0001661181-26-000008 | 10-Q | XBRL Viewer | Organogenesis Holdings INC

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Stock-Based Compensation - Summary of Restricted Stock Units (Detail) - Restricted Stock Units (RSUs) [Member] - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unvested at December 31, 2025	5,490,262
Unvested Granted	2,298,160	1,853,844
Unvested Vested	(2,134,977)
Unvested Canceled/Forfeited	(7,715)
Unvested at March 31, 2026	5,645,730
Unvested at December 31, 2025	$ 3.44
Unvested Granted	3.84
Unvested Vested	3.56
Unvested Canceled/Forfeited	2.97
Unvested at March 31, 2026	$ 3.56

Stock-Based Compensation - Summary of Performance Share Units (Details) - Performance Shares [Member]	3 Months Ended
	Mar. 31, 2026 $ / shares shares
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Unvested at December 31, 2025 \| shares	397,800
Unvested Granted \| shares	416,356
Unvested Vested \| shares	(397,800)
Unvested at March 31, 2026 \| shares	416,356
Unvested at December 31, 2025 \| $ / shares	$ 3.53
Unvested Granted \| $ / shares	2.47
Unvested Vested \| $ / shares	3.53
Unvested at March 31, 2026 \| $ / shares	$ 2.47

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

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+ Details

Restructuring

3 Months Ended

Mar. 31, 2026

Restructuring and Related Activities [Abstract]

Restructuring

8. Restructuring

The Company committed to a restructuring plan in March 2026 to restructure its workforce and close its operations in the St. Petersburg, Florida facility to increase productivity and enhance profitability. These restructuring activities reduced the Company’s headcount by 88 employees, or approximately 10% of all employees. The Company incurred a total charge of $8,781 in the three months ended March 31, 2026 in connection with these restructuring activities, primarily consisting of severance and other employee termination benefits of $2,846, and write-down of intangible assets of $4,923 and write-down of inventories of $1,012 related to the facility closure. These charges were included primarily in cost of goods sold and selling, general and administrative expenses (including write-down of intangible assets) in the condensed consolidated statements of operations and comprehensive loss. The Company expects to pay accrued restructuring costs primarily through 2026.

The following table summarizes the changes in the Company’s accrued restructuring balance, which is included in accrued expenses and other current liabilities in the condensed consolidated balance sheets. The movements in the restructuring liability principally consist of severance payments.


	Employee
Liability balance as of December 31, 2025	$	178
Expenses		2,846
Cash disbursements		(140	)
Liability balance as of March 31, 2026	$	2,884

Net Product Revenue - Additional Information (Detail)	3 Months Ended
Net Product Revenue - Additional Information (Detail)	Mar. 31, 2026
Sales Revenue \| Geographic Concentration Risk \| International
Significant Accounting Policies [Line Items]
Concentration Risk, Percentage	1.00%

- Definition

For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

+ References + Details

Stock-Based Compensation (Tables)

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Summary of Unvested Restricted Stock Units

The activity of restricted stock units is set forth below:


				Weighted Average
	Number of			Grant Date
	Shares			Fair Value
Unvested at December 31, 2025		5,490,262		$	3.44
Granted		2,298,160			3.84
Vested		(2,134,977	)		3.56
Canceled/Forfeited		(7,715	)		2.97
Unvested at March 31, 2026		5,645,730		$	3.56

Summary of Unvested Performance Share Units

The activity of PSUs is set forth below:


				Weighted Average
	Number of			Grant Date
	Shares			Fair Value
Unvested at December 31, 2025		397,800		$	3.53
Granted (1)		416,356			2.47
Vested		(397,800	)		3.53
Unvested at March 31, 2026		416,356		$	2.47

(1)

Granted at target performance achievement.

Summary of Stock Option Activity

The following table summarizes the Company’s stock option activity since December 31, 2025:


						Weighted
						Average
				Weighted		Remaining
				Average		Contractual		Aggregate
	Number of			Exercise		Term		Intrinsic
	Shares			Price		(in years)		Value
Options outstanding as of December 31, 2025		11,964,790		$	4.49		6.75	$	19,973
Granted		1,105,565			3.84
Canceled/Forfeited		(2,909	)		7.88
Options outstanding as of March 31, 2026		13,067,446		$	4.43		6.79	$	72
Options exercisable as of March 31, 2026		8,461,786		$	4.98		5.89	$	49
Options vested or expected to vest as of March 31, 2026		13,010,173		$	4.42		6.80	$	39

Long-Lived Assets and Goodwill - Additional Information (Detail) - USD ($)	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Long-Lived Assets and Goodwill [Abstract]
Impairment of long-lived assets	$ 0	$ 0
Impairment of goodwill	$ 0	$ 0

- Definition

Amount of impairment loss from asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

+ References + Details

Leases

3 Months Ended

Mar. 31, 2026

Leases [Abstract]

Leases

13. Leases

The Company’s leases consist primarily of real estate, equipment, and vehicle leases.

On January 1, 2013, the Company entered into lease arrangements with 65 Dan Road SPE, LLC, 85 Dan Road Associates, LLC, Dan Road Equity I, LLC and 275 Dan Road SPE, LLC for office and laboratory space in Canton, Massachusetts (the “Related-Party Leases”). 65 Dan Road SPE, LLC, 85 Dan Road Associates, LLC, Dan Road Equity I, LLC and 275 Dan Road SPE, LLC are related parties as the owners of these entities are also directors, former directors and/or stockholders of the Company. In August 2021, the Company purchased the 275 Dan Road property. The remaining three Related-Party Leases were subsequently renewed with various expiration dates through December 31, 2032.

In November 2024, the Company entered into a lease for a facility in Smithfield, Rhode Island, comprising manufacturing and office space (the “Smithfield Facility”). The initial lease term is approximately sixteen years. The undiscounted minimum lease

payments are $102,645, and the Company is entitled to a tenant improvement allowance of up to $18,376 for its planned build out of the manufacturing space. The lease of the office space commenced at lease inception. The build out of the manufacturing space will be completed in two phases. Phase 1 of the build-out was substantially completed and the associated lease component commenced in December 2025. Phase 2 of the build-out is expected to be completed in 2027.

Nature of Business and Basis of Presentation

3 Months Ended

Mar. 31, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Nature of Business and Basis of Presentation

1. Nature of Business and Basis of Presentation

Organogenesis Holdings Inc. (“ORGO” or the “Company”) is a leading regenerative medicine and tissue innovations company focused on empowering healing through the development, manufacturing, and sale of product solutions for the advanced wound care, and surgical and sports medicine markets. Several of the existing and pipeline products in the Company’s portfolio have Premarket Application (“PMA”) approval, or Premarket Notification 510(k) clearance from the United States Food and Drug Administration (“FDA”). The Company’s customers include hospitals, wound care centers, government facilities, ambulatory surgery centers (“ASCs”) and physician offices. The Company has one operating and reportable segment.

Unaudited Interim Financial Information

The accompanying unaudited condensed consolidated financial statements have been prepared by management in accordance with generally accepted accounting principles in the United States (“GAAP”), pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial statements. The interim condensed consolidated financial statements, in the opinion of management, reflect all adjustments of a normal recurring nature necessary for a fair statement of the results for the interim periods presented. Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. However, the Company believes that the disclosures are adequate to make the information presented not misleading. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto, for the year ended December 31, 2025, included in the Company’s annual report on Form 10-K for the fiscal year ended December 31, 2025, which was filed with the SEC on February 26, 2026 (the “Annual Report”). The results for the three months ended March 31, 2026 are not necessarily indicative of the results to be expected for the year ending December 31, 2026, any other interim periods, or any future years or periods.

Summary of Significant Accounting Policies - Additional Information (Detail)	3 Months Ended
	Mar. 31, 2026
Significant Accounting Policies [Line Items]
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]	true
Accounting standards update, adoption date	Dec. 15, 2025
Change in Accounting Principle, Accounting Standards Update, Immaterial Effect [true false]	true
Accounting Standards Update [Extensible Enumeration]	Accounting Standards Update 2025-05 [Member]

- Definition

Indicates amendment to accounting standards.

