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Organogenesis Holdings Inc. Reports Fourth Quarter 2024 Financial Results

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Organogenesis Holdings (NASDAQ: ORGO) reported strong Q4 2024 financial results with net revenue of $126.7 million, up 27% from Q4 2023. The company achieved Q4 net income of $7.7 million compared to a net loss of $0.6 million in Q4 2023.

For full-year 2024, revenue reached $482.0 million, an 11% increase from 2023, driven by Advanced Wound Care products (+12% to $453.6M) and Surgical & Sports Medicine products (+3% to $28.4M). The company ended 2024 with $136.2 million in cash and no outstanding debt.

For 2025 guidance, Organogenesis expects:

  • Net revenue between $480.0-$535.0 million
  • Net income between $9.5-$38.8 million
  • Adjusted EBITDA between $43.6-$83.2 million
The company also plans to submit the ReNu BLA by end of 2025, targeting knee OA treatment.

Organogenesis Holdings (NASDAQ: ORGO) ha riportato risultati finanziari solidi per il quarto trimestre del 2024, con un fatturato netto di $126,7 milioni, in aumento del 27% rispetto al quarto trimestre del 2023. L'azienda ha registrato un utile netto di $7,7 milioni nel quarto trimestre, rispetto a una perdita netta di $0,6 milioni nello stesso periodo del 2023.

Per l'intero anno 2024, il fatturato ha raggiunto $482,0 milioni, con un incremento dell'11% rispetto al 2023, sostenuto dai prodotti per la cura avanzata delle ferite (+12% a $453,6 milioni) e dai prodotti per la medicina chirurgica e sportiva (+3% a $28,4 milioni). L'azienda ha concluso il 2024 con $136,2 milioni in cassa e senza debiti in sospeso.

Per le previsioni del 2025, Organogenesis si aspetta:

  • Fatturato netto tra $480,0 e $535,0 milioni
  • Utile netto tra $9,5 e $38,8 milioni
  • EBITDA rettificato tra $43,6 e $83,2 milioni
L'azienda prevede inoltre di presentare la ReNu BLA entro la fine del 2025, con l'obiettivo di trattare l'osteoartrite del ginocchio.

Organogenesis Holdings (NASDAQ: ORGO) informó resultados financieros sólidos para el cuarto trimestre de 2024, con ingresos netos de $126.7 millones, un aumento del 27% en comparación con el cuarto trimestre de 2023. La compañía logró un ingreso neto de $7.7 millones en el cuarto trimestre, en comparación con una pérdida neta de $0.6 millones en el cuarto trimestre de 2023.

Para el año completo 2024, los ingresos alcanzaron $482.0 millones, un incremento del 11% respecto a 2023, impulsados por productos de Cuidado Avanzado de Heridas (+12% a $453.6 millones) y productos de Medicina Quirúrgica y Deportiva (+3% a $28.4 millones). La compañía cerró 2024 con $136.2 millones en efectivo y sin deudas pendientes.

Para las proyecciones de 2025, Organogenesis espera:

  • Ingresos netos entre $480.0 y $535.0 millones
  • Ingreso neto entre $9.5 y $38.8 millones
  • EBITDA ajustado entre $43.6 y $83.2 millones
La compañía también planea presentar la ReNu BLA para finales de 2025, con el objetivo de tratar la OA de rodilla.

Organogenesis Holdings (NASDAQ: ORGO)� 2024� 4분기 재무 결과� 발표하며 순수익이 $126.7 백만으로 2023� 4분기 대� 27% 증가했다� 보고했습니다. � 회사� 2023� 4분기 순손� $0.6 백만� 비해 4분기 순이� $7.7 백만� 달성했습니다.

2024� 전체 연도 동안 수익은 $482.0 백만� 도달했으�, 이는 2023� 대� 11% 증가� 수치�, 고급 상처 치료 제품(+12%� $453.6M) � 외과 � 스포� 의학 제품(+3%� $28.4M)� 판매 증가� 힘입은 것입니다. � 회사� 2024년을 $136.2 백만� 현금� 미지� 부� 없이 마감했습니다.

