cost to complete project         11,400,000   $ 11,400,000    
Laboratory equipment | Minimum                  
Property, plant and equipment                  
Estimated Useful Life             3 years   3 years
Laboratory equipment | Maximum                  
Property, plant and equipment                  
Estimated Useful Life             10 years   10 years
Furniture and fixtures                  
Property, plant and equipment                  
Property, plant and equipment, at cost         11,342,000   $ 11,342,000   $ 8,353,000
Estimated Useful Life             3 years   3 years
Assets under construction                  
Property, plant and equipment                  
Property, plant and equipment, at cost         119,163,000   $ 119,163,000   $ 167,462,000
Goodwill and Intangible assets                  
Finite-lived intangible assets, net         224,000   224,000   51,000
Finite-Lived Intangible Assets                  
Intangibles, net         224,000   224,000   51,000
Amortization expense over remaining useful life                  
Finite-lived intangible assets, net         $ 224,000   $ 224,000   $ 51,000
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Net Loss Per Share (Details) - shares
shares in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Common shares not included in the computation of diluted net loss per share    
Potentially issuable common shares not included in the computation of diluted net loss per share because they would have an anti-dilutive effect 18,298 21,180
Option Plan Shares    
Common shares not included in the computation of diluted net loss per share    
Potentially issuable common shares not included in the computation of diluted net loss per share because they would have an anti-dilutive effect 2,199 2,856
Restricted Stock    
Common shares not included in the computation of diluted net loss per share    
Potentially issuable common shares not included in the computation of diluted net loss per share because they would have an anti-dilutive effect 3,902 6,280
Convertible Notes    
Common shares not included in the computation of diluted net loss per share    
Potentially issuable common shares not included in the computation of diluted net loss per share because they would have an anti-dilutive effect 12,197 12,044
v3.19.3
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Revenue Recognition and Inventory (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Disaggregation of Revenue [Line Items]          
Revenue recognized $ 218,805 $ 118,291 $ 580,718 $ 311,481  
Contract Balances          
Deferred revenue balances, included in other short-term liabilities 700   700   $ 500
Revenue recognized, previously included in deferred revenue 200 100 $ 500 100  
Practical Expedients          
Company expects the collection cycle     true    
Amortization period     true    
Inventory          
Raw materials 19,009   $ 19,009   12,761
Semi-finished and finished goods 34,664   34,664   26,387
Total inventory 53,673   53,673   $ 39,148
Variable consideration          
Disaggregation of Revenue [Line Items]          
Revenue recognized from changes in transaction prices 1,200 2,400 4,600 14,200  
Medicare Parts B & C          
Disaggregation of Revenue [Line Items]          
Revenue recognized 108,617 65,870 295,103 178,052  
Commercial          
Disaggregation of Revenue [Line Items]          
Revenue recognized 99,352 48,624 261,521 123,045  
Other          
Disaggregation of Revenue [Line Items]          
Revenue recognized $ 10,836 $ 3,797 $ 24,094 $ 10,384  
v3.19.3
MAYO LICENSE AGREEMENT (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2017
USD ($)
Sep. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Sep. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Mar. 31, 2016
USD ($)
Mar. 31, 2015
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Feb. 28, 2015
USD ($)
installment
Other Payments                    
Charges incurred as part of the research collaboration   $ 34,945,000   $ 17,631,000       $ 97,164,000 $ 47,278,000  
Licensing Agreements | Mayo                    
Other Payments                    
Charges incurred as part of the research collaboration   1,000,000.0   700,000       3,600,000 3,400,000  
Payments for research and development efforts   1,400,000   900,000       4,300,000 3,500,000  
Estimated liability for research and development efforts   1,200,000   1,700,000       $ 1,200,000 1,700,000  
Amendments                    
License fees payable in five annual installments                   $ 5,000,000.0
License fee payments     $ 1,000,000.0   $ 1,000,000.0 $ 1,000,000.0 $ 1,000,000.0      
