0001193125-21-240472 | 10-Q | XBRL Viewer | Organogenesis Holdings INC

Inventories

6 Months Ended

Jun. 30, 2021

7. Inventories

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


	June 30,		December 31,
	2021		2020
Raw materials	$	10,144	$	10,075
Work in process		1,732		1,305
Finished goods		16,230		16,419

	$	28,106	$	27,799

Raw materials include various components used in the Company’s manufacturing process. The Company’s excess and obsolete inventory review process includes analysis of

ales forecasts and historical sales as compared to inventory level, and working with operations to maximize recovery of excess inventory. During the three months ended June 30, 2021 and 2020, the Company charged $2,388 and $940, respectively, for inventory excess and obsolescence to cost of goods sold within the consolidated statements of operations. During the six months ended June 30, 2021 and 2020, the Company charged $4,678 and $1,709, respectively, for inventory excess and obsolescence to cost of goods sold within the consolidated statements of operations.

Prepaid Expenses and Other Current Assets (Detail) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2021	Dec. 31, 2020
Subscriptions	$ 2,211	$ 2,013
Conferences and marketing expenses	921	63
Deposits	1,796	1,438
Reimbursement of offering expenses	0	1,009
Other	1,655	412
Prepaid Expense	$ 6,583	$ 4,935

Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands			3 Months Ended				6 Months Ended		12 Months Ended
	Feb. 24, 2020	Feb. 14, 2020	Jun. 30, 2021	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2019	Dec. 31, 2020
Accrued Legal Expenses			$ 150				$ 150			$ 150
Gain on litigation settlement				$ 951		$ 1,295
Selling, General and Administrative Expenses
Royalty Expense			1,134		$ 839		2,355	$ 1,819
License Agreement with University
Accrued Royalties			1,187				1,187			$ 1,187
Royalty Expense			$ 0		$ 0		$ 0	0
NuTech Medical
Deferred Acquisition Cost Paid									$ 2,500
The amount, if any, of the remaining $5,000 of deferred acquisition consideration plus accrued interest owed to the sellers of NuTech Medical is currently in dispute.									5,000
Business Combination Deferred Consideration									$ 7,500
Agreement cancellation charges paid		$ 1,950						$ 1,950
Consulting service and royalty payment term		15 years
Damages awarded	$ 4,000
Loss contingency damages paid	2,000
Loss contingency value of each instalment to be paid	500
Loss contigency damages payable	$ 2,000

Leases

6 Months Ended

Jun. 30, 2021

Leases [Abstract]

Leases

17. Leases

As of December 31, 2020 and June 30, 2021, the Company’s contracts that contained a lease consisted primarily of real estate, equipment and vehicle leases.

The Company leases real estate for office, lab and production space under noncancelable operating and finance leases that expire at various dates through 2031, subject to the Company’s options to terminate or renew certain leases for an additional five to ten years.

The Company leases vehicles under operating leases for certain employees and has fleet services agreements for service on these vehicles. The minimum lease term for each newly leased vehicle is 367 days with renewal options. The Company may terminate the vehicle lease after the minimum lease term upon thirty days’ prior notice.

The Company also leases other equipment under noncancelable operating and finance leases that expire at various dates through 2025.

The Company determines if an arrangement is a lease at lease inception. The options to extend or terminate a lease are included in the lease terms when it is reasonably certain that the Company will exercise the options. Operating leases are included in operating

lease right-of-use assets

and operating lease obligations on the consolidated balance sheets. Finance

lease right-of-use assets

are included in property and equipment, net, and the related liabilities are included in finance lease obligations on the consolidated balance sheets.

Right-of-use assets

represent the Company’s right to use an underlying asset for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the

leases. Right-of-use assets

and lease liabilities are recognized based on the present value of the fixed lease payments over the lease term at the commencement date.

