NASDAQ:ORGO Organogenesis Q2 2026 Earnings Report $1.74 0.00 (0.00%) As of 08/28/2026 04:00 PM Eastern ProfileEarnings HistoryForecast Organogenesis EPS ResultsActual EPS-$0.71Consensus EPS -$0.35Beat/MissMissed by -$0.36One Year Ago EPSN/AOrganogenesis Revenue ResultsActual Revenue$43.76 millionExpected Revenue$54.27 millionBeat/MissMissed by -$10.52 millionYoY Revenue GrowthN/AOrganogenesis Announcement DetailsQuarterQ2 2026Date8/6/2026TimeAfter Market ClosesConference Call DateThursday, August 6, 2026Conference Call Time5:00PM ETUpcoming EarningsOrganogenesis' Q3 2026 earnings is estimated for Thursday, November 5, 2026, based on past reporting schedules, with a conference call scheduled at 5:00 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Organogenesis Q2 2026 Earnings Call TranscriptProvided by QuartrAugust 6, 2026ShareShareShare This ReportLink copied to clipboard.Key Takeaways Negative Sentiment: Q2 revenue fell sharply: Total revenue declined 58% year over year to $42.8 million, including a 61% drop in Advanced Wound Care sales, as CMS payment and coverage changes continued to pressure the skin-substitute market. Negative Sentiment: 2026 guidance was reduced: The company now expects full-year revenue of $179 million to $215 million, representing a 62% to 68% year-over-year decline, with recovery anticipated to be more measured and weighted toward the fourth quarter. Positive Sentiment: Sequential trends improved: Q2 net product revenue increased 18% from Q1, while Advanced Wound Care sales rose 23% and wound-care unit volume grew 30%, which management attributed to market-share gains and demand for evidence-backed products. Positive Sentiment: Cost reductions are being implemented: Two 2026 restructurings, including a June workforce reduction of 138 employees, are expected to lower annual operating expenses by more than $32 million; management projects positive adjusted EBITDA in Q4. Positive Sentiment: Pipeline and clinical evidence advanced: The FDA accepted Amnuvx’s biologics application and set an April 24, 2027 PDUFA date, while new studies supporting PuraPly AM and Affinity may strengthen future coverage decisions. The company also entered a potential $75 million at-the-market equity program to support working capital and strategic initiatives. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallOrganogenesis Q2 202600:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Welcome, ladies and gentlemen, to the second quarter 2026 earnings conference call for Organogenesis Holdings Inc. At this time, all participants have been placed in listen-only mode. Please note that this conference call is being recorded and that the recording will be available on the company's website for replay shortly. Before we begin, I would like to remind everyone that our remarks today may contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including the risks and uncertainties described in the company's filings with the Securities and Exchange Commission, including Item 1A, Risk Factors of the company's most recent annual report, and its subsequently filed quarterly reports. You are cautioned not to place undue reliance upon any forward-looking statements which speak only as of the date made. Operator00:00:59Although 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. This call will also include references to certain financial measures that are not calculated in accordance with generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP financial measures. Reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings press release on the investor relations portion of our website. I would now like to turn the call over to Mr. Gary S. Gillheeney, Sr., Organogenesis Holdings President, Chief Executive Officer, and Chair of the Board. Please go ahead, sir. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:02:00Thank you, operator, and welcome everyone to Organogenesis Holdings second quarter 2026 earnings conference call. I'm joined on the call today by David Francisco, our Chief Financial Officer. Let me start with a brief agenda of what we'll cover during our prepared remarks. Dave will then provide you with an in-depth review of our second quarter financial results, our balance sheet, and financial condition at quarter end, as well as our financial outlook for 2026, which we updated in our press release this afternoon. I will then provide you some closing comments before we open the call for your questions. Let me begin with a review of our results and key developments in Q2. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:02:48Our revenue results reflect the significant contraction and slower pace of recovery in the skin substitute market as a result of the actions and comments from CMS in late December of 2025. Total revenue declined 58% year-over-year in the second quarter, driven primarily by a 61% decline in sales of our Advanced Wound Care products. We were pleased to see measured improvement in our business trends in the second quarter. On balance, we were encouraged to see the operating environment improve from what we experienced during the first quarter. Net product revenue increased 18% quarter-over-quarter in Q2, driven primarily by a 23% sequential increase in sales of our Advanced Wound Care products. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:03:34As a leader in the industry, we leveraged our most comprehensive portfolio across multiple FDA classifications, including the only biologic PMA approved product, Apligraf, to enhance our market share position with a 30% increase in wound care unit volume on a quarter-over-quarter basis, outperforming the declines that have been reported across the industry. That said, revenue results for Q2 were below the expectations we outlined in our first quarter call. We attribute the majority of this performance to a slower pace of recovery from the significant contraction in the skin substitute market as a result of the sweeping changes from CMS to reform coverage and payment. The prolonged recovery has also prompted us to make important strategic decisions that are intended not only to reduce our cost structure, but also better position Organogenesis for success going forward. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:04:29While our operating and financial results in 2026 have been significantly impacted by the contraction in the skin substitute market this year, I want to make it clear that I remain very optimistic about our future. CMS efforts to overhaul coverage and payment for the skin substitute market have addressed the waste, fraud, and abuse from bad actors exploiting the system. With the proposed hospital outpatient prospective payment system and the physician fee schedule announced last month, we believe CMS is now seeking to promote stabilization in the market. They've held payment rates steady. They've reinforced the differentiation of PMA products and the importance of clinical data in determining coverage. We applaud these actions and look forward to expanding access to patients who need these products. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:05:16With more than 40 years in regenerative medicine and the most diverse evidence-based portfolio with technologies in each FDA category, we believe we are best positioned in the skin substitute market and will continue to be a leader in the space with the best evidence-based portfolio on the market. It is from this strong long-term market position that we are making important strategic decisions and prioritizing our investments that will support our company's future growth and continued leadership in this market. We are increasing our focus on clinical evidence with new published studies because science and evidence have been and always will be the core of our foundation. As coverage policies evolve, evidence will be the currency of credibility, and we intend to remain in the lead. Importantly, we continue to advance our strategic initiative to expand the company's mission into entirely new markets with the ReNu program. