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Axogen, Inc. Reports Third Quarter 2025 Financial Results

Key Takeaway: Axogen, Inc. reported a 23.5% increase in revenue for Q3 2025, totaling $60.1 million, with an adjusted EBITDA of $9.2 million. The company raised its full-year revenue guidance to at least $222.8 million, reflecting strong market growth and recognition of nerve allografts in clinical practice. However, they anticipate a minor impact on gross margin due to one-time costs associated with their upcoming BLA approval.
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Market Sentiment Analysis

POSITIVE FACTORS

  • Revenue grew 23.5% to $60.1 million in Q3 2025.
  • Adjusted EBITDA reached $9.2 million, indicating strong operational performance.
  • New guidelines recognize nerve allografts as standard medical practice.
  • The company anticipates BLA approval for Avance® Nerve Graft in December.

CONCERNS & RISKS

  • One-time costs related to BLA approval expected to impact gross margin.
  • Potential disruptions from geopolitical tensions and supply chain issues.

Full Press Release Details

ALACHUA, Fla. and TAMPA, Fla., Oct. 29, 2025 (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 third quarter ended September 30, 2025.

Third Quarter Financial Results

“Our third quarter performance reflects the continued maturation of the peripheral nerve repair market, with revenue growing 23.5% to $60.1 million and adjusted EBITDA of $9.2 million as we scale our commercial operations,” commented Michael Dale, CEO and Director of Axogen, Inc. “New position statements from AAHS and ASRM, together with AAOMS guidelines recognizing nerve allografts as standard medical practice, and the addition of 1.1 million additional covered lives, validate our ongoing market development strategy. With double-digit growth across all markets and the expected completion of our Avance®Nerve Graft BLA in December, we’re advancing our mission to make peripheral nerve repair an expected standard of care.”

Summary of Business Highlights

2025 Financial Guidance

We are raising our revenue guidance to at least 19% growth, or $222.8 million for the full year. We continue to expect gross margin for the year to be in the range of 73% to 75%. This range reflects one-time costs, mainly related to an anticipated Avance®Nerve Graft BLA approval, which we expect will negatively impact gross margin by approximately 1%, or $2 million. Lastly, we reiterate that we expect to be net 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 atwww.axogeninc.comunder 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®Nerve Graft, a biologically active off-the-shelf processed human nerve allograft for bridging severed peripheral nerves without the comorbidities associated with a second surgical site; Axoguard Nerve Connector®, a porcine (pig) submucosa extracellular matrix (“ECM”) coaptation aid for tensionless repair of severed peripheral nerves; Axoguard Nerve Protector®, a porcine submucosa ECM product used to wrap and protect damaged peripheral nerves and reinforce the nerve reconstruction while minimizing soft tissue attachments; Axoguard HA+ Nerve Protector™, a porcine submucosa ECM base layer coated with a proprietary hyaluronate-alginate gel, a next-generation technology designed to enhance nerve gliding and provide short- and long-term protection for peripheral nerve injuries; Axoguard Nerve Cap®, a porcine submucosa ECM product used to protect a peripheral nerve end and separate the nerve from the surrounding environment to reduce the development of symptomatic or painful neuroma; and Avive+ Soft Tissue Matrix™, a multi-layer amniotic membrane allograft used to protect and separate tissues in the surgical bed during the critical phase of tissue healing. The Axogen portfolio of products is available in the United States, Canada, Germany, the United Kingdom, Spain, South Korea and several other countries.​
For more information, visit www.axogeninc.com.