2025� 전망� 따라 Organogenesis� 다음� 같은 예상치를 가지� 있습니다:

  • 순수� $480.0-$535.0 백만
  • 순이� $9.5-$38.8 백만
  • 조정 EBITDA $43.6-$83.2 백만
회사� 또한 2025� 말까지 ReNu BLA� 제출� 계획이며, 무릎 OA 치료� 목표� 하고 있습니다.

Organogenesis Holdings (NASDAQ: ORGO) a annoncé de solides résultats financiers pour le quatrième trimestre 2024, avec un chiffre d'affaires net de $126,7 millions, en hausse de 27% par rapport au quatrième trimestre 2023. L'entreprise a réalisé un bénéfice net de $7,7 millions au quatrième trimestre, contre une perte nette de $0,6 million au quatrième trimestre 2023.

Pour l'année complète 2024, le chiffre d'affaires a atteint $482,0 millions, soit une augmentation de 11% par rapport à 2023, soutenue par les produits de soins avancés des plaies (+12% à $453,6 millions) et les produits de médecine chirurgicale et sportive (+3% à $28,4 millions). L'entreprise a terminé 2024 avec $136,2 millions en liquidités et aucune dette en cours.

Pour les prévisions 2025, Organogenesis s'attend à:

  • Chiffre d'affaires net entre $480,0 et $535,0 millions
  • Bénéfice net entre $9,5 et $38,8 millions
  • EBITDA ajusté entre $43,6 et $83,2 millions
L'entreprise prévoit également de soumettre la ReNu BLA d'ici la fin de 2025, visant le traitement de l'arthrose du genou.

Organogenesis Holdings (NASDAQ: ORGO) hat starke Finanzzahlen für das vierte Quartal 2024 gemeldet, mit einem Nettoumsatz von $126,7 Millionen, was einem Anstieg von 27% im Vergleich zum vierten Quartal 2023 entspricht. Das Unternehmen erzielte im vierten Quartal einen Nettogewinn von $7,7 Millionen im Vergleich zu einem Nettoverlust von $0,6 Millionen im vierten Quartal 2023.

Für das gesamte Jahr 2024 erreichten die Einnahmen $482,0 Millionen, was einem Anstieg von 11% im Vergleich zu 2023 entspricht, angetrieben durch Produkte zur fortschrittlichen Wundversorgung (+12% auf $453,6 Millionen) und chirurgische & Sportmedizinprodukte (+3% auf $28,4 Millionen). Das Unternehmen schloss das Jahr 2024 mit $136,2 Millionen in bar und ohne ausstehende Schulden ab.

Für die Prognose 2025 erwartet Organogenesis:

  • Nettoumsatz zwischen $480,0 und $535,0 Millionen
  • Nettogewinn zwischen $9,5 und $38,8 Millionen
  • Bereinigtes EBITDA zwischen $43,6 und $83,2 Millionen
Das Unternehmen plant auch, die ReNu BLA bis Ende 2025 einzureichen, um die Behandlung von Knie-OA zu fokussieren.

Positive
  • Q4 revenue up 27% YoY to $126.7M
  • Q4 net income improved to $7.7M from -$0.6M loss
  • Full year revenue up 11% to $482M
  • Improved cash position to $136.2M with zero debt
  • Gross margin increased to 75% in Q4 2024
Negative
  • Full year net income decreased to $0.9M from $4.9M
  • Operating loss of $1.3M vs operating income of $12.5M in 2023
  • $18.8M impairment and $4.0M write-down expenses in 2024
  • Operating expenses increased 17% to $367.6M

Insights

Organogenesis delivered exceptional Q4 2024 results with $126.7 million in revenue, representing 27% year-over-year growth. This strong performance was driven by balanced growth across both business segments: Advanced Wound Care revenue increased 27% to $118.6 million and Surgical & Sports Medicine revenue grew 24% to $8.1 million.

