STOCK TITAN

Organogenesis Holdings Inc. Reports Fourth Quarter 2025 Financial Results, Posts Record Revenue

Rhea-AI Impact
(High)
Rhea-AI Sentiment
(Neutral)
Tags

Organogenesis Holdings (Nasdaq: ORGO) reported record 2025 results with net product revenue $563.0M and fourth-quarter net product revenue of $225.1M (Q4 2025 vs Q4 2024 +78%). Net income was $37.0M for FY2025 and $43.7M in Q4 2025. Adjusted EBITDA was $98.1M for FY2025 and $84.2M for Q4. As of Dec 31, 2025 the company held $94.3M cash with no outstanding debt. Fiscal 2026 guidance assumes total net revenue $350M–$420M, reflecting an expected near-term revenue decline and recovery later in 2026.

Loading...
Loading translation...

Positive

  • Q4 net product revenue $225.1M (+78% YoY)
  • FY2025 net product revenue $563.0M (+17% YoY)
  • Q4 Adjusted EBITDA $84.2M (Q4 2025)
  • No outstanding debt as of Dec 31, 2025

Negative

  • 2026 revenue guidance $350M–$420M (25%–38% decline vs 2025)
  • Cash balance declined to $94.3M from $136.2M YoY

Market Reaction – ORGO

-7.43% $3.42
15m delay 10 alerts
-7.43% Since News
$3.42 Last Price
$3.36 $3.93 Day Range
-$35M Valuation Impact
$435M Market Cap
0.7x Rel. Volume

Following this news, ORGO has declined 7.43%, reflecting a notable negative market reaction. Our momentum scanner has triggered 10 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $3.42. This price movement has removed approximately $35M from the company's valuation.

Data tracked by StockTitan Argus (15 min delayed). Upgrade to Silver for real-time data.

Key Figures

Q4 2025 net product revenue: $225.1M FY 2025 net product revenue: $563.0M Q4 2025 net income: $43.7M +5 more
8 metrics
Q4 2025 net product revenue $225.1M Quarter ended Dec 31, 2025; up $98.4M (78%) vs Q4 2024
FY 2025 net product revenue $563.0M Year ended Dec 31, 2025; up $81.0M (17%) vs 2024
Q4 2025 net income $43.7M Quarter ended Dec 31, 2025; vs $7.7M in Q4 2024
FY 2025 net income $37.0M Year ended Dec 31, 2025; vs $0.9M in 2024
FY 2025 Adjusted EBITDA $98.1M Year ended Dec 31, 2025; vs $49.8M in 2024 (97% increase)
Cash and equivalents $94.3M Cash, cash equivalents and restricted cash at Dec 31, 2025; no debt
2026 revenue guidance $350.0M–$420.0M FY 2026 total net revenue outlook; 25%–38% decline vs $564.2M in 2025
Q4 2025 Adjusted EBITDA $84.2M Quarter ended Dec 31, 2025; vs $18.2M in Q4 2024 (363% increase)

Market Reality Check

Price: $3.70 Vol: Volume 587,363 is modestl...
normal vol
$3.70 Last Close
Volume Volume 587,363 is modestly elevated vs 20-day average 524,121 (~1.12x relative volume) ahead of earnings. normal
Technical Shares at $4.11 are trading below the $4.33 200-day moving average and about 41.93% under the 52-week high.

Peers on Argus

ORGO gained about 1.99% pre-release. Peers were mixed: EOLS (+4.41%), AQST (+0.8...

ORGO gained about 1.99% pre-release. Peers were mixed: EOLS (+4.41%), AQST (+0.85%), ESPR (+0.60%), while SIGA (-0.15%) and AKBA (-3.20%) declined, pointing to stock-specific drivers.

Common Catalyst Limited same-day peer news; only AKBA also reported earnings, suggesting company-specific focus on ORGO’s results and 2026 outlook.

Previous Earnings Reports

5 past events · Latest: Nov 06 (Positive)
Same Type Pattern 5 events
Date Event Sentiment Move Catalyst
Nov 06 Q3 2025 earnings Positive +44.7% Record Q3 2025 revenue, higher net income and raised full-year guidance.
Aug 07 Q2 2025 earnings Negative +0.8% Q2 2025 revenue decline and net loss despite maintaining a strong balance sheet.
May 08 Q1 2025 earnings Negative -42.7% Q1 2025 revenue drop and widened net loss versus prior year quarter.
Feb 27 Q4 2024 earnings Positive +102.3% Strong Q4 2024 and full-year 2024 growth with positive net income and guidance.
Nov 12 Q3 2024 earnings Positive +28.4% Q3 2024 revenue growth and higher net income, with updated full-year guidance.
Pattern Detected

Earnings releases have often triggered strong price moves, mostly positive; one quarter with weaker results saw a sharp selloff, showing high sensitivity to financial updates.

