STOCK TITAN

Axogen, Inc. Reports Second Quarter 2026 Financial Results

(Positive)
Tags

Axogen (NASDAQ: AXGN) reported Q2 2026 revenue of $69.7 million, up 23.1% from $56.7 million a year earlier, with gross margin of 72.7% versus 74.2%. The quarter showed a GAAP net loss of $1.5 million ($0.03/share) compared with net income of $0.6 million, while adjusted net income was $7.3 million ($0.12/share) versus $5.7 million. Adjusted EBITDA was $8.4 million, down from $9.3 million. Cash, restricted cash, and investments rose to $113.4 million at June 30, 2026, from $103.6 million at March 31, 2026. For 2026, Axogen now expects at least 24% revenue growth, or at least $279 million, gross margin of at least 73%, and positive full-year free cash flow. The company also highlighted broad-based growth across key clinical markets, new Level 1 evidence for Axoguard Nerve Cap, initiation of the Nerve-RESTORE study, and a minority stake in Trace Biosciences.

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Positive

  • Revenue +23.1% YoY to $69.7 million in Q2 2026
  • Year-to-date revenue $131.2 million vs. $105.2 million in 2025
  • Adjusted net income $7.3 million vs. $5.7 million in Q2 2025
  • Cash, restricted cash, investments $113.4 million at June 30, 2026
  • Long-term debt reduced to $0 from $48.4 million at December 31, 2025
  • 2026 guidance raised to ≥24% revenue growth or ≥$279 million, with ≥73% gross margin and positive free cash flow

Negative

  • Q2 2026 GAAP net loss $1.5 million vs. $0.6 million income in Q2 2025
  • Gross margin decline to 72.7% from 74.2% year over year
  • Adjusted EBITDA down to $8.4 million from $9.3 million in Q2 2025
  • Six-month GAAP net loss $21.1 million, including $16.8 million loss on debt extinguishment
  • Equity issuance 4.6 million new common shares in H1 2026, increasing dilution
  • High stock-based compensation $15.6 million in the first six months of 2026

Market reaction after 2Q26 earnings report: AXGN +12.13%

+12.13% $46.14
15m delay
+12.13% Vs previous close
$46.14 Last Price
$38.31 $46.16 Day Range
$2.45B Market Cap
0.2x Rel. Volume

Following this news, AXGN has gained 12.13%, reflecting a significant positive market reaction. Our momentum scanner has triggered 29 alerts so far, indicating elevated trading interest and price volatility. The stock is currently trading at $46.14.

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Market Context

Insider context recorded Net Selling across 90 days, adding a non-operating ownership signal to this...
Analysis

Insider context recorded Net Selling across 90 days, adding a non-operating ownership signal to this earnings assessment. The active S-3ASR shelf and moderate short positioning were relevant risk factors; subsequent filings and guidance execution warrant monitoring.

Key Figures

Revenue: $69.7 million Revenue Growth: 23.1% Gross Margin: 72.7% +5 more
8 metrics
Revenue $69.7 million Second quarter 2026
Revenue Growth 23.1% Compared with second quarter 2025
Gross Margin 72.7% Compared with 74.2% in second quarter 2025
Net Loss $1.5 million, or $0.03 per share Second quarter 2026
Adjusted Net Income $7.3 million, or $0.12 per share Second quarter 2026
Adjusted EBITDA $8.4 million Compared with $9.3 million in second quarter 2025
Cash and Investments $113.4 million As of June 30, 2026
Full-Year Revenue Guidance At least 24% growth or $279 million 2026 guidance

Previous Earnings Reports

5 past events · Latest: Apr 28 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 28 First-quarter earnings Positive +6.6% Revenue growth, raised guidance, and positive adjusted earnings accompanied a 6.6% reaction.
Feb 24 Full-year earnings Positive -8.1% FDA approval, financing, debt repayment, and guidance coincided with an 8.14% decline.
Oct 29 Third-quarter earnings Positive +23.1% Revenue growth, improved profitability, and raised guidance accompanied a 23.06% gain.
Aug 05 Second-quarter earnings Positive +9.3% Revenue growth, profitability, and raised guidance accompanied a 9.32% gain.
May 08 First-quarter earnings Neutral -23.2% Revenue growth and improved losses contrasted with lower margin and a 23.18% decline.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Earnings reactions were mixed, ranging from strong gains to a sharp decline, with a tag-specific average move of 1.53%.