+ References

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-URI https://asc.fasb.org/1943274/2147480528/815-20-65-6

Reference 17: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

- Definition

Date accounting standards update was adopted, in YYYY-MM-DD format.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 19: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Asset Held for Sale

3 Months Ended

Mar. 31, 2026

Property, Plant and Equipment Assets Held-for-Sale Disclosure [Abstract]

Asset Held for Sale

6. Asset Held for Sale

During the first quarter of 2025, the Company listed a building for sale, located on the Company’s Canton, Massachusetts campus, and commenced actions to complete the sale within twelve months. Certain events and circumstances, which were beyond the Company’s control, extended the period of time required to sell the asset beyond one year.

During the first quarter of 2025, the Company reclassified the building as an asset held for sale and recognized a $6,567 write-down to adjust the carrying value of the building held for sale to its estimated fair market value based on observable market conditions, net of the estimated costs to sell, on the condensed consolidated statements of operations and comprehensive loss. The Company recorded additional write-downs during 2025 of $4,608 due to changes in the market for this property. Management determined that the planned sale does not represent a strategic shift having a major effect on the Company’s operations and financial results and therefore did not meet the criteria for classification as discontinued operations. The Company assesses the fair value of the asset held for sale at each reporting period until the asset is no longer classified as held for sale. The Company is actively marketing this asset for sale and did not record any further write-down to fair value during the three months ended March 31, 2026.

Loss per Share

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

Loss per Share

12. Loss per Share

The computation of basic and diluted EPS attributable to the Class A common stockholders was as follows:


	Three Months Ended March 31,
	2026			2025
Numerator:
Net loss	$	(53,156	)	$	(18,843	)
Accretion of redeemable convertible preferred stock to redemption value		(159	)		(121	)
Cumulative dividend on redeemable convertible preferred stock		(2,844	)		(2,627	)
Net loss attributable to common stockholders	$	(56,159	)	$	(21,591	)
Denominator:
Weighted-average common shares outstanding — basic and diluted		127,797,013			126,295,642
Net loss per share—basic and diluted	$	(0.44	)	$	(0.17	)

For the three months ended March 31, 2026 and 2025, outstanding stock-based awards of 19,129,532 and 17,079,075, respectively, were excluded from the diluted EPS calculation as they were anti-dilutive. For the three months ended March 31, 2026 and 2025, 38,257,910 and 25,358,022, shares of common stock, respectively, available upon conversion of Convertible Preferred Stock were excluded from the diluted EPS calculation as they were anti-dilutive.

Stock-Based Compensation - Summary of Stock Option Activity (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025
Number of Shares Outstanding	11,964,790
Number of Shares Granted	1,105,565	1,558,694
Number of Shares Canceled / forfeited	(2,909)
Number of Shares Outstanding	13,067,446		11,964,790
Number of Shares Options Exercisable	8,461,786
Number of Shares Options vested or expected to vest	13,010,173
Weighted Average Exercise Price Outstanding	$ 4.49
Weighted Average Exercise Price Granted	3.84
Weighted Average Exercise Price Cancelled / forfeited	7.88
Weighted Average Exercise Price Outstanding	4.43		$ 4.49
Weighted Average Exercise Price Options Exercisable	4.98
Weighted Average Exercise Price Options Vested or Expected to Vest	$ 4.42
Weighted Average Remaining Contractual Term (in years) Outstanding	6 years 9 months 14 days		6 years 9 months
Weighted Average Remaining Contractual Term (in years) Options Exercisable	5 years 10 months 20 days
Weighted Average Remaining Contractual Term (in years) Options Vested or Expected to Vest	6 years 9 months 18 days
Aggregate Intrinsic Value Outstanding	$ 72		$ 19,973
Aggregate Intrinsic Value Options Exercisable	49
Aggregate Intrinsic Value Options Vested or Expected to Vest	$ 39

CONDENSED CONSOLIDATED STATEMENTS OF REDEEMABLE CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Series A Convertible Preferred Stock [Member]	Common Stock	Additional Paid-in Capital	Accumulated Deficit
Balance at Dec. 31, 2024	$ 262,897		$ 13	$ 302,994	$ (40,110)
Balance (in shares) at Dec. 31, 2024			125,730,236
Balance at Dec. 31, 2024		$ 122,419
Balance (in shares) at Dec. 31, 2024		130,000
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock		$ 2,748
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock	(2,748)			(2,748)
Exercise of stock options	25			25
Exercise of stock options (in shares)			20,016
Vesting of RSUs, net of shares surrendered to pay taxes	(1,796)			(1,796)
Vesting of RSUs, net of shares surrendered to pay taxes (in shares)			1,103,284
Stock-based compensation expense	3,367			3,367
Net loss	(18,843)				(18,843)
Balance at Mar. 31, 2025	242,902		$ 13	301,842	(58,953)
Balance (in shares) at Mar. 31, 2025			126,853,536
Balance at Mar. 31, 2025		$ 125,167
Balance (in shares) at Mar. 31, 2025		130,000
Balance at Dec. 31, 2025	$ 300,129		$ 13	303,194	(3,078)
Balance (in shares) at Dec. 31, 2025	126,951,876		126,951,876
Balance at Dec. 31, 2025	$ 133,789	$ 133,789
Balance (in shares) at Dec. 31, 2025	130,000	130,000
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock		$ 3,003
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock	$ (3,003)			(3,003)
Accounting Standards Update [Extensible Enumeration]	Accounting Standards Update 2025-05 [Member]
Vesting of RSUs, net of shares surrendered to pay taxes	$ (3,051)			(3,051)
Vesting of RSUs, net of shares surrendered to pay taxes (in shares)			1,722,672
Stock-based compensation expense	3,636			3,636
Net loss	(53,156)				(53,156)
Balance at Mar. 31, 2026	$ 244,555		$ 13	$ 300,776	$ (56,234)
Balance (in shares) at Mar. 31, 2026	128,674,548		128,674,548
Balance at Mar. 31, 2026	$ 136,792	$ 136,792
Balance (in shares) at Mar. 31, 2026	130,000	130,000

Convertible Preferred Stock

3 Months Ended

Mar. 31, 2026

Temporary Equity Disclosure [Abstract]

Convertible Preferred Stock

10. Convertible Preferred Stock

The Company recognizes changes in the redemption value of the Convertible Preferred Stock, which include accretion of the associated issuance costs and accrual of unpaid dividends using the effective interest method, over the period from the issuance date to the earliest redemption date, November 12, 2031. Any accrued but unpaid dividends will become part of the liquidation preference of the Convertible Preferred Stock, as set forth in the Certificate of Designation. As of March 31, 2026, the Company had not paid any dividends in cash, and all such dividends had been accrued and added to the liquidation preference of the Convertible Preferred Stock. During the three months ended March 31, 2026 and 2025, the Company increased the carrying value of the Convertible Preferred Stock by $3,003 and $2,748, respectively, which resulted in a corresponding decrease to additional paid-in-capital during the same period.

