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About

Exagen Inc. designs, develops, and commercializes various testing products under the AVISE brand in the United States. The company enables healthcare providers to care for patients through the diagnosis, prognosis, and monitoring of complex rheumatic, and 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 platform, a cornerstone of the SLE assessment that begins by quantifying the level of CB-CAPs biomarkers (EC4d and BC4d) in the patient's blood; and AVISE APS that aids in the diagnosis and management of APS. In addition, it provides 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 associated vasculitis; AVISE Anti-Histone, a test for autoantibodies to histone proteins; AVISE SLE Prognostic, a panel of autoantibodies for assessing the potential for complications affecting the kidney, brain, and cardiovascular system; and AVISE Anti-CarP, a biomarker-driven RA prognostic test. Further, the company offers AVISE SLE Monitor, a blood test that employs CB-CAPs technology; 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 T-Cell 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.

Fundamentals
Scroll to Statements
Sector Healthcare Industry Diagnostics & Research Market Cap 71.84M
Enterprise Value 69.12M Income -19.04M Sales 63.60M
Book/sh 0.81 Cash/sh 1.57 Dividend Yield
Payout 0.00% Employees 209 IPO
P/E Forward P/E -10.34 PEG
P/S 1.13 P/B 3.93 P/C
EV/EBITDA -6.55 EV/Sales 1.09 Quick Ratio 3.63
Current Ratio 4.08 Debt/Eq 155.29 LT Debt/Eq
EPS (ttm) -0.93 EPS next Y -0.31 EPS Growth
Revenue Growth 37.90% Earnings 2026-05-04 ROA -14.66%
ROE -122.81% ROIC Gross Margin 59.86%
Oper. Margin -17.98% Profit Margin -29.94% Shs Outstand 22.66M
Shs Float 14.53M Short Float 4.76% Short Ratio 1.30
Short Interest 52W High 12.23 52W Low 2.91
Beta 1.91 Avg Volume 487.21K Volume 11.02K
Target Price $9.83 Recom Strong_buy Prev Close $3.25
Price $3.17 Change -2.46%
Valuation Models

Price estimates from analyst targets and simple models.

1. Analyst consensus
$9.83
Mean price target
2. Current target
$3.17
Latest analyst target
3. DCF / Fair value
$-5.71
Simplified: (Free Cash Flow ÷ Shares) × 18 (P/FCF multiple). Not a …
Ratings
Current target
$3.17
Low
$8.00
High
$12.00
Mean
$9.83