The company's profitability metrics show substantial improvement. Q4 net income reached $7.7 million, a remarkable turnaround from the $0.6 million loss in Q4 2023. Gross margin expanded to 75% from 72% year-over-year, indicating improved operational efficiency. Adjusted EBITDA surged 143% to $18.2 million, reflecting the company's ability to scale profitably.

For full-year 2024, while revenue grew 11% to $482.0 million, annual net income declined to $0.9 million from $4.9 million in 2023. This decrease was primarily due to $22.8 million in combined impairment and write-down expenses. However, the 17% increase in adjusted EBITDA to $49.8 million indicates underlying operational strength.

Organogenesis has transformed its balance sheet, ending 2024 with $136.2 million in cash and zero debt, compared to $104.3 million cash and $66.2 million in debt at 2023-end. This debt-free position provides significant financial flexibility for future investments and potential market disruptions.

The 2025 guidance suggests continued momentum with projected revenue of $480.0-$535.0 million and substantial improvements in profitability metrics, including net income of $9.5-$38.8 million. However, the wide guidance range and references to navigating a "difficult environment" indicate some uncertainty in the reimbursement landscape, particularly regarding the LCDs scheduled for April 2025.

Organogenesis's strategic positioning in regenerative medicine is yielding tangible results, particularly in the Advanced Wound Care segment, which represents 94% of total revenue. The company's strong Q4 performance demonstrates growing market adoption of its tissue-based products despite a challenging healthcare reimbursement environment.

The planned ReNu BLA submission by year-end 2025 represents a significant strategic milestone with transformative potential. If approved, this osteoarthritis knee treatment would diversify revenue streams by accessing an entirely new therapeutic area with substantial market potential. This strategic pipeline development balances near-term revenue growth with long-term market expansion.

Management's comments about "collaborating with policy and law makers to craft a solution that addresses spending while ensuring access" signals active engagement in addressing reimbursement challenges. The reference to Local Coverage Determinations (LCDs) taking effect in April 2025 represents a regulatory hurdle that could impact product accessibility and revenue trajectory.

The 13% increase in R&D spending to $50.3 million for full-year 2024 demonstrates continued investment in innovation despite market pressures. However, the 20% increase in Q4 SG&A expenses to $73.9 million bears monitoring as the company scales its commercial infrastructure.

The company's improved cash position coupled with zero debt provides crucial financial flexibility to weather potential reimbursement challenges while supporting critical R&D initiatives like ReNu. With projected 2025 net income range of $9.5-$38.8 million, Organogenesis is positioned for significantly improved profitability assuming successful navigation of the regulatory environment.

CANTON, Mass., Feb. 27, 2025 (GLOBE NEWSWIRE) -- 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 December31, 2024.

Fourth Quarter 2024 Financial Results Summary:

  • Net revenue of $126.7 million for the fourth quarter of 2024, an increase of $27.0 million compared to net revenue of $99.7 million for the fourth quarter of 2023. Net revenue for the fourth quarter of 2024 consists of:
    • Net revenue from Advanced Wound Care products of $118.6 million, an increase of 27% from the fourth quarter of 2023.
    • Net revenue from Surgical & Sports Medicine products of $8.1 million, an increase of 24% from the fourth quarter of 2023.
  • Net income of $7.7 million for the fourth quarter of 2024, compared to net loss of $0.6 million for the fourth quarter of 2023, an increase in net income of $8.3 million.
  • Adjusted EBITDA of $18.2 million for the fourth quarter of 2024, compared to Adjusted EBITDA of $7.5 million for the fourth quarter of 2023, an increase of $10.7 million.
  • Adjusted net income of $8.8 million for the fourth quarter of 2024, compared to adjusted net income of $1.9 million for the fourth quarter of 2023, an increase of $6.8 million.