The

right

-of-use assets

also include any initial direct costs incurred and lease payments made at or before the commencement date and are reduced by lease incentives. The Company uses its incremental borrowing rate as the discount rate to determine the present value of the lease payments for leases that do not have a readily determinable implicit discount rate. The Company’s incremental borrowing rate is the rate of interest that it would have to borrow on a collateralized basis over a similar term and amount in a similar economic environment. The Company determines the incremental borrowing rates for its leases by adjusting the risk-free interest rate with a credit risk premium corresponding to the Company’s credit rating.

The Company records rent expense for its operating leases on a straight-line basis from the lease commencement date until the end of the lease term. The Company records finance lease cost as a combination of the depreciation expense for

the right-of-use assets

and interest expense for the outstanding lease liabilities using the discount rate discussed above. Variable lease payments are primarily related to the office and fleet leases which include but are not limited to taxes, insurance, common area maintenance and maintenance programs for leased vehicles. Variable lease payments are based on the occurrence or usage; therefore, they are not included as part of the

initial right-of-use assets

and liabilities calculation.

In August 2020, the Company entered into a lease for approximately 23,000 square feet in San Diego, California for office and laboratory use. The lease

commenced

on April 1, 2021. The initial lease term is ten years from the lease commencement date, with an option to extend the term for a period of five years. Annual lease payments during the first year are $1,562 with 3% increase each year during the lease term. A security deposit of $237 is required throughout the term of the lease.

In conjunction with the acquisition of NuTech Medical in March 2017, the Company entered into an operating lease with Oxmoor Holdings, LLC, an entity that is affiliated with the former sole shareholder of NuTech Medical, related to the facility at NuTech Medical’s headquarters in Birmingham, Alabama. Under the lease, the Company is required to make monthly rent payments of approximately $22 through the lease termination date on December 31, 2022.

On January 1, 2013, the Company entered into finance 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. 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 stockholders of the Company. The leases terminate on December 31, 2022 and each contains a renewal option for a five-year period with the rental rate at the greater of (i) rent for the last year of the prior term, or (ii) the then fair market value. Notice of the exercise of this renewal option is due one year prior to the expiration of the initial term. Aggregate annual lease payments are approximately $4,308 with future rent increases of 10% effective January 1, 2022.

As of June 30, 2021 and December 31, 2020, the Company owed an aggregate of $10,336 of accrued but unpaid lease obligations, which are subordinated to the 2019 Credit Agreement and will not be paid until the debt under the 2019 Credit Agreement is paid off in 2024 even though the finance leases expire in December 2022. The accrued but unpaid lease obligations include rent in arrears and unpaid operating and common area maintenance costs under the aforementioned leases. The principal portion of rent in arrears on the finance leases totaled $7,307 and $6,946 as of June 30, 2021 and December 31, 2020, respectively, and is included in the long-term portion of finance lease obligations. The interest portion of rent in arrears totaled $2,475 and $2,865 as of June 30, 2021 and December 31, 2020, respectively, and is included in other liabilities on the consolidated balance sheets. The unpaid operating and common area maintenance costs totaled $554 and $525 as of June 30, 2021 and December 31, 2020, respectively, and are included in other liabilities on the consolidated balance sheets.

Effective April 1, 2019, the Company agreed to accrue interest on the accrued but unpaid lease obligations at an interest rate equal to the rate charged in the 2019 Credit Agreement (see Note “13. Long-Term Debt Obligations”). The accrued interest is also subordinated to the 2019 Credit Agreement and, as such, is included in other liabilities on the consolidated balance sheet. Interest accrual as of June 30, 2021 and December 31, 2020 totaled

$2,151 and $1,673, respectively.