Number of annual installments in which license fees are payable | installment                   5
Number of periods each installment is amortized over               12 months    
Amortization of installments   $ 300,000   $ 700,000       $ 300,000 $ 700,000  
Licensing Agreements | Mayo | Sales Milestone Range One                    
Warrants                    
Amount agreed to be paid upon reaching the specified amount of net sales $ 200,000                  
Net sales of a licensed product 5,000,000.0                  
Licensing Agreements | Mayo | Sales Milestone Range Two                    
Warrants                    
Amount agreed to be paid upon reaching the specified amount of net sales 800,000                  
Net sales of a licensed product 20,000,000.0                  
Licensing Agreements | Mayo | Sales Milestone Range Three                    
Warrants                    
Amount agreed to be paid upon reaching the specified amount of net sales 2,000,000.0                  
Net sales of a licensed product $ 50,000,000.0                  
Licensing Agreements | Mayo | Minimum                    
Warrants                    
Royalty payments               $ 25,000    
v3.19.3
PFIZER PROMOTION AGREEMENT (Details) - Pfizer Inc - Cologuard promotion agreement - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Dec. 31, 2018
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]      
Charges for promotion, sales and marketing $ 15.8 $ 49.8  
Liability for promotion, sales and marketing services 15.8 15.8 $ 0.5
Service fee based on incremental gross profits over specified baselines and royalties 16.0 54.5  
Liability for promotion fee $ 16.0 $ 16.0 $ 4.8
v3.19.3
STOCK-BASED COMPENSATION - Stock-Based Compensation Expense (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
STOCK-BASED COMPENSATION        
Stock-based compensation expense $ 24.3 $ 16.5 $ 60.7 $ 44.6
v3.19.3
STOCK-BASED COMPENSATION - Modified Vesting of Shares (Details) - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2019
Dec. 31, 2018
Sep. 30, 2018
Dec. 31, 2018
Stock-based compensation        
Stock-based compensation $ 60,657   $ 44,554  
Non-cash stock-based compensation expense   $ 3,900    
Former Chief Operating Officer        
Stock-based compensation        
Accelerated vesting, shares       69,950
Former Chief Operating Officer | Restricted Shares and RSUs        
Stock-based compensation        
Accelerated vesting, shares       54,350
v3.19.3
STOCK-BASED COMPENSATION - Fair Value and Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Aggregate Intrinsic Value      
Weighted average period for recognition of cost 2 years 9 months 18 days    
Minimum      
Valuation assumptions      
Expected term (in years) 6 years 3 months 10 days 5 years 5 months 12 days  
Maximum      
Valuation assumptions      
Expected term (in years)   6 years 5 months 4 days  
Option Plan Shares      
Valuation assumptions      
Risk-free interest rates, minimum (as a percent) 2.54% 2.73%  
Risk-free interest rates, maximum (as a percent) 2.59% 2.79%  
Expected term (in years) 6 years 3 months 10 days    
Expected volatility, minimum (as a percent) 64.95% 61.82%  
Expected volatility, maximum (as a percent) 64.99% 66.17%  
Dividend yield (as a percent) 0.00% 0.00%  
Weighted average fair value per share of options granted during the period (in dollars per share) $ 57.11 $ 24.55  
ESPP Shares      
Valuation assumptions      
Risk-free interest rates, minimum (as a percent) 2.31% 2.05%  
Risk-free interest rates, maximum (as a percent) 2.44% 2.50%  
Expected volatility, minimum (as a percent) 55.00% 51.75%  
Expected volatility, maximum (as a percent) 57.97% 65.39%  
Dividend yield (as a percent) 0.00% 0.00%  
Weighted average fair value per share of options granted during the period (in dollars per share) $ 35.91 $ 18.68  
ESPP Shares | Minimum      
Valuation assumptions      
Expected term (in years) 6 months 6 months  
ESPP Shares | Maximum      
Valuation assumptions      
Expected term (in years) 2 years 2 years  
Restricted Shares and RSUs      
Restricted Shares and RSUs      
Outstanding at the beginning of the period (in shares) 6,246,174    
Granted (in shares) 1,672,854    
Released (in shares) (3,808,767)    
Forfeited (in shares) (207,978)    
Outstanding at the end of the period (in shares) 3,902,283   6,246,174
Weighted Average Grant Date Fair Value      
Outstanding at the beginning of the period (in dollars per share) $ 23.16    
Granted (in dollars per share) 94.07    
Released (in dollars per share) 14.80    
Forfeited (in dollars per share) 55.96    
