Saturday 17 October 2026
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Exagen Inc.
XGN Healthcare Diagnostics & Research
Exagen Inc.’s revenue for fiscal 2025 (year ended December 2025) was $66.6 million, up 19.7% from fiscal 2024. In the quarter to June 2026, revenue grew 15.9%, EPS grew 38.1%, free cash flow grew 211.3% and total debt rose 6.44%, each against the same quarter a year earlier. Revenue growth for three consecutive years.
7.65
0.91
−10.63%
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Target Price Range
Analyst price targets
Free accountTen years at a glance Fiscal years to December
| Group | Line | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Trend | 2026e | 2027e | 2028e |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Price, $ | |||||||||||||||
| Price, $ | Low | — | — | — | 11.54 | 10.29 | 8.60 | 2.10 | 1.33 | 1.30 | 2.67 |
Analyst estimates 2026–2028 Powerpack |
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| High | — | — | — | 29.86 | 26.99 | 24.67 | 11.68 | 3.92 | 6.22 | 12.23 | |||||
| People | |||||||||||||||
| People | Employees | — | — | 144 | 156 | 183 | 222 | 204 | 179 | 209 | 220 | ||||
| Revenue/emp, $m | — | 0.00 | 0.23 | 0.26 | 0.23 | 0.22 | 0.22 | 0.29 | 0.27 | 0.30 | |||||
| Income, $m | |||||||||||||||
| Income, $m | Revenue | — | 27 | 32 | 40 | 42 | 48 | 46 | 53 | 56 | 67 | ||||
| Gross margin, % | — | 46.57 | 52.59 | 53.43 | 60.55 | 57.37 | 46.86 | 56.06 | 59.51 | 58.28 | |||||
| EBT | — | (26) | (8) | (12) | (17) | (27) | (48) | (24) | (15) | (20) | |||||
| EBT margin, % | — | (97.66) | (24.52) | (29.74) | (39.94) | (55.23) | (104.62) | (45.02) | (27.14) | (29.89) | |||||
| Net income | — | 0 | (8) | (12) | (17) | (27) | (47) | (24) | (15) | (20) | |||||
| Depreciation | — | 1 | 1 | 1 | 1 | 1 | 7 | 2 | 2 | 3 | |||||
| Per share, $ | |||||||||||||||
| Per share, $ | Revenue | — | 2.23 | 514.92 | 11.28 | 3.32 | 3.02 | 2.67 | 2.97 | 3.06 | 3.09 | ||||
| Earnings | — | (2.72) | (127.17) | (8.46) | (1.32) | (1.68) | (2.77) | (1.34) | (0.83) | (0.93) | |||||
| Cash flow | — | (0.91) | (147.63) | (2.71) | (1.11) | (1.27) | (1.88) | (0.82) | (0.73) | (0.63) | |||||
| Capex | — | 0.00 | (3.16) | (0.03) | (0.04) | (0.15) | (0.25) | (0.05) | (0.03) | (0.03) | |||||
| Free cash flow | — | (0.91) | (150.79) | (2.74) | (1.15) | (1.42) | (2.13) | (0.86) | (0.76) | (0.66) | |||||
| Book value | — | (0.39) | (106.89) | 15.55 | 3.31 | 5.32 | 2.49 | 1.28 | 0.52 | 0.81 | |||||
| Shares, m | — | 12 | 0 | 4 | 13 | 16 | 17 | 18 | 18 | 22 | |||||
| Valuation, × | |||||||||||||||
| Valuation, × | P/E | — | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||
| P/S | — | 0.00 | 0.00 | 2.25 | 3.97 | 3.85 | 0.92 | 0.66 | 1.34 | 1.97 | |||||
| P/B | — | 0.00 | 0.00 | 1.63 | 3.99 | 2.19 | 0.99 | 1.53 | 7.82 | 7.51 | |||||
| EV/Sales | — | 0.00 | 0.00 | 1.11 | 3.25 | 2.37 | 0.19 | 0.34 | 1.31 | 1.86 | |||||
| EV/FCF | — | (0.92) | (0.92) | (4.58) | (9.37) | (5.05) | (0.24) | (1.17) | (5.29) | (8.68) | |||||
| Cash, $m | |||||||||||||||
| Cash, $m | Operating cash flow | — | (11) | (9) | (10) | (14) | (20) | (32) | (14) | (13) | (14) | ||||
| Capex | — | (1) | 0 | 0 | 0 | (2) | (4) | (1) | (1) | (1) | |||||
| Free cash flow | — | (11) | (9) | (10) | (15) | (23) | (36) | (15) | (14) | (14) | |||||
| Balance, $m | |||||||||||||||
| Balance, $m | Working capital | — | 8 | 12 | 75 | 62 | 103 | 63 | 36 | 23 | 35 | ||||
| Total debt | — | 20 | 28 | 26 | 27 | 28 | 29 | 19 | 20 | 25 | |||||
| Net debt | — | 8 | 15 | (46) | (30) | (71) | (33) | (17) | (2) | (7) | |||||
| Shareholders’ equity | — | (5) | (7) | 56 | 42 | 85 | 42 | 23 | 10 | 17 | |||||
| Returns, % | |||||||||||||||
| Returns, % | ROA | — | (448.13) | (84.95) | (51.67) | (20.02) | (26.61) | (45.20) | (33.09) | (29.74) | (38.85) | ||||
| ROIC | — | 0.00 | (35.67) | (60.12) | (83.56) | (110.94) | (318.49) | (250.58) | (107.80) | (87.10) | |||||
| ROE | — | 41.96 | 17.72 | 107.55 | (34.23) | (42.36) | (74.39) | (72.72) | (93.78) | (147.85) | |||||
Negative figures in brackets.