Accounts Receivable, Net - Summary of Accounts Receivable (Detail) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Receivables [Abstract]
Accounts receivable	$ 131,271	$ 246,463
Less - allowance for credit losses	(11,488)	(16,089)
Less - product return reserve	(2,875)	(12,923)
Accounts receivable	$ 116,908	$ 217,451

Accounts Receivable, Net (Tables)

3 Months Ended

Mar. 31, 2025

Receivables [Abstract]

Summary of Allowance for Credit Losses

The Company’s allowance for credit losses is comprised of the following:


	Three Months Ended March 31,
	2026			2025
Balance at beginning of period	$	16,089		$	9,576
Additions (adjustments)		(3,959	)		873
Write-offs		(642	)		(1,381	)
Balance at end of period	$	11,488		$	9,068

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Current assets:
Cash and cash equivalents	$ 91,379	$ 93,679
Restricted cash	720	652
Accounts receivable, net	116,908	217,451
Inventories, net	28,425	29,627
Asset held for sale	2,425	2,425
Prepaid expenses and other current assets	28,644	18,354
Total current assets	268,501	362,188
Property and equipment, net	104,078	103,711
Intangible assets, net	3,437	9,145
Goodwill	28,772	28,772
Operating lease right-of-use assets, net	53,742	55,749
Deferred tax asset, net	45,333	29,962
Other assets	16,129	9,203
Total assets	519,992	598,730
Current liabilities:
Current portion of finance lease obligations	508	9,435
Current portion of operating lease obligations - related party	4,451	4,258
Current portion of operating lease obligations	4,764	4,949
Accounts payable	28,615	31,949
Accrued expenses and other current liabilities	37,683	49,533
Total current liabilities	76,021	100,124
Finance lease obligations, net of current portion	12,358	12,788
Operating lease obligations, net of current portion - related party	26,993	28,237
Operating lease obligations, net of current portion	21,787	22,470
Other liabilities	1,486	1,193
Total liabilities	138,645	164,812
Commitments and contingencies (Note 15)
Series A redeemable convertible preferred stock, $0.0001 par value; 130,000 shares authorized, issued and outstanding at March 31, 2025 and December 31, 2024; liquidation preference of $134,014 and $131,387 at March 31, 2025 and December 31,2024, respectively.	136,792	133,789
Stockholders' equity:
Preferred stock, $0.0001 par value; 870,000 shares authorized at March 31, 2025 and December 31, 2024, respectively; none issued or outstanding	0	0
Common stock, $0.0001 par value; 400,000,000 shares authorized; 127,582,084 and 126,458,784 shares issued; 126,853,536 and 125,730,236 shares outstanding at March 31,2025 and December 31, 2024 , respectively.	13	13
Additional paid-in capital	300,776	303,194
Accumulated deficit	(56,234)	(3,078)
Total stockholders' equity	244,555	300,129
Total liabilities, redeemable convertible preferred stock, and stockholders' equity	$ 519,992	$ 598,730

Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2026

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

The Company’s significant accounting policies are described in the Company’s audited consolidated financial statements as of and for the year ended December 31, 2025, and the notes thereto, which are included in the Annual Report. There have been no material changes to the significant accounting policies previously disclosed in the Annual Report.

These unaudited condensed consolidated financial statements include the accounts and results of operations of Organogenesis Holdings Inc. and its wholly-owned subsidiaries. All intercompany balances and transactions have been eliminated in consolidation.

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that the Company adopts as of the specified effective date. Unless otherwise discussed below, the Company does not believe that the adoption of recently issued standards has had or may have a material impact on its condensed consolidated financial statements or disclosures.

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported results of operations during the reporting periods. In preparing the consolidated financial statements, the estimates and assumptions that management considers to be significant and that present the greatest amount of uncertainty include: recognition and measurement of current and deferred income tax assets and liabilities; and the assessment of recoverability of long-lived assets, including impairment and write-downs. Actual results and outcomes may differ significantly from those estimates and assumptions.

Concentration of Credit Risk

Financial instruments that potentially subject the Company to concentration of credit risk consist of cash and cash equivalents. The Company invests its cash equivalents in highly rated money market funds. Deposits may exceed federally insured limits, and the Company is exposed to credit risk on deposits in the event of default by the financial institutions to the extent account balances exceed the amount insured by the Federal Deposit Insurance Corporation (“FDIC”). However, the Company sweeps cash daily overnight and diversifies among financial institutions to reduce such exposure.

Recently Adopted Accounting Pronouncement

In July 2025, the FASB issued ASU 2025-05, Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets. This standard introduces a practical expedient for the application of the current expected credit loss (“CECL”) model to current accounts receivable and contract assets. ASU 2025-05 is effective for annual periods beginning after December 15, 2025 and interim periods within those annual periods. The Company adopted ASU 2025-05 for the fiscal year and interim period beginning January 1, 2026 and elected the practical expedient. The adoption did not have a material impact on the consolidated financial statements and related disclosures.

Recently Issued Accounting Pronouncements Not Yet Adopted

In November 2024, the FASB issued ASU 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This standard requires entities to provide additional disclosure regarding certain expenses presented within the statements of operations, and aims to improve such disclosures and address requests from investors for more detailed information about the types of expenses incurred by public entities. As clarified by ASU 2025-01, the requirements of the guidance are effective for annual periods beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2024-03 on its consolidated financial statements and related disclosures.

In September 2025, the FASB issued ASU 2025-06, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. This standard removes all references to software development project stages and requires entities to start capitalizing software costs when both of the following occur: (i) management has authorized and committed to funding the software project and (ii) it is probable that the project will be completed and the software will be used to perform the function intended. ASU 2025-06 is effective for annual periods beginning after December 15, 2027 and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2025-06 on its consolidated financial statements and related disclosures.

In December 2025, the FASB issued ASU 2025-10, Government Grants (Topic 832): Accounting for Government Grants Received by Business Entities. This standard provides authoritative guidance for recognition, measurement, and presentation of government grants from a government to a business entity. The standard is effective for annual periods beginning after December 15, 2028, and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2025-10 on its consolidated financial statements and related disclosures.

In April 2026, the FASB issued ASU 2026-01, Equity (Topic 505): Initial Measurement of Paid-in-Kind Dividends on Equity-Classified Preferred Stock Entities. This standard requires that paid-in-kind (“PIK”) dividends on equity-classified preferred stock be initially measured on the basis of the PIK dividend rate stated in the preferred stock agreement. This guidance applies to preferred stock classified as equity, including preferred stock that is classified as temporary equity. The standard is effective for annual periods beginning after December 15, 2026, and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2026-01 on its consolidated financial statements and related disclosures.

Accounts Receivable, Net - Summary of Allowance for Credit Losses (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Receivables [Abstract]
Balance at beginning of period	$ 16,089	$ 9,576
Additions (adjustments)	(3,959)	873
Write-offs	(642)	(1,381)
Balance at end of period	$ 11,488	$ 9,068

Net Product Revenue - Schedule of Net Product Revenue by Product Category (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Disaggregation of Revenue [Line Items]
Total revenue	$ 37,228	$ 86,693
Net product revenue
Disaggregation of Revenue [Line Items]
Total revenue	36,250	86,693
Net product revenue \| Advanced Wound Care
Disaggregation of Revenue [Line Items]
Total revenue	29,482	79,927
Net product revenue \| Surgical & Sports Medicine
Disaggregation of Revenue [Line Items]
Total revenue	$ 6,768	$ 6,766

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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- Definition

Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss).

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+ Details

Restructuring (Tables)

3 Months Ended

Mar. 31, 2026

Restructuring and Related Activities [Abstract]

Summary of Movements in Restructuring Liability


	Employee
Liability balance as of December 31, 2025	$	178
Expenses		2,846
Cash disbursements		(140	)
Liability balance as of March 31, 2026	$	2,884