Key Terms

adjusted ebitda, free cash flow, level 1 evidence, assessor-blinded, +1 more
5 terms
adjusted ebitda financial
"Adjusted EBITDA was $8.4 million, compared to $9.3 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
free cash flow financial
"positive free cash flow for the full-year"
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
View in glossary
level 1 evidence medical
"providing Level 1 evidence supporting nerve end protection"
Highest-quality clinical or scientific proof from rigorous studies such as well-designed randomized controlled trials or their pooled analyses (systematic reviews/meta-analyses), showing consistent, reproducible results. For investors it signals stronger confidence in a drug’s or medical intervention’s effect and can influence regulatory decisions, market adoption, and perceived business risk—like a product that has passed multiple independent stress tests and inspections.
assessor-blinded medical
"a prospective, randomized, assessor-blinded study comparing Avance Nerve Graft"
An assessor-blinded design means the people who measure or judge the study’s outcomes do not know which treatment or group each participant received, even if patients or treating clinicians might know. This reduces measurement bias—similar to a referee scoring a contest without knowing which team is which—and matters to investors because it strengthens the reliability of reported results used to assess a drug, device, or clinical strategy.
restricted cash financial
"Cash and cash equivalents, restricted cash, and investments"
Cash that a company holds but cannot use for day-to-day operations because it is set aside for a specific purpose—such as meeting loan covenants, serving as collateral, funding an escrow, or complying with regulations. Like money in a locked savings account earmarked for a bill, restricted cash reduces the cash available to run the business and pay dividends or debts, so investors treat it differently when assessing a company’s true short-term financial strength.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Raises Full Year Revenue Guidance to at Least 24% Growth or $279 million

ALACHUA, Fla. and TAMPA, Fla., July 29, 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 second quarter ended June 30, 2026.

Second Quarter Financial Results

  • Revenue was $69.7 million, an increase of 23.1% compared with $56.7 million in the second quarter of 2025.
  • Gross margin was 72.7% compared to 74.2% in the second quarter of 2025. Gross margin performance was driven by changes in product mix caused primarily by accelerating year over year Breast growth greater than 50%.
  • Net loss was $1.5 million, or $0.03 per share, compared to a Net income of $0.6 million, or $0.01 per share for the second quarter of 2025.
  • Adjusted net income was $7.3 million, or $0.12 per share, as compared to $5.7 million, or $0.12 per share for the second quarter of 2025.
  • Adjusted EBITDA was $8.4 million, compared to $9.3 million for the second quarter of 2025.
  • Cash and cash equivalents, restricted cash, and investments as of June 30, 2026 was $113.4 million, as compared to $103.6 million as of March 31, 2026, an increase of $9.8 million.

“We are pleased with our second-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. “Our strong growth across all our target markets, continues to reinforce the relevance of our market development strategies and the strength of our commercial execution. We remain well positioned to achieve our revenue guidance and continue advancing our strategic objectives for 2026.”

Summary of Business Highlights

  • Year-to-date revenue growth through the second quarter of 2026 was broad-based across Extremities, Oral Maxillofacial & Head and Neck, and Breast, driven by 20% plus year-over-year account productivity, expanding sales force coverage, and improving commercial insurance coverage and payment.
  • Publication of REPOSE, a prospective, randomized clinical study evaluating Axoguard Nerve Cap for symptomatic neuroma management, providing Level 1 evidence supporting nerve end protection and demonstrating favorable outcomes in pain burden, medication utilization, and recovery-related measures.
  • Initiated Nerve-RESTORE, a prospective, randomized, assessor-blinded study comparing Avance Nerve Graft to sural nerve autograft in mixed and motor nerve reconstruction, designed to generate Level 1 evidence supporting broader adoption of nerve repair globally.
  • Acquired a minority ownership stake in Trace Biosciences, including a limited right of first refusal, to support development of its nerve-specific imaging technology.

