Axogen, Inc.NASDAQ: AXGN

Axogen, Inc. Reports First Quarter 2026 Financial Results

· Issued by Axogen, Inc. via GlobeNewswire

Raises Full Year Revenue Guidance to at Least 20% Growth or $270 million

ALACHUA, Fla. and TAMPA, Fla., April 28, 2026 (GLOBE NEWSWIRE) -- Axogen, Inc. (NASDAQ: AXGN), a global leader in developing and marketing innovative surgical solutions for the restoration of peripheral nerve function, today reported financial results and business highlights for the first quarter ended March 31, 2026.

First Quarter Financial Results 

  • First quarter 2026 revenue was $61.5 million, a 26.6% increase compared to first quarter 2025 revenue of $48.6 million.

  • Gross margin was 75.2% for the first quarter of 2026, compared to 71.9% in the first quarter of 2025.

  • Net loss for the first quarter of 2026 was $19.6 million, or $0.38 per share, compared to $3.8 million, or $0.08 per share for the first quarter of 2025.

  • Adjusted net income was $4.1 million for the first quarter of 2026, or $0.07 per share, compared to an adjusted net loss of $0.9 million, or $0.02 per share for the first quarter 2025.

  • Adjusted EBITDA was $5.7 million for the first quarter of 2026, compared to $2.9 million for the first quarter of 2025.

  • As of March 31, 2026, cash and cash equivalents, restricted cash, and investments was $103.6 million, as compared to $45.5 million as of December 31, 2025, an increase of $58.1 million.

“We are pleased with our first-quarter revenue performance and the progress we’re making across each of Axogen’s strategic plan priorities,” said Michael Dale, President and CEO of Axogen, Inc. “We delivered strong growth across all of our target markets, reinforcing the relevance of our market development strategies and the strength of our commercial execution. We remain well positioned to achieve our financial guidance and continue advancing our strategic objectives for 2026.”

Summary of Business Highlights

  • First quarter 2026 revenue growth was broad-based, including double-digit growth in all markets, which includes Extremities, Oral Maxillofacial & Head and Neck, and Breast.

  • Received positive coverage decisions from Cigna and Elevance Health, two of the nation’s largest commercial insurers.

  • Effective January 1, 2026, CMS created a new Level 3 Nerve Procedure Code, increasing Avance facility reimbursement 40% year-over-year to $8,965 for hospital outpatient and 35% to $6,157 for ASC-based procedures.

  • On January 23, 2026, Axogen closed an upsized public offering with the sale of 4.6 million shares of common stock, yielding net proceeds of $133.3 million. From these net proceeds, $69.7 million were used to fully repay and terminate our Oberland loan facility on January 28, 2026. Remaining funds are available for working capital, capital expenditures, and other general corporate purposes.

2026 Financial Guidance

We expect 2026 revenue growth to be at least 20%, or $270 million, for the full-year and gross margin to be in the range of 74% to 76%. Additionally, we expect to be free cash flow positive for the full-year.

Conference Call

The Company will host a conference call and webcast for the investment community today at 8:00 a.m. ET. Investors interested in participating in the conference call by phone may do so by dialing toll free at (877) 407-0993 or use the direct dial-in number at (201) 689-8795. Those interested in listening to the conference call live via the internet may do so by visiting the Investors page of the Company’s website at www.axogeninc.com and clicking on the webcast link.

Following the conference call, a replay will be available in the Investors section of the Company’s website at www.axogeninc.com under Investors.

About Axogen

Axogen (AXGN) is the leading company focused specifically on the science, development and commercialization of technologies for peripheral nerve regeneration and repair. Axogen employees are passionate about providing the opportunity to restore nerve function and quality of life for patients with peripheral nerve injuries by providing innovative, clinically proven and economically effective repair solutions for surgeons and healthcare providers. Peripheral nerves provide the pathways for both motor and sensory signals throughout the body. Every day people suffer traumatic injuries or undergo surgical procedures that impact the function of their peripheral nerves. Physical damage to a peripheral nerve or the inability to properly reconnect peripheral nerves can result in the loss of muscle or organ function, the loss of sensory feeling, or the initiation of pain.

Axogen’s product portfolio includes Avance® (acellular nerve allograft-arwx), Avance® Nerve Graft, Axoguard Nerve Connector®, Axoguard Nerve Protector®, Axoguard HA+ Nerve Protector™, Axoguard Nerve Cap®, and Avive+ Soft Tissue Matrix™.​

For more information, visit www.axogeninc.com.

