Financial-condition grades for SEC filers
Company Report · as of Oct 9, 2026
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| Exagen Inc.XGN · healthcare | |
|---|---|
| Grade | Dfourth fifth of 371 graded peers; percentile 66.8, sampling error 2.5 points; lower is stronger |
| Rank | 248 of 371 |
| Profitability | B/Cpercentile 38.7 |
| Solvency | C/Dpercentile 60.9 |
| Growth and financing | C/Dpercentile 61.1 |
| Reliability | 0.83 AUCfailure model, filers with $12.5M to $120M assets; 95% interval 0.79 to 0.86; 201 events, 2020 to 2025 |
| Peer failure rate | 1.07% a yearItem 1.03 bankruptcies, same asset band, 2012 to 2025 |
| Size band | $12.5M to $120M assetstotal assets $58.0M[1] |
| Standard universe | insiderevenue above $1M and assets above $10M[1-2] |
| Warnings | dilution · fortress balance sheetnot computable: distress |
| Inputs computable | 8 of 14 |
| Graded from | filings received through Mar 10, 2026213 days before the rescan; every figure keyed to the SEC receipt date |
| Last close | $8.152026-10-08; market equity $197.4M; iex feed |
| Price used in grade | None |
| Share price, twelve months to the rescansplit-adjusted close; a lollipop at every rescan carries the letter held then; baseline ticks are SEC receipt dates of the inputs; ranges and dragging scroll the full history | ||||||||||||||||||||||||||||||||||||||||||||||||
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Percentile at every rescan on file, Jan 21, 2012 to Oct 9, 2026; stronger toward the top. Hover for the date. Open this report as it stood on | ||||||||||||||||||||||||||||||||||||||||||||||||
Each date opens the report as it stood on that rescan. |
Business, in the company's words. Opening of Item 1 of the 10-K received Mar 10, 2026; the document on sec.gov.
We are a medical technology company primarily focused on the design, development and commercialization of a next-generation portfolio of innovative testing products under our AVISE® brand, which allow for the differential diagnosis, prognosis and monitoring of complex rheumatic, autoimmune and autoimmune-related disease including, among others, systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA).
7 checks ran; none of them enters the letter. The checks are listed on the warnings screen.
Lower percentile is stronger. Source numbers open the SEC filing; a range that spans filings opens the sources table.
| Input | Percentile, 0 to 100 | Value | Source | Peer median | Percentile | Peers | Period end |
|---|---|---|---|---|---|---|---|
| Profitability, sleeve percentile 38.7 | |||||||
| Gross profitability | 66.9% | [1,7] | 32.2% | 12.9 | 372 | 2025-12-31 | |
| Return on invested capital | not computable | 9.3% | |||||
| one or more required annual facts are missing | |||||||
| Accruals ratio | (12.3%) | [1,8-10] | (6.6%) | 35.4 | 811 | 2025-12-31 | |
| Gross margin stability, five years | 4.5 pts | [2,7,11-18] | 2.8 pts | 67.8 | 243 | 2025-12-31 | |
| Solvency, sleeve percentile 60.9 | |||||||
| Twelve-month failure probability | not computable | 0.07% | |||||
| latest liabilities, cash plus short-term investments, book equity, and shares are required | |||||||
| Altman Z double-prime | (14.91) | [1,19-24] | (0.31) | 69.4 | 756 | 2025-12-31 | |
| Net debt to EBITDA | not computable | 1.82x | |||||
| EBITDA must exceed $100,000 | |||||||
| Interest coverage | not computable | (4.51x) | |||||
| latest aligned inputs end 2023-12-31; latest annual assets end 2025-12-31 | |||||||
| Current ratio | 3.45x | [19-20] | 2.96x | 52.4 | 839 | 2025-12-31 | |
| Growth and financing, sleeve percentile 61.1 | |||||||
| Revenue growth, three-year compound | 13.5% | [2,12-13,15] | 10.0% | 41.8 | 415 | 2025-12-31 | |
| Free cash flow growth, three-year compound | not computable | 10.9% | |||||
| current FCF must be positive and base FCF must exceed $100,000 | |||||||
| Reinvestment rate | not computable | 37.1% | |||||
| one or more required annual facts are missing | |||||||
| Asset growth, three years | (12.4%) | [1,10,25-26] | 2.1% | 71.8 | 704 | 2025-12-31 | |
| Net share issuance, one year | 34.4% | [3-4] | 2.5% | 69.7 | 634 | 2026-03-06 | |
Gross profitability. Revenue less cost of goods sold, over total assets.