The components of lease cost were as follows:


	Classification	Three Months Ended June 30, 2021		Six Months Ended June 30, 2021
Finance lease
Amortization of right-of-use assets	COGS and SG&A	$	304	$	603
Interest on lease liabilities	Interest Expense		312		661

Total Finance lease cost			616		1,264
Operating lease cost	COGS, R&D, SG&A		1,735		3,015
Short-term lease cost	COGS, R&D, SG&A		699		1,414
Variable lease cost	COGS, R&D, SG&A		1,086		2,449

Total lease cost		$	4,136	$	8,142

Supplemental balance sheet information related to finance leases was as follows:


	June 30, 2021			January 1, 2021

Property and equipment, gross	$	22,989		$	22,989
Accumulated depreciation		(15,578	)		(14,974	)

Property and equipment, net	$	7,411		$	8,015


Current portion of finance lease obligations	$	4,134		$	3,619
Finance lease long-term obligations		9,553			11,442

Total finance lease liabilities	$	13,687		$	15,061

Supplemental cash flow

information related to leases was as follows:


	Six Months Ended June 30, 2021
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases		3,228
Operating cash flows for finance leases		1,022
Financing cash flows for finance leases		1,374
Right-of-use assets obtained in exchange for lease obligations - upon adoption:
Operating leases		13,525
Finance leases		—
Right-of-use assets obtained in exchange for lease obligations - post adoption:
Operating leases		15,567
Finance leases		—


	June 30, 2021
Weighted-average remaining lease term
Finance leases		1.49
Operating leases		8.27

	June 30, 2021
Weighted-average discount rate
Finance leases		19.69	%
Operating leases		4.19	%

As of June 30, 2021, maturities of lease liabilities were as follows:


	Operating leases			Finance leases
2021 (remaining 6 months)	$	3,319		$	2,390
2022		4,507			4,945
2023		3,845			—
2024		3,177			9,782
2025		3,164			—
Thereafter		16,341			—

Total lease payments		34,353			17,117
Less: interest		(5,625	)		(3,430	)

Total lease liabilities	$	28,728		$	13,687

Under ASC 840, for the three and six months ended June 30, 2020, the Company recorded lease expense of $1,837 and $3,351, respectively for operating leases.

Commitments and Contingencies	6 Months Ended
Commitments and Contingencies	Jun. 30, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure	18. Commitments and Contingencies Royalty Commitments The Company entered into a license agreement with a university for certain patent rights related to the development, use, and production of one of its advanced wound care products. Under this agreement, the Company incurred a royalty based on a percentage of net product sales, for the use of these patents until the patents expired, which was in November 2006. Accrued royalties totaled $1,187 as of June 30, 2021 and December 31, 2020, respectively, and were classified as part of accrued expenses on the Company’s consolidated balance sheets. There was no royalty expense incurred during the three and six months ended June 30, 2021 or 2020 related to this agreement. 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 royalty expense of $1,134 and $839 during the three months ended June 30, 2021 and 2020, respectively, and $2,355 and $1,819 during the six months ended June 30, 2021 and 2020, respectively, within selling, general and administrative expenses on the consolidated statement of operations. As part of the NuTech Medical acquisition, the Company inherited certain product development and consulting agreements for ongoing consulting services and royalty payments based on a percentage of net sales on certain products over a period of 15 years from the execution of the agreements. These product development and consulting agreements were cancelled in January 2020 for total consideration of $1,950 that was paid on February 14, 2020. The $1,950 cancellation fee was recorded within selling, general and administrative expenses on the consolidated statement of operations for the six months ended June 30, 2020. Legal Proceedings 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. The Company accrued $150 as of June 30, 2021 and December 31, 2020 for certain pending lawsuits. The purchase price for NuTech Medical acquired in 2017 included $7,500 deferred acquisition consideration of which the Company paid $2,500 in 2017. The remaining $5,000 of deferred acquisition consideration plus accrued interest owed to the sellers of NuTech Medical was previously in dispute. In February 2020, the Company entered into a settlement agreement with the sellers of NuTech Medical and settled the dispute for $4,000, of which, $2,000 was paid immediately on February 24, 2020 and the remaining $2,000 was paid in four quarterly installments of $500 each. As of March 31, 2021, the entire settlement was paid off. In addition, the Company assumed from the sellers of NuTech Medical the payment responsibilities related to a legacy lawsuit existing at the acquisition date of NuTech Medical. The assumed legacy lawsuit was settled in October 2020. In connection with the settlement of the deferred acquisition consideration dispute and the legacy lawsuit, the Company recorded a gain of $1,295 and $951 for the three months ended March 31, 2020 and September 30, 2020, respectively. The gain was included as a component of other expense, net, on the consolidated statement of operations.