Recent Company History

Over the past year, Organogenesis has reported a mix of challenging and improving quarterly results. Q1 and Q2 2025 showed revenue declines and net losses, while Q3 2025 delivered record revenue of $150.5M and raised guidance, driving a strong positive reaction. Earlier, Q4 2024 and Q3 2024 featured solid growth and positive earnings. Today’s report of record 2025 revenue and profitability, paired with a sharply lower 2026 revenue outlook, sits within this pattern of the market reacting strongly to earnings shifts and guidance changes.

Historical Comparison

+26.7% avg move · In the last five earnings releases, ORGO’s stock moved an average of ±26.7%, showing that earnings a...
earnings
+26.7%
Average Historical Move earnings

In the last five earnings releases, ORGO’s stock moved an average of ±26.7%, showing that earnings and guidance updates have been major catalysts.

Earnings over 2024–2025 show a path from steady 2024 growth into a volatile 2025, with early-quarter revenue declines followed by record Q3 and now record full-year 2025 results.

Market Pulse Summary

The stock is down -7.4% following this news. A negative reaction despite strong 2025 results would f...
Analysis

The stock is down -7.4% following this news. A negative reaction despite strong 2025 results would fit the market’s sensitivity to guidance and policy shifts. While revenue reached a record $563.0M with net income of $37.0M, management guided 2026 revenue down 25%–38%, reflecting anticipated disruption from CMS payment reforms. Past earnings have produced large moves, both up and down, so investors may reassess sustainability of recent strength against the tougher 2026 outlook.

Key Terms

adjusted ebitda, non-gaap operating income, redeemable convertible preferred stock, restricted stock units, +3 more
7 terms
adjusted ebitda financial
"Adjusted EBITDA of $84.2 million for the fourth quarter of 2025, compared to Adjusted EBITDA of $18.2 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.
non-gaap operating income financial
"Non-GAAP operating income was $75.9 million for the fourth quarter of 2025, compared to $11.7 million"
Non-GAAP operating income is a measure of a company's profit from its core business activities, calculated by excluding certain expenses or income that are not part of regular operations. It provides a clearer picture of how well the business is performing by focusing on ongoing operations, helping investors compare companies more consistently and make better-informed decisions.
redeemable convertible preferred stock financial
"Series A redeemable convertible preferred stock, $0.0001 par value; 130,000 shares authorized"
A redeemable convertible preferred stock is a special class of company shares that combines three features: it pays priority dividends like a safer, higher-ranking share; it can be converted into regular common shares so holders can join in upside; and it can be redeemed, meaning the company can buy it back for cash. For investors this matters because it offers a mix of downside protection and potential upside, but can change ownership stakes (dilution) and cash obligations depending on whether it’s converted or redeemed.
restricted stock units financial
"203,125 restricted stock units under the 2018 Equity Incentive Plan, each convertible into one share"
Restricted stock units are a type of company reward where employees are promised shares of stock, but they only fully own these shares after meeting certain conditions, like staying with the company for a set time. They matter because they can become valuable assets and are often used to motivate employees to help the company succeed.
right-of-use assets financial
"Operating lease right-of-use assets, net | | 55,749 | | 37,110"
Right-of-use assets are the rights a company gains to use a physical space or equipment under a lease agreement. They are recorded as assets on the company's balance sheet, reflecting the value of future benefits from the leased item. For investors, these assets provide a clearer picture of a company's obligations and resources related to leasing arrangements, helping to assess its financial health and operational commitments.
operating lease obligations financial
"Current portion of operating lease obligations | | 4,949 | | 4,272"
Operating lease obligations are the future, contractual payments a company must make for using assets it does not own—such as office space, equipment, or vehicles—under lease agreements. They matter to investors because these recurring commitments act like long-term subscriptions that reduce available cash, affect a company’s financial flexibility and risk profile, and (under current accounting rules) can influence reported liabilities and leverage metrics used to compare companies.
impairment financial
"For the years ended December 31, 2025 and 2024, the Company recorded impairment and write-down expenses"
Impairment occurs when the value of an asset, such as property, equipment, or investments, drops below its recorded worth on the books. This situation signals that the asset may be less valuable than originally thought, similar to discovering that an item you own is worth less than what you paid for it. For investors, recognizing impairment is important because it can affect the overall financial health and future prospects of a business.

AI-generated analysis. Not financial advice.

CANTON, Mass., Feb. 26, 2026 (GLOBE NEWSWIRE) -- Organogenesis Holdings Inc. (Nasdaq: ORGO), a leading regenerative medicine and tissue innovations company focused on empowering healing through the development, manufacturing, and sale of products for the advanced wound care, and surgical and sports medicine markets, today reported financial results for the fourth quarter and the year ended December 31, 2025.