Fiscal Year 2024 Financial Results Summary:

  • Net revenue of $482.0 million for the year ended December 31, 2024, an increase of $48.9 million compared to net revenue of $433.1 million for the year ended December 31, 2023. Net revenue for the year ended December 31, 2024 consists of:
    • Net revenue from Advanced Wound Care products of $453.6 million, an increase of 12% year over year.
    • Net revenue from Surgical & Sports Medicine products of $28.4 million, an increase of 3% year over year.
  • Net income of $0.9 million for the year ended December 31, 2024, compared to net income of $4.9 million for the year ended December 31, 2023, a decrease of $4.0 million.
  • Adjusted EBITDA of $49.8 million for the year ended December 31, 2024, compared to Adjusted EBITDA of $42.6 million for the year ended December 31, 2023, an increase of $7.2 million.
  • Adjusted net income of $20.5 million for the year ended December 31, 2024, compared to adjusted net income of $12.7 million for the year ended December 31, 2023, an increase of $7.8 million.

“Our 2024 results exceeded expectations in a difficult environment, underscoring our strong execution, brand equity and the trust of our customers to help them navigate this complex market,� said Gary S. Gillheeney, Sr., President, Chief Executive Officer and Chair of the Board for Organogenesis. “In 2025, we will continue to focus on our customers while we collaborate with policy and law makers to craft a solution that addresses spending while ensuring access to safe and effective therapies for all patients.�

Mr. Gillheeney, Sr. continued: “We expect to meet a key strategic milestone in 2025 by delivering the ReNu BLA submission by the end of the year. We believe this is a transformational opportunity for Organogenesis in that, if approved, ReNu will potentially address an unmet clinical need for all patients suffering from knee OA. �

Fourth Quarter 2024 Financial Results:

Three Months Ended December 31,Change
20242023$%
(in thousands, except for percentages)
Advanced Wound Care$118,585$93,165$25,42027%
Surgical & Sports Medicine8,0716,4861,58524%
Net revenue$126,656$99,651$27,00527%

Net revenue for the fourth quarter of 2024 was $126.7 million, compared to $99.7 million for the fourth quarter of 2023, an increase of $27.0 million, or 27%. The increase in net revenue was driven by an increase of $25.4 million, or 27%, in net revenue for Advanced Wound Care products, and an increase of $1.6 million, or 24%, in net revenue for Surgical & Sports Medicine products.

Gross profit for the fourth quarter of 2024 was $95.6 million, or 75% of net revenue, compared to $71.9 million, or 72% of net revenue for the fourth quarter of 2023, an increase of $23.7 million, or 33%.

Operating expenses for the fourth quarter of 2024 were $85.4 million compared to $73.2 million for the fourth quarter of 2023, an increase of $12.2 million, or 17%. R&D expense was $11.5 million for the fourth quarter of 2024, compared to $11.8 million for the fourth quarter of 2023, a decrease of $0.3 million, or 3%. Selling, general and administrative expenses were $73.9 million for the fourth quarter of 2024, compared to $61.4 million for the fourth quarter of 2023, an increase of $12.5 million, or 20%.

Operating income for the fourth quarter of 2024 was $10.2 million, compared to an operating loss of $1.3 million for the fourth quarter of 2023, an increase in operating income of $11.5 million, or 905%.

Total other expense, net, for the fourth quarter of 2024 was less than $0.1 million, compared to $0.5 million for the fourth quarter of 2023, a decrease of $0.5 million, or 95%.

Net income for the fourth quarter of 2024 was $7.7 million, or $0.05 per share, compared to a net loss of $0.6 million, or $0.00 per share, for the fourth quarter of 2023, an increase in net income of $8.3 million, or $0.05 per share.

Adjusted EBITDA was $18.2 million for the fourth quarter of 2024, compared to $7.5 million for the fourth quarter of 2023, an increase of $10.7 million, or 143%.

Adjusted net income was $8.8 million for the fourth quarter of 2024, compared to $1.9 million for the fourth quarter of 2023, an increase of $6.8 million, or 354%.

As of December31, 2024, the Company had $136.2 million in cash, cash equivalents and restricted cash and no outstanding debt obligations, compared to $104.3 million in cash, cash equivalents and restricted cash and $66.2 million in net debt obligations as of December31, 2023.

