Stocks · Healthcare · Medical - Diagnostics & Research

Exagen Inc. XGN

$8.17 +3.55% Close, Oct 2, 2026 · NASDAQ · Market cap $197.4M

High risk

Next earnings report: Nov 3, 2026

Scroll or pinch to zoom, drag to move. Daily prices adjusted for splits. Markers: E = earnings (green beat, red miss), S = split, D = dividend.

Three things to know

  1. The diluted share count rose 14.6% in a year.
  2. The stock is in an uptrend: above its 200-day average for 43 trading days, with the 50-day average above the 200-day.
  3. Revenue over the last four quarters was $71.1M, up 20.8% from a year earlier.

PromtFinance scores

Each score is a percentile within the Healthcare sector (0–100). Under each score: how the stock ranks in its sector on every component. As of Oct 5, 2026.

Growth71Positive

How fast revenue, earnings and cash flow are growing.

  • Revenue growth (TTM, YoY)Top 32%
  • Revenue growth, 3-year CAGRTop 42%
  • Revenue growth accelerationTop 42%
Quality65Positive

Returns on capital, margins, earnings quality and balance-sheet strength.

  • Return on invested capitalBottom 39%
  • Gross marginBottom 45%
  • Operating marginBottom 43%
  • Accruals (lower is better)Top 10%
  • Interest coverBottom 47%
Value54Neutral

How cheap the shares are relative to earnings, cash flow and their own history.

  • Earnings yieldBottom 46%
  • Free-cash-flow yieldTop 49%
  • EBITDA / enterprise valueBottom 48%
  • Sales / enterprise valueTop 36%
Momentum56Neutral

Strength and persistence of the price trend, including versus the S&P 500.

  • 12-month return excluding last monthBottom 16%
  • 6-month returnTop 3%
  • 1-year return vs S&P 500Bottom 25%
  • Distance from 52-week highBottom 48%
  • Trend checklist (0–4)Top 7%
Revisions46Neutral

Earnings surprises and analyst sentiment (estimate-revision history is being collected).

  • Average EPS surprise, last 4 quartersBottom 30%
  • Consecutive EPS beatsTop 35%
  • Share of analysts rating BuyTop 10%
  • Upside to consensus price targetBottom 9%
Stability17Very weak

Low volatility, shallow drawdowns, low market sensitivity and modest leverage.

  • Volatility, 60 days (lower is better)Bottom 14%
  • Maximum drawdown, 3 yearsBottom 37%
  • Beta vs S&P 500 (lower is better)Bottom 24%

What changed

Latest four quarters versus the same period a year earlier (growth: versus one quarter earlier).

MeasureBeforeNow
Revenue growth (YoY)20.6%20.8%↑
Gross margin59.4%58.6%↓
Operating margin-23.9%-18.6%↑
FCF margin-27.2%-10.7%↑

Fundamental momentum

MeasureNow (TTM)Year / quarter beforeSector rank
Revenue growth (TTM, YoY)20.8%20.6%↑Top 32%
Gross margin58.6%59.4%↓Bottom 45%
Operating margin-18.6%-23.9%↑Bottom 43%
Net margin-26.6%-28.8%↑—
Free-cash-flow margin-10.7%-27.2%↑—
Return on invested capital-33.0%—Bottom 39%
Revenue growth, 3-year CAGR13.5%—Top 42%

Quality of earnings and balance sheet

Accruals (net income − OCF) / assetsLower is better; high accruals can signal weaker earnings quality.
-23.9%
Stock-based compensation / revenueA cost to shareholders through dilution.
4.1%
Receivables growth vs revenue growthReceivables growing much faster than sales can be a warning.
-40.3 pp
Interest cover (operating income / interest)How many times operating profit covers interest.
-2.6×

Shareholder returns

Dividend yield (dividends paid, TTM)
0.00%
Net buyback yield (TTM)
-1.90%
Shareholder yield
-1.90%
Share count change, 1 year
+14.6%
Share count change, 3-year CAGR
+11.0%

Shareholder yield = dividends + net buybacks over the last four quarters, divided by market cap.

Based on the four quarters through Jun 30, 2026 (filed Aug 4, 2026).

Earnings and expectations

Earnings momentum

Consecutive EPS beats
2
Beats in the last 8 reports
4 of 8
Average EPS surprise, last 4
-9.1%
Average 2-day reaction, last 8
+11.3%
Positive 20 days after report
6 of 8

Analysts

Consensus price target
$8.00
Target vs current price
-2.1%
Analysts with a rating
10
Share rating Buy or Strong Buy
100%
Consensus rating
Buy

How the stock reacted to recent reports

Report dateEPS surprise2 days5 days20 days60 days
Aug 4, 2026+32.1%+37.8%+41.9%+56.8%—
May 11, 2026+29.2%+34.9%+23.4%+42.4%+125.4%
Mar 10, 2026+0.0%-3.8%-6.5%-11.2%+34.3%
Nov 4, 2025-97.6%-9.0%-20.0%-40.0%-68.9%
Jul 29, 2025+0.0%+14.3%+19.8%+33.3%+58.2%
May 5, 2025+0.0%+3.8%-5.1%+18.6%+43.4%
Mar 11, 2025+25.9%+18.2%+27.0%+43.2%+158.6%
Nov 12, 2024+6.7%-6.1%+1.0%+42.4%+61.6%

Returns from the close before each report. Past reactions do not determine future ones.

