Axogen, Inc. Reports First Quarter 2026 Financial Results

About this update from Axogen, Inc.

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(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.","length":324,"tagName":"p"},{"type":"text","content":" First Quarter Financial Results  ","length":31,"tagName":"p"},{"type":"list","items":[{"val":[{"type":"text","content":"First quarter 2026 revenue was $61.5 million, a 26.6% increase compared to first quarter 2025 revenue of $48.6 million.","length":119,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":119,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"Gross margin was 75.2% for the first quarter of 2026, compared to 71.9% in the first quarter of 2025.","length":101,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":101,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"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.","length":153,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":153,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"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.","length":184,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":184,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"Adjusted EBITDA was $5.7 million for the first quarter of 2026, compared to $2.9 million for the first quarter of 2025.","length":119,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":119,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"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. ","length":185,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":185,"olType":false},{"type":"text","content":"“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.”","length":483,"tagName":"p"},{"type":"text","content":" Summary of Business Highlights ","length":30,"tagName":"p"},{"type":"list","items":[{"val":[{"type":"text","content":"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.","length":176,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":176,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"Received positive coverage decisions from Cigna and Elevance Health, two of the nation’s largest commercial insurers.","length":117,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":117,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"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.","length":212,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":212,"olType":false},{"type":"list","items":[{"val":[{"type":"text","content":"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. ","length":392,"tagName":"p"}]}],"tagName":"ul","bulletedList":true,"length":392,"olType":false},{"type":"readMore"},{"type":"text","content":" 2026 Financial Guidance ","length":23,"tagName":"p"},{"type":"text","content":"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.","length":213,"tagName":"p"},{"type":"text","content":" Conference Call ","length":15,"tagName":"p"},{"type":"text","content":"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.","length":470,"tagName":"p"},{"type":"text","content":"Following the conference call, a replay will be available in the Investors section of the Company’s website at www.axogeninc.com under Investors.","length":145,"tagName":"p"},{"type":"text","content":" About Axogen ","length":12,"tagName":"p"},{"type":"text","content":"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.","length":874,"tagName":"p"},{"type":"text","content":"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™.​","length":237,"tagName":"p"},{"type":"text","content":"For more information, visit www.axogeninc.com.","length":46,"tagName":"p"},{"type":"text","content":" Cautionary Statements Concerning Forward-Looking Statements ","length":59,"tagName":"p"},{"type":"text","content":"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.","length":2167,"tagName":"p"},{"type":"text","content":" About Non-GAAP Financial Measures ","length":33,"tagName":"p"},{"type":"text","content":"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.","length":850,"tagName":"p"},{"type":"text","content":"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.","length":589,"tagName":"p"},{"type":"text","content":"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.","length":800,"tagName":"p"},{"type":"table","headerItems":[],"items":[{"val":[{"style":"border-top:solid black 1pt;border-right:solid black 1pt;border-bottom:solid black 1pt;border-left:solid black 1pt;text-align:justify;vertical-align:middle;vertical-align:top;","val":[{"type":"text","content":"Contact: Axogen, Inc. [email protected]","length":53,"tagName":"p","attribs":{}}]}]}],"length":53},{"type":"text","content":" ","length":0,"tagName":"p"},{"type":"table","headerItems":[],"items":[{"val":[{"colspan":"9","style":"text-align:center;vertical-align:middle;vertical-align:bottom;","val":[{"type":"text","content":" Axogen, Inc. 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