STOCK TITAN

Organogenesis (NASDAQ: ORGO) warns of 2026 revenue drop after record 2025

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Organogenesis Holdings Inc. reported record results for 2025, driven by strong growth in advanced wound care. Net product revenue for the year reached $563.0 million, up 17% from 2024, with advanced wound care contributing $531.2 million. Net income improved to $37.0 million from $0.9 million, and Adjusted EBITDA nearly doubled to $98.1 million.

In the fourth quarter of 2025, net product revenue rose 78% to $225.1 million, and net income jumped to $43.7 million. Gross margin remained strong at 76% for the year. The company ended 2025 with $94.3 million in cash, cash equivalents and restricted cash and no outstanding debt obligations.

For 2026, management expects total net revenue between $350.0 million and $420.0 million, a decline of 25% to 38% from total net revenue of $564.2 million in 2025. The company anticipates a sharp revenue drop in early 2026 due to CMS reimbursement and coverage changes for skin substitutes, followed by stronger quarter-over-quarter growth later in the year and a return to more “normalized” growth in 2027.

Positive

  • Record revenue and profitability in 2025: Net product revenue rose to $563.0 million (up 17% year over year), net income improved to $37.0 million from $0.9 million, and Adjusted EBITDA nearly doubled to $98.1 million, highlighting strong operating leverage.
  • Exceptional Q4 2025 performance: Fourth-quarter net product revenue jumped 78% to $225.1 million, with net income increasing to $43.7 million and Adjusted EBITDA reaching $84.2 million, indicating strong exit momentum heading into 2026.
  • Solid balance sheet flexibility: The company ended 2025 with $94.3 million in cash, cash equivalents and restricted cash and no outstanding debt obligations, providing financial capacity to navigate reimbursement-driven volatility.

Negative

  • Guided to steep 2026 revenue decline: Total net revenue for 2026 is forecast between $350.0 million and $420.0 million, a 25%–38% drop from 2025’s $564.2 million, mainly due to CMS reimbursement and coverage changes for skin substitutes.
  • Negative 2025 operating cash flow and lower cash balance: Net cash used in operating activities was $10.3 million in 2025, and cash, cash equivalents and restricted cash declined to $94.3 million from $136.2 million year over year, tempering the strong earnings improvement.

Insights

Record 2025 results contrast with sharply lower 2026 revenue guidance driven by reimbursement changes.

Organogenesis delivered a very strong 2025, with net product revenue up 17% to $563.0 million and net income rising to $37.0 million. Advanced wound care was the primary growth engine, while margins held at a solid mid-70s gross level. Non-GAAP metrics such as Adjusted EBITDA and Adjusted net income nearly doubled, underscoring substantial operating leverage.

The outlook for 2026 is markedly different. Management guides total net revenue to $350.0–$420.0 million, a 25%–38% decline from total net revenue of $564.2 million in 2025. The company attributes this to CMS’ updated Medicare coverage and payment reforms for skin substitutes, which are expected to drive a significant year-over-year decline in the first quarter, then sequential improvement through the rest of the year.

Strategically, leadership expects market confusion in early 2026 but believes its evidence-backed wound-care portfolio can gain share as reimbursement settles, with a goal of returning to “normalized” growth in 2027. Investors will likely focus on how actual quarterly revenues track within the wide 2026 guidance range and on any further commentary about reimbursement dynamics and competitive responses in subsequent company filings and earnings calls.

0001661181False00016611812026-02-262026-02-26

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of Earliest Event Reported): February 26, 2026

ORGANOGENESIS HOLDINGS INC.

(Exact Name of Registrant as specified in its charter)

Delaware

001-37906

98-1329150

(State or Other Jurisdiction

of Incorporation)

(Commission

File Number)

(IRS Employer

Identification No.)

85 Dan Road

Canton, MA

02021

(Address of principal executive offices)

(Zip Code)

(781) 575-0775

(Registrant’s telephone number, including area code)

Not Applicable

(Registrant’s name or former address, if change since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange on which registered

Class A Common Stock, $0.0001 par value

 

ORGO

 

Nasdaq Capital Market

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging Growth Company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards pursuant to Section 13(a) of the Exchange Act. ☐


Item 2.02 Results of Operations and Financial Condition.

On February 26, 2026, the Company announced via press release its results for the fiscal fourth quarter and fiscal year ended December 31, 2025. A copy of the Company’s press release is hereby furnished to the Commission and incorporated herein by reference as Exhibit 99.1.

The information in the press release attached as Exhibit 99.1 is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, except as expressly set forth by specific reference in such filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

Exhibit

No.

Description

99.1

 

Press Release dated February 26, 2026

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 


SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Organogenesis Holdings Inc.

By:

/s/ Lori Freedman

Name:

Lori Freedman

Title:

Chief Administrative and Legal Officer

 

Date: February 26, 2026

 


Exhibit 99.1

img36819578_0.jpg

 

FOR IMMEDIATE RELEASE

 

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

 

 

CANTON, Mass., (February 26, 2026) -- 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:
o
Net product revenue from Advanced Wound Care products of $217.2 million, an increase of 83% from the fourth quarter of 2024.
o
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:
o
Net product revenue from Advanced Wound Care products of $531.2 million, an increase of 17% year over year.
o
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.
o
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. UNAUDITED CONSOLIDATED 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

How did Organogenesis (ORGO) perform financially in full-year 2025?

Organogenesis reported strong 2025 results, with net product revenue of $563.0 million, up 17% from 2024. Net income increased to $37.0 million from $0.9 million, while Adjusted EBITDA nearly doubled to $98.1 million, reflecting significant operating leverage and improved profitability.

What were Organogenesis (ORGO) fourth-quarter 2025 results?

In Q4 2025, Organogenesis generated $225.1 million in net product revenue, a 78% increase over Q4 2024. Net income rose to $43.7 million from $7.7 million, and Adjusted EBITDA climbed to $84.2 million from $18.2 million, driven mainly by advanced wound care growth.

What guidance did Organogenesis (ORGO) provide for 2026 revenue?

For 2026, Organogenesis expects total net revenue between $350.0 million and $420.0 million. This represents a projected decline of 25% to 38% compared with 2025 total net revenue of $564.2 million, reflecting anticipated impacts from CMS reimbursement and coverage changes for skin substitutes.

How are CMS reimbursement changes expected to impact Organogenesis (ORGO)?

Organogenesis expects CMS’ updated 2026 Medicare reimbursement and coverage changes for skin substitutes to drive a significant year-over-year revenue decline in early 2026. Management anticipates market adaptation over the year, with strong quarter-over-quarter growth later and a return to more normalized growth in 2027.

What is Organogenesis (ORGO) saying about long-term growth after 2026?

Management believes that after a transition period in 2026, Organogenesis can deliver long-term growth. They expect to benefit from a comprehensive, evidence-backed advanced wound care portfolio, targeting significant market share gains in the second half of 2026 and normalized growth returning in 2027.

What does Organogenesis’ (ORGO) 2025 balance sheet look like?

At December 31, 2025, Organogenesis held $94.3 million in cash, cash equivalents and restricted cash, with no outstanding debt obligations. Total assets were $598.7 million and total stockholders’ equity was $300.1 million, providing a solid capital base to manage reimbursement-driven headwinds.

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