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AxoGen

AXGN
34
Medical - Devices · Healthcare
Also trades as: 0HKD.L
Price
$49.20
+0.72 (+1.48%)
Market Cap
$2.64B
Exchange
NASDAQ
Winston Score
34
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 12, 2026 · filings through Jun 30, 2026

Share count rising — dilution

+11.7% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 41.2M (2021) → 46.1M (2025)

AxoGen is a medical device company focused on one specific problem: repairing damaged nerves in the human body. Its main products include Avance Nerve Graft, a processed human nerve tissue used to bridge nerve gaps, along with nerve connectors and wraps sold under the Avonex and AxoGuard brands. Surgeons at hospitals and surgical centers use these products during procedures to restore feeling and movement in patients who have suffered nerve injuries.

AxoGen makes money by selling these nerve repair products directly to hospitals and surgical facilities, primarily across the United States. The company holds a strong niche position because nerve repair is a specialized field with few direct competitors, and its Avance Nerve Graft is the leading commercially available processed nerve allograft in the U.S. However, AxoGen is not yet consistently profitable, as its operating margin remains negative while it invests heavily in sales force expansion and clinical evidence to grow surgeon adoption — making revenue growth the key factor investors watch closely.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+23.1% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

-338.1% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$33M/ year

Rising (+18% vs prior year)

14.6% of revenue

In line with sector average (18%)

Investing heavily in future products and technology

Insider Activity

2.2%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$95M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

AxoGen is a rare growth stock that's already generating positive cash flow while growing at 23%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
72.7%
Premium pricing power — 72.7% gross margin
Operating Margin
-3.1%
Losing money on operations — -3.1%
ROCE
-0.8%
Weak — -0.8% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+23.6%
Fast-growing sales (+23.6% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
3.3%
Thin free cash flow (3.3%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity
0.08
Conservative — low debt load (0.08)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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