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2026
Trading Arrangements, by Individual
Material Terms of Trading Arrangement	Item 5. Other Information We and each of our executive officers entered into a Key Employee Retention Agreement (the “Key Employee Agreement”) effective May 6, 2026. The Key Employee Agreements supersede and replace the Change in Control Retention Agreements between us and each of our executive officers. The Key Employee Agreements add severance terms for our executive officers if their employment terms end under certain circumstances unrelated to a “Change in Control” of the Company, as described below. In addition, the Key Employee Agreements modify the severance terms for our executive officers other than Gary S. Gillheeney, Sr. in connection with a “Change in Control,” as described below. Pursuant to the Key Employee Agreement, if the executive’s employment is terminated during the twenty-four month period following a “Change in Control” (a) by us without “Cause” or (b) by the executive upon the occurrence of an “Event of Constructive Termination” (as those terms are defined in the Key Employee Agreement), the executive will receive from us: (i) a lump-sum amount equal to one and a half times (two times in the case of Mr. Gillheeney) the executive’s base annual salary and the executive’s annual target bonus, in each case at the highest rate in effect at any time during the 12 months immediately preceding the termination of the executive’s employment with us; (ii) for up to 18 months (24 months in the case of Mr. Gillheeney) following the executive’s termination of employment, payment of the difference between the cost of COBRA continuation coverage for the executive and any dependent who received health insurance coverage prior to such termination, and any premium contribution amount applicable to the executive as of such termination; and (iii) full acceleration of the vesting of any time-based equity awards held by the executive. Also pursuant to the Key Employee Agreement, if the executive’s employment is terminated prior to a Change in Control or after the 24-month anniversary of a Change in Control (a) by us without Cause or (b) by the executive upon the occurrence of an Event of Constructive Termination, the executive will receive from us: (i) one times (one and half times in the case of Mr. Gillheeney) the executive’s base annual salary at the highest rate in effect at any time during the 12 months immediately preceding the termination of the executive’s employment, which will be paid to the executive in substantially equal installments over 12 months (18 months in the case of Mr. Gillheeney) following the executive’s termination of employment and (ii) for up to 12 months (18 months in the case of Mr. Gillheeney) following the executive’s termination of employment, payment of the difference between the cost of COBRA continuation coverage for the executive and any dependent who received health insurance coverage prior to such termination, and any premium contribution amount applicable to the executive as of such termination. Our obligation to provide the foregoing benefits is subject to the executive entering into a new noncompetition agreement with us and the effectiveness of a release of claims executed by the executive in favor of us. Copies of the Key Employee Agreement with Mr. Gillheeney and the form of Key Employee Agreement with our executive officers other than Mr. Gillheeney are attached as Exhibit 10.1 and Exhibit 10.2 to this Report. The foregoing summaries of these Agreements are qualified in their entirety by reference to the actual Agreements. During the three months ended March 31, 2026, no director or officer of the Company adopted or terminated a “Rule 10b5-1 trading arrangement” or “non-rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Summary of Significant Accounting Policies (Policies)	3 Months Ended
Summary of Significant Accounting Policies (Policies)	Mar. 31, 2026
Accounting Policies [Abstract]
Use of Estimates	Use of Estimates The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported results of operations during the reporting periods. In preparing the consolidated financial statements, the estimates and assumptions that management considers to be significant and that present the greatest amount of uncertainty include: recognition and measurement of current and deferred income tax assets and liabilities; and the assessment of recoverability of long-lived assets, including impairment and write-downs. Actual results and outcomes may differ significantly from those estimates and assumptions.
Concentration of Credit Risk	Concentration of Credit Risk Financial instruments that potentially subject the Company to concentration of credit risk consist of cash and cash equivalents. The Company invests its cash equivalents in highly rated money market funds. Deposits may exceed federally insured limits, and the Company is exposed to credit risk on deposits in the event of default by the financial institutions to the extent account balances exceed the amount insured by the Federal Deposit Insurance Corporation (“FDIC”). However, the Company sweeps cash daily overnight and diversifies among financial institutions to reduce such exposure.
Recently Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncement In July 2025, the FASB issued ASU 2025-05, Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets. This standard introduces a practical expedient for the application of the current expected credit loss (“CECL”) model to current accounts receivable and contract assets. ASU 2025-05 is effective for annual periods beginning after December 15, 2025 and interim periods within those annual periods. The Company adopted ASU 2025-05 for the fiscal year and interim period beginning January 1, 2026 and elected the practical expedient. The adoption did not have a material impact on the consolidated financial statements and related disclosures.
Recently Issued Accounting Pronouncements Not Yet Adopted	Recently Issued Accounting Pronouncements Not Yet Adopted In November 2024, the FASB issued ASU 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This standard requires entities to provide additional disclosure regarding certain expenses presented within the statements of operations, and aims to improve such disclosures and address requests from investors for more detailed information about the types of expenses incurred by public entities. As clarified by ASU 2025-01, the requirements of the guidance are effective for annual periods beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2024-03 on its consolidated financial statements and related disclosures. In September 2025, the FASB issued ASU 2025-06, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. This standard removes all references to software development project stages and requires entities to start capitalizing software costs when both of the following occur: (i) management has authorized and committed to funding the software project and (ii) it is probable that the project will be completed and the software will be used to perform the function intended. ASU 2025-06 is effective for annual periods beginning after December 15, 2027 and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2025-06 on its consolidated financial statements and related disclosures. In December 2025, the FASB issued ASU 2025-10, Government Grants (Topic 832): Accounting for Government Grants Received by Business Entities. This standard provides authoritative guidance for recognition, measurement, and presentation of government grants from a government to a business entity. The standard is effective for annual periods beginning after December 15, 2028, and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2025-10 on its consolidated financial statements and related disclosures. In April 2026, the FASB issued ASU 2026-01, Equity (Topic 505): Initial Measurement of Paid-in-Kind Dividends on Equity-Classified Preferred Stock Entities. This standard requires that paid-in-kind (“PIK”) dividends on equity-classified preferred stock be initially measured on the basis of the PIK dividend rate stated in the preferred stock agreement. This guidance applies to preferred stock classified as equity, including preferred stock that is classified as temporary equity. The standard is effective for annual periods beginning after December 15, 2026, and interim periods within those annual periods, with early adoption permitted. The Company is currently evaluating the impact of the adoption of ASU 2026-01 on its consolidated financial statements and related disclosures.

- Definition

Disclosure of accounting policy for the use of estimates in the preparation of financial statements in conformity with generally accepted accounting principles.

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+ Details

Inventories - Summary of Inventories (Detail) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Inventory Disclosure [Abstract]
Raw materials	$ 14,527	$ 14,339
Work in process	962	1,265
Finished goods	12,936	14,023
Inventory	$ 28,425	$ 29,627

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Series A redeemable convertible preferred stock, par value	$ 0.0001	$ 0.0001
Series A redeemable convertible preferred stock, shares authorized	130,000	130,000
Series A redeemable convertible preferred stock, shares issued	130,000	130,000
Series A redeemable convertible preferred stock, shares outstanding	130,000	130,000
Series A redeemable convertible preferred stock, liquidation preference	$ 145,061	$ 142,217
Preferred stock, par value	$ 0.0001	$ 0.0001
Preferred stock, shares authorized	870,000	870,000
Common stock, par value	$ 0.0001	$ 0.0001
Common stock, shares authorized	400,000,000	400,000,000
Common stock, shares issued	129,403,096	127,680,424
Common stock, shares outstanding	128,674,548	126,951,876

Long-Term Debt Obligations

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Long-Term Debt Obligations

9. Long-Term Debt Obligations

2021 Credit Agreement

In August 2021, the Company, as borrower, its subsidiaries, as guarantors, and Silicon Valley Bank (“SVB”), and the several other lenders thereto (collectively, the “Lenders”) entered into a credit agreement, as amended (the “2021 Credit Agreement”), providing for a term loan facility not to exceed $75,000 (the “Term Loan Facility”) and a revolving credit facility not to exceed $125,000 (the “Revolving Facility” and, together with the Term Loan Facility, the “Facilities”). In November 2024, the Company and the Lenders amended the 2021 Credit Agreement to allow for the issuance of the Convertible Preferred Stock, and to require the repayment of the Term Loan Facility within one business day of such issuance, among other terms. The Company prepaid the Term Loan Facility in November 2024, and amounts borrowed under the Term Loan Facility may not be re-borrowed.

In August 2025, the Company and the Lenders amended the 2021 Credit Agreement to provide that so long as there are no outstanding borrowings under the Revolving Facility, the Consolidated Fixed Charge Coverage Ratio covenant shall not be tested for the fiscal quarter ended June 30, 2025. On October 31, 2025, the 2021 Credit Agreement was further amended (the “October 2025 Amendment”). The October 2025 Amendment reduced the Revolving Facility from $125,000 to $75,000, removed the Consolidated Fixed Charge Coverage Ratio covenant and added a minimum Consolidated Interest Coverage Ratio covenant, tested quarterly, that requires consolidated EBITDA for any period of four consecutive fiscal quarters to equal or exceed 300% of consolidated cash interest expense for such period, and a Consolidated Capital Expenditures covenant, which requires capital expenditures to be less than $50,000 during any 12-month period when loans under the Revolving Facility exceed $50,000. The Company paid an amendment fee of $113 in connection with the October 2025 Amendment.

