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AxoGen (AXGN)
NASDAQ:AXGN

AxoGen (AXGN) AI Stock Analysis

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AXGN

AxoGen

(NASDAQ:AXGN)

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Neutral 69 (OpenAI - 4o)
Rating:69Neutral
Price Target:
$34.00
▲(15.84% Upside)
AxoGen's overall stock score is driven by strong earnings call results and significant corporate events, particularly the FDA approval for Avance Nerve Scaffold. Technical analysis supports a bullish outlook, although valuation concerns due to negative profitability metrics slightly dampen the score.
Positive Factors
FDA Approval
FDA approval of Avance Nerve Scaffold enhances AxoGen's market position, confirming product safety and effectiveness, and is expected to drive future growth.
Revenue Growth
Strong revenue growth indicates expanding market reach and product adoption, supporting long-term business sustainability and competitive positioning.
Gross Margin Improvement
Improved gross margins reflect efficient cost management, enhancing profitability potential and providing a buffer against market fluctuations.
Negative Factors
Profitability Challenges
Negative net profit margin indicates ongoing challenges in achieving profitability, which could impact long-term financial health and shareholder returns.
Cash Flow Challenges
Declining free cash flow growth suggests potential liquidity issues, which could limit investment in growth opportunities and operational flexibility.
Extended BLA Approval Timeline
Delayed BLA approval for Avance Nerve Graft introduces uncertainty, potentially impacting strategic timelines and market exclusivity benefits.

AxoGen (AXGN) vs. SPDR S&P 500 ETF (SPY)

AxoGen Business Overview & Revenue Model

Company DescriptionAxoGen, Inc., together with its subsidiaries, develops and markets surgical solutions for physical damage or transection to peripheral nerves. The company's products include Avance Nerve Graft, a biologically active off-the-shelf processed human nerve allograft for bridging severed nerves without the comorbidities associated with a second surgical site; AxoGuard Nerve Connector, a porcine submucosa extracellular matrix (ECM) coaptation aid for tensionless repair of severed peripheral nerves; and AxoGuard Nerve Protector, a porcine submucosa ECM product that is used to wrap and protect damaged peripheral nerves, as well as reinforces the nerve reconstruction while preventing soft tissue attachments. Its products also comprise Axoguard Nerve Cap, a porcine submucosa ECM product that is used to protect a peripheral nerve end, as well as separates the nerve from the surrounding environment to reduce the development of symptomatic or painful neuroma; and Avive Soft Tissue Membrane, a processed human umbilical cord membrane that can be used as a resorbable soft tissue covering to separate tissues in the surgical bed. In addition, the company offers AxoTouch two point discriminator, a tool that is used for measuring the innervation density of surface area of the skin. It provides its products to hospitals, surgery centers, and military hospitals plastic reconstructive surgeons, orthopedic and plastic hand surgeons, and various oral and maxillofacial surgeons in the United States, Canada, Germany, the United Kingdom and other European countries, South Korea, and internationally. AxoGen, Inc. is headquartered in Alachua, Florida.
How the Company Makes MoneyAxoGen generates revenue primarily through the sale of its products, including Avance Nerve Graft and AxoGuard Nerve Connector, to hospitals and surgical centers across the United States. The company employs a direct sales force that engages with surgeons and healthcare providers to promote its products and educate them on the benefits and applications of nerve repair solutions. Key revenue streams also include reimbursement from insurance companies for the use of their products in surgical procedures. Additionally, AxoGen may enter into strategic partnerships with other medical device companies or research institutions to enhance product development and expand its market reach, contributing to its overall earnings.

