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XGNExagen Inc.
$4.80$116M
Overview & Verdict
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XGN logoExagen Inc.(XGN)Earnings, Financials & Key Ratios

XGN•NASDAQ
$4.80
Price updated Jul 7, 2026
SectorHealthcareIndustryDiagnostics & ResearchSub-IndustryClinical and Specialty Lab Testing
AboutExagen Inc. develops and commercializes various testing products based on its cell-bound complement activation products technology under the AVISE brand in the United States. It enables rheumatologists to care for patients through the diagnosis, prognosis, and monitoring of autoimmune and autoimmune-related diseases, including systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). Its lead testing product is AVISE CTD that enables differential diagnosis for patients presenting with symptoms indicative of various connective tissue diseases (CTDs) and other related diseases with overlapping symptoms. The company offers AVISE Lupus that measures activation of the complement system by quantifying the level of B-cell C4d and erythrocyte bound C4d in the patient's blood; and AVISE APS, which consists of a panel of autoantibody tests that aids in the diagnosis and management of APS. In addition, it provides AVISE SLE Prognostic, a panel of autoantibodies for assessing the potential for complications affecting the kidney, brain, and cardiovascular system; AVISE Vasculitis AAV, which utilizes a testing panel of individual analytes to provide physicians with results in the assessment and monitoring of anti-neutrophil cytoplasmic antibody and associated vasculitis; AVISE Anti-CarP test, which identifies RA patients with severe disease; and AVISE PC4d to measure platelet- bound C4d. Further, the company offers AVISE SLE Monitor, a biomarker blood test; AVISE MTX, a patented and validated blood test; and AVISE HCQ, a blood test to monitor levels of hydroxychloroquine. It has a research collaboration and license agreement with Allegheny Health Network (AHN) Research Institute to develop novel patented biomarkers. The company was formerly known as Exagen Diagnostics, Inc. and changed its name to Exagen Inc. in January 2019. Exagen Inc. was incorporated in 2002 and is headquartered in Vista, California.Show more
  • Revenue$67M+19.7%
  • EBITDA-$12M-0.3%
  • Net Income-$20M-32.0%
  • EPS (Diluted)-0.93-12.0%
  • Gross Margin58.28%-2.1%
  • EBITDA Margin-17.95%+16.1%
  • Operating Margin-21.13%+13.8%
  • Net Margin-29.97%-10.3%
  • ROE-147.85%-57.6%

XGN Price & Volume

Exagen Inc. (XGN) stock price & volume — 10-year historical chart

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Persistent Operating Losses Challenge Exagen Growth Trajectory

Investment Thesis • Updated 2026Q1

VerdictNegative
Growth:Mixed
Profitability:Negative
Financial:Vulnerable
Cash Flow:Burning
Primary Risk:Capital market dependency

Key Thesis Takeaways

  • Exagen faces a precarious fundamental outlook characterized by persistent operating losses and an inability to achieve meaningful operating leverage, as evidenced by SG&A expenses that consistently track near or above gross profit levels.
  • While the company maintains a lean asset base with CapEx/Revenue ratios consistently below 2%, the erosion of shareholder equity from $22.7 million in 2023Q4 to $14.4 million in 2026Q1 suggests significant long-term viability risks.
  • Investors should monitor the company's narrowing liquidity buffer, as the current cash position of $21.5 million may necessitate further dilutive financing to sustain operations.

Verdict Logic

the company's inability to achieve positive net income, which reached a loss of $7.1 million in 2025Q3, combined with a shrinking cash runway, presents an unfavorable risk-reward profile for long-term investors.