Fourth Quarter 2025 Financial Results Summary:

  • Net product revenue of $225.1 million for the fourth quarter of 2025, an increase of $98.4 million compared to net product revenue of $126.7 million for the fourth quarter of 2024. Net product revenue for the fourth quarter of 2025 consists of:
    • Net product revenue from Advanced Wound Care products of $217.2 million, an increase of 83% from the fourth quarter of 2024.
    • Net product revenue from Surgical & Sports Medicine products of $7.9 million, a decrease of 2% from the fourth quarter of 2024.
  • Net income of $43.7 million for the fourth quarter of 2025, compared to net income of $7.7 million for the fourth quarter of 2024, an increase in net income of $36.0 million.
  • Adjusted EBITDA of $84.2 million for the fourth quarter of 2025, compared to Adjusted EBITDA of $18.2 million for the fourth quarter of 2024, an increase of $66.0 million.
  • Adjusted net income of $52.9 million for the fourth quarter of 2025, compared to adjusted net income of $8.8 million for the fourth quarter of 2024, an increase of $44.1 million.

Fiscal Year 2025 Financial Results Summary:

  • Net product revenue of $563.0 million for the year ended December 31, 2025, an increase of $81.0 million compared to net product revenue of $482.0 million for the year ended December 31, 2024. Net product revenue for the year ended December 31, 2025 consists of:
    • Net product revenue from Advanced Wound Care products of $531.2 million, an increase of 17% year over year.
    • Net product revenue from Surgical & Sports Medicine products of $31.8 million, an increase of 12% year over year.
  • Net income of $37.0 million for the year ended December 31, 2025, compared to net income of $0.9 million for the year ended December 31, 2024, an increase of $36.2 million.
  • Adjusted EBITDA of $98.1 million for the year ended December 31, 2025, compared to Adjusted EBITDA of $49.8 million for the year ended December 31, 2024, an increase of $48.4 million.
  • Adjusted net income of $55.2 million for the year ended December 31, 2025, compared to adjusted net income of $20.5 million for the year ended December 31, 2024, an increase of $34.7 million.

“We delivered record performance in 2025 by demonstrating a sustained ability to execute on our strategy in a complex and challenging market,” said Gary S. Gillheeney, Sr., President, Chief Executive Officer and Chair of the Board for Organogenesis. “With meaningful payment reform in place, we believe we are well positioned to navigate short-term market confusion and deliver long-term growth driven by the most comprehensive and evidenced-backed portfolio on the market.”

Mr. Gillheeney, Sr. continued: “While we expect the first half of 2026 to be impacted by the market adapting to the sweeping changes from CMS to reform coverage and payment for skin substitutes, we expect to drive significant market share gains in the second half of 2026, and we remain confident in the long-term opportunity for Organogenesis. After a period of transition in the market in 2026, we expect to return to normalized growth in 2027.”

Fourth Quarter 2025 Financial Results:

  Three Months Ended December 31,  Change 
  2025  2024  $  % 
  (in thousands, except for percentages)       
Advanced Wound Care $217,168  $118,585  $98,583   83%
Surgical & Sports Medicine  7,903   8,071   (168)  (2%)
Net product revenue $225,071  $126,656  $98,415   78%
                 

Net product revenue for the fourth quarter of 2025 was $225.1 million, compared to $126.7 million for the fourth quarter of 2024, an increase of $98.4 million, or 78%. The increase in net product revenue was driven by an increase of $98.6 million, or 83%, in net product revenue for Advanced Wound Care products, and a decrease of $0.2 million, or 2%, in net product revenue for Surgical & Sports Medicine products.

Gross profit for the fourth quarter of 2025 was $175.2 million, or 78% of net product revenue, compared to $95.6 million, or 75% of net product revenue for the fourth quarter of 2024, an increase of $79.5 million, or 83%.

Operating expenses for the fourth quarter of 2025 were $162.3 million, compared to $116.4 million for the fourth quarter of 2024, an increase of $45.9 million, or 39%. Cost of goods sold was $49.9 million for the fourth quarter of 2025, compared to $31.1 million for the fourth quarter of 2024, an increase of $18.9 million, or 61%. Selling, general and administrative expenses were $100.2 million for the fourth quarter of 2025, compared to $73.9 million for the fourth quarter of 2024, an increase of $26.3 million, or 36%. R&D expense was $10.3 million for the fourth quarter of 2025, compared to $11.5 million for the fourth quarter of 2024, a decrease of $1.2 million, or 11%. The Company recorded write-down expense of $1.9 million in the fourth quarter of 2025.

Operating income for the fourth quarter of 2025 was $63.3 million, compared to an operating income of $10.2 million for the fourth quarter of 2024, an increase in operating income of $53.1 million, or 519%.

Total other income (expense), net, for the fourth quarter of 2025 was $0.1 million income, compared to less than $0.1 million income for the fourth quarter of 2024, an increase of $0.1 million.

Net income for the fourth quarter of 2025 was $43.7 million, or $0.25 per share, compared to a net income of $7.7 million, or $0.04 per share, for the fourth quarter of 2024, an increase in net income of $36.0 million, or $0.21 per share.

Adjusted EBITDA was $84.2 million for the fourth quarter of 2025, compared to $18.2 million for the fourth quarter of 2024, an increase of $66.0 million, or 363%.

