The company's financial stability is under pressure, with total equity contracting significantly to $14.4 million in 2026Q1 alongside a debt-to-equity ratio that has historically spiked as high as 3.66.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'15 | Dec'14 | Dec'13 | Dec'12 |
|---|
| Total Current Assets | 43.58M | 48.89M | 36.45M | 47.84M | 72.61M | 112.73M | 70.52M | 81.25M | 21.31M | 13.26M | 3.87M | 5.08M | 8.03M | 3.57M |
| Cash & Short-Term Investments | 21.51M | 32.22M | 22.04M | 36.49M | 62.39M | 99.44M | 57.45M | 72.08M | 13.16M | 11.24M | 2.51M | 4.61M | 7.74M | 2.75M |
| Cash Only | 21.51M | 32.22M | 22.04M | 36.49M | 62.39M | 99.44M | 57.45M | 72.08M | 13.16M | 11.24M | 2.51M | 4.61M | 7.74M | 2.75M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 15.77M | 10.86M | 7.83M | 6.55M | 6.08M | 9.65M | 8.91M | 5.71M | 5.95M | 604K | 0 | 0 | 54K | 0 |
| Days Sales Outstanding | 70.89 | 59.51 | 51.4 | 45.5 | 48.68 | 72.96 | 77.48 | 51.65 | 66.97 | 8.22 | - | - | 6.45 | - |
| Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.02M | 544K | 0 | 0 | 0 | 0 |
| Days Inventory Outstanding | 11.29 | - | - | - | - | - | - | - | 24.26 | 14.05 | - | - | - | - |
| Other Current Assets | 6.3M | 5.82M | 859K | 1.93M | 236K | 490K | 0 | 0 | 1.17M | 871K | 804K | 349K | 0 | 707K |
| Total Non-Current Assets | 8.37M | 9.13M | 8.23M | 9.1M | 13.61M | 10.71M | 7.86M | 7.06M | 7.58M | 7.13M | 10.76M | 12.07M | 8.42M | 7.7M |
| Property, Plant & Equipment | 7.79M | 8.37M | 7.68M | 8.49M | 13.08M | 4.77M | 2.1M | 1.38M | 1.57M | 1.34M | 1.59M | 1.54M | 1.23M | 888K |
| Fixed Asset Turnover | 8.59x | 7.95x | 7.24x | 6.19x | 3.48x | 10.12x | 19.97x | 29.27x | 20.72x | 19.96x | 11.26x | 7.58x | 2.49x | 1.04x |
| Goodwill | 0 | 0 | 0 | 0 | 0 | 5.51M | 5.51M | 5.51M | 5.51M | 5.51M | 5.51M | 5.51M | 5.51M | 5.51M |
| Intangible Assets | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 141K | 514K | 805K | 1.02M | 1.24M |
| Long-Term Investments | 400K | 200K | 0 | 0 | 0 | 0 | 0 | 0 | 100K | 100K | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 584K | 556K | 550K | 616K | 528K | 433K | 250K | 174K | -24K | -348K | 3.15M | 2.5M | 665K | 63K |
| Total Assets | 51.96M | 58.02M | 44.69M | 56.94M | 86.22M | 123.44M | 78.38M | 88.31M | 28.89M | 20.39M | 14.63M | 17.15M | 16.45M | 11.27M |
| Asset Turnover | 1.18x | 1.15x | 1.25x | 0.92x | 0.53x | 0.39x | 0.54x | 0.46x | 1.12x | 1.31x | 1.23x | 0.68x | 0.19x | 0.08x |
| Asset Growth % | 122.02% | 29.84% | -21.52% | -33.96% | -30.15% | 57.51% | -11.25% | 205.71% | 41.67% | 39.4% | -14.71% | 4.24% | 46.02% | - |
| Total Current Liabilities | 12.56M | 14.16M | 13.51M | 11.9M | 9.62M | 9.32M | 8.77M | 5.89M | 8.95M | 4.99M | 34.92M | 26.26M | 10.58M | 2.39M |
| Accounts Payable | 4.16M | 4.15M | 4.14M | 3.13M | 3.05M | 2.49M | 3.01M | 1.48M | 1.28M | 1.77M | 2.18M | 1.84M | 442K | 343K |
| Days Payables Outstanding | 46.04 | 54.57 | 67.02 | 49.49 | 45.92 | 44.18 | 66.44 | 28.64 | 30.36 | 45.75 | 83.54 | 97.49 | 57.01 | 63.42 |
| Short-Term Debt | 2.95M | 3M | 423K | 264K | 190K | 0 | 0 | 0 | 0 | 0 | 25.86M | 18.39M | 8.81M | 1.19M |