Stockholders' Equity - Additional Information (Detail) - $ / shares	1 Months Ended
	Mar. 24, 2019	Jun. 30, 2021	Dec. 31, 2020
Common stock, shares authorized		400,000,000	400,000,000
Common stock, par value		$ 0.0001	$ 0.0001
Common stock, shares issued		129,011,789	128,460,381
Shares outstanding		128,283,241	127,731,833
Common Class A
Common stock, shares authorized		400,000,000
Common stock, par value		$ 0.0001
Company issued acquisition of shares	728,548
Common stock, shares issued		129,011,789
Preferred Stock
Common stock, shares authorized		1,000,000
Common stock, par value		$ 0.0001
Shares outstanding		0
Redeemable Common Stock \| Nutech Acquisition [Member]
Company issued acquisition of shares	728,548

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Cash flows from operating activities:
Net income (loss)	$ 30,630	$ (21,479)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation	2,073	1,793
Amortization of intangible assets	2,486	1,633
Amortization of operating lease right-of-use assets	2,562
Non-cash interest expense	143	103
Deferred interest expense	1,036	1,022
Deferred rent expense		64
Gain on settlement of deferred acquisition consideration		(1,295)
Provision recorded for sales returns and doubtful accounts	2,158	970
Loss on disposal of property and equipment	239	201
Adjustment for excess and obsolete inventories	4,678	1,709
Stock-based compensation	1,740	678
Change in fair value of Earnout liability	(3,058)
Changes in operating assets and liabilities:
Accounts receivable	(22,122)	(5,727)
Inventory	(4,984)	(7,353)
Prepaid expenses and other current assets	(1,649)	(1,302)
Operating leases	(2,774)
Accounts payable	716	235
Accrued expenses and other current liabilities	2,646	1,266
Other liabilities	(340)	864
Net cash provided by (used in) operating activities	16,180	(26,618)
Cash flows from investing activities:
Purchases of property and equipment	(9,290)	(6,411)
Proceeds from the repayment of notes receivable from related parties		293
Net cash used in investing activities	(9,290)	(6,118)
Cash flows from financing activities:
Line of credit borrowings		5,869
Proceeds from term loan		10,000
Payments of withholding taxes in connection with RSUs vesting	(737)
Proceeds from the exercise of stock options	1,205	968
Principal repayments of finance lease obligations	(1,374)	(1,149)
Payment of deferred acquisition consideration	(483)	(2,568)
Net cash (used in) provided by financing activities	(1,389)	13,120
Change in cash and restricted cash	5,501	(19,616)
Cash and restricted cash, beginning of period	84,806	60,370
Cash and restricted cash, end of period	90,307	40,754
Supplemental disclosure of cash flow information:
Cash paid for interest	3,836	4,626
Cash paid for income taxes	582
Supplemental disclosure of non-cash investing and financing activities:
Purchases of property and equipment included in accounts payable and accrued expenses	4,349	$ 4,692
Right-of-use assets obtained through operating lease obligations	$ 29,092

Acquisition	6 Months Ended
Acquisition	Jun. 30, 2021
Business Combinations [Abstract]
Acquisition	3. Acquisition On September 17, 2020 (the “Acquisition Date”), the Company acquired certain assets and assumed certain liabilities of CPN Biosciences, LLC (“CPN”) pursuant to an asset purchase agreement dated July 24, 2020. CPN offered a physician office management solution and advanced wound care products. The Company is obligated to pay a contingent consideration (the “Earnout”) to CPN’s former shareholders if CPN’s legacy product revenue in the Earnout Period (defined as a twelve-month period, starting on the first day of the next calendar quarter immediately following the post-closing sales meeting), exceeds CPN’s 2019 revenue. The amount of the Earnout, if any, will be equal to 70% of the excess and will be payable 60 days after the expiration of the Earnout Period. The post-closing sales meeting took place in April 2021 and the Earnout Period is July 1, 2021 to June 30, 2022. The Company recorded a non-current liability of $3,782 on the Acquisition Date for the fair value of the contingent consideration related to the expected Earnout. The Company assesses the fair value of the Earnout liability at each reporting period. As of June 30, 2021, the Earnout liability was estimated at $927. Subsequent changes in the estimated fair value of the liability are reflected in earnings until the liability is settled (see Note “5. Fair Value Measurement of Financial Instruments”).