Adjusted net income was $52.9 million for the fourth quarter of 2025, compared to $8.8 million for the fourth quarter of 2024, an increase of $44.1 million, or 504%.

Non-GAAP operating income was $75.9 million for the fourth quarter of 2025, compared to $11.7 million for the fourth quarter of 2024, an increase of $64.2 million, or 549%.

Fiscal Year 2025 Financial Results:

  Year Ended December 31,  Change 
  2025  2024  $  % 
  (in thousands, except for percentages)       
Advanced Wound Care $531,242  $453,639  $77,603   17%
Surgical & Sports Medicine  31,788   28,404   3,384   12%
Net product revenue $563,030  $482,043  $80,987   17%
                 

Net product revenue for the year ended December 31, 2025 was $563.0 million, compared to $482.0 million for the year ended December 31, 2024, an increase of $81.0 million, or 17%. The increase in net product revenue was driven by an increase of $77.6 million, or 17%, in net product revenue for Advanced Wound Care products and an increase of $3.4 million, or 12%, in net product revenue for Surgical & Sports Medicine products.

Gross profit for the year ended December 31, 2025 was $425.5 million, or 76% of net product revenue, compared to $366.3 million, or 76% of net product revenue for the year ended December 31, 2024, an increase of $59.2 million, or 16%.

Operating expenses for the year ended December 31, 2025 were $519.5 million compared to $483.3 million for the year ended December 31, 2024, an increase of $36.1 million or 7%. Cost of goods sold was $137.5 million for the year ended December 31, 2025, compared to $115.7 million for the year ended December 31, 2024, an increase of $21.8 million, or 19%. Selling, general and administrative expenses were $326.2 million for the year ended December 31, 2025, compared to $294.5 million for the year ended December 31, 2024, an increase of $31.7 million, or 11%. R&D expense was $44.5 million for the year ended December 31, 2025, compared to $50.3 million for the year ended December 31, 2024, a decrease of $5.7 million, or 11%. For the years ended December 31, 2025 and 2024, the Company recorded impairment and write-down expenses of $11.2 million and $22.8 million, respectively.

Operating income for the year ended December 31, 2025 was $44.7 million, compared to operating loss of ($1.3) million for the year ended December 31, 2024, an increase in operating income of $46.0 million.

Total other income (expense), net, for the year ended December 31, 2025, was $2.3 million income, compared to $(1.5) million expense for the year ended December 31, 2024, a change of $3.8 million.

Net income for the year ended December 31, 2025 was $37.0 million, or $0.16 per share, compared to net income of $0.9 million or $(0.01) per share, for the year ended December 31, 2024, an increase in net income of $36.2 million, or $0.17 per share.

Adjusted EBITDA was $98.1 million for the year ended December 31, 2025, compared to $49.8 million for the year ended December 31, 2024, an increase of $48.4 million, or 97%.

Adjusted net income was $55.2 million for the year ended December 31, 2025, compared to $20.5 million for the year ended December 31, 2024, an increase in adjusted net income of $34.7 million, or 170%.

Non-GAAP operating income was $69.6 million for the year ended December 31, 2025, compared to $25.6 million for the year ended December 31, 2024, an increase in Non-GAAP operating income of $44.0 million, or 172%.

As of December 31, 2025, the Company had $94.3 million in cash, cash equivalents and restricted cash and no outstanding debt obligations, compared to $136.2 million in cash, cash equivalents and restricted cash and no outstanding debt obligations as of December 31, 2024.

Fiscal Year 2026 Outlook:

For the year ending December 31, 2026, the Company expects:

  • Total net revenue between $350.0 million and $420.0 million, representing a decline in the range of 25% to 38%, as compared to total net revenue of $564.2 million for the year ended December 31, 2025.
    • The 2026 total net revenue guidance range assumes a significant year-over-year decline in revenue for the three months ending March 31, 2026, and strong quarter-over-quarter growth in the second, third and fourth quarters of fiscal year 2026.

Fourth Quarter Earnings Conference Call:

Management will host a conference call at 5:00 p.m. Eastern Time on February 26th to discuss the results of the quarter and the fiscal year, and to provide a corporate update with a question and answer session. Those who would like to participate may access the live webcast here, or access the teleconference here. The live webcast can also be accessed via the company’s website at investors.organogenesis.com. The webcast will be archived on the company website for approximately one year.