2026 Financial Guidance

For 2026, we expect full-year revenue growth to be at least 24%, or revenue of at least $279 million, gross margin to be at least 73%, and positive free cash flow 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 strategic investments, including the expected benefits and opportunities of such investments; 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. 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 and Adjusted Net Income Per Common Share - diluted which excludes non-cash stock-based compensation expense and the loss on extinguishment of debt from Net (Loss) Income and Net (Loss) Income 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)
 
June 30,
2026
 December 31,
2025
Assets  
Current assets:   
Cash and cash equivalents$94,572  $35,548 
Restricted cash 2,000   4,000 
Investments 16,840   5,980 
Accounts receivable, net of allowance for doubtful accounts of $734 and $948, respectively 34,126   26,169 
Inventory 47,313   42,373 
Prepaid expenses and other assets 5,525   6,352 
Total current assets 200,376   120,422 
Property and equipment, net 82,342   81,783 
Operating lease right-of-use assets 13,845   12,732 
Intangible assets, net 7,571   6,750 
Other assets 729    
Total assets$304,863  $221,687 
   
Liabilities and shareholders’ equity   
Current liabilities:   
Accounts payable and accrued expenses$28,399  $21,184 
Current maturities of long-term lease obligations 1,975   2,372 
Total current liabilities 30,374   23,556 
   
Long-term debt, net of debt discount and financing fees    48,387 
Long-term lease obligations 18,091   16,870 
Debt derivative liabilities    3,886 
Other long-term liabilities 141   141 
Total liabilities 48,606   92,840 
   
Shareholders’ equity:   
Common stock, $0.01 par value per share; 100,000,000 shares authorized; 53,656,293 and 47,199,797 shares issued and outstanding, respectively 537   472 
Additional paid-in capital 583,783   435,338 
Accumulated deficit (328,063)  (306,963)
Total shareholders’ equity 256,257   128,847 
Total liabilities and shareholders’ equity$304,863  $221,687 


 
Axogen, Inc.
Condensed Consolidated Statements of Operations
(unaudited)
(in thousands, except share and per share amounts)
 
Three Months Ended  Six Months Ended
June 30, 2026 June 30, 2025 June 30, 2026 June 30, 2025
Revenues$69,731  $56,662  $131,188  $105,222 
Cost of goods sold 19,057   14,644   34,325   28,271 
Gross profit 50,674   42,018   96,863   76,951 
Costs and expenses:       
Sales and marketing 30,827   23,804   59,460   44,849 
Research and development 8,589   6,853   16,106   12,944 
General and administrative 13,414   9,689   26,285   19,147 
Total costs and expenses 52,830   40,346   101,851   76,940 
(Loss) income from operations (2,156)  1,672   (4,988)  11 
Other income (expense):       
Investment income 786   225   1,554   497 
Interest expense (1)  (1,977)  (695)  (4,227)
Loss on extinguishment of debt       (16,849)   
Change in fair value of debt derivative liabilities    480      322 
Other (expense) income, net (145)  179   (122)  142 
Total other income (expense), net 640   (1,093)  (16,112)  (3,266)
Net (loss) income$(1,516) $579  $(21,100) $(3,255)
        
Weighted average common shares outstanding — basic 53,339,258   46,063,092   52,562,976   45,605,419 
Weighted average common shares outstanding — diluted 53,339,258   47,980,830   52,562,976   45,605,419 
        
Net (loss) income per common share — basic$(0.03) $0.01  $(0.40) $(0.07)
Net (loss) income per common share — diluted$(0.03) $0.01  $(0.40) $(0.07)

 
Axogen, Inc.
Condensed Consolidated Statements of Cash Flows
(unaudited)
(in thousands)​
 
