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Organogenesis Holdings (ORGO)
NASDAQ:ORGO

Organogenesis Holdings (ORGO) AI Stock Analysis

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ORGO

Organogenesis Holdings

(NASDAQ:ORGO)

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Neutral 52 (OpenAI - 5.2)
Rating:52Neutral
Price Target:
$4.00
▼(-1.96% Downside)
Overall score is held back mainly by weak profitability and negative operating/free cash flow despite a strong balance sheet. Recent technicals are moderately supportive, and the latest earnings call showed strong revenue/EBITDA execution and raised guidance, but clinical/regulatory timing issues and the cash decline add meaningful risk. Valuation is also less supportive due to the negative P/E.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Organogenesis's products, enhancing its competitive position and supporting future expansion.
CMS Policy Favorable for Future Growth
Favorable CMS policy changes enhance market access, potentially increasing sales and supporting long-term growth in the regenerative medicine sector.
FDA Rolling Submission for ReNu
The FDA submission for ReNu could lead to new product approvals, expanding the company's portfolio and addressing significant medical needs, driving future growth.
Negative Factors
Weak Profitability
Weak profitability metrics indicate challenges in cost management and pricing power, potentially impacting long-term financial health and investment capacity.
Cash Position Decline
A significant decline in cash reserves limits financial flexibility, potentially constraining strategic investments and operational resilience.
ReNu Phase III Trial Setback
The setback in ReNu's Phase III trial could delay product launch and revenue generation, impacting long-term growth prospects and competitive positioning.

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

Organogenesis Holdings Business Overview & Revenue Model

Company DescriptionOrganogenesis 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 products include Affinity, an amniotic membrane wound covering in which viable cells growth factors/cytokines, and ECM proteins in the native tissue are preserved; Apligraf, a bioengineered living cell therapy that produce spectrum of cytokines and growth factors; Dermagraft, a bioengineered product that produces human collagen, ECM, proteins, and cytokines; NuShield, a wound covering tissue includes both amnion and chorion membranes for spongy/intermediate layer intact; PuraPly , a antimicrobial barrier that enables conformability and fluid drainage; and Novachor, an amniotic membrane wound covering in which viable cells, growth factors/cytokines, and ECM proteins are preserved. Its surgical and sports medicine products comprise NuCel, a dehydrated placental tissue surgically applied to the target tissue to support native healing; ReNu, a cryopreserved suspension used to support healing of soft tissues; and FiberOS and OCMP used as a bone void filler primarily in orthopedic and neurosurgical applications. The company's pipeline products include PuraPly XT and PuraPly MZ to treat chronic, acute, and open wounds; PuraForce, a bioengineered porcine collagen surgical matrix for use in soft tissue reinforcement applications; and TransCyte, a bioengineered tissue for the treatment of partial thickness burns. It serves hospitals, wound care centers, government facilities, ambulatory service centers, and physician office through direct sales force and independent agencies. The company was founded in 1985 and is headquartered in Canton, Massachusetts.
How the Company Makes MoneyOrganogenesis generates revenue through the sale of its regenerative medicine products, primarily targeting hospitals, clinics, and healthcare providers. The company has established key revenue streams through its advanced wound care products, which include Apligraf and Dermagraft, as well as its surgical biologics line. Additionally, Organogenesis benefits from partnerships with healthcare facilities and providers, which help to expand its market reach and facilitate the adoption of its products. The company also engages in ongoing research and development to innovate and introduce new products, further supporting its revenue growth.

Organogenesis Holdings Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 26, 2026
Earnings Call Sentiment Neutral
The earnings call presented a strong performance in terms of revenue growth, exceeding guidance, and positive developments with CMS policy changes. However, there were notable challenges with the ReNu Phase III trial results, delays in LCD coverage submission, a slight decrease in gross profit margin, and a significant decrease in cash position.
Q3-2025 Updates
Positive Updates
Exceeded Revenue Guidance
Sales results exceeded the high end of the guidance range outlined in the second quarter call, driven primarily by better-than-expected growth in sales of Advanced Wound Care products, which increased 31% year-over-year, and Surgical & Sports Medicine products, which increased 25% year-over-year.
Record Revenue Performance
Net product revenue for the third quarter was $150.5 million, up 31% year-over-year and up 49% sequentially.
Positive Adjusted EBITDA
Adjusted EBITDA for the third quarter was $30.1 million compared to adjusted EBITDA of $13.4 million last year.
CMS Policy Favorable for Future Growth
CMS finalized skin substitute classifications based on FDA regulatory status and a per square centimeter payment methodology, which is expected to expand access for PMA products.
Negative Updates
ReNu Phase III Trial Setback
The second Phase III trial of ReNu did not achieve statistical significance for its primary endpoint, although it showed numerical improvement in baseline pain reduction.
Delayed Submission for LCD Coverage
The company did not meet the November 1 submission deadline for new data for LCD coverage consideration in 2026 for PuraPly AM, DFU, and Affinity or VLU.
Decrease in Gross Profit Margin
Gross profit for the third quarter was 76% of net product revenue, compared to 77% last year, due primarily to a shift in product mix.
Cash Position Decline
As of September 30, 2025, the company had $64.4 million in cash, cash equivalents, and restricted cash, a decrease from $136.2 million as of December 31, 2024.
Company Guidance
During the Third Quarter 2025 Earnings Conference Call for Organogenesis Holdings, Inc., several key financial metrics and strategic updates were provided. The company reported net product revenue of $150.5 million for Q3, a 31% year-over-year increase and a 49% sequential increase, surpassing their guidance range of $130 million to $145 million. Advanced Wound Care products contributed $141.5 million, also up 31% year-over-year, while Surgical & Sports Medicine products generated $9 million, a 25% increase. Gross profit was $114.2 million, representing 76% of net product revenue. The company updated its 2025 revenue guidance to $500 million to $525 million, reflecting a 4% to 9% year-over-year increase. Adjusted EBITDA for Q3 was $30.1 million, compared to $13.4 million last year. The call also highlighted strategic developments, including the CMS's final Medicare physician fee schedule for 2026 and ongoing clinical trials for the ReNu product, aimed at addressing knee osteoarthritis.