Fiscal Year 2024 Financial Results:

Year Ended December 31,Change
20242023$%
(in thousands, except for percentages)
Advanced Wound Care$453,639$405,514$48,12512%
Surgical & Sports Medicine28,40427,6267783%
Net revenue$482,043$433,140$48,90311%

Net revenue for the year ended December31, 2024 was $482.0 million, compared to $433.1 million for the year ended December31, 2023, an increase of $48.9 million, or 11%. The increase in net revenue was driven by an increase of $48.1 million, or 12%, in net revenue for Advanced Wound Care products and an increase of $0.8 million, or 3%, in net revenue for Surgical & Sports Medicine products.

Gross profit for the year ended December31, 2024 was $366.3 million, or 76% of net revenue, compared to $326.7 million, or 75% of net revenue for the year ended December31, 2023, an increase of $39.6 million, or 12%.

Operating expenses for the year ended December31, 2024 were $367.6 million compared to $314.1 million for the year ended December31, 2023, an increase of $53.5 million or 17%. R&D expense was $50.3 million for the year ended December31, 2024, compared to $44.4 million for the year ended December31, 2023, an increase of $5.9 million, or 13%. Selling, general and administrative expenses were $294.5 million for the year ended December31, 2024, compared to $269.8 million for the year ended December31, 2023, an increase of $24.8 million, or 9%. For the year ended December31, 2024, the Company recorded impairment and write down expenses of $18.8 million and $4.0 million, respectively.

Operating loss for the year ended December31, 2024 was $1.3 million, compared to operating income of $12.5 million for the year ended December31, 2023, a decrease in operating income of $13.8 million, or 110%.

Total other expense, net, for the year ended December31, 2024, was $1.5 million, compared to $2.1 million for the year ended December31, 2023, a decrease of $0.6 million, or 29%.

Net income for the year ended December31, 2024 was $0.9 million, or $(0.01) per share, compared to net income of $4.9 million or $0.04 per share, for the year ended December31, 2023, a decrease in net income of $4.0 million, or $(0.05) per share.

Adjusted EBITDA was $49.8 million for the year ended December31, 2024, compared to $42.6 million for the year ended December31, 2023, an increase of $7.2 million, or 17%.

Adjusted net income was $20.5 million for the year ended December31, 2024, compared to $12.7 million for the year ended December31, 2023, an increase in adjusted net income of $7.8 million, or 61%.

As of December31, 2024, the Company had $136.2 million in cash, cash equivalents and restricted cash and no outstanding debt obligations, compared to $104.3 million in cash, cash equivalents and restricted cash and $66.2 million in net debt obligations as of December31, 2023.

Fiscal Year 2025 Guidance:

For the year ending December31, 2025, the Company expects:

  • Net revenue between $480.0 million and $535.0 million, representing a range of roughly flat to an increase of approximately 11% year-over-year, as compared to net revenue of $482.0 million for the year ended December31, 2024.
    • The 2025 net revenue guidance range assumes:
      • Net revenue from Advanced Wound Care products between $450.0 million and $500.0 million, a decrease of 1% to an increase of 10% year-over-year as compared to net revenue of $453.6 million for the year ended December31, 2024.
      • Net revenue from Surgical & Sports Medicine products between $30.0 million and $35.0 million, an increase of 6% to 23% year-over-year as compared to net revenue of $28.4 million for the year ended December31, 2024.
  • Net income between $9.5 million and $38.8 million and adjusted net income between $15.3 million and $44.6 million.
  • EBITDA between $27.0 million and $66.6 million and Adjusted EBITDA between $43.6 million and $83.2 million.

Fourth Quarter Earnings Conference Call:

Management will host a conference call at 5:00 p.m. Eastern Time today to discuss the results of the quarter and 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 , or access the teleconference . 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,
20242023
Assets
Current assets:
Cash and cash equivalents$135,571$103,840
Restricted cash580498
Accounts receivable, net of allowance for credit losses of $9,576 and $6,860109,86181,999
Inventories, net26,21928,253
Prepaid expenses and other current assets13,71010,454
Total current assets285,941225,044
Property and equipment, net89,128116,228
Intangible assets, net12,46815,871
Goodwill28,77228,772
Operating lease right-of-use assets, net37,11040,118
Deferred tax asset, net39,46228,002
Other assets5,0055,990
Total assets$497,886$460,025
Liabilities, Redeemable Convertible Preferred Stock, and Stockholders� Equity
Current liabilities:
Current portion of term loan$$5,486
Current portion of finance lease obligations1,1701,081
Current portion of operating lease obligations - related party3,6718,413
Current portion of operating lease obligations4,2724,731
Accounts payable28,91130,724
Accrued expenses and other current liabilities39,45330,074
Total current liabilities77,47780,509
Term loan, net of current portion60,745
Finance lease obligations, net of current portion7181,888
Operating lease obligations, net of current portion - related party8,28311,954
Operating lease obligations, net of current portion25,19825,053
Other liabilities8941,213
Total liabilities112,570181,362
Commitments and contingencies (Note 20)
Series A redeemable convertible preferred stock, $0.0001 par value; 130,000 and 0 shares authorized, issued and outstanding at December31, 2024 and 2023, respectively; liquidation preference of $131,387 and $0 at December31, 2024 and 2023, respectively.122,419
Stockholders� equity:
Preferred stock, $0.0001 par value; 870,000 and 1,000,000 shares authorized at December 31, 2024 and 2023, respectively; none issued or outstanding
Common stock, $0.0001 par value; 400,000,000 shares authorized; 126,458,784 and 132,044,944 shares issued; 125,730,236 and 131,316,396 shares outstanding at December31, 2024 and 2023, respectively1313
Additional paid-in capital302,994319,621
Accumulated deficit(40,110)(40,971)
Total stockholders' equity262,897278,663
Total liabilities, redeemable convertible preferred stock, and stockholders' equity$497,886$460,025



ORGANOGENESIS HOLDINGS INC.
UNAUDITED
CONSOLIDATED
STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
(amounts in thousands, except share and per share data)
Three Months Ended December 31,Year Ended December 31,
2024202320242023
Net revenue$126,656$99,651$482,043$433,140
Cost of goods sold31,05127,769115,741106,481
Gross profit95,60571,882366,302326,659
Operating expenses:
Selling, general and administrative73,85661,381294,513269,754
Research and development11,53011,77050,27144,380
Impairment of property and construction18,842
Write down of capitalized internal-use software costs3,959
Total operating expenses85,38673,151367,585314,134
Income (loss) from operations10,219(1,269)(1,283)12,525
Other expense, net:
Interest expense, net61(502)(1,544)(2,190)
Other income (expense), net(27)(25)2057
Total other income (expense), net34(527)(1,524)(2,133)
Net income (loss) before income taxes10,253(1,796)(2,807)10,392
Income tax (expense) benefit(2,580)1,2283,668(5,447)
Net income (loss) and comprehensive income (loss)$7,673$(568)$861$4,945
Accretion of redeemable convertible preferred stock to redemption value(412)(412)
Cumulative dividend on redeemable convertible preferred stock(1,386)(1,386)
Net income (loss) attributable to common stockholders5,875(568)(937)4,945
Net income (loss), per share:
Basic$0.05$0.00$(0.01)$0.04
Diluted$0.04$0.00$(0.01)$0.04
Weighted-average common shares outstanding
Basic129,679,843130,916,950131,673,278131,231,317
Diluted132,162,370131,857,509131,673,278132,746,727



