10-K annual report · filed Feb 24, 2026

Axogen, Inc. (AXGN) FY2025 10-K Annual Report

Short answer

Axogen, Inc. (AXGN) filed its fiscal 2025 10-K annual report with the SEC on Feb 24, 2026. It reported revenue of $225M (+20.2% year over year) and net income of −$16M.

  • Top risk flagged: Regulatory risk: FDA accelerated approval of Avance Products contingent on confirmatory trials with milestones through 2031; failure may cause withdrawal or restrictions

FY2025 key financial metrics · XBRL

Revenue
$225M
+20.2% YoY
Net income
−$16M
−57.6% YoY
Operating margin
-3.5%
−1.7 pp YoY
Gross margin
74.3%
−1.5 pp YoY
EPS (diluted)
−$0.34
−47.8% YoY
ROE
-12.2%
−2.6 pp YoY
Operating cash flow
$812,000
−82.1% YoY

Source: XBRL data from the Axogen, Inc. (AXGN) FY2025 10-K on SEC EDGAR. USD.

Axogen, Inc. FY2025 10-K analysis

AI summary of each section, grounded in the filing text

Business Overview

  • Core business: Development and commercialization of innovative peripheral nerve regeneration and repair technologies
  • New product: FDA-approved Avance® acellular nerve scaffold (December 3, 2025), launching Q2 2026, replacing Avance® Nerve Graft
  • Strategic shift: Transition of Avance Products from Section 361 human tissue to licensed biologic under Section 351 with post-marketing study commitments
  • Quantitative highlight: Avance Nerve Graft with 17+ years clinical use and over 120,000 implants, US peripheral nerve injury TAM estimated at >$5.6 billion
  • Noteworthy fact: Launch of Avive+ Soft Tissue Matrix in June 2024, an amniotic membrane allograft under FDA HCT/P regulations subject to future oversight changes

Management Discussion & Analysis

  • Revenue $225.2M, up 20.2% YoY from $187.3M driven by unit volume, price, and product mix changes
  • Gross margin 74.3% vs 75.8% YoY, gross profit $167.4M up 17.9% from $142.0M, impacted by $1.9M one-time FDA BLA costs
  • Sales & marketing best performer: $97.7M (+24.6%), R&D $32.9M (+18.4%), G&A $44.6M (+14.2%)
  • Cash, cash equivalents, restricted cash, and investments $45.5M up $6.0M YoY; $133.3M net proceeds from Jan 2026 equity raise, $69.7M used to repay term loan
  • 2026 outlook positive: new Level 3 nerve procedure code boosts reimbursement 35-40%, expanded insurance coverage to 19.8M lives, FDA approval dependency noted as key risk

Risk Factors

  • Regulatory risk: FDA accelerated approval of Avance Products contingent on confirmatory trials with milestones through 2031; failure may cause withdrawal or restrictions
  • Operational risk: Avance manufacturing relies on variable donated cadaveric tissue, causing potential lot failures, product recalls, and supply shortages
  • Geopolitical/macroeconomic risk: Healthcare reimbursement uncertainty; CMS reimbursement changes in 2026 increased outpatient nerve repair payments by 96%-221%, impacting commercial payor coverage
  • Competitive risk: Market acceptance dependent on overcoming surgeon concerns of allograft disease transmission and competing surgical techniques
  • Financial risk: Dependence on six products, with Avance generating ~60% revenue; disruption in Avance sales could materially impact financials

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