Outstanding at the end of the period (in dollars per share) $ 60.37   $ 23.16
Stock Plans      
Shares      
Outstanding at the beginning of the period (in shares) 2,531,561    
Granted (in shares) 186,044    
Exercised (in shares) (492,699)    
Forfeited (in shares) (25,792)    
Outstanding at the end of the period (in shares) 2,199,114   2,531,561
Exercisable at the end of the period (in shares) 1,252,387    
Weighted Average Exercise Price      
Outstanding at the beginning of the period (in dollars per share) $ 17.86    
Granted (in dollars per share) 92.61    
Exercised (in dollars per share) 12.97    
Forfeited (in dollars per share) 33.25    
Outstanding at the end of the period (in dollars per share) 25.10   $ 17.86
Exercisable at the end of the period (in dollars per share) $ 15.28    
Weighted Average Remaining Contractual Term      
Outstanding at the end of the period 6 years 4 months 24 days   6 years 7 months 6 days
Exercisable at the end of the period 5 years 4 months 24 days    
Aggregate Intrinsic Value      
Outstanding at the end of the period $ 143,943    
Exercisable at the end of the period 94,038    
Total intrinsic value of options exercised 41,700 $ 40,100  
Unrecognized compensation cost $ 188,400    
Stock Plans | Maximum      
Aggregate Intrinsic Value      
Market price (in dollars per share) $ 90.37    
Omnibus Long Term Incentive Plan2010 | Option Plan Shares      
Aggregate Intrinsic Value      
Grant options 0    
v3.19.3
FAIR VALUE - Fair Value Measurements (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Fair value measurements    
Available-for-sale marketable securities $ 712,270 $ 1,048,807
Fair Value    
Fair value measurements    
Contingent consideration (2,947) (3,060)
Total 1,158,068 1,121,122
Level 1    
Fair value measurements    
Total 448,275 75,375
Level 2    
Fair value measurements    
Total 712,740 1,048,807
Level 3    
Fair value measurements    
Contingent consideration (2,947) (3,060)
Total (2,947) (3,060)
Cash and money market | Fair Value    
Fair value measurements    
Cash and cash equivalents 448,275 75,375
Cash and money market | Level 1    
Fair value measurements    
Cash and cash equivalents 448,275 75,375
U.S. government agency securities | Fair Value    
Fair value measurements    
Cash and cash equivalents 539,102 49,985
Available-for-sale marketable securities 90,514 250,471
U.S. government agency securities | Level 2    
Fair value measurements    
Cash and cash equivalents 539,102 49,985
Available-for-sale marketable securities 90,514 250,471
Commercial paper | Fair Value    
Fair value measurements    
Cash and cash equivalents 39,957 24,070
Available-for-sale marketable securities 1,999 12,151
Commercial paper | Level 2    
Fair value measurements    
Cash and cash equivalents 39,957 24,070
Available-for-sale marketable securities 1,999 12,151
Corporate bonds | Fair Value    
Fair value measurements    
Available-for-sale marketable securities 11,673 392,287
Corporate bonds | Level 2    
Fair value measurements    
Available-for-sale marketable securities 11,673 392,287
Asset backed securities | Fair Value    
Fair value measurements    
Available-for-sale marketable securities 1,512 276,999
Asset backed securities | Level 2    
Fair value measurements    
Available-for-sale marketable securities 1,512 276,999
Certificates of deposit | Fair Value    
Fair value measurements    
Cash and cash equivalents 7,000 11,000
Available-for-sale marketable securities 20,513 31,844
Certificates of deposit | Level 2    
Fair value measurements    
Cash and cash equivalents 7,000 11,000
Available-for-sale marketable securities 20,513 $ 31,844
Deferred compensation plan assets | Fair Value    
Fair value measurements    
Other long-term assets 470  
Deferred compensation plan assets | Level 2    
Fair value measurements    
Other long-term assets $ 470  
v3.19.3
FAIR VALUE - Unrealized Loss Positions and Contractual Underlying Maturities (Details)
$ in Thousands
Sep. 30, 2019
USD ($)
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months $ 60,624
Total fair value of available-for-sale securities in a continuous unrealized loss position 60,624
Gross unrealized loss of investments in unrealized loss positions  
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position for less than twelve months (10)
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position (10)
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 656,727
Due after one year through four years 55,509
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 656,750
Due after one year through four years 55,520