The Company’s obligations to the Lenders are secured by substantially all of the Company’s assets, including intellectual property. Capitalized terms used herein and not otherwise defined are defined as set forth in the 2021 Credit Agreement, as amended.

Advances made under the 2021 Credit Agreement were either SOFR Loans or ABR Loans, at the Company’s option. For SOFR Loans, the interest rate was a per annum interest rate equal to the Adjusted Term SOFR plus an Applicable Margin between 2.00% to 3.25% based on the Total Net Leverage Ratio. For ABR Loans, the interest rate was equal to (1) the highest of (a) the Wall Street Journal Prime Rate, (b) the Federal Funds Rate plus 0.50% and (c) the Adjusted Term SOFR rate plus 1.0%, plus (2) an Applicable Margin between 1.00% to 2.25% based on the Total Net Leverage Ratio.

The Company must pay in arrears, on the first day of each quarter prior to August 6, 2026 (the “Revolving Termination Date”) and on the Revolving Termination Date, a fee for the Company’s non-use of available funds (the “Commitment Fee”). The Commitment Fee rate is between 0.25% to 0.45% based on the Total Net Leverage Ratio. The Company may elect to reduce or terminate the Revolving Facility in its entirety at any time by repaying all outstanding principal and unpaid accrued interest.

Under the 2021 Credit Agreement, as amended, the Company is required to comply with certain financial covenants including the Consolidated Total Net Leverage Ratio, Consolidated Interest Coverage Ratio and Consolidated Capital Expenditures, tested quarterly. In addition, the Company is also required to make representations and warranties and comply with certain non-financial covenants that are customary in loan agreements of this type, including restrictions on the payment of dividends, repurchase of stock, incurrence of indebtedness, dispositions and acquisitions.

As of March 31, 2026 and December 31, 2025, the Company had no outstanding borrowings under the Revolving Facility, which will expire on August 6, 2026.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

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+ Details

Net Product Revenue (Tables)

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Schedule of Net Product Revenue by Product Category

The following tables set forth net product revenue by product category:


	Three Months Ended March 31,
	2026		2025
Advanced Wound Care	$	29,482	$	79,927
Surgical & Sports Medicine		6,768		6,766
Total net product revenue	$	36,250	$	86,693

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Mar. 31, 2026	Mar. 31, 2025
Pay vs Performance Disclosure
Net Income (Loss)	$ (53,156)	$ (18,843)

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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-Name Accounting Standards Codification
-Section S99
-Paragraph 1B
-Subparagraph (SX 210.13-02(a)(4)(iii)(A))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480097/470-10-S99-1B

Reference 40: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1B
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480097/470-10-S99-1B

Reference 41: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1B
-Subparagraph (SX 210.13-02(a)(4)(iv))
-Publisher FASB
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Reference 42: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1B
-Subparagraph (SX 210.13-02(a)(5))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480097/470-10-S99-1B

Reference 43: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 60B
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-60B

Reference 44: http://www.xbrl.org/2003/role/disclosureRef
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-Paragraph 7
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Reference 45: http://fasb.org/us-gaap/role/ref/legacyRef
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Reference 46: http://www.xbrl.org/2003/role/disclosureRef
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Reference 47: http://www.xbrl.org/2003/role/disclosureRef
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Reference 48: http://www.xbrl.org/2003/role/disclosureRef
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Reference 49: http://fasb.org/us-gaap/role/ref/legacyRef
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-URI https://asc.fasb.org/1943274/2147478524/942-220-S99-1

+ Details

Inventories (Tables)

3 Months Ended

Mar. 31, 2026

Inventory Disclosure [Abstract]

Schedule of Inventory, Current

Inventories, net of related reserves for excess and obsolescence, consisted of the following:


	March 31,		December 31,
	2026		2025
Raw materials	$	14,527	$	14,339
Work in process		962		1,265
Finished goods		12,936		14,023
	$	28,425	$	29,627

Net Product Revenue

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Net Product Revenue

3. Net Product Revenue

The following tables set forth net product revenue by product category:


	Three Months Ended March 31,
	2026		2025
Advanced Wound Care	$	29,482	$	79,927
Surgical & Sports Medicine		6,768		6,766
Total net product revenue	$	36,250	$	86,693

For all periods presented, net product revenue generated outside the United States represented less than 1% of total net product revenue.

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 7
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-7

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-Name Accounting Standards Codification
-Section 50
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-Publisher FASB
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12
-Subparagraph (a)
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Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-Section 50
-Paragraph 12
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-12

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-12

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
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-Section 50
-Paragraph 12
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-12

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-Name Accounting Standards Codification
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Name Accounting Standards Codification
-Topic 606
-Publisher FASB
-URI https://asc.fasb.org/606/tableOfContent

+ Details

Inventories

3 Months Ended

Mar. 31, 2026

Inventory Disclosure [Abstract]

Inventories

5. Inventories

Inventories, net of related reserves for excess and obsolescence, consisted of the following:


	March 31,		December 31,
	2026		2025
Raw materials	$	14,527	$	14,339
Work in process		962		1,265
Finished goods		12,936		14,023
	$	28,425	$	29,627

Loss per Share - Basic and diluted net loss per share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Earnings per Share [Line Items}
Net loss	$ (53,156)	$ (18,843)
Accretion of redeemable convertible preferred stock to redemption value	(159)	(121)
Cumulative dividend on redeemable convertible preferred stock	(2,844)	(2,627)
Net loss attributable to common stockholders, Basic, Total	(56,159)	(21,591)
Net income loss attributable to common stockholders - diluted	$ (56,159)	$ (21,591)
Weighted average common shares outstanding —basic	127,797,013	126,295,642
Weighted-average common shares outstanding—diluted	127,797,013	126,295,642
Earnings per share-basic	$ (0.44)	$ (0.17)
Earnings per share-diluted	$ (0.44)	$ (0.17)

Nature of Business and Basis of Presentation - Additional Information (Detail)	3 Months Ended
	Mar. 31, 2026 Segments
Nature of Business and Basis of Presentation [Line Items]
Number of Reportable Segments	1
Number of Operating Segments	1

Cover Page - shares	3 Months Ended
Cover Page - shares	Mar. 31, 2026	Apr. 30, 2026
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2026
Document Fiscal Year Focus	2026
Document Fiscal Period Focus	Q1
Document Transition Report	false
Entity Registrant Name	ORGANOGENESIS HOLDINGS INC.
Entity Central Index Key	0001661181
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Trading Symbol	ORGO
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Address, State or Province	MA
Title of 12(b) Security	Class A Common Stock, $0.0001 par value
Security Exchange Name	NASDAQ
Document Quarterly Report	true
Entity Common Stock, Shares Outstanding		128,674,548
Securities Act File Number	001-37906
Entity Incorporation, State or Country Code	DE
Entity Address, Address Line One	85 Dan Road
Entity Address, City or Town	Canton
Entity Address, Postal Zip Code	02021
Entity Tax Identification Number	98-1329150
City Area Code	781
Local Phone Number	575-0775

Segment Information (Tables)

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Schedule of Segment Reporting Information


	Three months ended March 31,
	2026			2025
Net product revenue	$	36,250		$	86,693
Grant income		978			—
Less:
Cost of goods sold		25,772			23,723
Clinical expense		5,062			4,027
Sales and marketing		38,096			48,033
General and administrative		21,382			23,634
Other segment items (a)		72			6,119
Segment net loss		(53,156	)		(18,843	)

Reconciliation of segment net loss:
Reconciling items		—			—
Consolidated net loss	$	(53,156	)	$	(18,843	)