 
ORGANOGENESIS HOLDINGS INC.
UNAUDITED CONSOLIDATED BALANCE SHEETS
(amounts in thousands, except share and per share data)
 
  December 31, 
  2025  2024 
Assets      
Current assets:      
Cash and cash equivalents $93,679  $135,571 
Restricted cash  652   580 
Accounts receivable, net of allowance for credit losses of $16,089 and $9,576  217,451   109,861 
Inventories, net  29,627   26,219 
Asset held for sale (Note 8)  2,425    
Prepaid expenses and other current assets  18,354   13,710 
Total current assets  362,188   285,941 
Property and equipment, net  103,711   89,128 
Intangible assets, net  9,145   12,468 
Goodwill  28,772   28,772 
Operating lease right-of-use assets, net  55,749   37,110 
Deferred tax asset, net  29,962   39,462 
Other assets  9,203   5,005 
Total assets $598,730  $497,886 
       
Liabilities, Redeemable Convertible Preferred Stock, and Stockholders’ Equity      
Current liabilities:      
Current portion of finance lease obligations $9,435  $1,170 
Current portion of operating lease obligations - related party  4,258   3,671 
Current portion of operating lease obligations  4,949   4,272 
Accounts payable  31,949   28,911 
Accrued expenses and other current liabilities  49,533   39,453 
Total current liabilities  100,124   77,477 
Finance lease obligations, net of current portion  12,788   718 
Operating lease obligations, net of current portion - related party  28,237   8,283 
Operating lease obligations, net of current portion  22,470   25,198 
Other liabilities  1,193   894 
Total liabilities  164,812   112,570 
       
Commitments and contingencies (Note 20)      
       
Series A redeemable convertible preferred stock, $0.0001 par value; 130,000 shares authorized, issued and outstanding; liquidation preference of $142,217 and $131,387 at December 31, 2025 and 2024, respectively.  133,789   122,419 
       
Stockholders’ equity:      
Preferred stock, $0.0001 par value; 870,000 shares authorized; none issued or outstanding      
Common stock, $0.0001 par value; 400,000,000 shares authorized; 127,680,424 and 126,458,784 shares issued; 126,951,876 and 125,730,236 shares outstanding at December 31, 2025 and 2024, respectively  13   13 
Additional paid-in capital  303,194   302,994 
Accumulated deficit  (3,078)  (40,110)
Total stockholders' equity  300,129   262,897 
Total liabilities, redeemable convertible preferred stock, and stockholders' equity $598,730  $497,886 
         


 
ORGANOGENESIS HOLDINGS INC. UNAUDITEDCONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME
(amounts in thousands, except share and per share data)
 
  Three Months Ended
December 31,
  Year Ended
December 31,
 
  2025  2024  2025  2024 
Revenue:            
Net product revenue $225,071  $126,656  $563,030  $482,043 
Grant income  536      1,139    
Total revenue  225,607   126,656   564,169   482,043 
Operating expenses:            
Cost of goods sold  49,918   31,051   137,522   115,741 
Selling, general and administrative  100,174   73,856   326,236   294,513 
Research and development  10,286   11,530   44,542   50,271 
Write-down to fair value for asset held for sale  1,940      11,175    
Impairment of property and construction           18,842 
Write-down of capitalized internal-use software costs           3,959 
Total operating expenses  162,318   116,437   519,475   483,326 
Income (loss) from operations  63,289   10,219   44,694   (1,283)
Other income (expense), net:            
Interest income (expense), net  236   61   2,281   (1,544)
Other income (expense), net  (98)  (27)  (5)  20 
Total other income (expense), net  138   34   2,276   (1,524)
Net income (loss) before income taxes  63,427   10,253   46,970   (2,807)
Income tax benefit (expense)  (19,727)  (2,580)  (9,938)  3,668 
Net income and comprehensive income  43,700   7,673   37,032   861 
Accretion of redeemable convertible preferred stock to redemption value  (150)  (412)  (540)  (412)
Cumulative dividend on redeemable convertible preferred stock  (2,788)  (1,386)  (10,830)  (1,386)
Undistributed earnings allocated to participating redeemable convertible preferred stock  (9,228)  (738)  (5,640)   
Net income (loss) attributable to common stockholders $31,534  $5,137  $20,022  $(937)
Net income (loss) per share:            
Basic $0.25  $0.04  $0.16  $(0.01)
Diluted $0.24  $0.04  $0.15  $(0.01)
Weighted-average common shares outstanding            
Basic  126,913,293   129,679,843   126,738,136   131,673,278 
Diluted  132,206,983   132,162,370   130,248,412   131,673,278 
                 


 
ORGANOGENESIS HOLDINGS INC. UNAUDITED CONSOLIDATED STATEMENT OF CASH FLOWS
(amounts in thousands, except share and per share data)
 