Cash equivalents  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 39,957
Total fair value of available-for-sale securities in a continuous unrealized loss position 39,957
Gross unrealized loss of investments in unrealized loss positions  
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position for less than twelve months (4)
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position (4)
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 586,048
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 586,059
Cash equivalents | U.S. government agency securities  
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 539,087
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 539,102
Cash equivalents | Certificates of deposit  
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 7,000
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 7,000
Cash equivalents | Commercial paper  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 39,957
Total fair value of available-for-sale securities in a continuous unrealized loss position 39,957
Gross unrealized loss of investments in unrealized loss positions  
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position for less than twelve months (4)
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position (4)
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 39,961
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 39,957
Marketable securities  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 20,667
Total fair value of available-for-sale securities in a continuous unrealized loss position 20,667
Gross unrealized loss of investments in unrealized loss positions  
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position for less than twelve months (6)
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position (6)
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 70,679
Due after one year through four years 55,509
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 70,691
Due after one year through four years 55,520
Marketable securities | Corporate bonds  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 5,170
Total fair value of available-for-sale securities in a continuous unrealized loss position 5,170
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 7,670
Due after one year through four years 4,000
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 7,670
Due after one year through four years 4,003
Marketable securities | U.S. government agency securities  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 14,994
Total fair value of available-for-sale securities in a continuous unrealized loss position 14,994
Gross unrealized loss of investments in unrealized loss positions  
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position for less than twelve months (6)
Total gross unrealized losses of available-for-sale securities in a continuous unrealized loss position (6)
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 40,506
Due after one year through four years 49,997
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 40,509
Due after one year through four years 50,005
Marketable securities | Asset backed securities  
Fair value of investments in unrealized loss positions  
Total fair value of available-for-sale securities in a continuous unrealized loss position for less than twelve months 503
Total fair value of available-for-sale securities in a continuous unrealized loss position 503
Contractual maturities of the available-for-sale investments, Cost  
Due after one year through four years 1,512
Contractual maturities of the available-for-sale investments, Fair Value  
Due after one year through four years 1,512
Marketable securities | Certificates of deposit  
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 20,504
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less 20,513
Marketable securities | Commercial paper  
Contractual maturities of the available-for-sale investments, Cost  
Due in one year or less 1,999
Contractual maturities of the available-for-sale investments, Fair Value  
Due in one year or less $ 1,999
v3.19.3
FAIR VALUE - Long-Term Debt and Convertible Notes (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Carrying Amount | Level 3    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Construction loan $ 24,855 $ 24,502
Fair Value | Level 3    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Construction loan 24,855 24,502
2027 Convertible notes | Carrying Amount | Level 2    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Convertible notes 476,527  
