Company Description
Organogenesis Holdings Inc. (Nasdaq: ORGO) is a regenerative medicine company focused on the development, manufacture, and commercialization of product solutions for the Advanced Wound Care and Surgical & Sports Medicine markets. The company states that it operates in a single segment dedicated to regenerative medicine, with an evidence-based portfolio that includes technologies across FDA categories and participation in the skin substitutes/cellular and tissue-based products (CTP) space.
According to company disclosures, Organogenesis has more than forty years of activity in regenerative medicine. It is based in Canton, Massachusetts, and its Class A common stock trades on the Nasdaq Capital Market under the symbol ORGO, as noted in its SEC filings. The company emphasizes product solutions intended for advanced wound care settings and for surgical and sports medicine applications, reflecting a focus on treating complex wounds and supporting soft tissue repair.
Business focus and product areas
Organogenesis describes its business as centered on regenerative medicine technologies that support tissue repair and healing. In the Advanced Wound Care category, the company’s portfolio includes products such as Apligraf, Dermagraft, PuraPly AM, and CYGNUS Dual, among others, which are positioned for use in advanced wound care settings. In Surgical & Sports Medicine, the company highlights products such as NuShield, used as a surgical barrier, and PuraForce, used as a reinforcement matrix in targeted soft tissue repairs, as well as products such as Affinity, Novachor, PuraPly MZ, PuraPly AM, and PuraPly SX for management of open wounds in surgical settings, as described in third-party company data.
The company’s public communications also emphasize its presence in the skin substitutes/CTP market and its belief that it is well positioned for payment reforms under the Medicare Physician Fee Schedule, particularly for products that have received premarket approval (PMA). Organogenesis highlights that it offers technologies in each FDA category within this space and that it views its portfolio as evidence-based.
ReNu and knee osteoarthritis
A notable program for Organogenesis is ReNu, a cryopreserved amniotic suspension allograft developed for the management of symptomatic knee osteoarthritis (knee OA). The company describes ReNu as consisting of amniotic fluid cells and micronized amniotic membrane and containing cellular, growth factor, and extracellular matrix components. ReNu has been studied in three large randomized controlled trials (RCTs) involving more than 1,300 patients combined, and it received FDA Regenerative Medicine Advanced Therapy (RMAT) designation for knee OA in 2021.
Organogenesis has reported results from two Phase 3 RCTs of ReNu for knee OA symptoms, including pain and function endpoints, and has communicated that the totality of the data, along with ReNu’s safety profile and commercial history, forms the basis of its interactions with the U.S. Food and Drug Administration (FDA). The company has announced a plan to pursue a Biologics License Application (BLA) for ReNu and has initiated a rolling BLA submission, with initial modules submitted under FDA rolling review and additional modules expected to complete the submission. In its public statements, Organogenesis characterizes ReNu as a potential non-surgical biologic therapy for knee osteoarthritis pain, subject to regulatory review and approval.
Advanced Wound Care and Surgical & Sports Medicine markets
Organogenesis reports that it generates net product revenue from two primary product groupings: Advanced Wound Care and Surgical & Sports Medicine. Company financial disclosures break out net product revenue between these categories, reflecting the importance of both chronic and acute wound management and surgical/sports medicine applications in its commercial strategy. The company has also referenced a government grant recorded as grant income, indicating some level of engagement with externally funded projects.
In its public commentary, Organogenesis links its Advanced Wound Care products to the evolving reimbursement environment for skin substitutes/CTPs. It has publicly applauded Centers for Medicare & Medicaid Services (CMS) payment reforms that establish FDA classifications and a per-square-centimeter payment methodology in both physician office and hospital outpatient settings, and has stated that it believes these changes will increase access to PMA products and support long-term market stability.
Regulatory and capital markets context
Organogenesis is subject to the regulatory framework governing biologics, medical products, and regenerative medicine in the United States. Its communications around ReNu reference clinical development risks, the possibility of additional evidence requirements from the FDA, and uncertainties around regulatory approval and commercialization, as described in its SEC filings and forward-looking statements. The company also notes that coverage and reimbursement determinations by private and government payers, including Medicare and Medicaid, are important factors for products such as ReNu and its broader portfolio.
From a capital markets perspective, Organogenesis has disclosed the existence of Series A redeemable convertible preferred stock and has reported on stockholder votes related to the potential issuance of Class A common stock upon conversion of this preferred stock under Nasdaq listing rules. The company has also reported on annual meetings of stockholders, director elections, and advisory votes on executive compensation, reflecting standard corporate governance processes for a Nasdaq-listed issuer.
Research, development, and clinical evidence
Organogenesis reports ongoing research and development (R&D) spending and has highlighted R&D expense as a line item in its financial statements. The company’s R&D activities include clinical trials such as the Phase 3 RCTs of ReNu for knee OA. In its public updates, Organogenesis has described details of these trials, including design elements such as prospective, double-blind, multicenter, saline-controlled, parallel-group structures, and the use of the Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain scale as a primary endpoint measure.
The company has also noted that ReNu was previously marketed under Section 361 of the Public Health Service Act and was commercially available for approximately six years before the current BLA pathway. This historical commercial experience, combined with clinical trial data and RMAT designation, is cited by Organogenesis as part of the evidence package it intends to present to regulators.
Financial reporting and guidance
Organogenesis issues periodic financial results, including quarterly net product revenue, net income or loss, and adjusted metrics such as adjusted net income and adjusted EBITDA. The company has reported net product revenue contributions from both Advanced Wound Care and Surgical & Sports Medicine product categories and has discussed changes in revenue and profitability over time. It has also provided annual guidance ranges for net product revenue, net income or loss, adjusted net income, EBITDA, and adjusted EBITDA, along with assumptions about revenue contributions from Advanced Wound Care and Surgical & Sports Medicine products.
In its financial disclosures, Organogenesis has reported cash, cash equivalents, and restricted cash balances, as well as the absence of outstanding debt obligations at certain reporting dates. It also reports on operating expenses, including cost of goods sold, selling, general and administrative expenses, R&D expenses, and impairment and write-down expenses, providing insight into the cost structure associated with its regenerative medicine operations.
Corporate governance and ownership
Organogenesis has disclosed details of its board of directors and stockholder voting outcomes in SEC filings. The company has reported the election and re-election of directors, including a director designated by holders of its Series A Convertible Preferred Stock. It has also disclosed stockholder approval of the potential issuance of more than 20% of its outstanding Class A common stock upon conversion of Series A Convertible Preferred Stock at less than the Nasdaq “minimum price,” and the ratification of its independent registered public accounting firm.
The company has also reported inducement equity awards granted to a newly hired Chief Technology Officer under Nasdaq Listing Rule 5635(c)(4), consisting of non-statutory stock options and restricted stock units that vest over time, indicating the use of equity-based compensation to attract and retain senior leadership.
Position within biotechnology and regenerative medicine
Within the broader biotechnology and regenerative medicine landscape, Organogenesis identifies itself as a company focused on advanced wound care and surgical and sports medicine applications. It emphasizes an evidence-based portfolio, technologies aligned with FDA classifications, and a long history in regenerative medicine. Its ongoing clinical and regulatory work around ReNu for knee osteoarthritis, combined with its established commercial products in wound care and surgical settings, illustrate how the company positions itself within the professional, scientific, and technical services sector, specifically in research and development in biotechnology.