Organogenesis Exceeds Revenue Goals Despite Challenges

Organogenesis Holdings ((ORGO)) has conducted its Q3 earnings call. Continue reading for the key takeaways from the call.

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Organogenesis Holdings recently conducted its third-quarter earnings call, highlighting a varied outlook. The firm showed strong revenue increase, exceeding its projections, and gained advantages from positive CMS policy adjustments. Nevertheless, issues were apparent with the ReNu Phase III trial outcomes, postponements in LCD coverage submission, a minor decline in gross profit margin, and a substantial decrease in cash balances.

Exceeded Revenue Guidance

Organogenesis surpassed its revenue forecast, fueled by strong sales in Advanced Wound Care and Surgical & Sports Medicine offerings. Sales of Advanced Wound Care products rose by 31% compared to the previous year, and Surgical & Sports Medicine products recorded a 25% growth, resulting in a total net product revenue of $150.5 million for the third quarter.

Record Revenue Performance

The firm announced a new high in net product revenue of $150.5 million during the third quarter, reflecting a 31% growth compared to the same period last year and a 49% increase from the previous quarter. This achievement highlights the company’s solid standing in the market and successful sales approaches.

Positive Adjusted EBITDA

Organogenesis reported a positive adjusted EBITDA of $30.1 million during the third quarter, marking a notable increase from $13.4 million in the prior year. This rise highlights the company’s enhanced operational effectiveness and effective expense control.

CMS Policy Supports Future Expansion

The CMS’s approval of classifications for skin substitutes and a new payment system is anticipated to improve access to PMA products, offering a positive outlook for Organogenesis’s future expansion.

ReNu Third Phase Trial Setback

The ReNu Phase III study encountered a challenge as it failed to meet statistical significance for its main goal. However, the trial demonstrated a numerical decrease in baseline pain, suggesting possible potential for continued advancement.

Late Submission for LCD Coverage

Organogenesis failed to meet the November 1 deadline for submitting new information for LCD coverage review in 2026 for multiple products, which may affect future coverage and payment.

Reduction in Gross Profit Margin

The company’s gross profit margin declined slightly to 76%, down from 77% in the previous year, due to changes in the product mix. This suggests the necessity for strategic changes to ensure continued profitability.

Cash Position Decline

By September 30, 2025, Organogenesis had a cash balance of $64.4 million, down from $136.2 million at the end of 2024, pointing to a significant concern in financial oversight.

Forward-Looking Guidance

Looking forward, Organogenesis has revised its 2025 revenue forecast to between $500 million and $525 million, indicating a 4% to 9% rise compared to the previous year. The firm is also concentrating on key initiatives, including the CMS’s Medicare physician fee schedule for 2026 and continued clinical studies for ReNu targeting knee osteoarthritis.

In conclusion, the third-quarter earnings call for Organogenesis Holdings highlighted significant revenue increase and potential strategic moves, but also faced obstacles in clinical trials and financial control. The company’s capacity to handle these matters will be essential for maintaining its growth path.

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