Latest analyst rating changes

Date Action Analyst Rating Change Price Target
2026-03-11 main Keybanc Overweight → Overweight $10
2026-03-10 main BTIG Buy → Buy $9
2026-02-24 main TD Cowen Buy → Buy $10
2026-02-17 main BTIG Buy → Buy $10
2026-01-30 reit B. Riley Securities Buy → Buy $8
2025-11-10 main BTIG Buy → Buy $15
2025-11-05 reit B. Riley Securities Buy → Buy $18
2025-10-27 main Canaccord Genuity Buy → Buy $15
2025-10-22 main BTIG Buy → Buy $13
2025-10-14 main Keybanc Overweight → Overweight $15
2025-09-11 init B. Riley Securities — → Buy $15
2025-07-30 main Canaccord Genuity Buy → Buy $11
2025-07-30 up Keybanc Sector Weight → Overweight $12
2025-07-23 init Craig-Hallum — → Buy $12
2025-05-15 main Cantor Fitzgerald Overweight → Overweight $7
2025-05-13 main Canaccord Genuity Buy → Buy $8
2025-01-13 reit Cantor Fitzgerald Overweight → Overweight $8
2025-01-03 main Canaccord Genuity Buy → Buy $7
2024-05-14 main Cantor Fitzgerald Overweight → Overweight $7
2023-09-26 reit Cantor Fitzgerald Overweight → Overweight $6
Insider Transactions
Date Shares Value Url Text Insider Position Transaction Start Date Ownership
0 2535 7800 Stock Award(Grant) at price 3.08 per share. ABALLI JOHN Chief Executive Officer 2026-03-03 00:00:00 D
1 15698 56827 Sale at price 3.62 per share. ABALLI JOHN Chief Executive Officer 2026-03-03 00:00:00 D
2 1584 5718 Sale at price 3.61 per share. BLACK JEFFREY G Chief Financial Officer 2026-02-24 00:00:00 D
3 11430 41262 Sale at price 3.61 per share. ABALLI JOHN Chief Executive Officer 2026-02-24 00:00:00 D
4 31787 375598 Sale at price 11.82 per share. ABALLI JOHN Chief Executive Officer 2025-10-16 00:00:00 D
5 20466 200362 Sale at price 9.79 per share. BLACK JEFFREY G Chief Financial Officer 2025-09-02 00:00:00 D
6 350000 1155000 Sale at price 3.30 per share. NMSIC CO-INVESTMENT FUND, L.P Beneficial Owner of more than 10% of a Class of Security 2025-03-25 00:00:00 I
7 8621 29829 Stock Award(Grant) at price 3.46 per share. ABALLI JOHN Chief Executive Officer 2025-02-28 00:00:00 D
8 15000 Stock Award(Grant) at price 0.00 per share. BLACK JEFFREY G Chief Financial Officer 2025-02-21 00:00:00 D
9 112500 Stock Award(Grant) at price 0.00 per share. ABALLI JOHN Chief Executive Officer 2025-02-21 00:00:00 D
Financials
Line Item2024-12-312023-12-312022-12-312021-12-31
TaxEffectOfUnusualItems0.000.00-33.04K0.00
TaxRateForCalcs0.210.210.010.27
NormalizedEBITDA-11.14M-19.15M-38.16M-23.10M
TotalUnusualItems0.00-5.51M0.00
TotalUnusualItemsExcludingGoodwill0.00-5.51M0.00
NetIncomeFromContinuingOperationNetMinorityInterest-15.12M-23.69M-47.39M-26.85M
ReconciledDepreciation1.72M2.17M1.56M948.00K
ReconciledCostOfRevenue22.53M23.09M24.21M20.59M
EBITDA-11.14M-19.15M-43.66M-23.10M
EBIT-12.87M-21.32M-45.22M-24.05M
NetInterestIncome-1.47M-819.00K-1.62M-2.61M
InterestExpense2.23M2.33M2.45M2.62M
InterestIncome767.00K1.52M830.00K16.00K
NormalizedIncome-15.12M-23.69M-41.91M-26.85M
NetIncomeFromContinuingAndDiscontinuedOperation-15.12M-23.69M-47.39M-26.85M
TotalExpenses69.28M75.39M86.11M72.37M