Cautionary Statements Concerning Forward-Looking Statements

This press release contains “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. These statements are based on management’s current expectations or predictions of future conditions, events, or results based on various assumptions and management’s estimates of trends and economic factors in the markets in which we are active, as well as our business plans. Words such as “expects,” “anticipates,” “priorities,” “objectives,” “targets,” “intends,” “plan(s),” “believes,” “seeks,” “estimates,” “projects,” “forecasts,” “continue,” “may,” “should,” “will,” “goals,” and variations of such words and similar expressions are intended to identify such forward-looking statements. Forward-looking statements include, but are not limited to, statements regarding our business model optimization plans; market development strategies and objectives; our expectations around the potential positive impact on our business of the AAHS and ASRM releasing official position statements recognizing nerve allograft as a standard medical practice options for the treatment of nerve defects, as well as clinical practice guidelines from the AAOMS; 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 beliefs around the strengths and discipline of our commercial execution; our business purpose to restore health and improve quality of life by making restoration of peripheral nerve function an expected standard of care; and our expectation of BLA approval in December 2025, as well as statements under the subheading “2025 Financial Guidance.” Actual results or events could differ materially from those described in any forward-looking statements as a result of various factors, including, without limitation, potential disruptions from leadership transitions, global supply chain issues, record inflation, hospital staffing challenges, product development timelines, product potential, expected clinical enrollment timing and outcomes, regulatory processes and approvals, financial performance, sales growth, surgeon and product adoption rates, market awareness of our products, data validation processes, our visibility at and sponsorship of conferences and educational events, global business disruption from Russia’s invasion of Ukraine and related sanctions, recent geopolitical conflicts in the Middle East, the evolving macroeconomic environment (including financial market volatility), escalating geopolitical tensions and trade disputes with U.S. trading partners, potential impact of recent government actions and policies, including the One Big Beautiful Bill Act and the October 2025 U.S. government shutdown, on our business, tax position, and regulatory processes, as well as those risk factors described under Part I, Item 1A., “Risk Factors,” in our Annual Report on Form 10-K for the year ended December 31, 2024 and other risks and uncertainties, which 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. The forward-looking statements are representative 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 exclude noncash stock compensation expense, 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 noncash stock compensation expense from Net Income (Loss) and Net Income (Loss) Per Common Share - diluted. 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)
September 30,2025 December 31,2024
Assets
Current assets:
Cash and cash equivalents $ 23,902 $ 27,554
Restricted cash 4,000 6,000
Investments 11,889 5,928
Accounts receivable, net of allowance for doubtful accounts of $1,075 and $788, respectively 30,775 24,105
Inventory 40,581 33,183
Prepaid expenses and other assets 3,309 2,447
Total current assets 114,456 99,217
Property and equipment, net 82,374 84,667
Operating lease right-of-use assets 13,137 14,265
Intangible assets, net 6,433 5,579
Total assets $ 216,400 $ 203,728
Liabilities and shareholders’ equity
Current liabilities:
Accounts payable and accrued expenses $ 25,672 $ 28,641
Current maturities of long-term lease obligations 2,336 1,969
Total current liabilities 28,008 30,610
Long-term debt, net of debt discount and financing fees 48,162 47,496
Long-term lease obligations 17,416 19,221
Debt derivative liabilities 1,868 2,400
Other long-term liabilities 141 94
Total liabilities 95,595 99,821
Shareholders’ equity:
Common stock, $0.01 par value per share; 100,000,000 shares authorized; 46,117,283 and 44,148,836 shares issued and outstanding, respectively 461 441
Additional paid-in capital 414,151 394,726
Accumulated deficit (293,807 ) (291,260 )
Total shareholders’ equity 120,805 103,907
Total liabilities and shareholders’ equity $ 216,400 $ 203,728
Axogen, Inc.Condensed Consolidated Statements of Operations(unaudited)(in thousands, except share and per share amounts)
Three Months Ended Nine Months Ended
September 30, 2025 September 30, 2024 September 30, 2025 September 30, 2024
Revenues $ 60,082 $ 48,644 $ 165,304 $ 137,933
Cost of goods sold 14,089 12,206 42,360 33,531
Gross profit 45,993 36,438 122,944 104,402
Costs and expenses:
Sales and marketing 25,680 18,924 70,529 58,437
Research and development 7,565 6,996 20,509 21,063
General and administrative 10,836 10,834 29,983 30,206
Total costs and expenses 44,081 36,754 121,021 109,706
Income (loss) from operations 1,912 (316 ) 1,923 (5,304 )
Other income (expense):
Investment income 319 296 816 816
Rental income 90 90
Interest expense (1,757 ) (1,893 ) (5,984 ) (6,405 )
Change in fair value of debt derivative liabilities 209 13 531 542
Other income (expense), net 25 (48 ) 167 (153 )
Total other expense, net (1,204 ) (1,542 ) (4,470 ) (5,110 )
Net income (loss) $ 708 $ (1,858 ) $ (2,547 ) $ (10,414 )
Weighted average common shares outstanding — basic 46,494,598 43,882,110 45,905,069 43,610,481
Weighted average common shares outstanding — diluted 49,088,436 43,882,110 45,905,069 43,610,481
Net income (loss) per common share — basic $ 0.02 $ (0.04 ) $ (0.06 ) $ (0.24 )
Net income (loss) per common share — diluted $ 0.01 $ (0.04 ) $ (0.06 ) $ (0.24 )
Axogen, Inc.Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures(unaudited)(in thousands, except share and per share amounts)
Three Months Ended Nine Months Ended
September 30, 2025 September 30, 2024 September 30, 2025 September 30, 2024
Net income (loss) $ 708 $ (1,858 ) $ (2,547 ) $ (10,414 )
Depreciation and amortization expense 1,730 1,719 5,248 5,034
Investment income (319 ) (296 ) (816 ) (816 )
Income tax (benefit) expense (62 ) 26 4 76
Interest expense 1,757 1,893 5,984 6,405
EBITDA - non-GAAP $ 3,814 $ 1,484 $ 7,873 $ 285
EBITDA margin - non-GAAP 6.3 % 3.1 % 4.8 % 0.2 %
Noncash stock-based compensation expense 5,424 5,004 13,501 12,830
Adjusted EBITDA - non-GAAP $ 9,238 $ 6,488 $ 21,374 $ 13,115
Adjusted EBITDA margin - non-GAAP 15.4 % 13.3 % 12.9 % 9.5 %
Net income (loss) $ 708 $ (1,858 ) $ (2,547 ) $ (10,414 )
Noncash stock-based compensation expense 5,424 5,004 13,501 12,830
Adjusted net income - non-GAAP $ 6,132 $ 3,146 $ 10,954 $ 2,416
Weighted average common shares outstanding - diluted 49,088,436 43,882,110 45,905,069 43,610,481
Net income (loss) per common share - diluted $ 0.01 $ (0.04 ) $ (0.06 ) $ (0.24 )
Noncash stock-based compensation expense 0.11 0.11 0.29 0.29
Adjusted net income per common share - diluted - non-GAAP $ 0.12 $ 0.07 $ 0.24 $ 0.05
Axogen, Inc.Condensed Consolidated Statements of Changes in Shareholders’ Equity(unaudited)(in thousands, except share amounts)
Common Stock Additional Paid-inCapital AccumulatedDeficit Total Shareholders'Equity
Shares Amount
Three Months Ended September 30, 2025
Balance at June 30, 2025 45,765,290 $ 457 $ 406,334 $ (294,515 ) $ 112,276
Net income 708 708
Stock-based compensation 5,424 5,424
Issuance of restricted and performance stock units 81,925 1 (1 )
Exercise of stock options 270,068 3 2,394 2,397
Balance at September 30, 2025 46,117,283 $ 461 $ 414,151 $ (293,807 ) $ 120,805
Nine Months Ended September 30, 2025
Balance at December 31, 2024 44,148,836 $ 441 $ 394,726 $ (291,260 ) $ 103,907
Net loss (2,547 ) (2,547 )
Stock-based compensation 13,501 13,501
Issuance of restricted and performance stock units 1,301,062 13 (13 )
Exercise of stock options and employee stock purchases under the ESPP 667,385 7 5,937 5,944
Balance at September 30, 2025 46,117,283 $ 461 $ 414,151 $ (293,807 ) $ 120,805
Three Months Ended September 30, 2024
Balance at June 30, 2024 43,824,738 $ 438 $ 385,101 $ (289,852 ) $ 95,687
Net loss (1,858 ) (1,858 )
Stock-based compensation 5,004 5,004
Issuance of restricted and performance stock units 112,185 1 (1 )
Exercise of stock options 65,400 1 573 574
Balance at September 30, 2024 44,002,323 $ 440 $ 390,677 $ (291,710 ) $ 99,407
Nine Months Ended September 30, 2024
December 31, 2023 43,124,496 $ 431 $ 376,530 $ (281,296 ) $ 95,665
Net loss (10,414 ) (10,414 )
Stock-based compensation 12,830 12,830
Issuance of restricted and performance stock units 695,571 7 (7 )
Exercise of stock options and employee stock purchases under the ESPP 182,256 2 1,324 1,326
Balance at September 30, 2024 44,002,323 $ 440 $ 390,677 $ (291,710 ) $ 99,407

