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Exagen Inc. Reports First Quarter 2023 Results

SAN DIEGO, May 15, 2023 (GLOBE NEWSWIRE) -- Exagen Inc. (Nasdaq: XGN)("Exagen"), a leading provider of autoimmune testing solutions, today reported financial results for the quarter ended March 31, 2023.

First Quarter Highlights:

  • Delivered a record 37,312 AVISE® CTD tests in the first quarter, a 21% increase over the first quarter of 2022 and a 10% increase over the fourth quarter of 2022.
  • Recognized total revenue of $11.2 million for the first quarter, an 8% increase over the first quarter of 2022.
  • Total operating expenses of $18.9 million for the quarter, a decrease of 5.7% over the first quarter of 2022.
  • AVISE® CTD trailing twelve-month ASP of $279.

“We are starting to see initial results of the plan we put into place over the last two quarters and I am happy to report a strong start to the year, with solid execution across the board resulting in record demand for our tests and lower operating expenses.   Our key metrics are trending in the right direction, and we recently refinanced our debt to better align with our strategic goals. I’d like to thank the team for their hard work in serving our customers and I’m excited about the momentum we continue to see." said John Aballi, President and Chief Executive Officer of Exagen.

First Quarter 2023 Financial Results 

Revenue was $11.2 million for the first quarter of 2023, compared to $10.4 million in the first quarter of 2022, primarily due to an increase in volume which was partially offset by a decrease in ASP. Gross margin was 47.2% in the first quarter of 2023, compared to 44.0% in the first quarter of 2022, primarily due to an increase in AVISE® CTD volume which also resulted in a favorable impact of absorption of COGS and lower royalty expense due to holding claims.   

Operating expenses were $18.9 million in the first quarter of 2023, compared with $20.1 million in the first quarter of 2022 and $27.3 million in the fourth quarter of 2022, primarily due to decreases in employee related expenses from the reduction in force in early December 2022.

For the first quarter of 2023, net loss was $7.7 million, compared to a net loss of $10.3 million for the first quarter of 2022.

Cash and cash equivalents were $52.2 million as of March 31, 2023.

2023 Guidance 

We are providing revenue guidance for the second quarter of 2023 in the range of $10.7 million to $11.2 million.

Conference Call

A conference call to review first quarter 2023 financial results and to provide a business update is scheduled for today May 15, 2023 at 4:30 PM Eastern Time (1:30 PM Pacific Time). Interested parties may access the conference call by dialing (201) 389-0918 (U.S.) or (877) 407-0890 (international). Additionally, a link to a live webcast of the call will be available in the Investor Relations section of Exagen's website at

Participants are asked to join a few minutes prior to the call to register for the event. A replay of the conference call will be available until Monday, May 29, 2023 at 11:59 PM Eastern Time (8:59 PM Pacific Time). Interested parties may access the replay by dialing (201) 612-7415 (U.S.) or (877) 660-6853 (international) using passcode 13736103. A link to the replay of the webcast will also be available in the Investor Relations section of Exagen's website.

About Exagen

Exagen is a leading provider of autoimmune diagnostic, prognostic, and monitoring testing solutions. Exagen is a patient focused, discovery driven organization built on the success of AVISE® testing and is investing in its product pipeline to support patients throughout their autoimmune diagnosis and treatment journeys. The goal at Exagen is to assist patients, physicians, and payors by enabling precision medicine. Exagen is located in San Diego County.

For more information, please visit or follow @ExagenInc on Twitter.