Leases - Additional Information (Detail) - Smithfield Facility $ in Thousands	1 Months Ended	3 Months Ended
	Nov. 30, 2024 USD ($)	Mar. 31, 2026 Phase
Lessee, Lease, Description [Line Items]
Lessee, operating lease, term of contract	16 years
Number of phases \| Phase		2
Undiscounted minimum lease payments	$ 102,645
Tenant improvement allowance	$ 18,376

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Revenues [Abstract]
Total revenue	$ 37,228	$ 86,693
Operating expenses:
Cost of goods sold	25,772	23,723
Selling, general and administrative	65,186	72,509
Research and development	15,161	10,640
Write-down to fair value for asset held for sale		6,567
Total operating expenses	106,119	113,439
Loss from operations	(68,891)	(26,746)
Other income, net:
Interest income, net	380	961
Other income, net	38	2
Total other income, net	418	963
Net loss before income taxes	(68,473)	(25,783)
Income tax benefit	15,317	6,940
Net loss and comprehensive loss	(53,156)	(18,843)
Accretion of redeemable convertible preferred stock to redemption value	(159)	(121)
Cumulative dividend on redeemable convertible preferred stock	(2,844)	(2,627)
Net loss attributable to common stockholders, Basic, Total	(56,159)	(21,591)
Net income loss attributable to common stockholders - diluted	$ (56,159)	$ (21,591)
Net loss, per share:
Basic	$ (0.44)	$ (0.17)
Diluted	$ (0.44)	$ (0.17)
Weighted-average common shares outstanding
Basic	127,797,013	126,295,642
Diluted	127,797,013	126,295,642
Product [Member]
Revenues [Abstract]
Total revenue	$ 36,250	$ 86,693
Grant [Member]
Revenues [Abstract]
Total revenue	$ 978

Loss per Share - Additional Information (Detail) - shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Anti-dilutive shares excluded from the diluted EPS	19,129,532	17,079,075
Convertible Debt Securities [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Anti-dilutive shares excluded from the diluted EPS	38,257,910	25,358,022

Commitments and Contingencies

3 Months Ended

Mar. 31, 2026

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

15. Commitments and Contingencies

License and Manufacturing Agreement

In November 2023, the Company entered into a trademark license and manufacturing agreement with Vivex Biologics, Inc. (“Vivex”) to sell its CYGNUS Dual (“Dual”) and CYGNUS Matrix (“Matrix”) products, with the option to license the VIA Matrix (“VIA”) products. In March 2024, the Company exercised the option to license VIA, and accordingly in July 2024, entered into the first amendment to the trademark license and manufacturing agreement (together with the original agreement, the “Vivex Agreement”).

The Company paid an upfront licensing fee to Vivex to sell Dual and Matrix, and also agreed to pay a fixed milestone payment for Dual in the event that its average sales price (“ASP”) is published by certain government agencies for a specified period of time, which the Company determined was probable. Additionally, the Company pays a low double-digit royalty on the Net Sales of Dual and VIA, and a high single-digit royalty on the Net Sales of Matrix, respectively, during the royalty term, as defined in the agreement with Vivex. The royalty term is commensurate with the initial term of the contract and will continue for each subsequent renewal period. The initial term of the agreement expires on December 31, 2026 and can be renewed for up to five additional one-year terms.

The Company recorded $5,000 for the payment of the upfront licensing fee and $5,000 for the payment of the VIA option and milestone within prepaid and other current assets and other assets. These amounts are recognized as expense on a straight-line basis over the estimated life of the arrangement, which the Company determined to be three years, commensurate with the initial term of the contract.

Royalties

In October 2017, the Company entered into a license agreement with a third party. Under the license agreement, the Company is required to pay royalties based on a percentage of net sales of the licensed product that occur, after December 31, 2017, through the expiration of the underlying patent in October 2026, subject to minimum royalty payment provisions.

The Company recorded total royalty expense of $472 and $5,022 during the three months ended March 31, 2026 and 2025, respectively, within selling, general and administrative expenses on the condensed consolidated statements of operations and comprehensive loss.

Legal Matters

In conducting its activities, the Company, from time to time, is subject to various claims and also has claims against others. In management’s opinion, the ultimate resolution of such claims would not have a material effect on the financial position, operating results or cash flows of the Company. The Company accrues for these claims when amounts due are probable and estimable.

Related Party Transactions

3 Months Ended

Mar. 31, 2026

Related Party Transactions

16. Related Party Transactions

Lease obligations to affiliates, purchase of assets under a finance lease with an affiliate, and renewal of leases with affiliates are further described in Note 13, Leases.

- Definition

The entire disclosure for related party transactions. Examples of related party transactions include transactions between (a) a parent company and its subsidiary; (b) subsidiaries of a common parent; (c) and entity and its principal owners; and (d) affiliates.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480990/946-20-50-2

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480990/946-20-50-5

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480990/946-20-50-6

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 235
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477968/946-235-50-2

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 235
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (e)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477968/946-235-50-2

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.6-07(2)(g)(3))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479134/946-220-S99-1

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
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-Paragraph 1
-Subparagraph (SX 210.6-07(2)(c))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479134/946-220-S99-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
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-Section S99
-Paragraph 1
-Subparagraph (SX 210.6-07(2)(e))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479134/946-220-S99-1

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
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-URI https://asc.fasb.org/850/tableOfContent

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
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-Name Accounting Standards Codification
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-6

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
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-URI https://asc.fasb.org/1943274/2147483326/850-10-50-1

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
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-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-1

+ Details

Accounts Receivable, Net

3 Months Ended

Mar. 31, 2025

Receivables [Abstract]

Accounts Receivable, Net

4. Accounts Receivable, Net

Accounts receivable consisted of the following:


	March 31,			December 31,
	2026			2025
Accounts receivable	$	131,271		$	246,463
Less — allowance for credit losses		(11,488	)		(16,089	)
Less — product return reserves		(2,875	)		(12,923	)
	$	116,908		$	217,451

The Company’s allowance for credit losses is comprised of the following:


	Three Months Ended March 31,
	2026			2025
Balance at beginning of period	$	16,089		$	9,576
Additions (adjustments)		(3,959	)		873
Write-offs		(642	)		(1,381	)
Balance at end of period	$	11,488		$	9,068

Stock-Based Compensation

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation

11. Stock-Based Compensation

Stock-Based Compensation Expense

Stock-based compensation expense was $3,636 and $3,367 for the three months ended March 31, 2026 and 2025, respectively. The total amount of stock-based compensation expense was included within selling, general and administrative expenses on the condensed consolidated statements of operations and comprehensive loss.

Restricted Stock Units (RSUs)

The Company granted 2,298,160 and 1,853,844 time-based restricted stock units to its employees, executives and members of the Board of Directors in the three months ended March 31, 2026 and 2025, respectively. Each restricted stock unit represents the contingent right to receive one share of the Company’s Class A common stock. A majority of the restricted stock units will vest in

four equal annual installments. The fair value of the restricted stock units was based on the fair market value of the Company’s stock on the date of grant.

The activity of restricted stock units is set forth below:


				Weighted Average
	Number of			Grant Date
	Shares			Fair Value
Unvested at December 31, 2025		5,490,262		$	3.44
Granted		2,298,160			3.84
Vested		(2,134,977	)		3.56
Canceled/Forfeited		(7,715	)		2.97
Unvested at March 31, 2026		5,645,730		$	3.56

As of March 31, 2026, the total unrecognized compensation cost related to unvested restricted stock units expected to vest was $19,087 and the weighted average remaining recognition period for unvested awards was 2.89 years.

Performance Share Units (PSUs)

In the three months ended March 31, 2026 and 2025, the Company granted performance share units (“PSUs”) as part of its stock-based compensation program. The performance targets are measured independently for a three-year period, where each annual tranche is tied to distinct performance metrics established for each applicable year. The annual performance targets are established during the first quarter of the applicable year. The PSUs vest annually based on the achievement of annual revenue growth as set forth in the applicable award agreement. Based on the extent to which the performance goals are achieved, vested shares may range from 0% to 200% of the target award amount. Stock-based compensation expense is recognized from the grant date through the vesting period based on management's estimates of the probability of performance conditions being achieved. If the performance conditions are not met or are not expected to be met, recognized compensation expense associated with the grant will be reversed. The fair value of each PSU granted is the closing stock price on the date of grant. In addition to interim annual targets, the awards include a catch-up provision whereby if, at the end of the three-year period, the Company achieves a certain average annual revenue compounded growth rate, the entire performance share award will vest, regardless of the interim target performance.