TotalOperatingIncomeAsReported-13.64M-22.84M-46.05M-24.07M
DilutedAverageShares18.20M17.68M17.08M15.97M
BasicAverageShares18.20M17.68M17.08M15.97M
DilutedEPS-0.83-1.34-2.77-1.68
BasicEPS-0.83-1.34-2.77-1.68
DilutedNIAvailtoComStockholders-15.12M-23.69M-47.39M-26.85M
NetIncomeCommonStockholders-15.12M-23.69M-47.39M-26.85M
NetIncome-15.12M-23.69M-47.39M-26.85M
NetIncomeIncludingNoncontrollingInterests-15.12M-23.69M-47.39M-26.85M
NetIncomeContinuousOperations-15.12M-23.69M-47.39M-26.85M
TaxProvision12.00K33.00K-282.00K175.00K
PretaxIncome-15.10M-23.66M-47.67M-26.68M
OtherIncomeExpense-5.51M16.00K
OtherNonOperatingIncomeExpenses16.00K
SpecialIncomeCharges0.00-5.51M0.00
ImpairmentOfCapitalAssets0.005.51M0.00
NetNonOperatingInterestIncomeExpense-1.47M-819.00K-1.62M-2.61M
InterestExpenseNonOperating2.23M2.33M2.45M2.62M
InterestIncomeNonOperating767.00K1.52M830.00K16.00K
OperatingIncome-13.64M-22.84M-40.55M-24.07M
OperatingExpense46.75M52.29M61.89M51.78M
ResearchAndDevelopment5.38M4.87M9.88M7.24M
SellingGeneralAndAdministration41.37M47.43M52.02M44.54M
GrossProfit33.11M29.46M21.35M27.71M
CostOfRevenue22.53M23.09M24.21M20.59M
TotalRevenue55.64M52.55M45.56M48.30M
OperatingRevenue55.64M52.55M45.56M48.30M
Line Item2023-12-31
TreasurySharesNumber0.00
OrdinarySharesNumber17.64M17.05M16.55M16.16M
ShareIssued17.64M17.05M16.55M16.16M
TotalDebt23.00M23.23M35.20M28.07M
TangibleBookValue9.54M22.69M42.46M79.43M
InvestedCapital29.79M42.19M71.43M112.41M
WorkingCapital22.95M35.94M62.99M103.42M
NetTangibleAssets9.54M22.69M42.46M79.43M
CapitalLeaseObligations2.76M3.74M6.23M587.00K
CommonStockEquity9.54M22.69M42.46M84.94M
TotalCapitalization29.36M41.92M71.24M112.41M
TotalEquityGrossMinorityInterest9.54M22.69M42.46M84.94M
StockholdersEquity9.54M22.69M42.46M84.94M
RetainedEarnings-294.33M-279.22M-255.53M-208.14M
AdditionalPaidInCapital303.85M301.89M297.97M293.06M
CapitalStock18.00K17.00K17.00K16.00K
CommonStock18.00K17.00K17.00K16.00K
PreferredStock0.000.000.000.00
TotalLiabilitiesNetMinorityInterest35.15M34.25M43.76M38.51M
TotalNonCurrentLiabilitiesNetMinorityInterest21.64M22.35M34.14M29.19M
OtherNonCurrentLiabilities157.00K357.00K867.00K1.41M
NonCurrentDeferredLiabilities0.00306.00K
NonCurrentDeferredTaxesLiabilities0.00306.00K
LongTermDebtAndCapitalLeaseObligation21.49M21.99M33.27M27.48M
LongTermCapitalLeaseObligation1.66M2.76M4.49M0.00
LongTermDebt19.82M19.23M28.78M27.48M
CurrentLiabilities13.51M11.90M9.62M9.32M
OtherCurrentLiabilities302.00K445.00K
CurrentDebtAndCapitalLeaseObligation1.52M1.24M1.93M587.00K
CurrentCapitalLeaseObligation1.10M976.00K1.74M587.00K
CurrentDebt423.00K264.00K190.00K
OtherCurrentBorrowings423.00K264.00K190.00K
PayablesAndAccruedExpenses11.99M10.66M7.25M8.73M
CurrentAccruedExpenses7.85M7.53M4.20M6.24M
InterestPayable139.00K142.00K139.00K
Payables4.14M3.13M3.05M2.49M
AccountsPayable4.14M3.13M3.05M2.49M
TotalAssets44.69M56.94M86.22M123.44M
TotalNonCurrentAssets8.23M9.10M13.61M10.71M
OtherNonCurrentAssets550.00K616.00K528.00K433.00K
GoodwillAndOtherIntangibleAssets0.005.51M