Cautionary Statements Concerning Forward-Looking Statements

This press release and accompanying earnings call contain “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements under the heading “2026 Financial Guidance” and statements regarding our business model optimization plans; market development strategies and objectives; our expectations around the potential positive impact on our business of expanded coverage and reimbursement for peripheral nerve injuries using synthetic conduits or allografts; our ability to sustain growth, operate profitably, generate positive cash flows, and fund our market development initiatives; and the anticipated use of proceeds from our recent public offering. These statements are based on management’s current expectations and estimates of trends and economic factors in the markets in which we are active. Words such as “expects,” “anticipates,” “objectives,” “targets,” “intends,” “plans,” “believes,” “seeks,” “estimates,” “projects,” “forecasts,” “continue,” “may,” “should,” “will,” and variations of such words and similar expressions are intended to identify such forward-looking statements. Actual results or events could differ materially from those described in any forward-looking statements as a result of factors, including, without limitation, disruptions from global supply chain issues, inflation, hospital staffing challenges, product development timelines, regulatory processes, financial performance, surgeon adoption rates, market awareness of our products, the estimated total addressable market, as well as those risk factors described under Part I, Item 1A, “Risk Factors,” in our most recent Annual Report on Form 10-K and other risks and uncertainties that may be detailed from time to time in reports filed by the Company with the SEC. Forward-looking statements are not a guarantee of future performance, and actual results may differ materially from those projected. Forward-looking statements speak only as of the date they are made and, except as required by applicable law, we assume no responsibility to publicly update or revise any forward-looking statements.

About Non-GAAP Financial Measures

To supplement our condensed consolidated financial statements, we use the non-GAAP financial measures of EBITDA, which measures earnings before interest, income taxes, depreciation and amortization, EBITDA margin, and Adjusted EBITDA, which further excludes non-cash stock-based compensation expense and the loss on extinguishment of debt, and Adjusted EBITDA margin. We also use the non-GAAP financial measures of Adjusted Net Income (Loss) and Adjusted Net Income (Loss) Per Common Share - diluted which excludes non-cash stock-based compensation expense and the loss on extinguishment of debt from Net Loss and Net Loss Per Common Share - diluted. Additionally, we use the non-GAAP financial measure of Free Cash Flow which consists of net cash provided by operating activities, less expenditures for property and equipment, and intangible assets.

These non-GAAP measures are not based on any comprehensive set of accounting rules or principles and should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP and may be different from non-GAAP measures used by other companies. In addition, these non-GAAP measures should be read in conjunction with our financial statements prepared in accordance with GAAP. The reconciliations of the non-GAAP measures to the most directly comparable financial measures calculated and presented in accordance with GAAP should be carefully evaluated.

We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. We believe that these non-GAAP financial measures provide meaningful supplemental information regarding our performance and that both management and investors benefit from referring to these non-GAAP financial measures in assessing our performance and when planning, forecasting, and analyzing future periods. We believe these non-GAAP financial measures are useful to investors because (i) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making and (ii) they are used by our institutional investors and the analyst community to help them analyze the performance of our business.

Contact:
Axogen, Inc.
InvestorRelations@axogeninc.com

Axogen, Inc.
Condensed Consolidated Balance Sheets
(unaudited)
(in thousands, except share and per share amounts)

​

March 31,
2026

December 31,
2025

Assets

​

Current assets:

Cash and cash equivalents

$

82,654

$

35,548

Restricted cash

2,000

4,000

Investments

18,947

5,980

Accounts receivable, net of allowance for doubtful accounts of $822 and $948, respectively

28,313

26,169

Inventory

46,074

42,373

Prepaid expenses and other assets

6,720

6,352

Total current assets

184,708

120,422

Property and equipment, net

83,038

81,783

Operating lease right-of-use assets

14,280

12,732

Intangible assets, net

7,270

6,750

Other assets

192

—

Total assets

$

289,488

$

221,687

​

Liabilities and shareholders’ equity

Current liabilities:

Accounts payable and accrued expenses

$

23,898

$

21,184

Current maturities of long-term lease obligations

2,115

2,372

Total current liabilities

26,013

23,556

​

Long-term debt, net of debt discount and financing fees

—

48,387

Long-term lease obligations

18,527

16,870

Debt derivative liabilities

—

3,886

Other long-term liabilities

140

141

Total liabilities

44,680

92,840

​

Shareholders’ equity:

Common stock, $0.01 par value per share; 100,000,000 shares authorized; 53,153,471 and 47,199,797 shares issued and outstanding, respectively

532

472

Additional paid-in capital

570,823

435,338

Accumulated deficit

(326,547

)

(306,963

)

Total shareholders’ equity

244,808

128,847

Total liabilities and shareholders’ equity

$

289,488

$

221,687

​

Axogen, Inc.
Condensed Consolidated Statements of Operations
(unaudited)
(in thousands, except share and per share amounts)

​

Three Months Ended

​

March 31, 2026

March 31, 2025

Revenues

$

61,457

$

48,560

Cost of goods sold

15,268

13,627

Gross profit

46,189

34,933

Costs and expenses:

Sales and marketing

28,633

21,045

Research and development

7,517

6,091

General and administrative

12,871

9,458

Total costs and expenses

49,021

36,594

Loss from operations

(2,832

)

(1,661

)

Other income (expense):

Investment income

768

272

Interest expense

(694

)

(2,250

)

Loss on extinguishment of debt

(16,849

)

—

Change in fair value of debt derivative liabilities

—

(158

)

Other income (expense), net

23

(37

)

Total other expense, net

(16,752

)

(2,173

)

Net loss

$

(19,584

)

$

(3,834

)

Weighted average common shares outstanding — basic

51,591,504

45,204,076

Weighted average common shares outstanding — diluted

51,591,504

45,204,076

Net loss per common share — basic

$

(0.38

)

$

(0.08

)

Net loss per common share — diluted

$

(0.38

)

$

(0.08

)

Axogen, Inc.
Condensed Consolidated Statements of Cash Flows
(unaudited)
(in thousands)​

​

Three Months Ended

​

March 31, 2026

March 31, 2025

Cash flows from operating activities:

​

Net loss

$

(19,584

)

$

(3,834

)

Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

Depreciation

1,604

1,728

Amortization of right-of-use assets

420

87

Amortization of intangible assets

101

67

Amortization of debt discount and deferred financing fees

68

220

(Recovery of) provision for bad debts

(120

)

187

Change in fair value of debt derivative liabilities

—

158

Investment losses (gains), net

33

(45

)

Loss on extinguishment of debt

16,849

—

Stock-based compensation expense

6,843

2,909

Change in operating assets and liabilities:

Accounts receivable

(2,024

)

(2,377

)

Inventory

(3,701

)

(2,321

)

Prepaid expenses and other assets

(368

)

(489

)

Other assets

(192

)

—

Accounts payable and accrued expenses

2,198

(9,079

)

Operating lease obligations

(559

)

(452

)

Cash paid for interest portion of financing lease obligations

(2

)

(1

)

Other long-term liabilities

(1

)

63

Net cash provided by (used in) operating activities

1,565

(13,179

)

​

​

Cash flows from investing activities:

​

Purchase of property and equipment

(2,789

)

(256

)

Purchase of investments

(19,000

)

—

Proceeds from sale of investments

6,000

2,000

Cash payments for intangible assets

(175

)

(405

)

Net cash (used in) provided by investing activities

(15,964

)

1,339

​

​

Cash flows from financing activities:

​

Proceeds from issuance of common stock

134,044

—

Payment of stock issuance costs

(792

)

—

Repayment of long-term debt

(48,585

)

—

Fees paid to lender related to debt extinguishment

(20,498

)

—

Fees paid to third parties related to debt extinguishment

(107

)

—

Payments of employee tax withholding on vested stock awards

(8,776

)

—

Cash paid for debt portion of financing lease obligations

(7

)

(1

)

Proceeds from exercise of stock options

4,226

2,383

Net cash provided by financing activities

59,505

2,382

Net increase (decrease) in cash and cash equivalents, and restricted cash

45,106

(9,458

)

Cash and cash equivalents, and restricted cash, beginning of period

39,548

33,554

Cash and cash equivalents, and restricted cash, end of period

$

84,654

$

24,096

Axogen, Inc.
Condensed Consolidated Statements of Changes in Shareholders’ Equity
(unaudited)
(in thousands, except share amounts)

​

Common Stock

Additional Paid-in
Capital

Accumulated
Deficit

Total Shareholders'
Equity

​

Shares

Amount

Three Months Ended March 31, 2026

​

​

​

​

​

Balance at December 31, 2025

47,199,797

$

472

$

435,338

$

(306,963

)