Earnings history

Report dateEPSEstimateSurpriseRevenue
Aug 4, 2026-$0.13-$0.19+32.1%$19.9M
May 11, 2026-$0.17-$0.24+29.2%$17.3M
Mar 10, 2026-$0.20-$0.20+0.0%$16.6M
Nov 4, 2025-$0.31-$0.16-97.6%$17.2M
Jul 29, 2025-$0.18-$0.18+0.0%$17.2M
May 5, 2025-$0.20-$0.20+0.0%$15.5M
Mar 11, 2025-$0.20-$0.27+25.9%$13.7M
Nov 12, 2024-$0.28-$0.30+6.7%$12.5M

Valuation in context

MultipleNow5-year median5-year percentileSector rank (cheapness)
EV / Sales2.79×——Top 36%
Free-cash-flow yield-3.84%——Top 49%
Earnings yield-10.04%——Bottom 46%

Technical state

Trend checklist

  • ✓ Price above 20-day average
  • ✓ Price above 50-day average
  • ✓ Price above 200-day average
  • ✓ 50-day average above 200-day
  • ✗ MACD histogram positive

Trend quality

Days above the 50-day average
44
Days above the 200-day average
43
50-day average slope (20 days)
+23.9%
200-day average slope (20 days)
+1.0%
Distance from 50-day average
+15.2%
Distance from 200-day average
+69.1%
RSI (14)
56.8
Relative volume
2.29×

Risk and drawdowns

Volatility, 60 days (annualized)
86.2%
Volatility vs own 5-year history
64th percentile · Normal for this stock
Beta vs S&P 500 (2 years, weekly)
1.70
Correlation with S&P 500
0.28
Current drawdown from 1-year high
-31.7%
Maximum drawdown, 3 years
-77.8%

Largest declines in the past six years

From peakTo lowDeclineLengthRecovery
Mar 17, 2021May 1, 2024-93.8%786 daysNot yet recovered
Nov 10, 2020Dec 29, 2020-28.8%33 days5 days (Jan 6, 2021)
Oct 16, 2020Oct 30, 2020-10.5%10 days7 days (Nov 10, 2020)
Jan 6, 2021Jan 13, 2021-10.1%5 days4 days (Jan 20, 2021)

Declines of 10% or more from a closing high, measured on daily closes.

Financial statements

Market cap
$197.4M
EPS, diluted (TTM)
-$0.82
Revenue (TTM)
$71.1M
52-week range
$2.59 – $12.23
FY 2021FY 2022FY 2023FY 2024FY 2025
Revenue$48.3M$45.6M$52.5M$55.6M$66.6M
Gross profit$27.7M$21.3M$29.5M$33.1M$38.8M
Operating income-$24.1M-$46.1M-$22.8M-$13.6M-$14.1M
Net income-$26.9M-$47.4M-$23.7M-$15.1M-$20.0M
EPS (diluted)-$1.68-$2.77-$1.34-$0.83-$0.93
Q3 2024Q4 2024Q1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
Revenue$12.5M$13.7M$15.5M$17.2M$17.2M$16.6M$17.3M$19.9M
Net income-$5.0M-$3.8M-$3.8M-$4.4M-$7.1M-$4.7M-$4.0M-$3.2M
EPS (diluted)-$0.28-$0.20-$0.20-$0.21-$0.31-$0.21-$0.17-$0.13
FY 2021FY 2022FY 2023FY 2024FY 2025
Operating cash flow-$20.3M-$32.1M-$14.5M-$13.3M-$13.6M
Capital expenditure-$2.4M-$4.3M-$828,000-$515,000-$641,000
Free cash flow-$22.6M-$36.5M-$15.3M-$13.8M-$14.3M
Dividends paid$0$0$0$0$0
Net share buybacks$69.1M$446,000$306,000$198,000$22.4M

Cash outflows are shown as negative numbers.

Cash and short-term investments
$24.6M
Total assets
$51.9M
Total liabilities
$39.7M
Total debt
$25.5M
Net debt
$959,000
Shareholders’ equity
$12.2M

As of Jun 30, 2026 (filed Aug 4, 2026).

Short interest

Shares sold short
800,344
Days to cover
3.59
Change vs previous report
-7.4%

FINRA short interest, settlement date Sep 15, 2026.