| Deferred Revenue (Current) | 3.01M | 675K | 0 | 0 | 0 | 0 | 0 | 0 | 3.84M | 0 | 4.22M | 5.15M | 0 | 429K |
| Other Current Liabilities | 4.77M | 6.33M | 0 | 0 | 445K | 0 | 0 | 0 | 4.11M | 1.22M | 3.18M | 1.83M | 0 | 400K |
| Current Ratio | 3.47x | 3.45x | 2.70x | 4.02x | 7.55x | 12.10x | 8.04x | 13.78x | 2.38x | 2.66x | 0.11x | 0.19x | 0.76x | 1.49x |
| Quick Ratio | 3.47x | 3.45x | 2.70x | 4.02x | 7.55x | 12.10x | 8.04x | 13.78x | 2.27x | 2.55x | 0.11x | 0.19x | 0.76x | 1.49x |
| Cash Conversion Cycle | 36.13 | - | - | - | - | - | - | - | 60.87 | -23.48 | - | - | - | - |
| Total Non-Current Liabilities | 24.96M | 26.41M | 21.64M | 22.35M | 34.14M | 29.19M | 27.77M | 26.76M | 26.67M | 20.04M | 1.89M | 4.94M | 5.42M | 4.05M |
| Long-Term Debt | 1.9M | 2.4M | 19.82M | 19.23M | 28.78M | 27.48M | 26.66M | 25.85M | 24.62M | 18.81M | 0 | 1.46M | 0 | 1.38M |
| Capital Lease Obligations | 6.37M | 0 | 1.66M | 2.76M | 4.49M | 0 | 0 | 0 | 279K | 81K | 0 | 265K | 0 | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 0 | 0 | 306K | 158K | 264K | 245K | 214K | 416K | 0 | 0 | 0 |
| Other Non-Current Liabilities | 23.06M | 24.02M | 157K | 357K | 867K | 1.41M | 948K | 638K | -1.23M | -644K | 1.48M | 1.76M | 5.42M | 2.68M |
| Total Liabilities | 37.52M | 40.57M | 35.15M | 34.25M | 43.76M | 38.51M | 36.54M | 32.65M | 35.62M | 25.03M | 36.81M | 31.2M | 16M | 6.44M |
| Total Debt | 4.86M | 5.4M | 23M | 23.23M | 35.2M | 28.07M | 26.97M | 26.09M | 24.7M | 18.84M | 25.9M | 18.52M | 8.91M | 2.6M |
| Net Debt | -16.66M | -26.82M | 969K | -13.26M | -27.19M | -71.38M | -30.48M | -45.99M | 11.53M | 7.59M | 23.39M | 13.91M | 1.17M | -150K |
| Debt / Equity | 0.34x | 0.31x | 2.41x | 1.02x | 0.83x | 0.33x | 0.64x | 0.47x | - | - | - | - | 19.77x | 0.54x |
| Debt / EBITDA | -0.39x | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Net Debt / EBITDA | 1.32x | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Interest Coverage | -6.97x | -3.26x | -5.76x | -9.13x | -18.47x | -9.16x | -5.54x | -2.44x | -1.77x | -7.88x | -3.21x | -4.10x | -13.30x | -14.73x |
| Total Equity | 14.43M | 17.45M | 9.54M | 22.69M | 42.46M | 84.94M | 41.84M | 55.66M | -6.73M | -4.64M | -22.18M | -14.06M | 451K | 4.82M |
| Equity Growth % | 268.87% | 82.9% | -57.96% | -46.55% | -50.01% | 103.01% | -24.83% | 926.54% | -45.19% | 79.09% | -57.83% | -3216.63% | -90.65% | - |
| Book Value per Share | 0.60 | 0.81 | 0.52 | 1.28 | 2.49 | 5.32 | 3.31 | 4.43 | -106.88 | -73.61 | -353.27 | -249.38 | 8.40 | 136.19 |
| Total Shareholders' Equity | 14.43M | 17.45M | 9.54M | 22.69M | 42.46M | 84.94M | 41.84M | 55.66M | -6.73M | -4.64M | -22.18M | -14.06M | 451K | 4.82M |
| Common Stock | 24K | 23K | 18K | 17K | 17K | 16K | 13K | 13K | 12K | 12K | 12K | 12K | 10K | 10K |
| Retained Earnings | -318.25M | -314.28M | -294.33M | -279.22M | -255.53M | -208.14M | -181.29M | -164.6M | -152.56M | -147.64M | -108.45M | -89.27M | -74.29M | -60.79M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -1.82M | -2.18M | -2.18M | -1.63M | -1.29M | -1.12M |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Limited liquidity and dilution