Forward Looking Statements

Exagen cautions you that statements contained in this press release regarding matters that are not historical facts are forward-looking statements. These statements are based on Exagen's current beliefs and expectations. Such forward-looking statements include, but are not limited to, statements regarding: Exagen’s goals and strategies; the potential utility and effectiveness of Exagen’s services and testing solutions, potential shareholder value and growth, and guidance. The inclusion of forward-looking statements should not be regarded as a representation by Exagen that any of its plans will be achieved. Actual results may differ from those set forth in this press release due to the risks and uncertainties inherent in Exagen’s business, including, without limitation: the COVID-19 pandemic may continue to adversely affect its business, financial condition and results of operations, including as a result of slowdown in its operations as well as those of its suppliers and courier services, impeding patient movement and interruptions to healthcare services causing a decrease in test volumes, disruptions to the supply chain of material needed for its tests causing an increase in cost per test, its sales and commercialization activities and its ability to receive specimens and perform or deliver the results from its tests, delays in reimbursement and coverage decisions from third-party payors, such as government payors (Medicare and Medicaid) and commercial payors (insurance companies), and in interactions with regulatory authorities, and delays in ongoing and planned clinical trials involving its tests; Exagen’s commercial success depends upon attaining and maintaining significant market acceptance of its testing products among rheumatologists, patients, third-party payors and others in the medical community; Exagen’s ability to successfully execute on its business strategies; third-party payors not providing coverage and adequate reimbursement for Exagen’s testing products, including Exagen’s ability to collect on funds due; Exagen’s ability to obtain and maintain intellectual property protection for its testing products; regulatory developments affecting Exagen’s business; and other risks described in Exagen’s prior press releases and Exagen’s filings with the Securities and Exchange Commission (“SEC”), including under the heading “Risk Factors” in Exagen’s Annual Report on Form 10-K for the year ended December 31, 2022 and any subsequent filings with the SEC. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof, and Exagen undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date hereof. All forward-looking statements are qualified in their entirety by this cautionary statement, which is made under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.

Investors Relations
Exagen Inc.
Ryan Douglas

Exagen Inc.
Kamal Adawi, Chief Financial Officer

Exagen Inc.
Unaudited Condensed Statements of Operations
(in thousands, except share and per share data)
 Three Months Ended March 31,
 2023 2022
Revenue$11,230  $10,394 
Operating expenses:   
Costs of revenue 5,926   5,817 
Selling, general and administrative expenses 11,884   12,152 
Research and development expenses 1,126   2,104 
Total operating expenses 18,936   20,073 
Loss from operations (7,706)  (9,679)
Interest expense (638)  (598)
Interest income 656   5 
Net loss$(7,688) $(10,272)
Net loss per share, basic and diluted$(0.44) $(0.60)
Weighted-average number of shares used to compute net loss per share, basic and diluted 17,526,763   16,992,391 

Exagen Inc.
Unaudited Condensed Balance Sheets
(in thousands, except share and per share data)
 March 31, 2023 December 31, 2022
Current assets:   
Cash and cash equivalents$52,184  $62,391 
Accounts receivable, net 9,303   6,077 
Prepaid expenses and other current assets 4,229   4,143 
Total current assets 65,716   72,611 
Property and equipment, net 8,264   8,197 
Operating lease right-of-use assets 4,651   4,885 
Other assets 603   528 
Total assets$79,234  $86,221 
Liabilities and Stockholders' Equity   
Current liabilities:   
Accounts payable$1,878  $3,046 
Accrued and other current liabilities 6,064   5,347 
Operating lease liabilities 1,072   1,040 
Borrowings-current portion 254   190 
Total current liabilities 9,268   9,623 
Borrowings-non-current portion, net of discounts and debt issuance costs 29,092   28,778 
Non-current operating lease liabilities 4,211   4,493 
Other non-current liabilities 726   867 
Total liabilities 43,297   43,761 
Commitments and contingencies (Note 5)   
Stockholders' equity:   
Preferred stock, $0.001 par value; 10,000,000 shares authorized, no shares issued or outstanding as of March 31, 2023 and December 31, 2022     
Common stock, $0.001 par value; 200,000,000 shares authorized as of March 31, 2023 and December 31, 2022; 16,827,014 and 16,549,984 shares issued and outstanding as of March 31, 2023 and December 31, 2022, respectively 17   17 
Additional paid-in capital 299,135   297,970 
Accumulated deficit (263,215)  (255,527)
Total stockholders' equity 35,937   42,460 
Total liabilities and stockholders' equity$79,234  $86,221 

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