Six Months Ended
June 30, 2026 June 30, 2025
Cash flows from operating activities:  
Net loss$(21,100) $(3,255)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:   
Depreciation 3,211   3,385 
Amortization of right-of-use assets 854   184 
Amortization of intangible assets 212   133 
Amortization of debt discount and deferred financing fees 68   442 
(Recovery of) provision for bad debts (52)  386 
Loss on disposal of equipment 7    
Change in fair value of debt derivative liabilities    (322)
Investment gains, net (110)  (121)
Loss on extinguishment of debt 16,849    
Stock-based compensation expense 15,609   8,077 
Change in operating assets and liabilities:   
  Accounts receivable (7,905)  (4,310)
  Inventory (4,940)  (3,591)
  Prepaid expenses and other assets 827   (81)
  Other assets (729)   
  Accounts payable and accrued expenses 7,118   (5,755)
  Operating lease obligations (1,130)  (542)
  Cash paid for interest portion of financing lease obligations (3)  (2)
  Other long-term liabilities    (77)
Net cash provided by (used in) operating activities 8,786   (5,449)
  
Cash flows from investing activities:  
Purchase of property and equipment (3,682)  (978)
Purchase of investments (18,750)  (7,837)
Proceeds from sale of investments 8,000   4,000 
Cash payments for intangible assets (1,032)  (793)
Net cash used in investing activities (15,464)  (5,608)
  
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 (9,273)   
Cash paid for debt portion of financing lease obligations (9)  (8)
Proceeds from exercise of stock options and ESPP stock purchases 8,922   3,547 
Net cash provided by financing activities 63,702   3,539 
Net increase (decrease) in cash and cash equivalents, and restricted cash 57,024   (7,518)
Cash and cash equivalents, and restricted cash, beginning of period 39,548   33,554 
Cash and cash equivalents, and restricted cash, end of period$96,572  $26,036 


 
 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 June 30, 2026         
Balance at March 31, 202653,153,471 $532 $570,823  $(326,547) $244,808 
Net loss       (1,516)  (1,516)
Stock-based compensation    8,766      8,766 
Issuance of restricted and performance stock units, net of shares withheld for withholding taxes134,892  1  (498)     (497)
Exercise of stock options and employee stock purchases under the ESPP367,930  4  4,692      4,696 
Balance at June 30, 202653,656,293 $537 $583,783  $(328,063) $256,257 
    
Six Months Ended June 30, 2026    
Balance at December 31, 202547,199,797 $472 $435,338  $(306,963) $128,847 
Net loss       (21,100)  (21,100)
Issuance of common shares4,600,000  46  133,206      133,252 
Stock-based compensation    15,609      15,609 
Issuance of restricted and performance stock units, net of shares withheld for withholding taxes1,120,688  11  (9,284)     (9,273)
Exercise of stock options and employee stock purchases under the ESPP735,808  8  8,914      8,922 
Balance at June 30, 202653,656,293 $537 $583,783  $(328,063) $256,257 
          
Three Months Ended June 30, 2025         
Balance at December 31, 202445,512,623 $455 $400,004  $(295,094) $105,365 
Net income       579   579 
Stock-based compensation    5,168      5,168 
Issuance of restricted and performance stock units113,923  1  (1)      
Exercise of stock options and employee stock purchases under the ESPP138,744  1  1,163      1,164 
Balance at June 30, 202545,765,290 $457 $406,334  $(294,515) $112,276 
          
Six Months Ended June 30, 2025         
Balance at December 31, 202444,148,836 $441 $394,726  $(291,260) $103,907 
Net loss       (3,255)  (3,255)
Stock-based compensation    8,077      8,077 
Issuance of restricted and performance stock units1,219,137  12  (12)      
Exercise of stock options and employee stock purchases under the ESPP397,317  4  3,543      3,547 
Balance at June 30, 202545,765,290 $457 $406,334  $(294,515) $112,276 


 
Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)
 