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:06:12Recently, the FDA formally accepted Amnuvx as the proprietary trade name for the biologic product previously known as ReNu. If approved, Amnuvx will establish a new market category for a biologic product representing a transformational opportunity for Organogenesis and the more than 30 million Americans living with symptomatic knee osteoarthritis. Let me share a few updates on our progress in each of these important strategic initiatives in recent months. The compelling clinical results from our RCT evaluating the safety and efficacy of PuraPly AM in the management of non-healing diabetic foot ulcers, or DFUs, was submitted for publication. The results of this 170-patient study showed statistically significant DFU wound closure at 12 weeks. We believe publication of these impactful results will strongly support PuraPly AM's inclusion in any future coverage policies, underscoring its critical role in the wound healing algorithm. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:07:17The RCT is complemented by an additional exciting publication in the "Journal of Wound Care," showing reduced rates of non-traumatic lower leg amputation among Medicare beneficiaries with DFU treated with PuraPly AM versus standard of care. The use of PuraPly AM in nearly 11,000 patients was associated with a statistically significant 20% lower overall amputation rate and an even lower 40% rate for amputations above or at the level of the knee. These new studies built on a significant body of evidence of clinical benefit of PuraPly AM, adding to the previous publications on comparative effectiveness research and a prospective analysis of a large patient registry. Together, this compelling evidence spans more than 23,000 patients studied, reflecting both the primary and supporting data CMS considers when making coverage determination. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:08:16On July 27th, we announced peer-reviewed results published in the "Journal of Wound Care," demonstrating Affinity's benefit in the most challenging and complex venous leg ulcers, or VLU. The data showed statistically significant improvements in wound closure at 12 and 16 weeks for Affinity plus standard of care across both wound duration group study, offering compelling new evidence in one of the hardest to treat populations in chronic wound care. These results reinforce Affinity's benefit in the hard to heal wounds, the population that drives the greatest clinical burden and cost in VLU treatment. As those costs continue to rise, particularly within Medicare, this is a meaningful step forward for patients, clinicians, and payers. Complementing our existing diabetic foot ulcer data, these results add to a growing body of RCT and real-world evidence that strengthens the case for expanded coverage across two of the most common, costly wound types. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:09:22With respect to our recent progress in our Amnuvx program, on July 6th, we announced that the FDA accepted our biologic license application for Amnuvx and has set a PDUFA target action date of April 24th, 2027. We believe this highly differentiated regenerative therapy has the potential to meaningfully change the treatment paradigm by offering a non-surgical, biologic option designed to address pain and improve function, particularly in patients with severe disease who lack approved non-surgical options. We look forward to continued engagement with the FDA as they complete their review. Before turning the call over to Dave, I want to comment on our updated outlook and important strategic decisions we've made subsequent to quarter end. We have updated our expectations for total revenue in 2026 in this afternoon's press release. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:10:19While we continue to expect improvement in our revenue results on a sequential basis in the third and fourth quarters, our 2026 revenue guidance now reflects the expectation that we see a more measured pace of recovery as compared to what was contemplated in our prior expectation for total revenue in 2026. Given the impact of a prolonged recovery on our revenue expectations, we completed a restructuring in June. The restructuring included a workforce reduction of 138 employees and is expected to result in cost reductions of approximately $18 million on an annualized basis. This is our second restructuring announced in 2026, which together are expected to reduce annual operating expenses by more than $32 million on an annual basis. Importantly, the benefits of these activities are not limited to expense reductions. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:11:12Rather, we believe our commercial team is now positioned to maximize the opportunity ahead as the skin substitute market expands from the recalibration over the first half of 2026. With that, let me turn the call over to Dave. David FranciscoCFO at Organogenesis Holdings00:11:27Thanks, Gary. I'll begin with a review of our second quarter financial results. Unless otherwise specified, all growth rates referenced in my prepared remarks are for the three-month period ending June 30th, 2026, and are on a year-over-year basis. Net product revenue was $42.8 million, down 58% year-over-year. Our Advanced Wound Care net product revenue was $36.1 million, down 61%. Net product revenue from Surgical & Sports Medicine products was $6.7 million, down 18% year-over-year. Our total revenue results included $1 million of income related to the grant issued by the Rhode Island Life Sciences Hub, offsetting our employee-related costs in our Smithfield facility. This compares to $0.2 million in the prior year period. Our second quarter results reflect notable improvement in growth trends on a sequential basis. David FranciscoCFO at Organogenesis Holdings00:12:19Specifically, our total revenue increased 18% quarter-over-quarter, driven by a 23% increase in sales of Advanced Wound Care products. Gross profit was $19.1 million, or 45% of net product revenue, compared to 73% last year. Cost of goods included $1.8 million of restructuring related charges. Excluding these adjustments, non-GAAP gross profit was $20.9 million, or 49% of net product revenue. Operating expenses were $94.7 million, compared to $113.6 million last year, a decrease of $18.8 million or 17%. Excluding cost of goods sold of $23.7 million for the second quarter and $27.6 million last year, our non-GAAP operating expenses were $63 million, compared to $83.4 million last year, a decrease of $20.4 million or 25%. David FranciscoCFO at Organogenesis Holdings00:13:11The year-over-year change in operating expenses excluding cost of goods sold was driven by a $19.8 million or 27% decrease in SG&A expenses, offset partially by a $7.9 million or 76% increase in research and development expenses. Note the second quarter R&D expenses included $5.6 million of non-recurring termination costs associated with various R&D programs and vendors. Operating expenses excluding cost of goods sold declined $9.3 million or 12% on a sequential basis, driven primarily by the company's March 2026 restructure. By way of reminder, the March 2026 restructuring