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Organogenesis Holdings (ORGO)
NASDAQ:ORGO
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Organogenesis Holdings (ORGO) AI Stock Analysis

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ORGO

Organogenesis Holdings

(NASDAQ:ORGO)

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Neutral 46 (OpenAI - 5.2)
Rating:46Neutral
Price Target:
$2.50
▼(-38.73% Downside)
Action:ReiteratedDate:05/08/26
The score is weighed down primarily by weak cash conversion (negative operating/free cash flow) and a very challenging near-term outlook from the latest earnings call (sharp revenue declines and reduced 2026 guidance). Technicals also reflect a weak longer-term trend, while moderate leverage and liquidity (including no debt noted on the call) provide only partial support.
Positive Factors
Regulatory milestone (BLA)
Completing a BLA for ReNu is a durable strategic milestone that expands Organogenesis’ addressable market into non‑surgical knee OA. If approved, ReNu would create a new, higher‑margin revenue stream and diversify reliance on wound care product cycles over the medium term.
Negative Factors
Weak cash conversion
Negative operating and free cash flow in 2025 highlights poor cash conversion despite earnings rebound. Over the coming quarters this undermines self‑funding for working capital, commercialization and regulatory programs, increasing reliance on liquidity facilities or equity if losses persist.
Read all positive and negative factors
Positive Factors
Negative Factors
Regulatory milestone (BLA)
Completing a BLA for ReNu is a durable strategic milestone that expands Organogenesis’ addressable market into non‑surgical knee OA. If approved, ReNu would create a new, higher‑margin revenue stream and diversify reliance on wound care product cycles over the medium term.
Read all positive factors

Organogenesis Holdings (ORGO) vs. SPDR S&P 500 ETF (SPY)

Organogenesis Holdings Business Overview & Revenue Model

Company Description
Organogenesis Holdings Inc., a regenerative medicine company develops, manufactures, and commercializes solutions for the advanced wound care, and surgical and sports medicine markets in the United States. The company's advanced wound care product...
How the Company Makes Money
Organogenesis makes money primarily by selling its regenerative medicine products used in wound care and surgical applications. Revenue is generated when its products are purchased and used by healthcare providers (e.g., hospitals, outpatient faci...

Organogenesis Holdings Earnings Call Summary

Earnings Call Date:May 07, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Aug 06, 2026
Earnings Call Sentiment Negative
The call detailed significant near-term financial deterioration driven by market disruption and policy-related clinician confusion: Q1 revenue fell 58% YoY, margins compressed sharply, and losses widened, prompting a material downgrade to full-year revenue guidance and a March restructuring. Offsetting these negatives are important strategic and clinical milestones — completion of a BLA submission for ReNu, a positive 170‑patient RCT for PuraPly AM, evidence of relative market share gains, disciplined cost reductions, and a solid cash position with no debt. While these highlights support longer-term confidence, they do not fully mitigate the severe short-term revenue and profitability declines and the uncertainty around CMS policy timing.
Positive Updates
Completed BLA Submission for ReNu
On April 28 the company completed its BLA submission to the FDA for ReNu, a potential nonsurgical biologic for symptomatic knee osteoarthritis — a key regulatory milestone supporting future growth in a large unmet market.
Negative Updates
Severe Revenue Decline in Q1
Net product revenue for Q1 was $36.3M, down 58% year-over-year. Advanced Wound Care revenue declined 63% to $29.5M; Surgical & Sports Medicine revenue was $6.8M and flat year-over-year.
Read all updates
Q1-2026 Updates
Negative
Completed BLA Submission for ReNu
On April 28 the company completed its BLA submission to the FDA for ReNu, a potential nonsurgical biologic for symptomatic knee osteoarthritis — a key regulatory milestone supporting future growth in a large unmet market.
Read all positive updates
Company Guidance
Organogenesis updated 2026 net revenue guidance to $270 million–$310 million (a decline of ~45%–52% YoY vs prior guidance of a 25%–38% decline), now anticipating first‑half revenue declines of roughly 52%–49% YoY with sequential improvement thereafter and strong third‑ and fourth‑quarter growth but a more measured recovery overall; the company expects positive adjusted EBITDA generation in H2 and a return to more normalized profitability in Q4, plans to reduce operating expenses (ex‑COGS) ~25% YoY for 2026 (including >30% YoY in H2) and assumes ~$7 million of Q3–Q4 restructuring savings as part of an approximate $14 million annualized cost reduction from the March restructuring (88 employee reduction and St. Petersburg facility closure); these outlooks are framed against Q1 results of $36.3 million net product revenue (down 58% YoY), Advanced Wound Care $29.5M (down 63%), Surgical & Sports Medicine $6.8M (flat), an adjusted EBITDA loss of $48.2M, cash of $92.1M, no debt and $75M revolver availability, and reflect continued uncertainty from CMS commentary affecting utilization.