$

128,847

Net loss

—

—

—

(19,584

)

(19,584

)

Issuance of common shares

4,600,000

46

133,206

—

133,252

Stock-based compensation

—

—

6,843

—

6,843

Issuance of restricted and performance stock units, net of shares withheld for withholding taxes

985,796

10

(8,786

)

—

(8,776

)

Exercise of stock options

367,878

4

4,222

—

4,226

Balance at March 31, 2026

53,153,471

$

532

$

570,823

$

(326,547

)

$

244,808

Three Months Ended March 31, 2025

Balance at December 31, 2024

44,148,836

$

441

$

394,726

$

(291,260

)

$

103,907

Net loss

—

—

—

(3,834

)

(3,834

)

Stock-based compensation

—

—

2,909

—

2,909

Issuance of restricted and performance stock units

1,105,214

11

(11

)

—

—

Exercise of stock options

258,573

3

2,380

—

2,383

Balance at March 31, 2025

45,512,623

$

455

$

400,004

$

(295,094

)

$

105,365

Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)​

EBITDA & Adjusted EBITDA

Three Months Ended

March 31, 2026

March 31, 2025

Net loss

$

(19,584

)

$

(3,834

)

Depreciation and amortization expense

1,706

1,795

Investment income

(768

)

(272

)

Income tax (benefit) expense

(33

)

29

Interest expense

694

2,250

EBITDA – non-GAAP

$

(17,985

)

$

(32

)

EBITDA margin – non-GAAP

(29.3

)%

(0.1

)%

Non-cash stock-based compensation expense

6,843

2,909

Loss on extinguishment of debt

16,849

—

Adjusted EBITDA – non-GAAP

$

5,707

$

2,877

Adjusted EBITDA margin – non-GAAP

9.3

%

5.9

%

​

Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)​

Adjusted Net Income

Three Months Ended March 31, 2026

GAAP Results

Non-cash Stock-based Compensation Expense

Loss on Extinguishment of Debt

Dilutive Shares Impact(1)

Adjusted Results

Revenues

$

61,457

$

—

$

—

$

61,457

Cost of goods sold

15,268

(919

)

—

14,349

Gross profit

46,189

919

—

47,108

Costs and expenses:

Sales and marketing

28,633

(1,558

)

—

27,075

Research and development

7,517

(1,419

)

—

6,098

General and administrative

12,871

(2,947

)

—

9,924

Total costs and expenses

49,021

(5,924

)

—

43,097

(Loss) income from operations

(2,832

)

6,843

—

4,011

Other income (expense):

Investment income

768

—

—

768

Interest expense

(694

)

—

—

(694

)

Loss on extinguishment of debt

(16,849

)

—

16,849

—

Other income, net

23

—

—

23

Total other (expense) income, net

(16,752

)

—

16,849

97

Net (loss) income

$

(19,584

)

$

6,843

$

16,849

$

4,108

Weighted average common shares outstanding – diluted

51,591,504

51,591,504

51,591,504

5,183,717

56,775,221

Net (loss) income per common share – diluted

$

(0.38

)

$

0.13

$

0.33

$

(0.01

)

$

0.07

__________
(1) Due to a GAAP net loss, antidilutive securities are excluded from GAAP diluted weighted average common shares outstanding. However, considering the adjusted net income position, adjusted diluted weighted average common shares outstanding incorporates securities that would have been dilutive for GAAP.

Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)​

Adjusted Net Income

Three Months Ended March 31, 2025

Three Months Ended June 30, 2025

Three Months Ended September 30, 2025

Three Months Ended December 31, 2025

GAAP Results

Non-cash Stock-based Compensation Expense

Adjusted Results

GAAP Results

Non-cash Stock-based Compensation Expense

Adjusted Results

GAAP Results

Non-cash Stock-based Compensation Expense

Adjusted Results

GAAP Results

Non-cash Stock-based Compensation Expense

Adjusted Results(1)

Revenues

$

48,560

$

—

$

48,560

$

56,662

$

—

$

56,662

$

60,082

$

—

$

60,082

$

59,904

$

—

$

59,904

Cost of goods sold

13,627

10

13,637

14,644

(709

)

13,935

14,089

(706

)

13,383

15,495

(2,274

)

13,221

Gross profit

34,933

(10

)

34,923

42,018

709

42,727

45,993

706

46,699

44,409

2,274

46,683

Costs and expenses:

Sales and marketing

21,045

(584

)

20,461

23,804

(1,314

)

22,490

25,680

(1,524

)

24,156

27,211

(2,939

)

24,272

Research and development

6,091

(720

)

5,371

6,853

(1,030

)

5,823

7,565

(1,047

)

6,518

12,376

(6,052

)

6,324

General and administrative

9,458

(1,615

)

7,843

9,689

(2,115

)

7,574

10,836

(2,147

)

8,689

14,594

(5,346

)

9,248

Total costs and expenses

36,594

(2,919

)

33,675

40,346

(4,459

)

35,887

44,081

(4,718

)

39,363

54,181

(14,337

)

39,844

(Loss) income from operations

(1,661

)

2,909

1,248

1,672

5,168

6,840

1,912

5,424

7,336

(9,772

)

16,611

6,839

Other income (expense):

Investment income

272

—

272

225

—

225

319

—

319

352

—

352

Interest expense

(2,250

)

—

(2,250

)

(1,977

)

—

(1,977

)

(1,757

)

—

(1,757

)

(1,718

)

—

(1,718

)

Change in fair value of debt derivative liabilities

(158

)

—

(158

)

480

—

480

209

—

209

(2,018

)

—

(2,018

)

Other (expense) income, net

(37

)

—

(37

)

179

—

179

25

—

25

—

—

—

Total other expense, net

(2,173

)

—

(2,173

)

(1,093

)

—

(1,093

)

(1,204

)

—

(1,204

)

(3,384

)

—

(3,384

)

Net (loss) income

$

(3,834

)

$

2,909

$

(925

)

$

579

$

5,168

$

5,747

$

708

$

5,424

$

6,132

$

(13,156

)

$

16,611

$

3,455

Weighted average common shares outstanding – diluted

45,204,076

45,204,076

45,204,076

47,980,830

47,980,830

47,980,830

49,088,436

49,088,436

49,088,436

46,929,309

46,929,309

52,230,508

Net (loss) income per common share – diluted

$

(0.08

)

$

0.06

$

(0.02

)

$

0.01

$

0.11

$

0.12

$

0.01

$

0.11

$

0.12

$

(0.28

)

$

0.35

$

0.07

__________
(1) Due to a GAAP net loss during the three months ended December 31, 2025, 5,301,199 antidilutive securities are excluded from GAAP diluted weighted average common shares outstanding. However, considering the adjusted net income position, adjusted diluted weighted average common shares outstanding incorporates securities that would have been dilutive for GAAP. The inclusion of these shares decreased adjusted Net income per common share by less than $0.01.

Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)​

Adjusted Net Income

Twelve Months Ended December 31, 2025

GAAP Results

Non-cash Stock-based Compensation Expense

Dilutive Shares Impact(1)

Adjusted Results

Revenues

$

225,208

$

—

$

225,208

Cost of goods sold

57,855

(3,680

)

54,175

Gross profit

167,353

3,680

171,033

Costs and expenses:

Sales and marketing

97,740

(6,361

)

91,379

Research and development

32,885

(8,848

)

24,037

General and administrative

44,577

(11,223

)

33,354

Total costs and expenses

175,202

(26,432

)

148,770

(Loss) income from operations

(7,849

)

30,112

22,263

Other income (expense):

Investment income

1,168

—

1,168

Interest expense

(7,702

)

—

(7,702

)

Change in fair value of debt derivative liabilities

(1,487

)

—

(1,487

)

Other income, net

167

—

167

Total other expense, net

(7,854

)

—

(7,854

)

Net (loss) income

$

(15,703

)

$

30,112

$

14,409

Weighted average common shares outstanding – diluted

46,050,266

46,050,266

3,761,920

49,812,186

Net (loss) income per common share – diluted

$

(0.34

)

$

0.65

$

(0.02

)

$

0.29

__________
(1) Due to a GAAP net loss, antidilutive securities are excluded from GAAP diluted weighted average common shares outstanding. However, considering the adjusted net income position, adjusted diluted weighted average common shares outstanding incorporates securities that would have been dilutive for GAAP.

Free Cash Flow

Three Months Ended

March 31, 2026

March 31, 2025

Net cash provided by (used in) operating activities

$

1,565

$

(13,179

)

Purchase of property and equipment

(2,789

)

(256

)

Cash payments for intangible assets

(175

)

(405

)

Free cash flow

$

(1,399

)

$

(13,840

)

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