The activity of PSUs is set forth below:


				Weighted Average
	Number of			Grant Date
	Shares			Fair Value
Unvested at December 31, 2025		397,800		$	3.53
Granted (1)		416,356			2.47
Vested		(397,800	)		3.53
Unvested at March 31, 2026		416,356		$	2.47

(1)

Granted at target performance achievement.

As of March 31, 2026, the total unrecognized compensation cost related to unvested PSUs expected to vest was $1,019 and the weighted average remaining recognition period for unvested awards was 2.4 years.

Stock Options

The stock options granted during the three months ended March 31, 2026 and 2025 were 1,105,565 and 1,558,694, respectively.

The following table summarizes the Company’s stock option activity since December 31, 2025:


						Weighted
						Average
				Weighted		Remaining
				Average		Contractual		Aggregate
	Number of			Exercise		Term		Intrinsic
	Shares			Price		(in years)		Value
Options outstanding as of December 31, 2025		11,964,790		$	4.49		6.75	$	19,973
Granted		1,105,565			3.84
Canceled/Forfeited		(2,909	)		7.88
Options outstanding as of March 31, 2026		13,067,446		$	4.43		6.79	$	72
Options exercisable as of March 31, 2026		8,461,786		$	4.98		5.89	$	49
Options vested or expected to vest as of March 31, 2026		13,010,173		$	4.42		6.80	$	39

The aggregate intrinsic value of stock options is calculated as the difference between the exercise price of the stock options and the fair value of the Company’s Class A common stock for those stock options that have exercise prices lower than the fair value of the Company’s Class A common stock.

The weighted-average grant-date fair value per share of stock options granted during the three months ended March 31, 2026 and 2025 was $2.25 and $1.89, respectively. The total fair value of options vested during the three months ended March 31, 2026 and 2025 was $4,460 and $4,884, respectively.

As of March 31, 2026, the total unrecognized stock compensation expense related to unvested options was $7,587 and was expected to be recognized over a weighted-average period of 2.72 years.

Stock-Based Compensation - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair value of option vested	$ 4,460	$ 4,884
Options granted	1,105,565	1,558,694
Weighted average grant-date fair value	$ 2.25	$ 1.89
Restricted Stock Units
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Unrecognized stock compensation expense	$ 19,087
Share-based compensation expected to be recognized over a weighted-average period	2 years 10 months 20 days
RSU granted during the period	2,298,160	1,853,844
Performance Shares
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Unrecognized stock compensation expense	$ 1,019
Share-based compensation expected to be recognized over a weighted-average period	2 years 4 months 24 days
RSU granted during the period	416,356
Performance Shares \| Maximum
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting percentage	200.00%
Performance Shares \| Minimum
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting percentage	0.00%
Option
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Unrecognized stock compensation expense	$ 7,587
Share-based compensation expected to be recognized over a weighted-average period	2 years 8 months 19 days
Selling, General and Administrative Expenses
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stock-based compensation expense	$ 3,636	$ 3,367

Loss per Share (Tables)

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

Schedule of Earnings Per Share, Basic and Diluted


	Three Months Ended March 31,
	2026			2025
Numerator:
Net loss	$	(53,156	)	$	(18,843	)
Accretion of redeemable convertible preferred stock to redemption value		(159	)		(121	)
Cumulative dividend on redeemable convertible preferred stock		(2,844	)		(2,627	)
Net loss attributable to common stockholders	$	(56,159	)	$	(21,591	)
Denominator:
Weighted-average common shares outstanding — basic and diluted		127,797,013			126,295,642
Net loss per share—basic and diluted	$	(0.44	)	$	(0.17	)

Long-Lived Assets and Goodwill

3 Months Ended

Mar. 31, 2026

Long-Lived Assets and Goodwill [Abstract]

Long-Lived Assets and Goodwill

7. Long-Lived Assets and Goodwill

Long-Lived Assets

The Company reviews long-lived assets, excluding goodwill, for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. During the first quarter of 2026, the Company concluded impairment triggers had occurred for its company-wide asset group as a result of a decline in the Company’s market capitalization combined with recent weakened financial performance. The Company performed an impairment review in accordance with ASC 360, Property, Plant and Equipment. The Company did not record any impairment related to this asset group because the

carrying value of the asset group is recoverable based on the review. During the first quarter of 2025, the Company did not identify factors that constituted an impairment trigger relating to its company-wide asset group, and accordingly, there was no impairment related to its company-wide asset group.

Goodwill

Goodwill is tested for impairment at least annually (as of December 31), or more frequently if events or circumstances indicate the carrying value may no longer be recoverable. During the first quarter of 2026, the Company identified factors, including a decline in the Company’s market capitalization combined with recent weakened financial performance, that constituted an impairment trigger relating to its goodwill. At March 31, 2026, the Company performed a quantitative analysis, and used its market capitalization to approximate the fair value of the reporting unit. The fair value of the reporting unit exceeded its carrying value at March 31, 2026, and accordingly, the Company did not record any impairment on its goodwill. During the first quarter of 2025, the Company did not identify factors that constituted an impairment trigger relating to its reporting unit and did not record any impairment relating to its goodwill.

Asset Held for Sale - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025
Property, Plant and Equipment [Abstract]
Asset impairment charges	$ 0
Write down to carrying value of building held for sale		$ 6,567	$ 4,608

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Cash flows from operating activities:
Net loss	$ (53,156)	$ (18,843)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization	4,174	3,444
Amortization and write-down of intangible assets	5,708	842
Reduction in the carrying value of right-of-use assets	2,488	1,997
Non-cash interest expense	91	69
Deferred tax benefit	(15,371)	(1,266)
Provision recorded for credit losses	(3,959)	873
Loss on disposal of property and equipment		19
Adjustment for excess and obsolete inventories	6,990	3,709
Stock-based compensation	3,636	3,367
Write-down to fair value for asset held for sale		6,567
Changes in operating assets and liabilities:
Accounts receivable	104,502	5,668
Inventories	(8,730)	(8,732)
Prepaid expenses and other current assets and other assets	(1,655)	(5,123)
Operating leases	(2,400)	(2,037)
Accounts payable	(2,003)	(2,496)
Accrued expenses and other current liabilities	(19,481)	(7,993)
Other liabilities	293
Net cash provided by (used in) operating activities	21,127	(19,935)
Cash flows from investing activities:
Purchases of property and equipment	(3,146)	(3,626)
Net cash used in investing activities	(3,146)	(3,626)
Cash flows from financing activities:
Landlord assets under construction, net of tenant allowance	(7,322)
Payments of withholding taxes in connection with RSUs vesting	(3,051)	(1,796)
Proceeds from the exercise of stock options		25
Principal repayments of finance lease obligations	(9,840)	(285)
Net cash used in financing activities	(20,213)	(2,056)
Change in cash, cash equivalents and restricted cash	(2,232)	(25,617)
Cash, cash equivalents, and restricted cash, beginning of period	94,331	136,151
Cash, cash equivalents, and restricted cash, end of period	92,099	110,534
Supplemental disclosure of non-cash investing and financing activities:
Accretion to redemption value and cumulative dividends on redeemable convertible preferred stock	3,003	2,748
Changes in purchases of property and equipment included in accounts payable and accrued expenses and other current liabilities	39	172
Right-of-use assets obtained through finance lease obligations	483
Landlord asset additions included in accounts payable and accrued expenses and other current liabilities, net of tenant allowances	$ 4,067
Right-of-use assets obtained through operating lease obligations		$ 1,642

