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Companies / Health Care / Exagen Inc.
XGN

Exagen Inc.

Health CareHealth Services
Ticker XGNVISTA, CAFiscal year ends DecemberBook value per share $0.51Diluted shares 24.0M

Exagen (Nasdaq: XGN) is a medical technology company that develops and commercializes blood tests for diagnosing, prognosing and monitoring rheumatic and autoimmune diseases, including lupus and rheumatoid arthritis. Its AVISE® portfolio serves rheumatologists and other healthcare providers, with tests designed to… From the company’s description.

Over the twelve months to Jun 30, 2026, Exagen Inc. reported revenue of $71.12M, up 20.8% from a year earlier, and a net loss of $18.92M. Its operating margin was −18.6%, and operations used $6.50M in cash. In fiscal 2025, it reported revenue of $66.58M, up 19.7% from fiscal 2024, and a net loss of $19.95M.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$66.58MFY2025
+19.7% year over year
Last 12 mo $71.12M
-21.13%FY2025
+3.4 percentage points
Last 12 mo -18.58%
$-19.95MFY2025
−32.0% year over year
Last 12 mo $-18.92M
-114.34%FY2025
+44.1 percentage points
Last 12 mo -154.90%
Cash & financing
$-13.63MFY2025
−2.6% year over year
Last 12 mo $-6.50M
$-14.27MFY2025
−3.4% year over year
Last 12 mo $-7.59M
1.49FY2025
Was 2.12× a year earlier
Last 12 mo 2.09
21.6MFY2025
+18.4% year over year
Last 12 mo 24.0M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What Exagen Inc. does

In the company’s own words

Exagen (Nasdaq: XGN) is a medical technology company that develops and commercializes blood tests for diagnosing, prognosing and monitoring rheumatic and autoimmune diseases, including lupus and rheumatoid arthritis. Its AVISE® portfolio serves rheumatologists and other healthcare providers, with tests designed to help distinguish diseases with overlapping symptoms and guide patient management. AVISE® CTD, its flagship test, assesses connective tissue diseases including lupus, rheumatoid arthritis and Sjögren’s syndrome; it generated 91% of revenue in 2025. The portfolio also includes tests for antiphospholipid syndrome, vasculitis, disease complications and medication monitoring. Exagen operates a specialized clinical laboratory and a sales organization focused primarily on approximately 6,000 U.S. rheumatologists. It is developing additional tests, including urinary biomarkers for lupus nephritis and assays for lupus and rheumatoid arthritis disease activity. Revenue was $66.6 million for the year ended December 31, 2025. Its website is www.exagen.com.

Company details
Sector
Health Care
Industry (SIC)
Health Services
Headquarters
VISTA, CA
Fiscal year end
December
CIK
1274737
SIC
8071

Financial performance, year by year

Fiscal 2019–2025 · USD
$-59.24M$-23.69M$11.87M$47.42M$82.97M2019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns Exagen Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

27
funds hold it
0 of 35
superinvestors hold it
$4.60M
held by funds, at market
4.3%
of shares held by funds

Largest fund holders · Exagen Inc.’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.00%of fund net assets
VANGUARD EXTENDED MARKET INDEX FUND
VXF · VANGUARD INDEX FUNDS
0.00%of fund net assets
Fidelity Extended Market Index Fund
FSMAX · Fidelity Concord Street Trust
—of fund net assets
First Eagle Small Cap Opportunity Fund
FESRX · First Eagle Funds
—of fund net assets
iShares Micro-Cap ETF
IWC · iShares Trust
0.02%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

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