  Year Ended December 31, 
  2025  2024  2023 
Cash flows from operating activities:         
Net income $37,032  $861  $4,945 
Adjustments to reconcile net income to net cash provided by (used in) operating activities:         
Depreciation and amortization  15,273   13,623   10,448 
Amortization of intangible assets  3,323   3,403   4,918 
Reduction in the carrying value of right-of-use assets  8,342   8,348   8,083 
Non-cash interest expense  375   394   427 
Deferred interest expense     305   490 
Deferred tax expense (benefit)  9,500   (10,719)  2,012 
Loss on disposal of property and equipment  188   1,140   235 
Loss on lease termination        559 
Loss on extinguishment of term loan     215    
Provision recorded for credit losses  8,213   3,938   1,297 
Adjustment for excess and obsolete inventories  15,353   8,210   6,580 
Stock-based compensation  13,298   10,578   8,996 
Write-down to fair value for asset held for sale (Note 8)  11,175       
Impairment of property and construction (Note 8)     18,842    
Write-down of capitalized internal-use software costs (Note 8)     3,959    
Changes in operating assets and liabilities:         
Accounts receivable  (115,803)  (31,800)  5,539 
Inventories  (17,915)  (6,204)  (8,179)
Prepaid expenses and other current and other assets  (183)  (2,549)  (10,115)
Operating leases  (8,491)  (14,066)  (8,439)
Accounts payable  (528)  (2,372)  (108)
Accrued expenses and other current liabilities  10,381   9,164   3,138 
Other liabilities  158   (1,062)  91 
Net cash provided by (used in) operating activities  (10,309)  14,208   30,917 
Cash flows from investing activities:         
Purchases of property and equipment  (14,151)  (10,032)  (24,364)
Net cash used in investing activities  (14,151)  (10,032)  (24,364)
Cash flows from financing activities:         
Construction of landlord assets, net of tenant allowance  (14,461)      
Term loan repayments under the 2021 Credit Agreement     (66,563)  (4,688)
Proceeds from issuance of redeemable convertible preferred stock, net of issuance costs     120,688    
Payments for the repurchase of common stock     (25,479)   
Principal repayments of finance lease obligations  (1,171)  (1,081)  (485)
Proceeds from the exercise of stock options  157   1,247    
Payments of withholding taxes in connection with RSUs vesting  (1,885)  (1,175)  (332)
Net cash provided by (used in) financing activities  (17,360)  27,637   (5,505)
Change in cash, cash equivalents and restricted cash  (41,820)  31,813   1,048 
Cash, cash equivalents, and restricted cash, beginning of year  136,151   104,338   103,290 
Cash, cash equivalents, and restricted cash, end of year $94,331  $136,151  $104,338 
Supplemental disclosure of cash flow information:         
Cash paid for interest $  $4,970  $5,436 
Cash paid for income taxes $5,346  $6,965  $3,052 
Supplemental disclosure of non-cash investing and financing activities:         
Cumulative effect adjustment for adoption of ASU No. 2016-13 $  $  $615 
Change in purchases of property and equipment included in accounts payable and accrued expenses and other current liabilities $715  $(432) $841 
Right-of-use assets obtained through operating lease obligations $26,981  $5,109  $5,869 
Right-of-use assets obtained through finance lease obligations $21,506  $  $3,454 
Redeemable convertible preferred stock issuance costs included in accrued expenses $  $67  $ 
Prepaid rent reclassified to right-of-use assets $  $230  $ 
Landlord asset additions included in accounts payable and other liabilities, net of tenant allowances $2,691  $  $ 
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock $11,370  $1,798  $ 


Non-GAAP Financial Measures

Our management uses financial measures that are not in accordance with generally accepted accounting principles in the United States, or GAAP, in addition to financial measures in accordance with GAAP to evaluate our operating results. These non-GAAP financial measures should be considered supplemental to, and not a substitute for, our reported financial results prepared in accordance with GAAP. Our management uses Adjusted EBITDA and Adjusted net income to evaluate our operating performance and trends and make planning decisions. Our management believes Adjusted EBITDA and Adjusted net income help identify underlying trends in our business that could otherwise be masked by the effect of the items that we exclude. Accordingly, we believe that Adjusted EBITDA and Adjusted net income provide useful information to investors and others in understanding and evaluating our operating results, enhancing the overall understanding of our past performance and prospects, and allowing for greater transparency with respect to key financial metrics used by our management in its financial and operational decision-making.

Adjusted EBITDA

Adjusted EBITDA consists of GAAP net income excluding: (i) interest expense (income), net, (ii) income tax expense (benefit), (iii) depreciation and amortization, (iv) amortization of intangible assets, (v) stock-based compensation expense, and (vi) additional infrequently occurring adjustments described in more detail below.

The following table presents a reconciliation of GAAP net income to non-GAAP EBITDA and non-GAAP Adjusted EBITDA, for the periods presented:

  Three Months Ended
December 31,
  Year Ended
December 31,
 
($, in thousands) 2025  2024  2025  2024 
Net income $43,700  $7,673  $37,032  $861 
Interest expense (income), net  (236)  (61)  (2,281)  1,544 
Income tax expense (benefit)  19,727   2,580   9,938   (3,668)
Depreciation and amortization  4,066   3,615   15,273   13,623 
Amortization of intangible assets  798   834   3,323   3,403 
EBITDA  68,055   14,641   63,285   15,763 
Stock-based compensation expense  4,324   2,891   13,298   10,578 
Write-down to fair value for asset held for sale (1)  1,940      11,175    
Restructuring charge (2)        516    
Impairment of property and construction (3)           18,842 
Write-down of capitalized software costs (4)           3,959 
Disposal of construction in progress (5)     645      645 
FDA BLA fees for ReNu (6)  4,682      4,682    
PFS regulation related charges (7)  3,723      3,723    
Inventory write-downs (8)  1,458      1,458    
Adjusted EBITDA $84,182  $18,177  $98,137  $49,787 
                 