According to quarterly balance sheet data, Exagen's total equity has contracted from $22.7 million in 2023Q4 to $14.4 million by 2026Q1, reflecting a persistent erosion of shareholder value driven by the company's inability to achieve operational break-even despite its ongoing efforts to scale diagnostic test volume.
The consistent decline in equity, coupled with a widening accumulated deficit, suggests that the company is consuming its capital base to fund operating losses. Investors should monitor whether this trajectory forces management to prioritize near-term cash preservation over the long-term clinical adoption of the AVISE platform.
Based on reported financial figures, Exagen's cash position dropped from $36.5 million in 2023Q4 to $21.5 million in 2026Q1, indicating a tightening liquidity buffer that may limit the company's ability to navigate prolonged periods of negative operating cash flow without seeking external financing.
While the current ratio of 3.47 appears superficially healthy, the underlying cash burn suggests that the company's liquidity is highly sensitive to the timing of insurance reimbursements. This reliance on working capital efficiency leaves little room for error in managing the company's short-term obligations.
As reported in recent filings, Exagen's debt-to-equity ratio has fluctuated significantly, reaching a peak of 3.66 in 2025Q1 before settling at 0.34 in 2026Q1, which highlights the company's reliance on debt instruments to bridge gaps in its operational funding requirements during periods of high cash burn.
The volatility in leverage metrics suggests that the company's debt structure is driven by necessity rather than strategic capital allocation. The lack of consistent access to non-dilutive financing may force management to rely on equity markets, potentially diluting existing shareholders to maintain laboratory operations.
Analysis of the asset mix reveals that Exagen maintains a lean balance sheet with net PPE of $7.8 million as of 2026Q1, confirming that the business model is not capital-intensive but remains heavily dependent on specialized laboratory equipment to support its proprietary diagnostic testing services.
The absence of goodwill or significant intangible assets on the balance sheet suggests that the company's value is tied almost exclusively to its clinical technology and brand reputation. This asset-light structure provides flexibility but offers little collateral value should the company need to secure additional debt financing.
Quick answers to the most common questions about buying XGN stock.
As of 2025, Exagen Inc. (XGN) had total assets of $58.0M including $48.9M in current assets.
Exagen Inc. (XGN) carries total debt of $5.4M, offset by $32.2M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Exagen Inc. (XGN) has total shareholders' equity (book value) of $17.4M ($0.81 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Exagen Inc. (XGN) reported a current ratio of 3.45x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.