AxoGen Earnings Call Summary

Earnings Call Date:Oct 29, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 03, 2026
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue growth and operational performance across all target markets, driven by increased adoption and positive gross margin trends. However, some challenges were noted in reaching high potential account goals and the extended timeline for BLA approval. Despite these challenges, the overall sentiment is positive, given the robust financial performance and strategic progress.
Q3-2025 Updates
Positive Updates
Significant Revenue Growth
Q3 sales increased to $60.1 million, growing 23.5% compared to the same period last year. The growth was driven by expanding adoption of nerve care across all target markets.
Gross Margin Improvement
Gross margin increased to 76.6%, up from 74.9% in the same period last year and up from 74.2% in the second quarter of 2025, driven by lower inventory write-offs and reduced shipping costs.
Positive Adjusted EBITDA
Adjusted EBITDA for the quarter was $9.2 million, with a margin improvement to 15.4% from 13.3% in the same period last year, driven by revenue growth and increased operating leverage.
Surgeon Training and Adoption
AxoGen trained 97 surgeons in Extremities year-to-date and 57 in OMF and head and neck, exceeding targets, and saw a 20% increase in surgeons performing breast resensation procedures.
Increased Coverage and Reimbursement
Noncoverage policies removed within Blue Cross Blue Shield network and Medicare Advantage, with an estimated 1.1 million newly covered lives in Q3 and 18.1 million YTD.
Negative Updates
Below Target for High Potential Accounts
Approximately 64% of revenue growth was driven by high potential accounts, slightly below the planned target of 66%, impacted by the discontinuation of the case stock sales program.
Extended BLA Approval Timeline
FDA extended the PDUFA goal date from September to December 5, 2025, for the Avance Nerve Graft due to a major amendment, causing uncertainty around the approval timing.
Company Guidance
During the call, AxoGen provided guidance for the fiscal year 2025, highlighting several key metrics. The company reported Q3 sales of $60.1 million, a 23.5% increase compared to the same period the previous year. This growth was attributed to a 19% average account productivity, with 64% of revenue growth driven by high potential accounts. The company raised its full-year revenue growth guidance to at least 19%, equating to a minimum of $222.8 million, while maintaining a gross margin expectation between 73% and 75%. Operating expenses increased slightly to $44.1 million, demonstrating a decrease in percentage relative to revenue. AxoGen also noted a positive net income of $0.7 million and an adjusted EBITDA of $9.2 million, with an adjusted EBITDA margin improvement to 15.4%. The company remains focused on achieving its strategic goals, including commercial expansion and clinical research, while anticipating a biologics license application decision for the Avance Nerve Graft in December 2025, which could secure 12 years of marketplace exclusivity.

AxoGen Financial Statement Overview

Summary
AxoGen shows positive revenue growth and strong gross margins, indicating effective sales and cost management. However, profitability remains a concern with negative net income and return on equity. The balance sheet is stable with low leverage, but cash flow challenges persist, requiring attention to improve liquidity and cash generation.
Income Statement
65
Positive
AxoGen's income statement shows a positive revenue growth rate of 5.63% in the TTM, indicating a steady increase in sales. The gross profit margin remains strong at 74.76%, showcasing efficient cost management. However, the net profit margin is negative at -0.98%, reflecting ongoing challenges in achieving profitability. The EBIT and EBITDA margins have improved to 6.59% and 5.01% respectively, suggesting better operational efficiency compared to previous periods.
Balance Sheet
58
Neutral
The balance sheet reveals a manageable debt-to-equity ratio of 0.16 in the TTM, indicating low leverage and reduced financial risk. However, the return on equity is negative at -1.90%, highlighting challenges in generating returns for shareholders. The equity ratio stands at 55.83%, suggesting a solid capital structure with a significant portion of assets financed by equity.
Cash Flow
52
Neutral
Cash flow analysis shows a decline in free cash flow growth by -42.25% in the TTM, indicating potential liquidity challenges. The operating cash flow to net income ratio is 0.23, suggesting limited cash generation relative to net income. The free cash flow to net income ratio is 0.49, reflecting moderate cash conversion efficiency.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue214.71M187.34M159.01M138.58M127.36M112.30M
Gross Profit160.52M141.98M121.87M108.81M104.43M90.72M
EBITDA21.49M6.08M-13.33M-23.47M-20.89M-19.27M
Net Income-2.10M-9.96M-21.72M-28.95M-26.98M-23.79M
Balance Sheet
Total Assets216.40M203.73M196.83M195.39M208.02M201.38M
Cash, Cash Equivalents and Short-Term Investments35.79M33.48M31.02M48.79M84.09M103.97M
Total Debt67.91M68.69M69.29M67.43M67.45M54.63M
Total Liabilities95.59M99.82M101.16M94.39M95.47M78.23M
Stockholders Equity120.81M103.91M95.67M101.00M112.55M123.15M
Cash Flow
Free Cash Flow2.85M11.00K-20.63M-37.32M-41.80M-32.22M
Operating Cash Flow6.51M4.54M-5.72M-16.07M-13.40M-9.63M
Investing Cash Flow-10.17M-10.30M19.25M-3.20M-23.65M-16.96M
Financing Cash Flow6.90M2.29M1.95M1.79M20.45M40.47M