2027 Convertible notes | Fair Value | Level 2    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Convertible notes 810,514  
2025 Convertible notes | Carrying Amount | Level 2    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Convertible notes 315,643 664,749
2025 Convertible notes | Fair Value | Level 2    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Convertible notes $ 586,332 $ 956,196
v3.19.3
NEW MARKET TAX CREDIT (Details)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Dec. 31, 2014
USD ($)
facility
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Other long-term liabilities          
Disclosures related to New Market Tax Credit          
Financing arrangement, amount outstanding     $ 2.4    
New Market Tax Credit Program          
Disclosures related to New Market Tax Credit          
Net proceeds received from financing arrangements     $ 2.4    
Number of facilities receiving working capital and capital improvements from financing agreements | facility     1    
Amortization of contribution liability recognized as a decrease in expenses $ 0.1 $ 0.1   $ 0.3 $ 0.3
New Market Tax Credit Program | Other long-term liabilities          
Disclosures related to New Market Tax Credit          
Financing arrangement, amount outstanding $ 0.7     $ 0.7  
Variable Interest Entity, Primary Beneficiary          
Disclosures related to New Market Tax Credit          
Debt issuance costs     $ 0.2    
Investor | New Market Tax Credit Program          
Disclosures related to New Market Tax Credit          
Recapture period     7 years    
Investor | Variable Interest Entity, Primary Beneficiary | Cash and cash equivalents          
Disclosures related to New Market Tax Credit          
Financing arrangement, investor contribution     $ 2.4    
Investor | Variable Interest Entity, Primary Beneficiary | Other long-term liabilities          
Disclosures related to New Market Tax Credit          
Financing arrangement, amount outstanding   $ 1.0     $ 1.0
v3.19.3
LONG-TERM DEBT (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Jun. 30, 2015
Long-term debt          
Consideration received in the sale, financing obligation       $ 6,750  
Amortization of debt issuance costs $ 658 $ 677 $ 1,989 1,597  
Building Purchase Mortgage          
Long-term debt          
Fully repaid outstanding balance of the mortgage   $ 4,500   $ 4,500  
Building Purchase Mortgage          
Long-term debt          
Credit agreement, outstanding balance         $ 5,100
v3.19.3
LONG-TERM DEBT - Loan Agreements (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Dec. 31, 2017
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
employee
agreement
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Nov. 30, 2017
USD ($)
Long-term debt              
Timeframe when amount will be repaid through property taxes       2 years      
Amortization of Financing Costs   $ 658 $ 677 $ 1,989 $ 1,597    
Construction Loan Agreement              
Long-term debt              
Amount drawn from loan   25,000   25,000   $ 24,700  
Face amount $ 25,600            
Amortization period 20 years            
Initial investment $ 16,400            
Interest-only payments   200   500      
Interest incurred, accrued for as an interest reserve       700      
Interest Costs Capitalized       700      
Deferred financing costs   200   $ 200      
Construction Loan Agreement | 1-month LIBOR              
Long-term debt              
Variable rate 2.25%            
Tax Increment Financing              
Long-term debt              
Term       5 years      
Number of agreements | agreement       2      
Face amount   $ 4,600   $ 4,600      
Number of jobs required to create and maintain | employee       500      
Proceeds from long term debt       $ 2,600      
Tax Increment Financing | Prepaid expenses and other current assets              
Long-term debt              
Proceeds from long term debt       2,000      
Tax Increment Financing | Short-term other liabilities              
Long-term debt              
Proceeds from long term debt       2,900      
Tax Increment Financing | Other long-term liabilities              
Long-term debt              
Proceeds from long term debt       $ 700      
Revolving Loan Agreement              
Long-term debt              
Term 24 months            
Maximum borrowing capacity $ 15,000            
Revolving Loan Agreement | 1-month LIBOR              
Long-term debt              
Variable rate 2.00%            
Revolving Loan Agreement | 3-month LIBOR              
Long-term debt              
Variable rate 2.00%            
Revolving Loan Agreement | MB Bank Reference Rate              
