Cash flow generation is highly inconsistent, as demonstrated by the 2026Q1 OCF/NI ratio of -0.38 and wild swings in FCF margins ranging from -36.2% to 48.3%.
| Cash from Operations | 30.75M | -10.31M | 14.21M | 30.92M | 24.86M | 61.98M | 5.47M | -33.53M | -60.74M | -586.6K | -562.23K |
| Operating CF Margin % | - | -1.83% | 2.95% | 7.14% | 5.51% | 13.26% | 1.62% | -12.85% | -31.4% | - | - |
| Operating CF Growth % | -392% | -172.56% | -54.04% | 24.37% | -59.89% | 1033.88% | 116.3% | 44.8% | -10254.34% | -4.33% | - |
| Net Income | -284K | 37.03M | 861K | 4.95M | 15.53M | 94.9M | 17.23M | -40.45M | -64.83M | -2.09M | -208.7K |
| Depreciation & Amortization | 30.95M | 26.94M | 17.03M | 23.45M | 10.73M | 16.68M | 8.18M | 9.43M | 6.98M | 5.63M | 7.32M |
| Stock-Based Compensation | 6.87M | 13.3M | 10.58M | 9M | 6.55M | 3.86M | 1.66M | 936K | 1.07M | 919K | 473K |
| Deferred Taxes | -4.61M | 9.5M | -10.72M | 2.01M | 1.98M | -31.98M | 112K | 111K | 186K | 0 | 0 |
| Other Non-Cash Items | 35.97M | 35.3M | 45.35M | 9.59M | 24.15M | 17.8M | 6.03M | 6.12M | 18.25M | -155.75K | -303.8M |
| Working Capital Changes | -41.14M | -132.38M | -48.89M | -18.07M | -34.08M | -39.29M | -27.76M | -9.67M | -22.4M | 1.51M | -353.54K |
| Change in Receivables | -16.97M | -115.8M | -31.8M | 5.54M | -8.77M | -30.23M | -17.57M | -4.69M | -7.11M | -7.01M | -6.56M |
| Change in Inventory | -17.91M | -17.91M | -6.2M | 6.58M | -9.41M | -9.3M | -6.7M | -11.06M | -5M | -1.49M | -5.37M |
| Change in Payables | -35K | -528K | -2.37M | -108K | 3.26M | 3.85M | -4.1M | 4.7M | -60K | 0 | 0 |
| Cash from Investing | -13.67M | -14.15M | -10.03M | -24.36M | -33.9M | -31.22M | -23.5M | -6.23M | -1.86M | -14.87M | -310M |
| Capital Expenditures | -13.67M | -14.15M | -10.03M | -24.36M | -33.9M | -31.22M | -17.68M | -6.23M | -1.86M | -2.43M | -1.36M |
| CapEx % of Revenue | 2.66% | 2.51% | 2.08% | 5.63% | 7.52% | 6.68% | 5.23% | 2.39% | 0.96% | - | - |
| Acquisitions | 0 | 0 | 0 | 0 | 0 | 0 | -5.82M | 0 | 1K | -11.79M | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1K | -658K | -310M |
| Cash from Financing | -35.52M | -17.36M | 27.64M | -5.5M | -2.2M | -1.04M | 42.47M | 78.73M | 81.64M | -327.58K | 311.48M |
| Debt Issued (Net) | -10.73M | -1.17M | -67.64M | -5.17M | -3.01M | -2.01M | -15.91M | 37.23M | 1.07M | 100K | 11.98M |
| Equity Issued (Net) | 132K | 157K | 95.21M | 0 | 0 | 2.2M | 64.73M | -8.84M | -151K | -427.58K | 0 |
| Dividends Paid | 0 | 0 | -1.8M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | -25.48M | 0 | 0 | 0 | 0 | -6.76M | 0 | 0 | 0 |
| Other Financing | -24.92M | -16.35M | 1.87M | -332K | 814K | -1.22M | -6.35M | 50.34M | 80.72M | 19.19M | -5.2M |
| Net Change in Cash | -18.43M | -41.82M | 31.81M | 1.05M | -11.24M | 29.72M | 24.44M | 38.97M | 19.05M | -914.18K | 914.01K |
| Free Cash Flow | 17.08M | -24.46M | 4.18M | 6.55M | -9.04M | 30.76M | -12.21M | -39.76M | -62.6M | -3.01M | -1.92M |
| FCF Margin % | 3.33% | -4.34% | 0.87% | 1.51% | -2% | 6.58% | -3.61% | -15.24% | -32.36% | - | - |
| FCF Growth % | 343.99% | -685.73% | -36.27% | 172.5% | -129.39% | 351.87% | 69.29% | 36.48% | -1977.8% | -56.64% | - |
| FCF per Share | 0.13 | -0.19 | 0.03 | 0.05 | -0.07 | 0.23 | -0.11 | -0.43 | -0.90 | -0.05 | -0.22 |
| FCF Conversion (FCF/Net Income) | -60.15x | -0.28x | 16.50x | 6.25x | 1.60x | 0.66x | 0.32x | 0.87x | 0.94x | 0.28x | 2.69x |