AxoGen Technical Analysis

Technical Analysis Sentiment
Positive
Last Price29.35
Price Trends
50DMA
23.56
Positive
100DMA
19.63
Positive
200DMA
16.75
Positive
Market Momentum
MACD
1.87
Positive
RSI
59.18
Neutral
STOCH
28.49
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AXGN, the sentiment is Positive. The current price of 29.35 is above the 20-day moving average (MA) of 28.87, above the 50-day MA of 23.56, and above the 200-day MA of 16.75, indicating a bullish trend. The MACD of 1.87 indicates Positive momentum. The RSI at 59.18 is Neutral, neither overbought nor oversold. The STOCH value of 28.49 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for AXGN.

AxoGen Risk Analysis

AxoGen disclosed 64 risk factors in its most recent earnings report. AxoGen reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

AxoGen Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$1.35B-598.98-1.90%18.72%85.77%
64
Neutral
$622.38M66.964.97%1.58%
61
Neutral
$1.53B-7.41-109.73%17.87%-57.03%
58
Neutral
$842.66M-38.00-12.91%23.27%43.90%
55
Neutral
$615.77M-5.12-24.60%4.31%3.26%
52
Neutral
$539.39M-1.14-46.68%2.70%-3090.51%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AXGN
AxoGen
29.35
15.01
104.67%
OFIX
Orthofix
15.55
-1.98
-11.29%
TNDM
Tandem Diabetes Care
22.60
-10.40
-31.52%
AVNS
Avanos Medical
11.62
-4.56
-28.18%
SIBN
SI-Bone
19.42
5.88
43.43%
BVS
Bioventus
7.52
-3.09
-29.12%

AxoGen Corporate Events

Executive/Board Changes
AxoGen Approves New CFO Compensation and Agreement
Neutral
Dec 5, 2025

On December 3, 2025, AxoGen, Inc.’s Board of Directors approved changes to the compensation package for Chief Financial Officer Lindsey Hartley. Effective January 1, 2026, her annual base salary will increase by 7%, and her target bonus opportunity will rise from 50% to 60% of her salary. Additionally, an Amended and Restated Confidentiality, Intellectual Property, Non-Competition, and Non-Solicitation Agreement was signed, effective December 5, 2025, which includes a two-year post-employment non-competition covenant.

Product-Related AnnouncementsRegulatory Filings and Compliance
AxoGen Secures FDA Approval for Avance Nerve Scaffold
Positive
Dec 4, 2025

On December 3, 2025, Axogen announced that the FDA approved its Biologics License Application for Avance®, an acellular nerve scaffold for treating peripheral nerve discontinuities. This approval, under the FDA’s Accelerated Approval pathway, marks a significant regulatory milestone for Axogen, transitioning Avance from a human tissue product to a biologic classification. This shift strengthens Axogen’s regulatory position and confirms Avance as a safe and effective therapeutic option, with commercial availability expected in early 2026. The approval is contingent upon confirmatory clinical studies, and Avance remains available under the current tissue framework until then.

Business Operations and StrategyFinancial Disclosures
Axogen Reports Q3 2025 Revenue Growth of 23.5%
Positive
Oct 29, 2025

On October 29, 2025, Axogen, Inc. reported its third quarter 2025 financial results, highlighting a revenue increase of 23.5% to $60.1 million compared to the same quarter in 2024. The company also raised its full-year revenue guidance to at least 19% growth, or $222.8 million. The quarter saw significant developments, including new position statements from medical societies recognizing nerve allografts as standard practice and expanded coverage for nerve repair, which validate Axogen’s market strategy. The FDA’s anticipated approval of the Avance® Nerve Graft BLA by December 2025 is expected to further bolster the company’s position in the industry.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 09, 2025