Accruals ratio. Net income less operating cash flow, over average assets; lower is stronger.
Gross margin stability, five years. Standard deviation of gross margin; lower is stronger.
Twelve-month failure probability. CHS model; lower is stronger.
Net debt to EBITDA. Lower is stronger.
Net share issuance, one year. Split-adjusted; lower is stronger.
Sleeves are equal-weighted; within a sleeve each computable input carries equal weight. Composite 0.079; sampling error 2.5 percentile points on 371 peers.
Composite score of every graded peer, smoothed. Vertical rules are the letter band edges at the 20th, 40th, 60th and 80th percentiles. Small dots are the six largest peers by market equity.
| Rank | Company | Percentile | Letter | Warnings |
|---|---|---|---|---|
| 243 | Entera Bio Ltd. (ENTX) Entera Bio Ltd. (ENTX) Dfourth fifth; percentile 65.4 Nasdaq · Biological Products, (No Diagnostic Substances) market equity $432.9M; last close $2.51 Warnings: degenerate inputs; 7 of 14 inputs | 65.4 | D | degenerate inputs |
| 244 | Dentsply Sirona Inc. (XRAY) Dentsply Sirona Inc. (XRAY) Dfourth fifth; percentile 65.7 Nasdaq · Dental Equipment & Supplies market equity $1.7B; last close $8.68 No active warnings; 9 of 14 inputs | 65.7 | D | |
| 245 | InspireMD, Inc. (NSPR) InspireMD, Inc. (NSPR) Dfourth fifth; percentile 65.9 Nasdaq · Surgical & Medical Instruments & Apparatus market equity $22.3M; last close $0.47 Warnings: dilution, short runway, distress; 9 of 14 inputs | 65.9 | D | dilution, short runway, distress |
| 246 | Angiodynamics Inc. (ANGO) Angiodynamics Inc. (ANGO) Dfourth fifth; percentile 66.2 Nasdaq · Surgical & Medical Instruments & Apparatus market equity $472.3M; last close $11.22 Warnings: fortress balance sheet; 7 of 14 inputs | 66.2 | D | fortress balance sheet |
| 247 | AIM ImmunoTech Inc. (AIM) AIM ImmunoTech Inc. (AIM) Dfourth fifth; percentile 66.5 NYSE · Biological Products, (No Diagnostic Substances) market equity $5.5M; last close $0.18 Warnings: late filer, degenerate inputs, distress; 8 of 14 inputs | 66.5 | D | late filer, degenerate inputs, distress |
| 248 | Exagen Inc. (XGN) Exagen Inc. (XGN) Dfourth fifth; percentile 66.8 Nasdaq · Services-Medical Laboratories market equity $197.9M; last close $8.15 Warnings: dilution, fortress balance sheet; 8 of 14 inputs | 66.8 | D | dilution, fortress balance sheet |
| 249 | PTC Therapeutics, Inc. (PTCT) PTC Therapeutics, Inc. (PTCT) Dfourth fifth; percentile 67.0 Nasdaq · Pharmaceutical Preparations market equity $5.2B; last close $62.55 No active warnings; 8 of 14 inputs | 67.0 | D | |
| 250 | Cardiff Oncology, Inc. (CRDF) Cardiff Oncology, Inc. (CRDF) Dfourth fifth; percentile 67.3 Nasdaq · Biological Products, (No Diagnostic Substances) market equity $82.5M; last close $1.07 Warnings: short runway, fortress balance sheet; 7 of 14 inputs | 67.3 | D | short runway, fortress balance sheet |
| 251 | Amylyx Pharmaceuticals, Inc. (AMLX) Amylyx Pharmaceuticals, Inc. (AMLX) Dfourth fifth; percentile 67.6 Nasdaq · Pharmaceutical Preparations market equity $3.0B; last close $27.22 Warnings: short runway, degenerate inputs; 7 of 14 inputs | 67.6 | D | short runway, degenerate inputs |
| 252 | U S Physical Therapy Inc. (USPH) U S Physical Therapy Inc. (USPH) Dfourth fifth; percentile 67.8 NYSE · Services-Health Services market equity $1.2B; last close $83.40 No active warnings; 10 of 14 inputs | 67.8 | D | |
| 253 | American Shared Hospital Services (AMS) American Shared Hospital Services (AMS) Dfourth fifth; percentile 68.1 NYSE · Services-Medical Laboratories market equity $8.8M; last close $1.48 Warnings: late filer; 10 of 14 inputs | 68.1 | D | late filer |
| Peer policy | Letter | Percentile | Peers |
|---|---|---|---|
| all graded filers, equal sleeves | C/D | 59.6 | 2204 |
| sector peers, equal sleeves (the grade) | D | 66.8 | 371 |
| same exchange, equal sleeves | D | 61.9 | 1219 |
| sector peers, equal inputs | D | 65.1 | 371 |
Each letter is one fifth of the 371 graded peers, about 74 companies. A boundary letter (A/B, B/C, C/D, D/E) marks a percentile within one sampling error of a band edge.