EBITDA & Adjusted EBITDAThree Months Ended  Six Months Ended
 June 30, 2026 June 30, 2025 June 30, 2026 June 30, 2025
Net (loss) income$(1,516) $579  $(21,100) $(3,255)
Depreciation and amortization expense 1,717   1,723   3,422   3,518 
Investment income (786)  (225)  (1,554)  (497)
Income tax expense 221   37   188   66 
Interest expense 1   1,977   695   4,227 
EBITDA - non-GAAP$(363) $4,091  $(18,349) $4,059 
EBITDA margin - non-GAAP(0.5)        %  7.2% (14.0)        %  3.9%
        
Non-cash stock-based compensation expense 8,766   5,168   15,609   8,077 
Loss on extinguishment of debt       16,849    
Adjusted EBITDA - non-GAAP$8,403  $9,259  $14,109  $12,136 
Adjusted EBITDA margin - non-GAAP 12.1%  16.3%  10.8%  11.5%


Adjusted Net IncomeThree Months Ended June 30, 2026
 GAAP
Results

 Non-cash
Stock-based
Compensation
Expense

 Dilutive
Shares
Impact
(1)
 Adjusted
Results

    
Revenues$69,731  $    $69,731 
Cost of goods sold 19,057   (1,209)    17,848 
Gross profit 50,674   1,209     51,883 
Costs and expenses:       
Sales and marketing 30,827   (2,004)    28,823 
Research and development 8,589   (1,795)    6,794 
General and administrative 13,414   (3,758)    9,656 
Total costs and expenses 52,830   (7,557)    45,273 
(Loss) income from operations (2,156)  8,766     6,610 
Other income (expense):       
Investment income 786        786 
Interest expense (1)       (1)
Other expense, net (145)       (145)
Total other income, net 640        640 
Net (loss) income$(1,516) $8,766    $7,250 
        
Weighted average common shares outstanding - diluted 53,339,258   53,339,258   6,234,467   59,573,725 
Net (loss) income per common share - diluted$(0.03) $0.16  $(0.01) $0.12 

__________
(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 IncomeThree Months Ended June 30, 2025
 GAAP
Results

 Non-cash
Stock-based
Compensation
Expense

 Adjusted
Results

   
Revenues$56,662  $  $56,662 
Cost of goods sold 14,644   (710)  13,934 
Gross profit 42,018   710   42,728 
Costs and expenses:     
Sales and marketing 23,804   (1,314)  22,490 
Research and development 6,853   (1,029)  5,824 
General and administrative 9,689   (2,115)  7,574 
Total costs and expenses 40,346   (4,458)  35,888 
Income from operations 1,672   5,168   6,840 
Other income (expense):     
Investment income 225      225 
Interest expense (1,977)     (1,977)
Change in fair value of debt derivative liabilities 480      480 
Other income, net 179      179 
Total other expense, net (1,093)     (1,093)
Net income$579  $5,168  $5,747 
      
Weighted average common shares outstanding - diluted 47,980,830   47,980,830   47,980,830 
Net income per common share - diluted$0.01  $0.11  $0.12 


 
Axogen, Inc.
Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures
(unaudited)
(in thousands, except share and per share amounts)
 
Adjusted Net IncomeSix Months Ended June 30, 2026
 GAAP
Results

 Non-cash
Stock-based
Compensation
Expense

 Loss on
Extinguishment
of Debt

 Dilutive
Shares
Impact
(1)
 Adjusted
Results

     
Revenues$131,188  $  $   $131,188 
Cost of goods sold 34,325   (2,129)      32,196 
Gross profit 96,863   2,129       98,992 
Costs and expenses:         
Sales and marketing 59,460   (3,561)      55,899 
Research and development 16,106   (3,214)      12,892 
General and administrative 26,285   (6,705)      19,580 
Total costs and expenses 101,851   (13,480)      88,371 
(Loss) income from operations (4,988)  15,609       10,621 
Other income (expense):         
Investment income 1,554          1,554 
Interest expense (695)         (695)
Loss on extinguishment of debt (16,849)     16,849     
Other expense, net (122)         (122)
Total other (expense) income, net (16,112)     16,849    737 
Net (loss) income$(21,100) $15,609  $16,849   $11,358 
          