Organogenesis Holdings Financial Statement Overview

Summary
Organogenesis Holdings faces challenges in profitability and cash flow management, despite maintaining a solid balance sheet with low leverage. The income statement shows mixed performance with slight revenue growth but negative net profit and EBIT margins. The cash flow analysis reveals significant challenges with negative operating and free cash flow, despite a positive growth rate. Overall, the company needs to improve operational efficiency and cash flow generation.
Income Statement
45
Neutral
Organogenesis Holdings shows a mixed performance in its income statement. The TTM (Trailing-Twelve-Months) data indicates a slight revenue growth of 8.31%, but the company struggles with profitability, as evidenced by a negative net profit margin of -1.89% and an EBIT margin of -5.90%. The gross profit margin remains relatively healthy at 48.43%, suggesting some operational efficiency. However, the declining EBITDA margin to 0.74% highlights challenges in managing operating expenses.
Balance Sheet
60
Neutral
The balance sheet reflects a stable financial position with a low debt-to-equity ratio of 0.16, indicating conservative leverage. However, the return on equity is negative at -2.57%, pointing to inefficiencies in generating returns for shareholders. The equity ratio of 75.71% suggests a strong capital structure with significant equity backing.
Cash Flow
35
Negative
Cash flow analysis reveals significant challenges, with negative operating cash flow and free cash flow in the TTM period. Despite a positive free cash flow growth rate of 11.39%, the operating cash flow to net income ratio is -0.43, indicating cash flow issues relative to earnings. The free cash flow to net income ratio of 1.33 suggests reliance on non-operating sources for cash generation.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue464.99M482.04M433.14M450.89M467.36M338.30M
Gross Profit346.34M366.30M326.66M345.87M353.16M250.98M
EBITDA19.75M15.76M36.03M40.32M87.00M37.23M
Net Income1.00M861.00K4.95M15.53M94.20M17.23M
Balance Sheet
Total Assets509.83M497.89M460.02M449.36M443.26M290.22M
Cash, Cash Equivalents and Short-Term Investments64.37M135.57M104.34M102.48M113.93M84.39M
Total Debt40.81M43.31M119.35M123.79M132.30M84.77M
Total Liabilities123.85M112.57M181.36M183.69M201.92M148.41M
Stockholders Equity385.98M385.32M278.66M265.67M241.34M141.81M
Cash Flow
Free Cash Flow-51.65M4.18M6.55M-9.04M30.76M-12.21M
Operating Cash Flow-38.79M14.21M30.92M24.86M61.98M5.47M
Investing Cash Flow-12.86M-10.03M-24.36M-33.90M-31.22M-23.50M
Financing Cash Flow21.10M27.64M-5.50M-2.20M-1.04M42.47M

Organogenesis Holdings Technical Analysis

Technical Analysis Sentiment
Negative
Last Price4.08
Price Trends
50DMA
5.07
Negative
100DMA
4.77
Negative
200DMA
4.40
Negative
Market Momentum
MACD
-0.31
Positive
RSI
30.90
Neutral
STOCH
7.66
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ORGO, the sentiment is Negative. The current price of 4.08 is below the 20-day moving average (MA) of 4.86, below the 50-day MA of 5.07, and below the 200-day MA of 4.40, indicating a bearish trend. The MACD of -0.31 indicates Positive momentum. The RSI at 30.90 is Neutral, neither overbought nor oversold. The STOCH value of 7.66 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
77
Outperform
$473.35M6.3239.94%-0.85%-13.50%
59
Neutral
$575.09M8.4913.92%-29.91%
52
Neutral
$503.84M-38.630.30%2.24%-67.56%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$324.10M-5.7015.10%0.18%
48
Neutral
$417.15M-6.40-7.82%1.76%18.31%
46
Neutral
$748.27M-5.672.83%13.61%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ORGO
Organogenesis Holdings
3.79
0.45
13.47%
EBS
Emergent Biosolutions
10.99
1.11
11.23%
SIGA
SIGA Technologies
6.58
0.94
16.67%
ESPR
Esperion
3.04
0.83
37.56%
EOLS
Evolus
5.20
-5.31
-50.52%
SNDL
SNDL
1.61
-0.17
-9.55%

Organogenesis Holdings Corporate Events

Business Operations and StrategyRegulatory Filings and Compliance
Organogenesis Extends Long-Term Leases for Key Facilities
Positive
Dec 29, 2025

On December 22, 2025, Organogenesis Inc. amended its leases for two key facilities at 65 Dan Road and 150 Dan Road in Canton, Massachusetts, extending the terms from their current expiration date of December 31, 2027 to December 31, 2032, with an additional two-year renewal option through December 31, 2034. The amendments lock in a rent structure tied to at least 103% of the 2027 annual rents, with potential adjustments to fair market value and 3% annual increases, formalizing long-term control over critical manufacturing, logistics, and R&D space. Because the properties are owned, directly or indirectly, by major shareholders and a sitting director, the transactions were reviewed as related-party dealings; the company’s Audit Committee concluded the lease amendments were fair, reasonable, and in the best interests of the company and its stockholders, potentially reducing governance risk around these arrangements.

The most recent analyst rating on (ORGO) stock is a Buy with a $9.00 price target. To see the full list of analyst forecasts on Organogenesis Holdings stock, see the ORGO Stock Forecast page.

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: Dec 31, 2025