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AxoGen

AXGN
34
Medical - Devices · Healthcare
Also trades as: 0HKD.L
Exchange
NASDAQ
Winston Score
34
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Good
Cash Flow
Weak
Stability
Good
Valuation
Data not available

Winston Score History

The full picture

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.

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

Insider Activity

2.9%ownership

Rising

Insiders increasing their stake — aligned with shareholders

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

Profit per sale
Gross Margin
72.7%
Premium pricing power — 72.7% gross margin
Profit after running costs
Operating Margin
-3.1%
Losing money on operations — -3.1%
Return on the money invested
ROCE
-4.6%
Weak — -4.6% return on capital

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

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Growth

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

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
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

What it owes vs what it owns
Debt / Equity
0.08
Conservative — low debt load (0.08)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
no trend
Negative earnings — P/E not meaningful
Cheaper or dearer next year
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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