Financial Data and Key Metrics Changes - Exagen reported record revenue of $17.2 million for Q2 2025, representing a 14% year-over-year growth and the highest quarterly revenue in company history [4][22]. - The average revenue per territory reached over $430,000 for the quarter, up from $285,000 a couple of years ago, indicating significant commercial leverage [5][6]. - Gross margin improved to just over 60%, up from about 59% in Q1 and 60% in Q2 2024, reflecting higher average selling prices (ASP) and normalization of lab operations [23]. Business Line Data and Key Metrics Changes - The Advise CTD test volume growth was substantial, with the best quarterly volume since strategic adjustments were made in 2023 [5]. - The ASP for the trailing twelve months grew by $27 year-over-year to $428, driven primarily by new biomarkers [22]. Market Data and Key Metrics Changes - The company is currently around 10% penetrated in its market, indicating significant room for growth [35]. - The revenue growth was driven by increased ordering within the physician base and expansion of the physician base [6][19]. Company Strategy and Development Direction - Exagen is focused on building leadership in autoimmune diagnostics through disciplined execution, physician engagement, and innovation [4]. - The company plans to launch additional biomarkers, including anti PAD antibodies, to strengthen its value proposition in the rheumatoid arthritis space [52]. - Strategic investments are being made in R&D and commercial expansion while maintaining a path to profitability [28]. Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the sustainability of volume growth, attributing it to a strong team and the introduction of new biomarkers [35]. - The company expects to achieve positive adjusted EBITDA by Q4 2025 and maintain it throughout 2026 [28]. - Management highlighted the importance of building trust and value in clinical practice to drive adoption of new biomarkers [90]. Other Important Information - The company ended the quarter with over $30 million in cash and equivalents, positioning itself for near free cash flow positive status [26]. - Exagen made key leadership hires, including a new Chief Scientific Officer, to enhance its R&D capabilities [13][14]. Q&A Session Summary Question: Sustainability of Volume Growth - Management believes the recent volume growth is sustainable due to a strong team and the introduction of new biomarkers, with a market penetration of just under 10% [35]. Question: ASP Progress - Management remains optimistic about achieving a $90 increase in ASP by the end of 2025, despite some adjustments made to accrual rates [38][41]. Question: Seasonal Trends in Volume - Management does not provide quarterly volume guidance but expects continued improvement in the second half of the year, aided by sales expansion [48]. Question: Expansion of Territories - The company started Q2 with 40 territories and expanded to 42, with plans to reach 44 by year-end [71][72]. Question: Market Access Initiatives - Exagen is enhancing its marketing campaigns and focusing on building trust with clinicians to drive volume growth [90].

Core Viewpoint - Exagen Inc. has secured a term loan credit facility of up to $75 million from Perceptive Advisors, with an initial funding of $25 million aimed at refinancing existing debt and enhancing the company's balance sheet [1][3]. Financing Details - The first tranche of $25 million was utilized to retire Exagen's existing term debt with Innovatus Capital Partners [3]. - Additional tranches include $10 million available through March 31, 2026, and another $10 million through December 31, 2026, both contingent on achieving specific revenue milestones [8]. - A business development tranche of $30 million is also available through March 31, 2027, at Perceptive's discretion [8]. Loan Terms - The interest rate for the credit agreement is set at Term SOFR + 7%, with a SOFR floor of 4.75% [5]. - Exagen will make interest-only payments for the first 60 months, with the total principal and interest due at maturity [5]. - The loan is secured by substantially all of Exagen's assets [5]. Equity Component - Exagen issued a warrant to Perceptive for 400,000 shares of common stock, with specific exercise prices based on the 10-day VWAP prior to the closing [6]. - Up to an additional 750,000 warrants may be issued, with exercise prices tied to the 10-day VWAP preceding each tranche's funding date [6]. Company Overview - Exagen Inc. is a leading provider of autoimmune diagnostics, focused on improving patient care through innovative testing solutions [10]. - The company's flagship product, AVISE CTD, aids in the diagnosis of complex autoimmune conditions such as lupus and rheumatoid arthritis [10]. - Exagen is committed to addressing challenges in autoimmune disease management through research, innovation, and patient-centered care [10].