is expected to reduce our operating expenses by approximately $13.4 million on an annualized basis. Operating loss was $51 million compared to an operating loss of $12.6 million last year, an increase of $38.4 million. David FranciscoCFO at Organogenesis Holdings00:14:07Excluding non-cash amortization and certain non-recurring costs in both periods, our non-GAAP operating loss was $41.1 million, compared to $10 million last year, an increase of $31.1 million year-over-year. GAAP net loss was $96.3 million compared to a net loss of $9.4 million last year. Note, GAAP net loss in the period includes approximately $30 million of non-cash tax expense related to the recording of full valuation allowance on the company's deferred tax assets. Net loss to common stockholders was $99.3 million, compared to a net loss of $12.2 million last year. Net loss to common stockholders includes the impact of the cumulative dividend and the non-cash accretion to redemption value on our convertible preferred stock. Adjusted net loss was $89 million, compared to $7.5 million last year. We've included a detailed reconciliation of GAAP to non-GAAP adjusted loss in our press release this afternoon. David FranciscoCFO at Organogenesis Holdings00:15:02Adjusted EBITDA loss was $34.4 million, compared to adjusted EBITDA loss of $3.6 million last year. Turning to the balance sheet. As of June 30th, 2026, the company had $46.8 million in cash equivalents, and restricted cash, and no outstanding debt obligations, compared to $94.3 million in cash equivalents, and restricted cash, and no outstanding debt obligations as of December 31st, 2025. We expect that our cash on hand and other components of working capital as of June 30th, 2026, plus net cash flows from product sales, will be sufficient to fund our operating expenses and capital expenditure requirements for at least the next 12 months. David FranciscoCFO at Organogenesis Holdings00:15:43Today, the company entered into an ATM agreement with BTIG and Citizens JMP Securities, pursuant to which the company may offer to sell shares of its common stock, having an aggregate offering price of up to $75 million from time to time through sales agents. Sales under the ATM agreement, if any, will be made pursuant to the company's effective shelf registration statement on Form S-3 and related prospectus supplement. The company intends to use these net proceeds from any sales under the ATM agreement for working capital, general corporate purposes, research and development activities, and other strategic initiatives. Turning to our 2026 outlook, which we've updated in this afternoon's press release. David FranciscoCFO at Organogenesis Holdings00:16:25As Gary outlined earlier, our 2026 total revenue guidance now reflects the softer than expected results in the second quarter and the expectation that we see a more measured recovery in the overall operating environment as we move into the second half of the year. As a result, we now expect total net revenue for the full year of 2026 of $179 million-$215 million, representing a decline in the range of 62%-68% year-over-year, and compared to our prior guidance range, which assumed a decline in the range of 45%-52% year-over-year. Note, our total revenue range assumes sales of Advanced Wound Care products in the range of $151 million-$183 million, sales of our Surgical & Sports Medicine product in the range of $26 million-$30 million, and grant income of $1.9 million. David FranciscoCFO at Organogenesis Holdings00:17:16Our updated total revenue guidance continues to reflect the expectation that we see sequential improvement in our revenue trends in the third and fourth quarters. However, at a more measured rate versus what our prior guidance had assumed, resulting in a second half revenue decline in the range of approximately 64%-74% year-over-year. With respect to our profitability expectations, our updated guidance continues to assume improving quarterly adjusted EBITDA performance on a sequential basis which is expected to result in nearly 60% reduction in adjusted EBITDA loss in the second half of 2026 as compared to the first half of 2026 at the low end of the range, and more than 90% reduction in adjusted EBITDA loss in the second half of 2026 as compared to the first half of 2026. Including the expectation of positive adjusted EBITDA generation in the fourth quarter. David FranciscoCFO at Organogenesis Holdings00:18:11Given the lower revenue expectations for 2026 and the related impact on gross profit, we have adjusted our assumptions for operating expenses, excluding cost of goods sold, to reduce the impact on our profitability and cash flow this year. Specifically, we now expect to reduce our operating expenses, excluding cost of goods sold, approximately 32% year-over-year in 2026, including more than 40% year-over-year in the second half of 2026. Note, these updated assumptions are inclusive of estimated cost savings in the third and fourth quarters related to our March 2026 and June 2026 restructurings of approximately $7 million and $9 million respectively. With that, I'll turn the call back over to Gary for closing remarks. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:18:54Thanks, David. With more than 40 years in regenerative medicine in the most diverse evidence-based portfolio with technologies in each FDA category, we believe we are best positioned in the skin substitute market and will continue to be a leader in the space with the best evidence-based portfolio on the market. The competitive landscape has changed dramatically in just a few months since CMS announced sweeping changes to coverage and payment policy. Distributor-driven competitors, high price amniotic players, and companies engaged in fraudulent practices have been substantially reduced. Many of the remaining players are diversifying away from wound care or exiting the category altogether. Organogenesis is doubling down on wound care. We are leaders because our business is built on efficacy and outcomes, and that is driving our expanding share as the market resets. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:19:51Customer trust matters now in this new market more than ever before, and simply put, we believe we have the best evidence-based skin substitute products in wound care, bar none. We expect to enhance our leadership position by leveraging our portfolio to provide integrated healing solutions that substantially improve outcomes while lowering the overall cost of care. With that, I'll turn the call over to the operator for questions. Operator00:20:20Thank you, sir. If you'd like to ask a question, please signal by pressing star one one on your telephone keypad. If you're using a speakerphone, please make sure your mute function is turned off to allow your signal to reach our equipment. Our first question comes from Ryan Zimmerman from U.S. Bancorp. Please go ahead. Analyst at U.S. Bancorp00:20:44Hi, Gary and Dave. This is [Izzy] on for Ryan. Thanks for taking the question. I just want to start to get your higher level thoughts on the broader market dynamics and what is going to give you confidence that Medicare is working to stabilize the market beyond just what we had seen in the OPPS proposal? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:21:06This is Gary. Hi, [Izzy]. What we're seeing is, month-over-month, we're seeing continued growth in the space. We're seeing more clinicians getting more comfortable with the current coverage and payment structure that's in place now. We still have a ways to go. CMS reinstated the $127.14 reimbursement rate. I think they did that with the intention of stabilizing the market and bringing consistency to the market. They also continue to identify the tiers, where they recognize PMA products and 510K products and the 361. Maintaining that tier structure is also bringing stability and signaling evidence is still an important function here and will carry weight going forward. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:22:05We think the stability, recognizing PMA products, and we're starting to see more clinicians starting to use at least our product as we continue to take a fairly significant share in both the first and second quarters. Analyst at U.S. Bancorp00:22:24That's helpful. Thank you. As we start to think about the back half of the year, I was hoping you could speak a little bit more about the pacing that's baked into guidance for the third quarter and fourth quarter. David FranciscoCFO at Organogenesis Holdings00:22:37Yeah, sure. This is Dave. Hi, Izzy]. How are you? As Gary mentioned, we were pleased with the strong sequential growth that we saw between Q1 and Q2. Obviously, as we talked about, up fairly significantly in Advanced Wound Care units, up 30%. That's coming off the Q1 trough. Our expectation is that the movement from here would be continued share gains, but more modest. Obviously, the growth on a sequential basis would be much more modest than what we'd anticipated or what we experienced in the first to the second quarter. We see some modest growth into the third quarter with a little bit more strength in the fourth. Analyst at U.S. Bancorp00:23:19Helpful. Thank you. If I could just squeak one more in. Could either of you speak to what products are actually being paid for versus what might be held up in the market, so whether it's synthetics, amniotics, anything you can provide there? Thanks for taking the questions. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:23:35We don't really see any particular product being held up. The concern is post-application upon audit, would there be a potential clawback on those products? What we're seeing in the market is products without RCTs are at significant risk. Many times they're considered investigational. Clinicians are getting very concerned about products without RCTs. There's a flight to quality, which is why we're seeing the 30% growth that we're seeing and the market share gains, because our products have significant evidence. We think it's more post-application that clinicians are concerned about the clawbacks and the potential paybacks for products that just don't have evidence in the space. Operator00:24:29Thank you. As a reminder, to ask a question, you will need to press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Our next question comes from Ravi Misra from Truist. Please go ahead. Ravi MisraAnalyst at Truist00:24:51Hi. Thanks for taking the questions. Just want to return to the guidance and the outlook that you provided on the call. Can you help us understand what are the kind of the puts and takes that get us to the low end or the high end of the guide? And then how should we think about that given your commentary just now on surgeon concerns, the 30% kind of sequential volume growth. How should we think of that on a 3Q versus 4Q basis and then returning maybe back to market in 2027, or is that kind of an elongated thing as well? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:25:31Well, I'll start. I think, as you look at our low guidance, as Dave indicated, what we've guided to is not what we've seen. Our second quarter growth has been fairly significant at 30%, but what we're guiding to is lower growth and lower share gains on the conservative side. We're kind of guiding to where we are, but slightly less than the growth experience we had in Q2. That's why we have more confidence in the low end of the range. Now, the high end of the range, and I'll let Dave jump in, is basically reflecting the growth that we are seeing right now in our business with some small what I'd call a market expansion at the end of the third quarter and fourth quarter. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:26:22We're guiding to less than the growth that we're seeing right now, and on the low end and on the high end, we're guiding to exactly what we're growing at right now with the small market expansion. That's kind of the range. Dave, you can jump in. David FranciscoCFO at Organogenesis Holdings00:26:39No, absolutely. Just, Ravi, it's a little bit more biased towards Q4 than it is Q3, just because the evolution of the business and the market. Ravi MisraAnalyst at Truist00:26:49Great. Thanks. Maybe a follow-up just on Dermagraft, saw in your Q that you're kind of shelving that for now. Can we talk about the opportunity there that you're maybe stepping away from or the thinking around when that does come back to market and the rationale for why? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:27:11Well, we're slowing down the manufacturing build-out of Dermagraft to preserve cash. Dermagraft is still a product that we expect to launch. We didn't have significant revenue built in 2027 in our thinking, or 2028. It will delay it probably a year of its intended launch, which was somewhere in the middle of 2027, so probably launch in the middle of 2028. It's a focus on preserving cash and going slower with that build-out. We think that's prudent right now. Ravi MisraAnalyst at Truist00:27:52I'll get back in queue. Thank you. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:27:56Thank you. Operator00:27:59Thank you. Please stand by. Thank you. Do we have another question from Ravi? Ravi MisraAnalyst at Truist00:28:23No. If there's time, I guess I'll ask one more. Amnuvx, just help us think about maybe how you see this slotting into the competitive landscape, if and when approved. Thanks. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:28:39Sure. Amnuvx, if approved, will be the first biologic in this space. We think it will have a unique place in this space. We don't see anything else coming to market before Amnuvx, that's a very positive place to be. Obviously, the clinical data is strong. The safety data, the safety profile of the product is extremely strong. There's a lot of strong tailwinds driving this product. We expect, with the PDUFA date of April in 2027, if approved, we would launch the product with a temporary code until we get a permanent code, which we would expect at the end of 2027, the beginning of 2028. We would expect the product to have a fairly significant ramp as we ramp our infrastructure. The product is unique. There is no other biologic in this space, we're pretty excited about it. Operator00:29:46Thank you. I'm showing no further questions at this time. That does conclude our conference call for today.Read moreParticipantsExecutivesGary S. Gillheeney, Sr.President, CEO, and Chair of the BoardDavid FranciscoCFOAnalystsAnalyst at U.S. BancorpRavi MisraAnalyst at TruistPowered by Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Organogenesis Earnings HeadlinesOrganogenesis (ORGO) Q2 2026 Earnings Call TranscriptAugust 13, 2026 | finance.yahoo.comOrganogenesis forecasts 2026 revenue of $179M-$215M amid June restructuring expected to cut $18M annuallyAugust 8, 2026 | seekingalpha.comTrump's New DollarPorter Stansberry says President Trump has signed an executive order initiating what he calls a full U.S. dollar reset - and most Americans don't know it's happening. The last time America underwent a monetary shift like this, under Nixon in the 1970s, it minted an average of 1,300 new millionaires a day for over half a century. Stansberry has released a new documentary naming the assets he believes are positioned to surge as a result.August 29 at 1:00 AM | Porter & Company (Ad)Organogenesis Holdings Inc. (ORGO) Q2 2026 Earnings Call TranscriptAugust 7, 2026 | seekingalpha.comOrganogenesis Launches New $75 Million At-The-Market OfferingAugust 6, 2026 | tipranks.comOrganogenesis Holdings Inc. Reports Second Quarter 2026 Financial ResultsAugust 6, 2026 | globenewswire.comSee More Organogenesis Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Organogenesis? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Organogenesis and other key companies, straight to your email. Email Address About OrganogenesisOrganogenesis (NASDAQ:ORGO) Inc. operates as a regenerative medicine company focused on the development, manufacturing and commercialization of therapeutic solutions for wound care, surgical repair and sports medicine. The company’s product portfolio addresses a range of acute and chronic tissue repair needs, leveraging bioengineered skin substitutes, human placental-derived products and other allografts designed to promote healing and reduce scarring. Organogenesis markets its therapies to hospitals, outpatient clinics, wound care centers and other healthcare providers. Key offerings include Apligraf, a living skin substitute for treatment of diabetic foot ulcers and venous leg ulcers; Dermagraft, a cryopreserved human fibroblast-derived dermal substitute; Grafix, a placental membrane allograft for complex and chronic wounds; and TheraSkin, a cryopreserved human skin allograft used in surgical and reconstructive procedures. These products are supported by clinical data demonstrating efficacy in accelerating wound closure and improving patient outcomes in both inpatient and outpatient settings. Headquartered in Canton, Massachusetts, Organogenesis maintains manufacturing and distribution capabilities in North America with a network of clinical and commercial operations aimed at expanding access to advanced wound care and regenerative therapies. The company continues to invest in research and development to broaden its product pipeline and pursue collaborations that enhance its position in the global regenerative medicine market.View Organogenesis ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles MarketBeat Week in Review – 08/24 - 08/28From SaaS-pocalypse to Perfect Storm: Workday’s AI Growth Story Strengthens3 Retail Stocks to Watch After a Big Consumer Earnings WeekIREN’s AI Pivot Looks Real, But the Market Wanted a Faster Payoff After Earnings3 Financial Stocks Positioned for the Fed’s Next Move After Jackson HoleNutanix’s Rally Has a Bigger Story Than Earnings as AMD’s AI Bet Takes ShapeCrowdStrike’s “Mythos Moment” Tests the Bigger AI Security Trade Upcoming Earnings Medtronic (9/1/2026)Dell Technologies (9/1/2026)Palo Alto Networks (9/1/2026)Broadcom (9/2/2026)Hewlett Packard Enterprise (9/2/2026)Snowflake (9/2/2026)Ciena (9/3/2026)Oracle (9/8/2026)Adobe (9/10/2026)FedEx (9/17/2026) Unlock superior investment research and tools. 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PresentationSkip to Participants Operator00:00:00Welcome, ladies and gentlemen, to the second quarter 2026 earnings conference call for Organogenesis Holdings Inc. At this time, all participants have been placed in listen-only mode. Please note that this conference call is being recorded and that the recording will be available on the company's website for replay shortly. Before we begin, I would like to remind everyone that our remarks today may contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including the risks and uncertainties described in the company's filings with the Securities and Exchange Commission, including Item 1A, Risk Factors of the company's most recent annual report, and its subsequently filed quarterly reports. You are cautioned not to place undue reliance upon any forward-looking statements which speak only as of the date made. Operator00:00:59Although 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. This call will also include references to certain financial measures that are not calculated in accordance with generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP financial measures. Reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings press release on the investor relations portion of our website. I would now like to turn the call over to Mr. Gary S. Gillheeney, Sr., Organogenesis Holdings President, Chief Executive Officer, and Chair of the Board. Please go ahead, sir. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:02:00Thank you, operator, and welcome everyone to Organogenesis Holdings second quarter 2026 earnings conference call. I'm joined on the call today by David Francisco, our Chief Financial Officer. Let me start with a brief agenda of what we'll cover during our prepared remarks. Dave will then provide you with an in-depth review of our second quarter financial results, our balance sheet, and financial condition at quarter end, as well as our financial outlook for 2026, which we updated in our press release this afternoon. I will then provide you some closing comments before we open the call for your questions. Let me begin with a review of our results and key developments in Q2. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:02:48Our revenue results reflect the significant contraction and slower pace of recovery in the skin substitute market as a result of the actions and comments from CMS in late December of 2025. Total revenue declined 58% year-over-year in the second quarter, driven primarily by a 61% decline in sales of our Advanced Wound Care products. We were pleased to see measured improvement in our business trends in the second quarter. On balance, we were encouraged to see the operating environment improve from what we experienced during the first quarter. Net product revenue increased 18% quarter-over-quarter in Q2, driven primarily by a 23% sequential increase in sales of our Advanced Wound Care products. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:03:34As a leader in the industry, we leveraged our most comprehensive portfolio across multiple FDA classifications, including the only biologic PMA approved product, Apligraf, to enhance our market share position with a 30% increase in wound care unit volume on a quarter-over-quarter basis, outperforming the declines that have been reported across the industry. That said, revenue results for Q2 were below the expectations we outlined in our first quarter call. We attribute the majority of this performance to a slower pace of recovery from the significant contraction in the skin substitute market as a result of the sweeping changes from CMS to reform coverage and payment. The prolonged recovery has also prompted us to make important strategic decisions that are intended not only to reduce our cost structure, but also better position Organogenesis for success going forward. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:04:29While our operating and financial results in 2026 have been significantly impacted by the contraction in the skin substitute market this year, I want to make it clear that I remain very optimistic about our future. CMS efforts to overhaul coverage and payment for the skin substitute market have addressed the waste, fraud, and abuse from bad actors exploiting the system. With the proposed hospital outpatient prospective payment system and the physician fee schedule announced last month, we believe CMS is now seeking to promote stabilization in the market. They've held payment rates steady. They've reinforced the differentiation of PMA products and the importance of clinical data in determining coverage. We applaud these actions and look forward to expanding access to patients who need these products. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:05:16With more than 40 years in regenerative medicine and the most diverse evidence-based portfolio with technologies in each FDA category, we believe we are best positioned in the skin substitute market and will continue to be a leader in the space with the best evidence-based portfolio on the market. It is from this strong long-term market position that we are making important strategic decisions and prioritizing our investments that will support our company's future growth and continued leadership in this market. We are increasing our focus on clinical evidence with new published studies because science and evidence have been and always will be the core of our foundation. As coverage policies evolve, evidence will be the currency of credibility, and we intend to remain in the lead. Importantly, we continue to advance our strategic initiative to expand the company's mission into entirely new markets with the ReNu program. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:06:12Recently, the FDA formally accepted Amnuvx as the proprietary trade name for the biologic product previously known as ReNu. If approved, Amnuvx will establish a new market category for a biologic product representing a transformational opportunity for Organogenesis and the more than 30 million Americans living with symptomatic knee osteoarthritis. Let me share a few updates on our progress in each of these important strategic initiatives in recent months. The compelling clinical results from our RCT evaluating the safety and efficacy of PuraPly AM in the management of non-healing diabetic foot ulcers, or DFUs, was submitted for publication. The results of this 170-patient study showed statistically significant DFU wound closure at 12 weeks. We believe publication of these impactful results will strongly support PuraPly AM's inclusion in any future coverage policies, underscoring its critical role in the wound healing algorithm. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:07:17The RCT is complemented by an additional exciting publication in the "Journal of Wound Care," showing reduced rates of non-traumatic lower leg amputation among Medicare beneficiaries with DFU treated with PuraPly AM versus standard of care. The use of PuraPly AM in nearly 11,000 patients was associated with a statistically significant 20% lower overall amputation rate and an even lower 40% rate for amputations above or at the level of the knee. These new studies built on a significant body of evidence of clinical benefit of PuraPly AM, adding to the previous publications on comparative effectiveness research and a prospective analysis of a large patient registry. Together, this compelling evidence spans more than 23,000 patients studied, reflecting both the primary and supporting data CMS considers when making coverage determination. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:08:16On July 27th, we announced peer-reviewed results published in the "Journal of Wound Care," demonstrating Affinity's benefit in the most challenging and complex venous leg ulcers, or VLU. The data showed statistically significant improvements in wound closure at 12 and 16 weeks for Affinity plus standard of care across both wound duration group study, offering compelling new evidence in one of the hardest to treat populations in chronic wound care. These results reinforce Affinity's benefit in the hard to heal wounds, the population that drives the greatest clinical burden and cost in VLU treatment. As those costs continue to rise, particularly within Medicare, this is a meaningful step forward for patients, clinicians, and payers. Complementing our existing diabetic foot ulcer data, these results add to a growing body of RCT and real-world evidence that strengthens the case for expanded coverage across two of the most common, costly wound types. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:09:22With respect to our recent progress in our Amnuvx program, on July 6th, we announced that the FDA accepted our biologic license application for Amnuvx and has set a PDUFA target action date of April 24th, 2027. We believe this highly differentiated regenerative therapy has the potential to meaningfully change the treatment paradigm by offering a non-surgical, biologic option designed to address pain and improve function, particularly in patients with severe disease who lack approved non-surgical options. We look forward to continued engagement with the FDA as they complete their review. Before turning the call over to Dave, I want to comment on our updated outlook and important strategic decisions we've made subsequent to quarter end. We have updated our expectations for total revenue in 2026 in this afternoon's press release. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:10:19While we continue to expect improvement in our revenue results on a sequential basis in the third and fourth quarters, our 2026 revenue guidance now reflects the expectation that we see a more measured pace of recovery as compared to what was contemplated in our prior expectation for total revenue in 2026. Given the impact of a prolonged recovery on our revenue expectations, we completed a restructuring in June. The restructuring included a workforce reduction of 138 employees and is expected to result in cost reductions of approximately $18 million on an annualized basis. This is our second restructuring announced in 2026, which together are expected to reduce annual operating expenses by more than $32 million on an annual basis. Importantly, the benefits of these activities are not limited to expense reductions. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:11:12Rather, we believe our commercial team is now positioned to maximize the opportunity ahead as the skin substitute market expands from the recalibration over the first half of 2026. With that, let me turn the call over to Dave. David FranciscoCFO at Organogenesis Holdings00:11:27Thanks, Gary. I'll begin with a review of our second quarter financial results. Unless otherwise specified, all growth rates referenced in my prepared remarks are for the three-month period ending June 30th, 2026, and are on a year-over-year basis. Net product revenue was $42.8 million, down 58% year-over-year. Our Advanced Wound Care net product revenue was $36.1 million, down 61%. Net product revenue from Surgical & Sports Medicine products was $6.7 million, down 18% year-over-year. Our total revenue results included $1 million of income related to the grant issued by the Rhode Island Life Sciences Hub, offsetting our employee-related costs in our Smithfield facility. This compares to $0.2 million in the prior year period. Our second quarter results reflect notable improvement in growth trends on a sequential basis. David FranciscoCFO at Organogenesis Holdings00:12:19Specifically, our total revenue increased 18% quarter-over-quarter, driven by a 23% increase in sales of Advanced Wound Care products. Gross profit was $19.1 million, or 45% of net product revenue, compared to 73% last year. Cost of goods included $1.8 million of restructuring related charges. Excluding these adjustments, non-GAAP gross profit was $20.9 million, or 49% of net product revenue. Operating expenses were $94.7 million, compared to $113.6 million last year, a decrease of $18.8 million or 17%. Excluding cost of goods sold of $23.7 million for the second quarter and $27.6 million last year, our non-GAAP operating expenses were $63 million, compared to $83.4 