Fiscal years to Dec 2025 · latest quarter Jun 2026
Charts ten years each
Exagen Inc. vs peers in Diagnostics & Research (Q) = latest quarter vs a year earlier
| Company | Market cap | P/E | Fwd P/E | Revenue growth (Q) | EPS growth (Q) | FCF growth (Q) | Gross margin (Q) | EBIT margin (Q) | Compare |
|---|---|---|---|---|---|---|---|---|---|
| FLGT Fulgent Genetics, Inc. | $587.2M | — (loss-making) | — (loss-making) | +4.38% (above 0%: growing) | n/m | +25.36% (above 0%: growing) | 30.07% | (42.25%) | Compare |
| MYGN Myriad Genetics, Inc. | $416.1M | — (loss-making) | — (loss-making) | −10.51% (below 0%: shrinking) | n/m | +43.90% (above 0%: growing) | 66.60% | (20.40%) | Compare |
| BDSX Biodesix, Inc. | $260.7M | — (loss-making) | — (loss-making) | +34.18% (above 0%: growing) | n/m | +72.75% (above 0%: growing) | 82.06% | (20.06%) | Compare |
| XGN Exagen Inc. | $207.4M | — (loss-making) | — (loss-making) | +15.92% (above 0%: growing) | n/m | +211.34% (above 0%: growing) | 61.27% | (8.64%) | |
| BNR Burning Rock Biotech Limited Sponsored ADR | $137.1M | — (loss-making) | 11.1× | −4.22% (below 0%: shrinking) | n/m | +46.01% (above 0%: growing) | 72.58% | (13.36%) | Compare |
| MDXHF MedX Health Corp. | $103.2M | — (loss-making) | — (loss-making) | +33.59% (above 0%: growing) | n/m | +41.60% (above 0%: growing) | 37.19% | (1,027.95%) | Compare |
| IMDX Insight Molecular Diagnostics Inc. | $100.1M | — (loss-making) | — (loss-making) | −53.86% (below 0%: shrinking) | n/m | −54.02% (below 0%: shrinking) | 65.69% | (4,770.71%) | Compare |
| QUCY Quantum Cyber N.V | $95.1M | — (loss-making) | — (loss-making) | +11.12% (above 0%: growing) | n/m | +26.73% (above 0%: growing) | 62.71% | 0.00% | Compare |
| MDXH MDxHealth SA | $57.6M | — (loss-making) | — (loss-making) | +12.01% (above 0%: growing) | n/m | −200.20% (below 0%: shrinking) | 65.75% | (18.74%) | Compare |
| Median of peers | $120.1M | — | — | +7.75% | — | +34.17% | 65.72% | (20.23%) |
Exagen Inc. (XGN) key facts
- Strength: Exagen Inc.’s revenue for fiscal 2025 (year ended December 2025) was $66.6 million, up 19.7% from fiscal 2024.
- Exagen Inc. (XGN) is a Diagnostics & Research company in the Healthcare sector, listed on Nasdaq.
- As of October 16, 2026, XGN traded at $7.65, a market capitalization of $207.4 million.
- Return on equity was −147.9% and debt-to-equity 2.00.
- Its Piotroski F-score is 3 out of 9 and its Altman Z-score is −4.58 (distress zone) for fiscal 2025.