Long-term debt              
Variable rate 0.50%            
City Letter of Credit              
Long-term debt              
Interest-only payment, period 24 months            
City Letter of Credit | Construction Loan Agreement              
Long-term debt              
Maximum borrowing capacity             $ 600
v3.19.3
COMMITMENTS AND CONTINGENCIES - Terms (Details)
9 Months Ended
Sep. 30, 2019
Lessee, Lease, Description [Line Items]  
Termination term 1 year
Minimum  
Lessee, Lease, Description [Line Items]  
Remaining lease terms 1 year
Maximum  
Lessee, Lease, Description [Line Items]  
Remaining lease terms 6 years
Renewal term of lease 10 years
v3.19.3
COMMITMENTS AND CONTINGENCIES - Lease Expense (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
Sep. 30, 2019
USD ($)
Components of lease expense    
Operating lease cost (cost resulting from lease payments) $ 1,310 $ 3,702
Short-term lease cost 37 140
Total lease expense $ 1,347 $ 3,842
Weighted average discount rate 7.81% 7.81%
Weighted average lease term remaining on lease liabilities 5 years 9 months 18 days 5 years 9 months 18 days
v3.19.3
COMMITMENTS AND CONTINGENCIES - Supplemental Disclosure of Cash Flow Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Cash paid for amounts included in the measurement of liabilities    
Operating cash flows from operating leases $ 1,325 $ 3,744
Non-cash investing and financing activities:    
Right-of-use assets obtained in exchange for new operating lease liabilities $ 32 $ 20,147
v3.19.3
COMMITMENTS AND CONTINGENCIES - Right-of-use Assets (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Jan. 01, 2019
COMMITMENTS AND CONTINGENCIES    
Right-of-use assets $ 19,100 $ 20,600
Financial position us-gaap:OtherAssetsNoncurrent us-gaap:OtherAssetsNoncurrent
Total $ 19,684 $ 20,100
Outstanding lease obligations, current $ 3,600 $ 3,000
Financial position us-gaap:OtherLiabilitiesCurrent us-gaap:OtherLiabilitiesCurrent
Outstanding lease obligations, noncurrent $ 16,100 $ 17,100
Financial position us-gaap:ContractualObligation us-gaap:ContractualObligation
Single lease component true  
v3.19.3
COMMITMENTS AND CONTINGENCIES - Maturities of Operating Lease Liabilities (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Jan. 01, 2019
Maturities of operating lease liabilities    
2019 $ 5,077  
2020 4,592  
2021 3,917  
2022 3,775  
2023 3,787  
Thereafter 7,162  
Total minimum lease payments 28,310  
Imputed interest (8,626)  
Total $ 19,684 $ 20,100
v3.19.3
COMMITMENTS AND CONTINGENCIES - Future Minimum Lease Payments Prior to New Lease Standard (Details)
$ in Thousands
Dec. 31, 2018
USD ($)
Company's future minimum lease payments  
2019 $ 3,861
2020 5,135
2021 4,995
2022 5,027
2023 5,146
Thereafter 44,286
Total minimum lease payments $ 68,450
v3.19.3
COMMITMENTS AND CONTINGENCIES - Additional Information (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Jan. 01, 2019
Dec. 31, 2018
Lessee, Lease, Description [Line Items]      
Contribution funded by owner     $ 3,900
Option to extend lease not yet commenced false    
Initial term of lease not yet commenced 15 years    
Renewal term of lease not yet commenced 10 years    
Amount funded towards construction costs $ 4,500    
Additional amount to be recognized at lease commencement for the right-of-use asset 19,100 $ 20,600  
Tenant Improvements 2,800    
Additional amount to be recognized at lease commencement for the lease liability 19,684 $ 20,100  
Accounts Payable and Accrued Liabilities [Member]      
Lessee, Lease, Description [Line Items]      
Contribution funded by owner     1,800
Maximum      
Lessee, Lease, Description [Line Items]      
Tenant Improvements 5,500    
Construction project      
Lessee, Lease, Description [Line Items]      
Amount of contribution     2,700
Construction project | Other long-term liabilities      
Lessee, Lease, Description [Line Items]      
Contribution funded by owner     $ 2,100
Forecast Adjustment      
Lessee, Lease, Description [Line Items]      
Additional amount to be recognized at lease commencement for the right-of-use asset 32,200    
Additional amount to be recognized at lease commencement for the lease liability $ 32,200    
v3.19.3
WISCONSIN ECONOMIC DEVELOPMENT TAX CREDIT (Details) - Wisconsin Economic Development Tax Credit Agreement
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Mar. 31, 2015
USD ($)
item
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Agreements          
Refundable tax credits available, contingent on the Company expending $26.3 million in capital investments and establishing 758 full-time positions     $ 9.0    