XGN Growth Metrics

Exagen Inc. (XGN) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years19.03%
5 Years9.66%
3 Years13.47%
TTM20.55%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM-30.04%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM-7.14%

Return on Capital

10 Years-176.37%
5 Years-37.06%
3 Years-36.94%
Last Year-37.5%

XGN Recent Earnings

Exagen Inc. (XGN) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 8/12 qtrs (67%)●Beat Revenue 10/12 qtrs (83%)
Q2 2026Latest
May 11, 2026
Metric
Actual
Est
EPS
$0.17+29.2%
$0.24
Rev
$17M+5.5%
$16M
Q2 2026
Mar 10, 2026
Metric
Actual
Est
EPS
$0.20+0.0%
$0.20
Rev
$17M+0.4%
$17M
Q4 2025
Nov 4, 2025
Metric
Actual
Est
EPS
$0.19-46.2%
$0.13
Rev
$17M+4.3%
$17M
Q3 2025
Jul 29, 2025
Metric
Actual
Est
EPS
$0.18+0.0%
$0.18
Rev
$17M+1.8%
$17M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 11, 2026
$0.17vs $0.24+29.2%
$17Mvs $16M+5.5%
Q2 2026Mar 10, 2026
$0.20vs $0.20+0.0%
$17Mvs $17M+0.4%
Q4 2025Nov 4, 2025
$0.19vs $0.13-46.2%
$17Mvs $17M+4.3%
Q3 2025Jul 29, 2025
$0.18vs $0.18+0.0%
$17Mvs $17M+1.8%
Based on last 12 quarters of dataView full earnings history →

Peers Comparison

Key metrics vs top competitors for Exagen Inc. (XGN)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
XGN logoXGNExagen Inc.Current
$4.80$115.97M-5.1619.65%-29.97%-147.85%—
CDNA logoCDNACareDx, Inc
$28.31$1.46B-70.7813.79%-1.98%-2.61%—
NTRA logoNTRANatera, Inc.
$281.27$40.28B-185.0535.9%-9.05%-15.13%—
VCYT logoVCYTVeracyte, Inc.
$56.16$4.48B68.4916.01%16.25%6.86%—
CSTL logoCSTLCastle Biosciences, Inc.
$23.83$722.76M-28.713.66%-3.77%-2.77%—
MYGN logoMYGNMyriad Genetics, Inc.
$5.86$547.96M-1.48-1.56%-48.24%-109.09%—

Compare XGN vs Peers

Exagen Inc. (XGN) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs CDNA

Most directly comparable listed peer for XGN.

Scale Benchmark

vs TMO

Larger-name benchmark to compare XGN against a more recognizable public peer.

Peer Set

Compare Top 5

vs CDNA, NTRA, VCYT, CSTL

XGN SEC Filings & Documents

Exagen Inc. (XGN) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 11, 2026·SEC

Material company update

Apr 23, 2026·SEC

Material company update

Mar 10, 2026·SEC

10-K Annual Reports

4
FY 2026

Mar 10, 2026·SEC

FY 2025

Mar 11, 2025·SEC

FY 2024

Mar 18, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 11, 2026·SEC

FY 2025

Nov 4, 2025·SEC

FY 2025

Jul 29, 2025·SEC

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XGN Frequently Asked Questions

Exagen Inc. (XGN) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Exagen Inc.'s revenue?

Exagen Inc. (XGN) reported $68.4M in revenue for fiscal year 2025. This represents a 7285% increase from $0.9M in 2012.

How fast is Exagen Inc. growing?

Exagen Inc. (XGN) grew revenue by 19.7% over the past year. This is strong growth.

Is XGN profitable?

Exagen Inc. (XGN) reported a net loss of $20.2M for fiscal year 2025.

Dividend & Returns
What is XGN's return on equity?

Exagen Inc. (XGN) has a return on equity (ROE) of -147.8%. Negative ROE indicates the company is unprofitable.

What is Exagen Inc.'s free cash flow?

Exagen Inc. (XGN) had negative free cash flow of $14.1M in fiscal year 2025, likely due to heavy capital investments.

What if you invested $1,000 in XGN back in 2012?

Total return calculator · dividends reinvested · 14+ years of data

See returns →