(1)    Amount reflects the fair value adjustment of a purchased building classified as held for sale.
(2)    Amounts reflect employee retention and benefits as well as other exit costs associated with our restructuring activities.
(3)    Amount reflects the impairment of a purchased building and associated unfinished construction work.
(4)    Amount reflects the write-down of costs previously capitalized as construction in progress in the development of internal-use software, that the Company determined have no future value.
(5)    Amount reflects construction in progress terminated and disposed of at one of our Canton, Massachusetts facilities, resulting from the Company’s decision to move certain operations to a new manufacturing facility in Smithfield, RI.
(6)    Amount reflects fees paid to the FDA in connection with the ReNu BLA filing.
(7)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a shift in product lines due to the Physician Fee Schedule (“PFS”) regulatory changes of $3.0 million and an asset write-off of $0.7 million for upfront licensing cost related to this product line.
(8)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a one-time loss of key distributor in a certain international location.

Adjusted net income

Adjusted net income is defined as GAAP net income plus (i) amortization of intangible assets and (ii) additional infrequently occurring adjustments described in more detail below, less the estimated tax on these adjustments.

The following table presents a reconciliation of GAAP net income to non-GAAP Adjusted net income, for the periods presented:

  Three Months Ended
December 31,
  Year Ended
December 31,
 
($, in thousands) 2025  2024  2025  2024 
Net income $43,700  $7,673  $37,032  $861 
Amortization of intangible assets  798   834   3,323   3,403 
Write-down to fair value for asset held for sale (1)  1,940      11,175    
Restructuring charge (2)        516    
Impairment of property and construction (3)           18,842 
Write-down of capitalized software costs (4)           3,959 
Disposal of construction in progress (5)     645      645 
FDA BLA fees for ReNu (6)  4,682      4,682    
PFS regulation related charges (7)  3,723      3,723    
Inventory write-downs (8)  1,458      1,458    
Tax on above  (3,402)  (399)  (6,717)  (7,249)
Adjusted net income $52,899  $8,753  $55,192  $20,461 
                 

(1)    Amount reflects the fair value adjustment of a purchased building classified as held for sale.
(2)    Amounts reflect employee retention and benefits as well as other exit costs associated with our restructuring activities.
(3)    Amount reflects the impairment of a purchased building and associated unfinished construction work.
(4)    Amount reflects the write-down of costs previously capitalized as construction in progress in the development of internal-use software, that the Company determined have no future value.
(5)    Amount reflects construction in progress terminated and disposed of at one of our Canton, Massachusetts facilities, resulting from the Company’s decision to move certain operations to a new manufacturing facility in Smithfield, RI.
(6)    Amount reflects fees paid to the FDA in connection with the ReNu BLA filing.
(7)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a shift in product lines due to PFS regulatory changes of $3.0 million and an asset write-off of $0.7 million for upfront licensing cost related to this product line.
(8)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a one-time loss of key distributor in a certain international location.

Non-GAAP Operating Income

Non-GAAP operating income is defined as GAAP income (loss) from operations plus (i) amortization of intangible assets and (ii) additional infrequently occurring adjustments described in more detail below.

The following table presents a reconciliation of GAAP income (loss) from operations to non-GAAP operating income, for the periods presented:

  Three Months Ended
December 31,
  Year Ended
December 31,
 
($, in thousands) 2025  2024  2025  2024 
Income (loss) from operations $63,289  $10,219  $44,694  $(1,283)
Amortization of intangible assets  798   834   3,323   3,403 
Write-down to fair value for asset held for sale (1)  1,940      11,175    
Restructuring charge (2)        516    
Impairment of property and construction (3)           18,842 
Write-down of capitalized software costs (4)           3,959 
Disposal of construction in progress (5)     645      645 
FDA BLA fees for ReNu (6)  4,682      4,682    
PFS regulation related charges (7)  3,723      3,723    
Inventory write-downs (8)  1,458      1,458    
Non-GAAP operating income $75,890  $11,698  $69,571  $25,566 
                 