Leases - Summary of Maturities of Lease Liabilities (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Jan. 01, 2021
Lessee Disclosure [Abstract]
2021 (remaining 6 months)	$ 3,319
2022	4,507
2023	3,845
2024	3,177
2025	3,164
Thereafter	16,341
Total lease payments	34,353
Less: interest	(5,625)
Total lease liabilities	28,728	$ 15,935
2021 (remaining 6 months)	2,390
2022	4,945
2023	0
2024	9,782
2025	0
Thereafter	0
Total lease payments	17,117
Less: interest	(3,430)
Total lease liabilities	$ 13,687	$ 15,061

Stock-Based Compensation - Schedule of Fair Value of Stock Options Granted to Employees and Directors (Detail) - $ / shares	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Risk-free interest rate	0.82%	0.46%
Expected term (in years)	6 years 2 months 15 days	6 years 2 months 19 days
Expected volatility	39.30%	37.41%
Expected dividend yield	0.00%	0.00%
Exercise price	$ 13.54	$ 4.04
Underlying stock price	$ 13.54	$ 3.36

Long-Term Debt Obligations - Additional Information (Detail) - 2019 Credit Agreement - USD ($) $ in Thousands	Mar. 14, 2019	Jun. 30, 2021	Dec. 31, 2020
Maximum borrowing capacity	$ 100,000
Minimum liquidity	$ 10,000
Term Loan [Member]
Secured debt		$ 60,000
Debt Instrument final payment		3,900
Debt Issuance Costs, Net		$ 554
Debt Instrument, Basis Spread on Variable Rate	3.75%
Debt Instrument Interest Rate		9.25%
Debt Instrument, Description of Variable Rate Basis	annum interest rate equal to the greater of 3.75% above the Wall Street Journal Prime Rate and 9.25%
Additional Payment in Aggregate of the Principal Amount Percentage	6.50%
Interest Payable Non Current		$ 2,416	$ 1,858
Term Loan [Member] \| Repaid After Three Years [Member]
Debt Instrument Interest Rate	0.50%
Term Loan [Member] \| Repaid After Two year Before Three Years [Member]
Debt Instrument Interest Rate	1.50%
Term Loan [Member] \| Tranche One [Member]
Secured debt	$ 40,000
Term Loan [Member] \| Tranche Two [Member]
Secured debt	10,000
Term Loan [Member] \| Tranche Three [Member]
Secured debt	10,000
Revolving Credit Facility [Member]
Letter of credit sub facility	$ 40,000	10,000
Maximum borrowing capacity		30,000
Debt Issuance Costs, Net		$ 370
Debt Instrument Interest Rate		5.50%
Unused Line Fee	0.25%
Advance outstanding amount revolving facility	25.00%
Revolving Credit Facility [Member] \| Repaid After Three Years [Member]
Termination fee amount	$ 0
Revolving Credit Facility [Member] \| Repaid After Two year Before Three Years [Member]
Termination fee percentage	2.00%

Nature of the Business and Basis of Presentation - Additional Information (Detail) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021 USD ($)	Jun. 30, 2020 USD ($)	Jun. 30, 2021 USD ($) Segments	Jun. 30, 2020 USD ($)	Dec. 31, 2020 USD ($)
Liquidity and Financial Conditions [Line Items]
Working capital	$ 117,218		$ 117,218
Cash	89,790		89,790		$ 84,394
Accumulated deficit	(120,129)		(120,129)		$ (150,759)
Net income (loss)	20,687	$ (5,166)	30,630	$ (21,479)
Cash used in operation			$ 16,180	$ (26,618)
Number of Operating Segments \| Segments			1
Number of Reportable Segments \| Segments			1
Other components of working capital	27,428		$ 27,428
Line of credit, future remaining	$ 30,000		$ 30,000

