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Exagen (XGN) investor relations material
Exagen Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Achieved record Q3 2025 revenue of $17.2 million, a 38% year-over-year increase, driven by higher test volume and ASP expansion, with AVISE CTD test volume up 16%.
Gross margin improved to 58.4% in Q3 2025 from 55.8% in Q3 2024, reflecting operational efficiencies and new biomarker launches.
Net loss for Q3 2025 was $7.1 million, primarily due to higher interest expense and warrant liability revaluation.
Successfully launched new anti-PAD4 antibody assays and seronegative RA markers, further differentiating the rheumatoid arthritis portfolio.
Cash and cash equivalents stood at $35.7 million as of September 30, 2025.
Financial highlights
Q3 2025 revenue reached $17.2 million, a record high and nearly 38% increase year-over-year; nine-month revenue was $49.9 million.
Gross margin for Q3 2025 was 58.4%; year-to-date gross margin was just over 59%.
Operating expenses for Q3 2025 were $13.2 million, up 13.2% year-over-year, mainly due to R&D and sales expansion.
Adjusted EBITDA loss improved to $1.9 million in Q3 2025 from $4 million in Q3 2024.
Net loss per share for Q3 2025 was $(0.31); cash used in operations for nine months was $10.6 million.
Outlook and guidance
Reiterated 2025 full-year revenue guidance of $65–$70 million, with positive adjusted EBITDA expected in Q4 if revenue reaches the high end.
Revenue growth guidance for 2025 remains 17% to over 25%.
Existing cash and anticipated revenue are expected to fund operations for at least the next 12 months.
Long-term ASP target remains $500–$600, with $500 expected to drive cash flow positivity.
Management expects moderate increases in operating expenses to support growth, but these will decrease as a percentage of revenue.
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