(1)    Amount reflects the fair value adjustment of a purchased building classified as held for sale.
(2)    Amounts reflect employee retention and benefits as well as other exit costs associated with our restructuring activities.
(3)    Amount reflects the impairment of a purchased building and associated unfinished construction work.
(4)    Amount reflects the write-down of costs previously capitalized as construction in progress in the development of internal-use software, that the Company determined have no future value.
(5)    Amount reflects construction in progress terminated and disposed of at one of our Canton, Massachusetts facilities, resulting from the Company’s decision to move certain operations to a new manufacturing facility in Smithfield, RI.
(6)    Amount reflects fees paid to the FDA in connection with the ReNu BLA filing.
(7)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a shift in product lines due to PFS regulatory changes of $3.0 million and an asset write-off of $0.7 million for upfront licensing cost related to this product line.
(8)    Amount reflects non-recurring inventory write-down adjustments for excess and obsolete inventory resulting from a one-time loss of key distributor in a certain international location.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements relate to expectations or forecasts of future events. Forward-looking statements may be identified by the use of words such as “forecast,” “intend,” “seek,” “target,” “anticipate,” “believe,” “expect,” “assume,” “estimate,” “plan,” “outlook,” and “project” and other similar expressions that predict or indicate future events or trends or that are not statements of historical matters. Such forward-looking statements include statements relating to the Company’s expected quarterly and annual revenue for fiscal 2026, the Company’s expectations regarding the impact of CMS’ updated 2026 Medicare reimbursement and coverage changes, and the Company’s longer-term expectations regarding market share gains, opportunities and growth. Forward-looking statements with respect to the operations of the Company, strategies, prospects, and other aspects of the business of the Company are based on current expectations that are subject to known and unknown risks and uncertainties, which could cause actual results or outcomes to differ materially from expectations expressed or implied by such forward-looking statements. These factors include, but are not limited to: (1) the impact of any changes to the coverage and reimbursement levels for the Company’s products, particularly in light of CMS’ updated 2026 Medicare reimbursement and coverage changes; (2) the Company faces significant and continuing competition, which could adversely affect its business, results of operations and financial condition; (3) rapid technological change could cause the Company’s products to become obsolete and if the Company does not enhance its product offerings through its research and development efforts, it may be unable to effectively compete; (4) to be commercially successful, the Company must convince physicians that its products are safe and effective alternatives to existing treatments and that its products should be used in their procedures; (5) the Company’s ability to raise funds to expand its business; (6) the Company has incurred losses in the prior periods and may incur losses in the future; (7) changes in applicable laws or regulations; (8) the possibility that the Company may be adversely affected by other economic, business, and/or competitive factors; (9) the Company’s ability to maintain production or obtain supply of its products in sufficient quantities to meet demand; (10) the Company’s ability to build out its Smithfield, Rhode Island facility on time and on budget; (11) whether the Company is able to obtain regulatory approval for and successfully commercialize ReNu; and (12) other risks and uncertainties described in the Company’s filings with the Securities and Exchange Commission, including Item 1A (Risk Factors) of the Company’s Form 10-K for the year ended December 31, 2025 and its subsequently filed periodic reports. You are cautioned not to place undue reliance upon any forward-looking statements, which speak only as of the date made. Although it may voluntarily do so from time to time, the Company undertakes no commitment to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable securities laws.

About Organogenesis Holdings Inc.
Organogenesis Holdings Inc. is a leading regenerative medicine company focused on the development, manufacture, and commercialization of solutions for the advanced wound care and surgical and sports medicine markets. Organogenesis offers a comprehensive portfolio of innovative regenerative products to address patient needs across the continuum of care. For more information, visit www.organogenesis.com.



Investor Inquiries:
ICR Healthcare
Mike Piccinino, CFA
OrganoIR@icrinc.com

Press and Media Inquiries:
Organogenesis
communications@organo.com  

FAQ

What were Organogenesis (ORGO) fourth-quarter 2025 revenues and net income?

Organogenesis reported Q4 2025 net product revenue of $225.1M and net income of $43.7M. According to the company, Advanced Wound Care drove revenue growth, while Surgical & Sports Medicine declined slightly versus Q4 2024.

How did Organogenesis (ORGO) perform for the full year 2025 versus 2024?

Organogenesis reported FY2025 net product revenue of $563.0M and net income of $37.0M. According to the company, revenue rose 17% year-over-year, with Advanced Wound Care contributing the majority of the increase.

What is Organogenesis (ORGO) guidance for fiscal year 2026 and what does it imply?

Organogenesis guided 2026 total net revenue $350M–$420M, implying a 25%–38% decline versus 2025. According to the company, this assumes a significant Q1 2026 revenue drop and sequential recovery across later quarters.

What were Organogenesis (ORGO) profitability metrics for Q4 and FY2025?

Organogenesis reported Q4 Adjusted EBITDA $84.2M and FY2025 Adjusted EBITDA $98.1M. According to the company, non-GAAP measures rose sharply year-over-year driven by higher gross margin and revenue growth.

How strong is Organogenesis (ORGO)'s balance sheet after 2025 results?

As of Dec 31, 2025 Organogenesis held $94.3M in cash and reported no outstanding debt. According to the company, cash decreased versus year-end 2024 but the company remains debt-free entering 2026.

What did management say about CMS payment reform and ORGO's near-term outlook?

Management said they expect market disruption from CMS payment reform to affect early 2026, with market share gains expected in H2 2026. According to the company, they anticipate returning to normalized growth in 2027 after the transition.
Organogenesis Hldgs Inc

NASDAQ:ORGO

ORGO Rankings

ORGO Latest News

ORGO Latest SEC Filings

ORGO Stock Data

521.61M
67.66M
Drug Manufacturers - Specialty & Generic
Pharmaceutical Preparations
Link
United States
CANTON