ORGANOGENESIS HOLDINGS INC.
UNAUDITED CONSOLIDATED
STATEMENT OF CASH FLOWS

(amounts in thousands, except share and per share data)
Year Ended December 31,
202420232022
Cash flows from operating activities:
Net income$861$4,945$15,532
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization13,62310,4485,845
Amortization of intangible assets3,4034,9184,883
Reduction in the carrying value of right-of-use assets8,3488,0837,303
Non-cash interest expense394427434
Deferred interest expense305490501
Deferred tax expense (benefit)(10,719)2,0121,980
Loss on disposal of property and equipment1,1402354,482
Loss on lease termination559
Loss on extinguishment of term loan215
Provision recorded for credit losses3,9381,2971,781
Adjustment for excess and obsolete inventories8,2106,5809,648
Stock-based compensation10,5788,9966,552
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(31,800)5,539(8,770)
Inventories(6,204)(8,179)(9,410)
Prepaid expenses and other current and other assets(2,549)(10,115)(378)
Operating leases(14,066)(8,439)(7,006)
Accounts payable(2,372)(108)3,260
Accrued expenses and other current liabilities9,1643,138(11,850)
Other liabilities(1,062)9172
Net cash provided by operating activities14,20830,91724,859
Cash flows from investing activities:
Purchases of property and equipment(10,032)(24,364)(33,898)
Net cash used in investing activities(10,032)(24,364)(33,898)
Cash flows from financing activities:
Term loan repayments under the 2021 Credit Agreement(66,563)(4,688)(2,813)
Proceeds from issuance of redeemable convertible preferred stock, net of issuance costs120,688
Payments for the repurchase of common stock(25,479)
Principal repayments of finance lease obligations(1,081)(485)(200)
Proceeds from the exercise of stock options1,2472,070
Payments of withholding taxes in connection with RSUs vesting(1,175)(332)(648)
Payments of deferred acquisition consideration(608)
Net cash provided by (used in) financing activities27,637(5,505)(2,199)
Change in cash, cash equivalents and restricted cash31,8131,048(11,238)
Cash, cash equivalents, and restricted cash, beginning of year104,338103,290114,528
Cash, cash equivalents, and restricted cash, end of year$136,151$104,338$103,290
Supplemental disclosure of cash flow information:
Cash paid for interest$4,970$5,436$2,649
Cash paid for income taxes$6,965$3,052$1,201
Supplemental disclosure of non-cash investing and financing activities:
Cumulative effect adjustment foradoptionofASU No. 2016-13$$615$
Deferred acquisition consideration and earnout liability recorded for business acquisition$$$828
Change in purchases of property and equipment included in accounts payable and accrued expenses and other current liabilities$(432)$841$1,928
Right-of-use assets obtained through operating lease obligations$5,109$5,869$1,350
Right-of-use assets obtained through finance lease obligations$$3,454$
Redeemable convertible preferred stock issuance costs included in accrued expenses$67$$
Prepaid rent reclassified to right-of-use assets$230$$
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock$1,798$$


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, net, (ii) income tax expense, (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)2024202320242023
Net income (loss)$7,673$(568)$861$4,945
Interest expense, net(61)5021,5442,190
Income tax expense2,580(1,228)(3,668)5,447
Depreciation and amortization3,6152,98213,62310,448
Amortization of intangible assets8341,2293,4034,918
EBITDA14,6412,91715,76327,948
Stock-based compensation expense2,8912,36610,5788,996
Restructuring charge (1)1,9183,796
Legal fees (2)1,182
Sales retention (3)272694
Impairment of property and construction (4)18,842
Write down of capitalized internal-use software costs (5)3,959
Disposal of construction in progress (6)645645
Adjusted EBITDA$18,177$7,473$49,787$42,616

(1) Amounts reflect employee retention and benefits as well as other exit costs associated with our restructuring activities.

(2) Amount reflects the legal and consulting fees incurred related to the published and subsequently withdrawn 2023 local coverage determinations, or LCDs.

(3) Amount reflects the compensation expenses related to retention for those sales employees impacted by the published and subsequently withdrawn 2023 LCDs.

(4) Amount reflects the impairment of a purchased building and associated unfinished construction work.

(5) Amount reflects the write-down of costs previously capitalized as construction in progress in the development of internal-use software, that we determined have no future value.

(6) Amount reflects construction in progress terminated and disposed of at one of our Canton, Massachusetts facilities, resulting from our decision to move certain operations to the Smithfield Facility.