Capital investment expenditures over specified period, requirement to earn the refundable tax credits     $ 26.3    
Full-time positions that must be created over a specified time period to earn the refundable tax credits | item     758    
Period over which the capital investment expenditures must be incurred and the creation of full-time positions must be completed     7 years    
Refundable tax credits earned       $ 9.0  
Refundable tax credit received       4.3  
Refundable tax credit receivable $ 4.7     4.7  
Amortization of tax credits 0.6 $ 0.6   1.8 $ 1.6
Prepaid expenses and other current assets          
Agreements          
Refundable tax credit receivable 1.6     1.6  
Other long-term assets          
Agreements          
Refundable tax credit receivable 3.1     3.1  
Short-term other liabilities          
Agreements          
Refundable tax credit, offsetting liability 2.3     2.3  
Other long-term liabilities          
Agreements          
Refundable tax credit, offsetting liability $ 0.5     $ 0.5  
v3.19.3
CONVERTIBLE NOTES (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Mar. 31, 2019
Mar. 08, 2019
Dec. 31, 2018
Jan. 17, 2018
Convertible Notes          
Convertible notes          
Coupon Interest Rate         1.00%
Notes          
Convertible notes          
Coupon Interest Rate   0.375% 0.375%    
Total Convertible notes $ 1,162,602     $ 908,500  
Less: Debt discount (353,283)     (227,403)  
Less: Debt issuance costs (17,149)     (16,348)  
Net convertible debt including current maturities 792,170     664,749  
Less: Current maturities (315,643)        
Net long-term convertible debt $ 476,527     664,749  
2027 Convertible notes          
Convertible notes          
Coupon Interest Rate 0.375%        
Effective interest rate (as a percent) 6.30%        
Fair Value of Liability Component at Issuance $ 472,501        
Total Convertible notes 747,500        
Less: Debt discount $ (260,370)        
2025 Convertible notes          
Convertible notes          
Coupon Interest Rate 1.00%        
Effective interest rate (as a percent) 6.00%        
Fair Value of Liability Component at Issuance $ 299,187        
Total Convertible notes 415,102     908,500  
Less: Debt discount $ (92,913)     (227,403)  
Liability component       654,800  
Equity component       269,700  
Premium       $ 14,200  
v3.19.3
CONVERTIBLE NOTES - Unamortized discount and debt issuance costs (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Notes    
Convertible notes    
Unamortized discount $ 353,283 $ 227,403
Debt issuance costs, gross 17,149 16,348
2027 Convertible notes    
Convertible notes    
Unamortized discount 260,370  
Debt issuance costs, gross 10,602  
2025 Convertible notes    
Convertible notes    
Unamortized discount 92,913 227,403
Debt issuance costs, gross $ 6,547 $ 16,348
v3.19.3
CONVERTIBLE NOTES - Additional information (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Mar. 08, 2019
USD ($)
Jun. 12, 2018
USD ($)
Jan. 17, 2018
USD ($)
Mar. 31, 2019
USD ($)
shares
Sep. 30, 2019
USD ($)
$ / shares
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
$ / shares
shares
Sep. 30, 2018
USD ($)
Debt Instrument [Line Items]                
Net proceeds from issuance             $ 729,477,000 $ 896,431,000
Repayments of debt in cash             $ 493,356,000  
Issuance of common stock upon convertible notes settlement (in shares) | shares             2,159,017  
Closing price of common stock | $ / shares         $ 90.37   $ 90.37  
Interest expense                
Debt issuance costs amortization         $ 658,000 $ 677,000 $ 1,989,000 1,597,000
Debt discount amortization         10,322,000 7,737,000 28,789,000 18,559,000
Loss on settlement of convertible notes             10,558,000  
Coupon interest expense         1,739,000 2,242,000 5,585,000 5,513,000
Interest Expense, Debt, Total         12,719,000 10,656,000 46,921,000 25,669,000
Other interest expense         490,000 48,000 990,000 148,000
Total interest expense         $ 13,209,000 $ 10,704,000 $ 47,911,000 $ 25,817,000
Convertible Notes                
Debt Instrument [Line Items]                
Fixed interest rate (as a percent)     1.00%          
Net proceeds from issuance     $ 671,100,000          
Notes                
Debt Instrument [Line Items]                
Amount issued and sold       $ 747,500,000        
Fixed interest rate (as a percent) 0.375%     0.375%        
Net proceeds from issuance $ 729,500,000              
Repurchase price, as percentage of principal amount, if company undergoes change of control             100  
2027 Notes                
Debt Instrument [Line Items]                