Weighted average common shares outstanding - diluted 52,562,976   52,562,976   52,562,976  5,966,877   58,529,853 
Net (loss) income per common share - diluted$(0.40) $0.30  $0.32 $(0.02) $0.19 

__________
(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 IncomeSix Months Ended June 30, 2025
 GAAP
Results

 Non-cash
Stock-based
Compensation
Expense

 Dilutive
Shares
Impact
(1)
 Adjusted
Results

    
Revenues$105,222  $    $105,222 
Cost of goods sold 28,271   (700)    27,571 
Gross profit 76,951   700     77,651 
Costs and expenses:       
Sales and marketing 44,849   (1,898)    42,951 
Research and development 12,944   (1,749)    11,195 
General and administrative 19,147   (3,730)    15,417 
Total costs and expenses 76,940   (7,377)    69,563 
Income from operations 11   8,077     8,088 
Other income (expense):       
Investment income 497        497 
Interest expense (4,227)       (4,227)
Change in fair value of debt derivative liabilities 322        322 
Other income, net 142        142 
Total other expense, net (3,266)       (3,266)
Net (loss) income$(3,255) $8,077    $4,822 
        
Weighted average common shares outstanding - diluted 45,605,419   45,605,419   2,650,576   48,255,995 
Net (loss) income per common share - diluted$(0.07) $0.18  $(0.01) $0.10 

__________
(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 FlowSix Months Ended June 30,
  2026   2025 
Net cash provided by (used in) operating activities$8,786  $(5,449)
Purchase of property and equipment (3,682)  (978)
Cash payments for intangible assets (1,032)  (793)
Free cash flow$4,072  $(7,220)



FAQ

What were Axogen (NASDAQ: AXGN) Q2 2026 earnings and revenue results?

Axogen reported Q2 2026 revenue of $69.7 million, up 23.1% year over year, and a GAAP net loss of $1.5 million, or $0.03 per share. According to Axogen, adjusted net income was $7.3 million, or $0.12 per share, and adjusted EBITDA was $8.4 million.

How did Axogen change its full-year 2026 revenue guidance for AXGN on July 29, 2026?

Axogen increased its 2026 revenue outlook to at least 24% growth, or at least $279 million in revenue. According to Axogen, it also expects gross margin of at least 73% for 2026 and positive free cash flow for the full year, reflecting confidence in current momentum.

How did Axogen's cash, investments, and debt position change in the first half of 2026?

Axogen ended June 30, 2026 with $113.4 million in cash, restricted cash, and investments, up from $120.5 million combined cash and investments at December 31, 2025. According to Axogen, long-term debt fell to $0 from $48.4 million, reflecting debt extinguishment during the period.

What drove Axogen's gross margin and profitability changes in Q2 2026?

Axogen’s Q2 2026 gross margin was 72.7%, down from 74.2%, primarily due to product mix shifts from strong Breast segment growth above 50% year over year. According to Axogen, GAAP results showed a small net loss, while adjusted net income and EBITDA remained positive.

Did Axogen generate positive operating cash flow in the first half of 2026?

Axogen generated $8.8 million of net cash from operating activities in the first six months of 2026, compared with cash use of $5.4 million a year earlier. According to Axogen, this improvement reflects higher revenue, non-cash charges, and working capital changes supporting its growth strategy.

What clinical and strategic milestones did Axogen (AXGN) report for Q2 2026?

Axogen announced publication of the REPOSE study providing Level 1 evidence for Axoguard Nerve Cap and initiated the Nerve-RESTORE trial for Avance Nerve Graft. According to Axogen, it also acquired a minority stake in Trace Biosciences for nerve-specific imaging technology development.

How broad-based was Axogen's market growth across segments in early 2026?

Axogen reported broad-based, year-to-date revenue growth across Extremities, Oral Maxillofacial & Head and Neck, and Breast markets. According to Axogen, this was driven by over 20% year-over-year account productivity gains, expanded sales force coverage, and improving commercial insurance coverage and payment trends.