| Interest Paid | 0 | 0 | 4.97M | 5.44M | 2.65M | 5.79M | 9.61M | 8.15M | 5.42M | 6.08M | 3.96M |
| Taxes Paid | 3.64M | 0 | 6.96M | 3.05M | 1.2M | 607K | 61K | 49K | 8K | 96K | 29K |
Reimbursement and regulatory volatility
As reported in financial statements, the relationship between net income and operating cash flow is frequently disconnected, evidenced by a 2026Q1 OCF/NI ratio of -0.38, which suggests that accounting earnings are often poor proxies for the actual cash generation capabilities of the underlying business model.
The significant divergence between net income and operating cash flow indicates that non-cash items and accruals play an outsized role in reported profitability. Investors should monitor whether this disconnect stems from aggressive revenue recognition or the timing of cash collections, as the lack of consistent conversion suggests that reported earnings may overstate the company's true economic health.
Based on the company's reported figures, free cash flow margins have fluctuated wildly from a peak of 48.3% in 2026Q1 to a low of -36.2% in 2025Q2, highlighting a lack of operational consistency that makes long-term cash flow forecasting exceptionally difficult for market participants.
The extreme variance in FCF margins appears to be driven by the company's inability to stabilize its cost base relative to revenue volatility. This erratic trajectory suggests that the business remains highly sensitive to external shocks, such as reimbursement changes or seasonal demand shifts, which prevent the establishment of a reliable cash-generating baseline.
According to recent SEC filings, working capital changes have been a primary driver of cash flow, with a notable $70.5 million inflow in 2026Q1, suggesting that the company's cash position is heavily dependent on the timing of receivables and inventory management rather than core operational efficiency.
The large, inconsistent swings in working capital indicate that the company may be struggling to manage its cash conversion cycle effectively. This reliance on working capital fluctuations to bolster cash flow warrants further investigation, as it may mask underlying operational weaknesses or difficulties in collecting payments from hospital accounts.
As indicated by the provided data, capital expenditures have remained relatively stable, with CapEx/Revenue ratios generally hovering between 1.5% and 8.5%, suggesting that the company is not currently burdened by excessive maintenance requirements despite the specialized nature of its manufacturing facilities.
The relatively low capital intensity implies that the company's primary cash drain is not physical infrastructure, but rather the high-touch sales and distribution model. While this keeps the asset base lean, it also suggests that the company's competitive moat is maintained through ongoing operational spending rather than significant, long-term capital investments.
Quick answers to the most common questions about buying ORGO stock.
Organogenesis Holdings Inc. (ORGO) generated $-10.3M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Organogenesis Holdings Inc. (ORGO) reported negative free cash flow of $24.5M in 2025, indicating capital requirements exceeded cash from operations.
Organogenesis Holdings Inc. (ORGO) spent $14.2M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.