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%
Market cap
$207.4M
P/E
0.0×
Fwd P/E
−6.2×
Dividend yield
—
F-score
3/9
Altman Z
−4.58
Beneish M
−2.80
Dividend safety
n/a

Insider Decisions trades per month

Total sells 0.25
Totals in millions of $.
Dec 25 Mar 26 Jun 26 Sep 26
Buy — — — — — — — — — — — —
Sell — — — 2 1 — — — — — 1 —
Insider Ownership 39.62%

Capital & Financial Ratios $m

Market Cap 207.37
Revenue 71.12
Net Income (18.92)
Free Cash Flow (7.58)
Net Debt (0.13)
Current Ratio 3.18 (at or above 1.5: strong)
Debt/Equity 2.00 (above 2: weak)
P/E ratio 0.00
Fwd P/E (6.22) (negative: loss-making)
P/S ratio 2.60
P/B ratio 15.13 (above 6: high)
Past 5Y EPS Growth —
This Y EPS Growth 29.71% (at or above 15%: strong)
Next Y EPS Growth 23.57% (at or above 15%: strong)
Next Y revenue growth 11.02% (at or above 10%: strong)
Next 5Y EPS Growth 29.44% (at or above 15%: strong)

Green and red mark values outside typical ranges. How we judge →

Valuation vs history

P/S against its own 10 years 64.05%
10-year low 10-year high
P/B against its own 10 years 95.99%
10-year low 10-year high
EV/Sales against its own 10 years 72.84%
10-year low 10-year high

Dividends

Payout Ratio —
Annual Dividend Rate —
Annual Dividend Yield —
total individual payouts
2023 Powerpack
2022 Powerpack
2021 Powerpack
2020 Powerpack
2019 Powerpack
special payouts not included in total or ratios

Assets vs Liabilities $m

2023 2024 2025 Q'26
Cash 36 22 32 25
Receivables 7 8 11 12
Inventory — — — —
Other — — — —
48 36 49 43
2023 2024 2025 Q'26
Payables 3 4 4 4
ST’ Debt 0 0 1 1
Other — — — —
12 14 14 13

Compound Annual Growth %

10y 5y 3y
Sales — 9.66% 13.47%
Cash Flow — 0.00% 0.00%
Earnings — 0.00% 0.00%
Book Value — (16.05%) (25.65%)

Revenue $m

Mar Jun Sep Dec Year
’26 17 20 — — —
’25 15 17 17 17 67
’24 14 15 13 14 56
’23 11 14 13 14 53
’22 10 8 15 13 46
’21 11 13 12 13 48
’20 10 9 11 13 42
Fiscal quarters ending in the months shown.

Operating Cash Flow $m

Mar Jun Sep Dec Year
’26 (10) 4 — — —
’25 (11) (3) 3 (3) (14)
’24 (9) (2) (2) 0 (13)
’23 (10) (10) (3) 8 (14)
’22 (9) (11) (7) (6) (32)
’21 (4) (4) (5) (6) (20)
’20 (3) (5) (2) (4) (14)
Fiscal quarters ending in the months shown.

Free Cash Flow $m

Mar Jun Sep Dec Year
’26 (11) 3 — — —
’25 (11) (3) 3 (3) (14)
’24 (9) (3) (2) 0 (14)
’23 (10) (10) (3) 8 (15)
’22 (10) (13) (8) (6) (36)
’21 (4) (5) (6) (7) (23)
’20 (3) (5) (2) (4) (15)
Fiscal quarters ending in the months shown.

EPS $

Mar Jun Sep Dec Year
’26 (0.17) (0.13) — — —
’25 (0.20) (0.21) (0.31) (0.20) (0.93)
’24 (0.19) (0.16) (0.28) (0.20) (0.83)
’23 (0.44) (0.28) (0.31) (0.31) (1.34)
’22 (0.60) (0.78) (0.47) (0.83) (2.77)
’21 (0.48) (0.38) (0.42) (0.42) (1.68)
’20 (0.44) (0.27) (0.34) (0.27) (1.32)
Fiscal quarters ending in the months shown.

Target Price Range

Analyst price targets

Recommendation Rating

1
1Buy 2 3Hold 4 5Sell

Ten 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
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.

All 10 years →

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%)

All 52 Diagnostics & Research stocks →

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.

Source: company filings (standardised) and stockrow calculations.

Exagen Inc. (XGN) Latest News

11 May

29 Jul

24 Jul

stockrow.com/XGN · Data as of Jun 30, 2026 · For information only; not investment advice. · © 2026 stockrow.com