Long-Term Debt Obligations - Additional Information (Detail) - USD ($) $ in Thousands			3 Months Ended	12 Months Ended
	Oct. 31, 2025	Aug. 06, 2021	Mar. 31, 2026	Dec. 31, 2025
2021 Credit Agreement
Financial covenants		Under the 2021 Credit Agreement, as amended, the Company is required to comply with certain financial covenants including the Consolidated Total Net Leverage Ratio, Consolidated Interest Coverage Ratio and Consolidated Capital Expenditures, tested quarterly. In addition, the Company is also required to make representations and warranties and comply with certain non-financial covenants that are customary in loan agreements of this type, including restrictions on the payment of dividends, repurchase of stock, incurrence of indebtedness, dispositions and acquisitions.
Debt Instrument, Description of Variable Rate Basis		For SOFR Loans, the interest rate was a per annum interest rate equal to the Adjusted Term SOFR plus an Applicable Margin between 2.00% to 3.25% based on the Total Net Leverage Ratio. For ABR Loans, the interest rate was equal to (1) the highest of (a) the Wall Street Journal Prime Rate, (b) the Federal Funds Rate plus 0.50% and (c) the Adjusted Term SOFR rate plus 1.0%, plus (2) an Applicable Margin between 1.00% to 2.25% based on the Total Net Leverage Ratio.
2021 Credit Agreement \| Maximum [Member] \| SOFR Loans [Member]
Debt instrument interest and applicable margin rate percentage		3.25%
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]		Applicable Margin [Member]
2021 Credit Agreement \| Maximum [Member] \| ABR Loans [Member]
Debt instrument interest and applicable margin rate percentage		2.25%
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]		Applicable Margin [Member]
2021 Credit Agreement \| Minimum [Member] \| SOFR Loans [Member]
Debt instrument interest and applicable margin rate percentage		2.00%
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]		Applicable Margin [Member]
2021 Credit Agreement \| Minimum [Member] \| ABR Loans [Member]
Debt instrument interest and applicable margin rate percentage		1.00%
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]		Applicable Margin [Member]
October 2025 Amendment
Line of credit facility capital expenditures	$ 75,000
Term Loan [Member] \| 2021 Credit Agreement
Debt instrument face amount		$ 75,000
Revolving Credit Facility [Member]
Current borrowing capacity	50,000
Amendment fee	113
Revolving Credit Facility [Member] \| 2021 Credit Agreement
Maximum borrowing capacity		$ 125,000
Revolving facility expiration date			Aug. 06, 2026	Aug. 06, 2026
Secured debt			$ 0	$ 0
Revolving Credit Facility [Member] \| 2021 Credit Agreement \| Maximum [Member]
Line of credit facility unused capacity commitment fee percentage		0.45%
Revolving Credit Facility [Member] \| 2021 Credit Agreement \| Minimum [Member]
Line of credit facility unused capacity commitment fee percentage		0.25%
Revolving Credit Facility [Member] \| October 2025 Amendment
Line of credit	$ 50,000

Convertible Preferred Stock - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025
Temporary Equity [Line Items]
Preferred stock, par value	$ 0.0001		$ 0.0001
Dividends, paid in cash	$ 0
Convertible Preferred Stock
Temporary Equity [Line Items]
Increased carrying value of stock	$ 3,003	$ 2,748

Restructuring - Additional Information (Detail) - Florida $ in Thousands	3 Months Ended
	Mar. 31, 2026 USD ($) Employees
Restructuring Cost and Reserve [Line Items]
Number of employees, headcount reduced in restructuring plan \| Employees	88
Percentage of employees, headcount reduced in restructuring plan	10.00%
Restructuring charges	$ 8,781
Severance and Other Employee Termination Benefits
Restructuring Cost and Reserve [Line Items]
Restructuring charges	2,846
Write-down of Intangible Assets Related to Facility Closure
Restructuring Cost and Reserve [Line Items]
Restructuring charges	4,923
Write-down of Inventories Related to Facility Closure
Restructuring Cost and Reserve [Line Items]
Restructuring charges	$ 1,012

- Definition

Amount of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation.

+ References + Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References + Details

Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended
	Nov. 30, 2023	Mar. 31, 2026	Mar. 31, 2025
License Agreement Resorba \| Selling, General and Administrative Expenses
Loss Contingencies [Line Items]
Royalty Expense		$ 472	$ 5,022
Vivex
Loss Contingencies [Line Items]
Agreement Renewal Term	1 year
Initial term of agreement expiration date	Dec. 31, 2026
Payment of upfront license fee	$ 5,000
Straightline basis over the estimated life period	3 years
Option payment	$ 5,000
Vivex \| Maximum
Loss Contingencies [Line Items]
Agreement Renewal Term	5 years

Segment Information - Schedule of Segment Reporting Information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Net product revenue	$ 37,228	$ 86,693
Net loss and comprehensive loss	(53,156)	(18,843)
Grant [Member]
Segment Reporting Information [Line Items]
Net product revenue	978
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment [Member]
Segment Reporting Information [Line Items]
Net loss and comprehensive loss	0	0
Operating Segments [Member]
Segment Reporting Information [Line Items]
Net product revenue	36,250	86,693
Cost of goods sold	25,772	23,723
Clinical expense	5,062	4,027
Sales and marketing	38,096	48,033
General and administrative	21,382	23,634
Other segment items	72	6,119
Net loss and comprehensive loss	(53,156)	(18,843)
Operating Segments [Member] \| Grant [Member]
Segment Reporting Information [Line Items]
Net product revenue	$ 978	$ 0

Taxes

3 Months Ended

Mar. 31, 2026

Income Tax Disclosure [Abstract]

Taxes

17. Taxes

Our U.S. provision for income tax benefit for the three months ended March 31, 2026 and 2025 relates to tax benefit associated with pre-tax loss. The Company’s wholly-owned Swiss subsidiary, Organogenesis GmbH, is subject to taxation in Switzerland and has a transfer pricing arrangement in place with Organogenesis Inc., its U.S. parent.

The income tax rate for the three months ended March 31, 2026 was 22%, an increase from the U.S. statutory rate of 21% primarily due to research and development tax credit incentives and state and local income taxes, partially offset by tax adjustments related to executive compensation and other nondeductible expenses. The income tax benefit for the three months ended March 31, 2026 and 2025 was $15,317 and $6,940, respectively.

- Definition

The entire disclosure for income tax.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Restructuring - Summary of Movements in Restructuring Liability (Detail) - Employee $ in Thousands	3 Months Ended
	Mar. 31, 2026 USD ($)
Restructuring Cost and Reserve [Line Items]
Liability balance as of beginning	$ 178
Expenses	2,846
Cash disbursements	(140)
Liability balance as of ending	$ 2,884

- Definition

Amount of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation.

+ References + Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References + Details

Segment Information

3 Months Ended

Mar. 31, 2026

Disclosure Text Block [Abstract]

Segment Information

14. Segment Information

The Company’s performance is reported in one segment. During 2026, there have been no changes to the Company’s basis of segmentation or in the basis of measurement of segment income (loss).


	Three months ended March 31,
	2026			2025
Net product revenue	$	36,250		$	86,693
Grant income		978			—
Less:
Cost of goods sold		25,772			23,723
Clinical expense		5,062			4,027
Sales and marketing		38,096			48,033
General and administrative		21,382			23,634
Other segment items (a)		72			6,119
Segment net loss		(53,156	)		(18,843	)

Reconciliation of segment net loss:
Reconciling items		—			—
Consolidated net loss	$	(53,156	)	$	(18,843	)

(a) Other segment items include: research and development related severance, salary, payroll taxes and benefits, research and development related rent and other facilities expense, research and development related depreciation and amortization, write-down to fair value for asset held for sale, other income, net, and income tax benefit.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

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+ Details

Taxes - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Income Tax Disclosure [Abstract]
Effective income tax rate	22.00%
Federal corporate income tax rate	21.00%
Income tax benefit	$ 15,317	$ 6,940

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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+ Details