Repayments of debt in cash       $ 494,000,000.0        
Issuance of common stock upon convertible notes settlement (in shares) | shares       2,200,000        
Value of shares issued to settle notes payable       $ 182,400,000        
Total consideration       676,500,000        
Conversion rate, number of shares to be issued per $1,000 of principal amount (in shares)             8.9554  
Conversion price (in dollars per share) | $ / shares         $ 111.66   $ 111.66  
Interest expense amortization term 8 years           7 years 5 months 15 days  
Total transaction costs $ 18,000,000.0              
Transaction costs allocated to liability component $ 11,400,000              
If-converted value of debt in short of principal amount             $ 142,500,000  
2025 Notes                
Debt Instrument [Line Items]                
Repayments of Debt       493,400,000        
Total consideration, allocated to liability component       375,100,000        
Total consideration, allocated to equity component       300,800,000        
Amount used to pay off interest accrued       $ 600,000        
Conversion rate, number of shares to be issued per $1,000 of principal amount (in shares)             13.2569  
Conversion price (in dollars per share) | $ / shares         $ 75.43   $ 75.43  
Interest expense amortization term             5 years 3 months 18 days  
Percentage of closing sales price of entity's common stock that the conversion price must exceed in order for notes to be convertible             130.00%  
Number of days within 30 consecutive trading days in which the closing price of entity's common stock must exceed the conversion price for notes to be convertible into common stock             20  
Number of consecutive trading days during which the closing price of entity's common stock must exceeds the conversion price for at least 20 days in order for the notes to be convertible into common stock             30  
If-converted value of debt in excess of principal amount             $ 82,200,000  
January 2018 Notes                
Debt Instrument [Line Items]                
Amount issued and sold     $ 690,000,000.0          
Fixed interest rate (as a percent)     1.00%          
Net proceeds from issuance     $ 671,100,000          
Interest expense amortization term     7 years          
Total transaction costs     $ 18,800,000          
Transaction costs allocated to liability component     $ 13,600,000          
June 2018 Notes                
Debt Instrument [Line Items]                
Amount issued and sold   $ 218,500,000            
Fixed interest rate (as a percent)   1.00%            
Net proceeds from issuance   $ 225,300,000            
Interest expense amortization term   6 years 6 months            
Total transaction costs   $ 7,400,000            
Transaction costs allocated to liability component   $ 5,100,000            
v3.19.3
ACQUISITIONS (Details) - Merger Agreement with Genomic Health, Inc.
Jul. 28, 2019
USD ($)
$ / shares
Business Acquisition [Line Items]  
Cash and stock transaction, value $ 2,800,000,000
Conversion of shares, cash received per share | $ / shares $ 27.50
Conversion ratio, if measurement price is equal or greater than $120.75 0.36854
Volume-weighted average price, Number of trading days 15 days
0.36854 conversion ratio, minimum measurement price $ 120.75
Price used to calculate the measurement price 44.50
Measurement price, threshold, bottom of range 98.79
Measurement price, threshold, top of range $ 120.75
Conversion ratio, if measurement price is equal or less than $98.79 0.45043
.45043 conversion ratio, maximum measurement price $ 98.79
v3.19.3
INCOME TAXES (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
INCOME TAXES        
Income tax benefit (expense) $ 683,000 $ 27,000 $ (230,000) $ 85,000
v3.19.3
RELATED PARTY TRANSACTION (Details) - Director - Professional Services Agreement - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2018
RELATED PARTY TRANSACTIONS    
Aggregate cash payments $ 0.2 $ 0.3
Charges incurred $ 0.2 $ 0.3
v3.19.3
RECENT ACCOUNTING PRONOUNCEMENTS (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Jan. 01, 2019
Components of lease expense    
Right-of-use assets $ 19,100 $ 20,600
Financial position us-gaap:OtherAssetsNoncurrent us-gaap:OtherAssetsNoncurrent
Total $ 19,684 $ 20,100
Outstanding lease obligations, current $ 3,600 $ 3,000
Financial position us-gaap:OtherLiabilitiesCurrent us-gaap:OtherLiabilitiesCurrent
Outstanding lease obligations, noncurrent $ 16,100 $ 17,100
Financial position us-gaap:ContractualObligation us-gaap:ContractualObligation