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Optionomics
ORGO · 10-Q filed May 7, 2026

ORGO earnings analysis

What we found in ORGO's 10-Q: the parts that mattered, the offsets in the same document, and what the company said about what comes next.

Our reading of the filing · Free to read, no account needed

Organogenesis experienced a significant decline in Q1 2026, with total revenue of $37.2 million, down 57% from $86.7 million in Q1 2025, and an increased net loss of $53.2 million compared to a loss of $18.8 million a year earlier. Adjusted EBITDA also worsened, reflecting operational challenges and declining sales. The company has revised its fiscal year 2026 revenue guidance downward to a range of $270 million to $310 million, indicating continuing market pressures.

What stood out

The parts that mattered.

Pulled out of the filing itself, with the figures the company reported.

Q1 Revenue Plummets
Total revenue of $37.2 million in Q1 2026, down 57% from $86.7 million in Q1 2025.
Increased Losses
Net loss of $53.2 million in Q1 2026 compared to $18.8 million in Q1 2025.
Deteriorating Gross Profit
Gross profit fell to $10.5 million from $63.0 million, an 83% decrease.
Improved Operating Cash Flow
Operating cash flow for Q1 2026 was positive at $21.1 million, a turnaround from -$19.9 million in Q1 2025.
Strengthened Cash Position
Cash and cash equivalents increased to $91.4 million as of March 31, 2026, despite losses.
Research Spend Increases
R&D expenses rose 42% to $15.2 million, reflecting investment in product development.
What to watch

And the other side of it.

The offsets in the same document — the things a summary that only listed the good news would have left out.

Regulatory Environment Challenges
Changed Medicare reimbursement policies led to a significant year-over-year decline in revenue, impacting product utilization.
Market Confusion from LCD Changes
Withdrawal of Local Coverage Determinations (LCDs) disrupted market dynamics, contributing to a 63% decline in Advanced Wound Care revenue.
Liquidity Risks
Potential inability to secure additional funding could affect ongoing operational and capital needs.
The numbers

What they reported.

What the company itself reported, taken out of the document.

What survived to operating profit
Of every $100 of revenue Cost of sales $71 Operating expenses $213 Left as operating profit $-184
Percentages of revenue, taken from the filing. Drawn this way because it holds whatever scale the company reports in.
Earnings per share
$-0.44
Gross margin
28.11%
Operating margin
-184.4%
Segment
Advanced Wound Care: $29.5M, down 63% Y/Y
Segment
Surgical & Sports Medicine: $6.8M, flat
Guidance

What they said about what is next.

Guidance indicates potential decline of 45% to 52% compared to FY2025.

How we read the filing overall

The filing reads worse than the one before it.

One reading of one document. It is not advice, and it is not a forecast.
Earlier filings

What came before.

10-K · February 26, 2026
Organogenesis closed 2025 with record fourth-quarter revenue of $225,607,000 and strong Q4 operating margin (28.1%) and free cash flow ($35.0M), driving full-year revenue of approximately $565.0M. The company is…
10-Q · May 8, 2025
Organogenesis reported a disappointing first quarter for 2025, with revenues dropping by 21.1% to $86.7 million compared to $109.9 million in the prior year. The company also faced increases in operating losses and…
10-Q · November 12, 2024
Organogenesis reported Q3 net revenue of $115.177M, up $6.646M (≈6.1%) versus Q3 2023, with gross profit rising to $88.381M and diluted EPS of $0.09 (Q3 2023: $0.02). Operating income declined to $6.242M from $8.050M…
10-Q · May 10, 2023
Organogenesis Holdings Inc. reported Q1 2023 results showing a significant increase in revenue and a smaller loss compared to both the prior quarter and the prior year. Revenue surged to $107.64 million, up 10.4% from…

This is our reading of a public filing, not the filing. Read the original on SEC.gov · Educational only. Nothing here is investment advice.

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