Adjusted net income

Adjusted net income is defined as GAAP net income (loss) 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 (loss) to non-GAAP Adjusted net income, for the periods presented:

Three Months Ended December 31,Year Ended December 31,
($, in thousands)2024202320242023
Net income (loss)$7,673$(568)$861$4,945
Amortization of intangible assets8341,2293,4034,918
Restructuring charge (1)1,9183,796
Legal fees (2)1,182
Sales retention (3)272694
Impairment of property and construction (4)18,842
Write down of capitalized internal-use software costs (5)3,959
Disposal of construction in progress (6)645645
Tax on above(399)(923)(7,249)(2,859)
Adjusted net income$8,753$1,928$20,461$12,676

(1) Amounts reflect employee retention and benefits as well as other exit costs associated with our restructuring activities.

(2) Amount reflects the legal and consulting fees incurred related to the published and subsequently withdrawn 2023 LCDs.

(3) Amount reflects the compensation expenses related to retention for those sales employees impacted by the published and subsequently withdrawn 2023 LCDs.

(4) Amount reflects the impairment of a purchased building and associated unfinished construction work.

(5) Amount reflects the write-down of costs previously capitalized as construction in progress in the development of internal-use software, that we determined have no future value.

(6) Amount reflects construction in progress terminated and disposed of at one of our Canton, Massachusetts facilities, resulting from our decision to move certain operations to the Smithfield Facility.

Projected EBITDA and Adjusted EBITDA

The following table presents a reconciliation of projected GAAP net income (loss) to projected non-GAAP EBITDA and projected non-GAAP Adjusted EBITDA included in our guidance for the year ending December 31, 2025:

Year Ended December 31,
($, in thousands)2025L2025H
Net income$9,500$38,800
Interest income(4,000)(4,000)
Income tax expense3,40013,600
Depreciation and amortization14,80014,800
Amortization of intangible assets3,3003,300
EBITDA27,00066,600
Stock-based compensation expense12,00012,000
BLA submission fee to the FDA4,6004,600
Adjusted EBITDA43,60083,200

Note: Numbers may not foot or recalculate due to rounding.

Projected Adjusted Net Income (Loss)

The following table presents a reconciliation of projected GAAP net loss to projected non-GAAP adjusted net income included in our guidance for the year ending December31, 2025:

Year Ended December 31,
($, in thousands)2025L2025H
Net income$9,500$38,800
Amortization of intangible assets3,3003,300
BLA submission fee to the FDA4,6004,600
Tax on above(2,100)(2,100)
Adjusted net (loss) income$15,300$44,600

Note: Numbers may not foot or recalculate due to rounding.

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,� “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 revenue, net income (loss), Adjusted net income, EBITDA, and Adjusted EBITDA for fiscal 2024 and the breakdown of expected revenue in both its Advanced Wound Care and Surgical & Sports Medicine categories. 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 (including as a result of the recently proposed LCDs scheduled to take effect in April 2025); (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 current period and 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 impact of the suspension of commercialization of: (a) ReNu and NuCel in connection with the expiration of the FDA’s enforcement grace period for HCT/Ps on May 31, 2021 and (b) Dermagraft in the second quarter of 2022 pending transition of manufacturing to a new manufacturing facility or a third-party manufacturer; (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 December31, 2024 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 .


FAQ

What was Organogenesis (ORGO) Q4 2024 revenue growth compared to Q4 2023?

ORGO's Q4 2024 revenue grew 27% to $126.7 million, compared to $99.7 million in Q4 2023.

How much did Organogenesis (ORGO) Advanced Wound Care revenue grow in 2024?

Advanced Wound Care revenue grew 12% year-over-year to $453.6 million in 2024.

What is Organogenesis (ORGO) revenue guidance for 2025?

ORGO expects 2025 revenue between $480.0-$535.0 million, representing flat to 11% growth.

What is the status of Organogenesis (ORGO) ReNu BLA submission?

ORGO plans to submit the ReNu BLA by the end of 2025 for knee OA treatment.

How much cash does Organogenesis (ORGO) have as of December 2024?

ORGO had $136.2 million in cash with no outstanding debt as of December 31, 2024.
Organogenesis Hldgs Inc

NASDAQ:ORGO

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511.22M
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Drug Manufacturers - Specialty & Generic
Pharmaceutical Preparations
United States
CANTON