Organogenesis Holdings Financial Statement Overview

Summary
Income statement and balance sheet show some improvement (2025 revenue growth accelerated and leverage is moderate), but cash flow quality is a major risk: 2025 operating cash flow and free cash flow were negative, indicating weak cash conversion despite the earnings rebound.
Income Statement
62
Positive
Balance Sheet
66
Positive
Cash Flow
38
Negative
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue564.17M482.04M433.14M450.89M467.36M
Gross Profit415.06M366.30M326.66M345.87M353.16M
EBITDA83.32M15.76M36.03M40.32M87.00M
Net Income37.03M861.00K4.95M15.53M94.20M
Balance Sheet
Total Assets598.73M497.89M460.02M449.36M443.26M
Cash, Cash Equivalents and Short-Term Investments93.68M135.57M104.34M102.48M113.93M
Total Debt132.84M43.31M119.35M123.79M132.30M
Total Liabilities164.81M112.57M181.36M183.69M201.92M
Stockholders Equity433.92M385.32M278.66M265.67M241.34M
Cash Flow
Free Cash Flow-24.46M4.18M6.55M-9.04M30.76M
Operating Cash Flow-10.31M14.21M30.92M24.86M61.98M
Investing Cash Flow-14.15M-10.03M-24.36M-33.90M-31.22M
Financing Cash Flow-17.36M27.64M-5.50M-2.20M-1.04M

Organogenesis Holdings Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price4.08
Price Trends
50DMA
2.93
Negative
100DMA
3.80
Negative
200DMA
4.22
Negative
Market Momentum
MACD
-0.10
Negative
RSI
46.40
Neutral
STOCH
77.14
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ORGO, the sentiment is Neutral. The current price of 4.08 is above the 20-day moving average (MA) of 2.39, above the 50-day MA of 2.93, and below the 200-day MA of 4.22, indicating a neutral trend. The MACD of -0.10 indicates Negative momentum. The RSI at 46.40 is Neutral, neither overbought nor oversold. The STOCH value of 77.14 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for ORGO.

Organogenesis Holdings Risk Analysis

Organogenesis Holdings disclosed 73 risk factors in its most recent earnings report. Organogenesis Holdings reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Organogenesis Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
66
Neutral
$338.88M11.26%-31.82%-60.71%
61
Neutral
$471.07M15.84-1.59%-29.89%93.33%
56
Neutral
$420.81M-6.28174.92%9.56%24.52%
54
Neutral
$375.84M-12.05-1.00%1.57%89.16%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$808.25M3.545.62%21.31%27.38%
46
Neutral
$325.46M-1.359.56%17.04%1511.69%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ORGO
Organogenesis Holdings
2.53
-0.53
-17.32%
EBS
Emergent Biosolutions
9.13
3.48
61.59%
SIGA
SIGA Technologies
4.73
-0.28
-5.51%
ESPR
Esperion
3.14
2.34
293.48%
EOLS
Evolus
6.39
-3.41
-34.80%
SNDL
SNDL
1.45
0.16
12.40%

Organogenesis Holdings Corporate Events

Executive/Board Changes
Organogenesis Names Patrick McGuire Chief Accounting Officer
Neutral
Feb 23, 2026
On February 18, 2026, Organogenesis Holdings Inc. appointed Patrick McGuire, 40, as Chief Accounting Officer and principal accounting officer, effective immediately, elevating him from his prior role as Vice President, Corporate Controller. McGuir...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: May 08, 2026