million last year, a decrease of $20.4 million or 25%. David FranciscoCFO at Organogenesis Holdings00:13:11The year-over-year change in operating expenses excluding cost of goods sold was driven by a $19.8 million or 27% decrease in SG&A expenses, offset partially by a $7.9 million or 76% increase in research and development expenses. Note the second quarter R&D expenses included $5.6 million of non-recurring termination costs associated with various R&D programs and vendors. Operating expenses excluding cost of goods sold declined $9.3 million or 12% on a sequential basis, driven primarily by the company's March 2026 restructure. By way of reminder, the March 2026 restructuring is expected to reduce our operating expenses by approximately $13.4 million on an annualized basis. Operating loss was $51 million compared to an operating loss of $12.6 million last year, an increase of $38.4 million. David FranciscoCFO at Organogenesis Holdings00:14:07Excluding non-cash amortization and certain non-recurring costs in both periods, our non-GAAP operating loss was $41.1 million, compared to $10 million last year, an increase of $31.1 million year-over-year. GAAP net loss was $96.3 million compared to a net loss of $9.4 million last year. Note, GAAP net loss in the period includes approximately $30 million of non-cash tax expense related to the recording of full valuation allowance on the company's deferred tax assets. Net loss to common stockholders was $99.3 million, compared to a net loss of $12.2 million last year. Net loss to common stockholders includes the impact of the cumulative dividend and the non-cash accretion to redemption value on our convertible preferred stock. Adjusted net loss was $89 million, compared to $7.5 million last year. We've included a detailed reconciliation of GAAP to non-GAAP adjusted loss in our press release this afternoon. David FranciscoCFO at Organogenesis Holdings00:15:02Adjusted EBITDA loss was $34.4 million, compared to adjusted EBITDA loss of $3.6 million last year. Turning to the balance sheet. As of June 30th, 2026, the company had $46.8 million in cash equivalents, and restricted cash, and no outstanding debt obligations, compared to $94.3 million in cash equivalents, and restricted cash, and no outstanding debt obligations as of December 31st, 2025. We expect that our cash on hand and other components of working capital as of June 30th, 2026, plus net cash flows from product sales, will be sufficient to fund our operating expenses and capital expenditure requirements for at least the next 12 months. David FranciscoCFO at Organogenesis Holdings00:15:43Today, the company entered into an ATM agreement with BTIG and Citizens JMP Securities, pursuant to which the company may offer to sell shares of its common stock, having an aggregate offering price of up to $75 million from time to time through sales agents. Sales under the ATM agreement, if any, will be made pursuant to the company's effective shelf registration statement on Form S-3 and related prospectus supplement. The company intends to use these net proceeds from any sales under the ATM agreement for working capital, general corporate purposes, research and development activities, and other strategic initiatives. Turning to our 2026 outlook, which we've updated in this afternoon's press release. David FranciscoCFO at Organogenesis Holdings00:16:25As Gary outlined earlier, our 2026 total revenue guidance now reflects the softer than expected results in the second quarter and the expectation that we see a more measured recovery in the overall operating environment as we move into the second half of the year. As a result, we now expect total net revenue for the full year of 2026 of $179 million-$215 million, representing a decline in the range of 62%-68% year-over-year, and compared to our prior guidance range, which assumed a decline in the range of 45%-52% year-over-year. Note, our total revenue range assumes sales of Advanced Wound Care products in the range of $151 million-$183 million, sales of our Surgical & Sports Medicine product in the range of $26 million-$30 million, and grant income of $1.9 million. David FranciscoCFO at Organogenesis Holdings00:17:16Our updated total revenue guidance continues to reflect the expectation that we see sequential improvement in our revenue trends in the third and fourth quarters. However, at a more measured rate versus what our prior guidance had assumed, resulting in a second half revenue decline in the range of approximately 64%-74% year-over-year. With respect to our profitability expectations, our updated guidance continues to assume improving quarterly adjusted EBITDA performance on a sequential basis which is expected to result in nearly 60% reduction in adjusted EBITDA loss in the second half of 2026 as compared to the first half of 2026 at the low end of the range, and more than 90% reduction in adjusted EBITDA loss in the second half of 2026 as compared to the first half of 2026. Including the expectation of positive adjusted EBITDA generation in the fourth quarter. David FranciscoCFO at Organogenesis Holdings00:18:11Given the lower revenue expectations for 2026 and the related impact on gross profit, we have adjusted our assumptions for operating expenses, excluding cost of goods sold, to reduce the impact on our profitability and cash flow this year. Specifically, we now expect to reduce our operating expenses, excluding cost of goods sold, approximately 32% year-over-year in 2026, including more than 40% year-over-year in the second half of 2026. Note, these updated assumptions are inclusive of estimated cost savings in the third and fourth quarters related to our March 2026 and June 2026 restructurings of approximately $7 million and $9 million respectively. With that, I'll turn the call back over to Gary for closing remarks. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:18:54Thanks, David. With more than 40 years in regenerative medicine in the most diverse evidence-based portfolio with technologies in each FDA category, we believe we are best positioned in the skin substitute market and will continue to be a leader in the space with the best evidence-based portfolio on the market. The competitive landscape has changed dramatically in just a few months since CMS announced sweeping changes to coverage and payment policy. Distributor-driven competitors, high price amniotic players, and companies engaged in fraudulent practices have been substantially reduced. Many of the remaining players are diversifying away from wound care or exiting the category altogether. Organogenesis is doubling down on wound care. We are leaders because our business is built on efficacy and outcomes, and that is driving our expanding share as the market resets. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:19:51Customer trust matters now in this new market more than ever before, and simply put, we believe we have the best evidence-based skin substitute products in wound care, bar none. We expect to enhance our leadership position by leveraging our portfolio to provide integrated healing solutions that substantially improve outcomes while lowering the overall cost of care. With that, I'll turn the call over to the operator for questions. Operator00:20:20Thank you, sir. If you'd like to ask a question, please signal by pressing star one one on your telephone keypad. If you're using a speakerphone, please make sure your mute function is turned off to allow your signal to reach our equipment. Our first question comes from Ryan Zimmerman from U.S. Bancorp. Please go ahead. Analyst at U.S. Bancorp00:20:44Hi, Gary and Dave. This is [Izzy] on for Ryan. Thanks for taking the question. I just want to start to get your higher level thoughts on the broader market dynamics and what is going to give you confidence that Medicare is working to stabilize the market beyond just what we had seen in the OPPS proposal? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:21:06This is Gary. Hi, [Izzy]. What we're seeing is, month-over-month, we're seeing continued growth in the space. We're seeing more clinicians getting more comfortable with the current coverage and payment structure that's in place now. We still have a ways to go. CMS reinstated the $127.14 reimbursement rate. I think they did that with the intention of stabilizing the market and bringing consistency to the market. They also continue to identify the tiers, where they recognize PMA products and 510K products and the 361. Maintaining that tier structure is also bringing stability and signaling evidence is still an important function here and will carry weight going forward. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:22:05We think the stability, recognizing PMA products, and we're starting to see more clinicians starting to use at least our product as we continue to take a fairly significant share in both the first and second quarters. Analyst at U.S. Bancorp00:22:24That's helpful. Thank you. As we start to think about the back half of the year, I was hoping you could speak a little bit more about the pacing that's baked into guidance for the third quarter and fourth quarter. David FranciscoCFO at Organogenesis Holdings00:22:37Yeah, sure. This is Dave. Hi, Izzy]. How are you? As Gary mentioned, we were pleased with the strong sequential growth that we saw between Q1 and Q2. Obviously, as we talked about, up fairly significantly in Advanced Wound Care units, up 30%. That's coming off the Q1 trough. Our expectation is that the movement from here would be continued share gains, but more modest. Obviously, the growth on a sequential basis would be much more modest than what we'd anticipated or what we experienced in the first to the second quarter. We see some modest growth into the third quarter with a little bit more strength in the fourth. Analyst at U.S. Bancorp00:23:19Helpful. Thank you. If I could just squeak one more in. Could either of you speak to what products are actually being paid for versus what might be held up in the market, so whether it's synthetics, amniotics, anything you can provide there? Thanks for taking the questions. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:23:35We don't really see any particular product being held up. The concern is post-application upon audit, would there be a potential clawback on those products? What we're seeing in the market is products without RCTs are at significant risk. Many times they're considered investigational. Clinicians are getting very concerned about products without RCTs. There's a flight to quality, which is why we're seeing the 30% growth that we're seeing and the market share gains, because our products have significant evidence. We think it's more post-application that clinicians are concerned about the clawbacks and the potential paybacks for products that just don't have evidence in the space. Operator00:24:29Thank you. As a reminder, to ask a question, you will need to press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Our next question comes from Ravi Misra from Truist. Please go ahead. Ravi MisraAnalyst at Truist00:24:51Hi. Thanks for taking the questions. Just want to return to the guidance and the outlook that you provided on the call. Can you help us understand what are the kind of the puts and takes that get us to the low end or the high end of the guide? And then how should we think about that given your commentary just now on surgeon concerns, the 30% kind of sequential volume growth. How should we think of that on a 3Q versus 4Q basis and then returning maybe back to market in 2027, or is that kind of an elongated thing as well? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:25:31Well, I'll start. I think, as you look at our low guidance, as Dave indicated, what we've guided to is not what we've seen. Our second quarter growth has been fairly significant at 30%, but what we're guiding to is lower growth and lower share gains on the conservative side. We're kind of guiding to where we are, but slightly less than the growth experience we had in Q2. That's why we have more confidence in the low end of the range. Now, the high end of the range, and I'll let Dave jump in, is basically reflecting the growth that we are seeing right now in our business with some small what I'd call a market expansion at the end of the third quarter and fourth quarter. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:26:22We're guiding to less than the growth that we're seeing right now, and on the low end and on the high end, we're guiding to exactly what we're growing at right now with the small market expansion. That's kind of the range. Dave, you can jump in. David FranciscoCFO at Organogenesis Holdings00:26:39No, absolutely. Just, Ravi, it's a little bit more biased towards Q4 than it is Q3, just because the evolution of the business and the market. Ravi MisraAnalyst at Truist00:26:49Great. Thanks. Maybe a follow-up just on Dermagraft, saw in your Q that you're kind of shelving that for now. Can we talk about the opportunity there that you're maybe stepping away from or the thinking around when that does come back to market and the rationale for why? Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:27:11Well, we're slowing down the manufacturing build-out of Dermagraft to preserve cash. Dermagraft is still a product that we expect to launch. We didn't have significant revenue built in 2027 in our thinking, or 2028. It will delay it probably a year of its intended launch, which was somewhere in the middle of 2027, so probably launch in the middle of 2028. It's a focus on preserving cash and going slower with that build-out. We think that's prudent right now. Ravi MisraAnalyst at Truist00:27:52I'll get back in queue. Thank you. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:27:56Thank you. Operator00:27:59Thank you. Please stand by. Thank you. Do we have another question from Ravi? Ravi MisraAnalyst at Truist00:28:23No. If there's time, I guess I'll ask one more. Amnuvx, just help us think about maybe how you see this slotting into the competitive landscape, if and when approved. Thanks. Gary S. Gillheeney, Sr.President, CEO, and Chair of the Board at Organogenesis Holdings00:28:39Sure. Amnuvx, if approved, will be the first biologic in this space. We think it will have a unique place in this space. We don't see anything else coming to market before Amnuvx, that's a very positive place to be. Obviously, the clinical data is strong. The safety data, the safety profile of the product is extremely strong. There's a lot of strong tailwinds driving this product. We expect, with the PDUFA date of April in 2027, if approved, we would launch the product with a temporary code until we get a permanent code, which we would expect at the end of 2027, the beginning of 2028. We would expect the product to have a fairly significant ramp as we ramp our infrastructure. The product is unique. There is no other biologic in this space, we're pretty excited about it. Operator00:29:46Thank you. I'm showing no further questions at this time. That does conclude our conference call for today.Read moreParticipantsExecutivesGary S. Gillheeney, Sr.President, CEO, and Chair of the BoardDavid FranciscoCFOAnalystsAnalyst at U.S. BancorpRavi MisraAnalyst at TruistPowered by