Market measures at the 2026-10-08 close. None enters the grade. Percentile among graded peers with the same measure.
| Measure | Value | Peer median | Percentile | Reading |
|---|---|---|---|---|
| Twelve-month price change, skipping the latest month | (33.2%) | 8.0% | 22 | hotter than 22 of 100 peers |
| Distance from 52-week high | (31.7%) | (31.4%) | 49 | closer to its high than 49 of 100 peers |
| EBIT to enterprise value | (7.2%) | (1.5%) | 36 | pricier than 64 of 100 peers |
| Free cash flow yield | (7.2%) | (1.0%) | 37 | pricier than 63 of 100 peers |
| Book value to price | 0.06 | 0.28 | 21 | pricier than 79 of 100 peers |
| Sales to price | 0.34 | 0.31 | 54 | pricier than 46 of 100 peers |
| Composite equity issuance, five years | 64.8% | 20.3% | 69 | more equity-funded than 69 of 100 peers |
| Relative strength against the sector, log excess return | (0.62) | (0.14) | 22 | ahead of 22 of 100 peers |
Inputs: market equity $197.9M; EBIT -$14.1M; free cash flow -$14.3M; book equity $12.2M; sales $66.6M; debt $22.8M; cash $24.6M[27].
Diagnostics do not feed the grade.
| Piotroski F-score: 3 of 9, period end 2025-12-31 | ||
|---|---|---|
| Return on assets above zero | (44.6%) | ✗ fail[8,10] |
| Operating cash flow above zero | -$13.6M | ✗ fail[9] |
| Return on assets improved | (18.1 pts) | ✗ fail[8,10,25,28] |
| Operating cash flow exceeds net income | $6.3M | ✓ pass[8-9] |
| Long-term leverage fell | 4.3 pts | ✗ fail[1,10,25,29-30] |
| Current ratio improved | 75.4 pts | ✓ pass[19-20,31-32] |
| No new shares issued | 34.4% | ✗ fail[3-4] |
| Gross margin improved | (1.2 pts) | ✗ fail[2,7,11-12] |
| Asset turnover improved | 51.3 pts | ✓ pass[2,10,12,25] |
|
Every citation on this page. Filing opens the SEC index page for that submission; viewer opens the SEC interactive data for the same filing; series opens the SEC XBRL API record for that tag and company.