Axogen, Inc.Condensed Consolidated Statements of Cash Flows(unaudited)(in thousands)
Nine Months Ended
September 30, 2025 September 30, 2024
Cash flows from operating activities:
Net loss $ (2,547 ) $ (10,414 )
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation 5,027 4,831
Amortization of right-of-use assets 294 889
Amortization of intangible assets 221 202
Amortization of debt discount and deferred financing fees 666 669
Provision for bad debts 358 604
Change in fair value of debt derivative liabilities (531 ) (542 )
Investment gains (238 ) (95 )
Stock-based compensation 13,501 12,830
Change in operating assets and liabilities:
Accounts receivable (7,028 ) (85 )
Inventory (7,398 ) (6,343 )
Prepaid expenses and other assets (619 ) 1,189
Accounts payable and accrued expenses (2,985 ) (7,125 )
Operating lease obligations (833 ) (1,303 )
Cash paid for interest portion of financing lease obligations (3 ) (2 )
Other long-term liabilities (111 ) 495
Net cash used in operating activities (2,226 ) (4,200 )
Cash flows from investing activities:
Purchase of property and equipment (2,498 ) (2,431 )
Purchase of investments (13,723 ) (5,773 )
Proceeds from sale of investments 8,000
Cash payments for intangible assets (1,138 ) (1,280 )
Net cash used in investing activities (9,359 ) (9,484 )
Cash flows from financing activities:
Cash paid for debt portion of financing lease obligations (11 ) (6 )
Proceeds from exercise of stock options and ESPP stock purchases 5,944 1,326
Net cash provided by financing activities 5,933 1,320
Net decrease in cash and cash equivalents, and restricted cash (5,652 ) (12,364 )
Cash and cash equivalents, and restricted cash, beginning of period 33,554 37,026
Cash and cash equivalents, and restricted cash, end of period $ 27,902 $ 24,662

Frequently Asked Questions

What was Axogen's revenue for Q3 2025?

Axogen reported a revenue of $60.1 million for Q3 2025.

What is the adjusted EBITDA for Axogen in Q3 2025?

The adjusted EBITDA for Axogen in Q3 2025 was $9.2 million.

What new guidelines affect Axogen's market?

New position statements from AAHS and ASRM recognize nerve allografts as standard practice.

What is the revenue guidance for Axogen in 2025?

Axogen raised its revenue guidance to at least $222.8 million for 2025.

When does Axogen expect BLA approval?

Axogen anticipates BLA approval for Avance® Nerve Graft in December 2025.

Last updated: Oct 29, 2025