Goodwill0.005.51M
NetPPE7.68M8.49M13.08M4.77M
AccumulatedDepreciation-6.01M-5.77M-5.12M-3.88M
GrossPPE13.70M14.26M18.21M8.66M
Leases3.29M3.32M5.22M1.15M
ConstructionInProgress1.54M59.00K1.38M1.85M
OtherProperties6.65M8.60M10.02M4.36M
MachineryFurnitureEquipment2.22M2.28M1.58M1.29M
BuildingsAndImprovements4.88M0.00
Properties0.000.000.000.00
CurrentAssets36.45M47.84M72.61M112.73M
OtherCurrentAssets859.00K1.93M236.00K490.00K
PrepaidAssets5.72M2.87M3.91M3.15M
Receivables7.83M6.55M6.08M9.65M
AccountsReceivable7.83M6.55M6.08M9.65M
AllowanceForDoubtfulAccountsReceivable-7.80K-6.60K
GrossAccountsReceivable7.84M6.56M
CashCashEquivalentsAndShortTermInvestments22.04M36.49M62.39M99.44M
CashAndCashEquivalents22.04M36.49M62.39M99.44M
Line Item2024-12-312023-12-312022-12-312021-12-31
FreeCashFlow-13.79M-15.29M-36.46M-22.64M
RepaymentOfDebt-861.00K-10.94M-696.00K-525.00K
IssuanceOfDebt0.00
IssuanceOfCapitalStock0.0069.14M
CapitalExpenditure-515.00K-828.00K-4.32M-2.37M
InterestPaidSupplementalData1.72M1.74M1.73M1.81M
EndCashPosition22.24M36.69M62.59M99.54M
BeginningCashPosition36.69M62.59M99.54M57.55M
ChangesInCash-14.46M-25.90M-36.95M41.99M
FinancingCashFlow-663.00K-10.63M-489.00K64.68M
CashFlowFromContinuingFinancingActivities-663.00K-10.63M-489.00K64.68M
NetOtherFinancingCharges-239.00K-4.45M
ProceedsFromStockOptionExercised198.00K306.00K446.00K511.00K
NetCommonStockIssuance0.0069.14M
CommonStockIssuance0.0069.14M
NetIssuancePaymentsOfDebt-861.00K-10.94M-696.00K-525.00K
NetLongTermDebtIssuance-861.00K-10.94M-696.00K-525.00K
LongTermDebtPayments-861.00K-10.94M-696.00K-525.00K
LongTermDebtIssuance0.00
InvestingCashFlow-515.00K-804.00K-4.32M-2.42M
CashFlowFromContinuingInvestingActivities-515.00K-804.00K-4.32M-2.42M
NetOtherInvestingChanges-50.00K
NetPPEPurchaseAndSale-515.00K-804.00K-4.32M-2.37M
SaleOfPPE0.0024.00K0.00
PurchaseOfPPE-515.00K-828.00K-4.32M-2.37M
OperatingCashFlow-13.28M-14.46M-32.14M-20.27M
CashFlowFromContinuingOperatingActivities-13.28M-14.46M-32.14M-20.27M
ChangeInWorkingCapital-3.08M325.00K1.67M-61.00K
ChangeInOtherCurrentLiabilities-976.00K-1.01M-854.00K0.00
ChangeInOtherCurrentAssets63.00K-101.00K-47.00K-167.00K
ChangeInPayablesAndAccruedExpense908.00K2.56M-501.00K329.00K
ChangeInAccruedExpense600.00K2.50M-1.40M984.00K
ChangeInPayable308.00K67.00K901.00K-655.00K
ChangeInAccountPayable308.00K67.00K901.00K-655.00K
ChangeInPrepaidAssets-1.79M-654.00K-505.00K521.00K
ChangeInReceivables-1.28M-474.00K3.58M-744.00K
ChangesInAccountReceivables-1.28M-474.00K3.58M-744.00K
OtherNonCashItems1.31M2.93M1.72M819.00K
StockBasedCompensation1.76M3.62M4.70M4.73M
AssetImpairmentCharge0.005.90M0.00
DeferredTax0.00-306.00K148.00K
DeferredIncomeTax0.00-306.00K148.00K
DepreciationAmortizationDepletion1.72M2.17M1.56M948.00K
DepreciationAndAmortization1.72M2.17M1.56M948.00K
OperatingGainsLosses111.00K189.00K
NetIncomeFromContinuingOperations-15.12M-23.69M-47.39M-26.85M
SEC Filings

Recent 10-K, 10-Q, 8-K, and Form 4 (insider) filings.

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