| # | Concept | XBRL tag | Value | Period end | Received | Form | Links |
|---|---|---|---|---|---|---|---|
| 1 | assets | us-gaap:Assets | $58.0M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 2 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $66.6M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 3 | shares outstanding | dei:EntityCommonStockSharesOutstanding | 24,053,058 | 2026-03-06 | 2026-03-10 | 10-K | filing · viewer · series |
| 4 | shares outstanding | dei:EntityCommonStockSharesOutstanding | 17,898,098 | 2025-03-07 | 2025-03-11 | 10-K | filing · viewer · series |
| 5 | cash | us-gaap:CashAndCashEquivalentsAtCarryingValue | $32.2M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 6 | total debt | us-gaap:LongTermDebt | $22.9M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 7 | gross profit | us-gaap:GrossProfit | $38.8M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 8 | net income | us-gaap:NetIncomeLoss | -$20.0M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 9 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | -$13.6M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 10 | assets | us-gaap:Assets | $44.7M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 11 | gross profit | us-gaap:GrossProfit | $33.1M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 12 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $55.6M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 13 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $52.5M | 2023-12-31 | 2025-03-11 | 10-K | filing · viewer · series |
| 14 | cost of revenue | us-gaap:CostOfGoodsAndServicesSold | $23.1M | 2023-12-31 | 2025-03-11 | 10-K | filing · viewer · series |
| 15 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $45.6M | 2022-12-31 | 2024-03-18 | 10-K | filing · viewer · series |
| 16 | cost of revenue | us-gaap:CostOfGoodsAndServicesSold | $24.2M | 2022-12-31 | 2024-03-18 | 10-K | filing · viewer · series |
| 17 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $48.3M | 2021-12-31 | 2023-03-20 | 10-K | filing · viewer · series |
| 18 | cost of revenue | us-gaap:CostOfGoodsAndServicesSold | $20.6M | 2021-12-31 | 2023-03-20 | 10-K | filing · viewer · series |
| 19 | current assets | us-gaap:AssetsCurrent | $48.9M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 20 | current liabilities | us-gaap:LiabilitiesCurrent | $14.2M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 21 | retained earnings | us-gaap:RetainedEarningsAccumulatedDeficit | -$314.3M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 22 | operating income | us-gaap:OperatingIncomeLoss | -$14.1M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 23 | book equity | us-gaap:StockholdersEquity | $17.4M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 24 | liabilities | us-gaap:Liabilities | $40.6M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 25 | assets | us-gaap:Assets | $56.9M | 2023-12-31 | 2025-03-11 | 10-K | filing · viewer · series |
| 26 | assets | us-gaap:Assets | $86.2M | 2022-12-31 | 2024-03-18 | 10-K | filing · viewer · series |
| 27 | shares outstanding | dei:EntityCommonStockSharesOutstanding | 24,225,339 | 2026-07-30 | 2026-08-04 | 10-Q | filing · viewer · series |
| 28 | net income | us-gaap:NetIncomeLoss | -$15.1M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 29 | long term debt | us-gaap:LongTermDebtNoncurrent | $22.3M | 2025-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 30 | long term debt | us-gaap:LongTermDebtNoncurrent | $19.8M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 31 | current assets | us-gaap:AssetsCurrent | $36.5M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 32 | current liabilities | us-gaap:LiabilitiesCurrent | $13.5M | 2024-12-31 | 2026-03-10 | 10-K | filing · viewer · series |
| 33 | cash | us-gaap:CashAndCashEquivalentsAtCarryingValue | $24.6M | 2026-06-30 | 2026-08-04 | 10-Q | filing · viewer · series |
| 34 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | -$6.4M | 2026-06-30 | 2026-08-04 | 10-Q | filing · viewer · series |
| 35 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | -$10.4M | 2026-03-31 | 2026-05-11 | 10-Q | filing · viewer · series |
| 36 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | -$10.6M | 2025-09-30 | 2025-11-04 | 10-Q | filing · viewer · series |
| 37 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | -$13.6M | 2025-06-30 | 2026-08-04 | 10-Q | filing · viewer · series |
Grade boundary. Percentile 66.8 is 6.8 points from the nearest band edge; sampling error is 2.5 points.
Peer group. Sector assignment from four-digit SIC codes, hand-tuned and published. The grade under three alternative peer policies is tabled above.
Size. Within a sector the letter tracks size. Among graded filers in the smallest asset band, 72% grade E and 0% grade A; in the largest, 13% grade E and 21% grade A. Universe as of Oct 9, 2026.
Failure model. filings 2012-01-01 to 2019-12-31 fit, filings 2020-01-01 to 2025-12-31 test; status post hoc pending confirmation. pre-registered on 2026 filings once their 12-month outcome windows close; supported if the paired per-quintile gain over the pooled model has a lower bound above 0.05.
Input validity. Revenue or total assets at or below $100,000 sets the degenerate-inputs flag. An input whose denominator is at or below $100,000 is left not computable rather than ranked.
Returns. No input on this page has a post-2015 confidence interval on returns that excludes zero. The grade ranks reported financial condition and is not a return forecast.