Stock-Based Compensation - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020	Dec. 31, 2019
Stock option expiration period			10 years
Common stock options outstanding	7,070,008		7,070,008		6,620,318
Share-based compensation expense	$ 1,042	$ 469	$ 1,740	$ 678
Fair value of option vested			$ 586	$ 209
Weighted average grant-date fair value			$ 5.31	$ 1.04
Number of options exercised			558,785
Maximum
Stock option granted vesting period			5 years
Minimum
Stock option granted vesting period			4 years
Restricted Stock Units [Member]
Unrecognized stock compensation expense	3,891		$ 3,891
Share-based compensation expected to be recognized over a weighted-average period			3 years 1 month 28 days
Restricted stock units issued to employees			290,027
Option Loans
Common stock options outstanding					195,278	675,990
Related Parties Notes Receivable	0		$ 0		$ 334	$ 635
Number of shares issued as collateral for the option loans						675,990
Number of options exercised			195,278
Option
Unrecognized stock compensation expense	$ 4,676		$ 4,676
Share-based compensation expected to be recognized over a weighted-average period			3 years 3 months 7 days
Common Class A \| 2018 Stock Incentive Plan
Common stock options authorized	9,198,996		9,198,996

Leases - Summary of Balance Sheet Information Related To Finance Leases (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Jan. 01, 2021
Lessee Disclosure [Abstract]
Property and equipment, gross	$ 22,989	$ 22,989
Accumulated depreciation	(15,578)	(14,974)
Property and equipment, net	7,411	8,015
Current portion of finance lease obligations	4,134	3,619
Finance lease long-term obligations	9,553	11,442
Total lease liabilities	$ 13,687	$ 15,061

CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Jun. 30, 2021	Dec. 31, 2020
Preferred stock, par value	$ 0.0001	$ 0.0001
Preferred stock, shares authorized	1,000,000	1,000,000
Preferred stock, shares issued	0	0
Common stock, par value	$ 0.0001	$ 0.0001
Common stock, shares authorized	400,000,000	400,000,000
Common stock, shares issued	129,011,789	128,460,381
Common stock, shares outstanding	128,283,241	127,731,833

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Goodwill	$ 28,772		$ 28,772		$ 28,772
Amortization of Intangible Assets	$ 1,243	$ 816	$ 2,486	$ 1,633

Accrued Expenses and Other Current Liabilities (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Payables and Accruals [Abstract]
Personnel costs	$ 22,024	$ 18,943
Royalties	2,718	2,971
Other	1,876	2,059
Total Accrued Expenses and Other Current Liabilities	$ 26,618	$ 23,973

Restructuring - Summary of Restructuring Liability (Detail) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2021
Employee
Restructuring Cost and Reserve [Line Items]
Liability balance as of beginning	$ 1,528	$ 618
Restructuring Charges	853	1,763
Payments	0	0
Liability balance as of ending	2,381	2,381
Facility
Restructuring Cost and Reserve [Line Items]
Liability balance as of beginning	17	0
Restructuring Charges	86	103
Payments	(74)	(74)
Liability balance as of ending	$ 29	$ 29

Stockholders' Equity (Detail) - shares	Jun. 30, 2021	Dec. 31, 2020
Equity [Abstract]
Shares reserved for issuance for outstanding options	7,070,008	6,425,040
Shares reserved for issuance for outstanding restricted stock units	787,023	806,048
Shares reserved for issuance for future grants	5,642,864	6,832,649
Total shares of authorized common stock reserved for future issuance	13,499,895	14,063,737

Subsequent Events - Additional Information (Detail) - Subsequent Event [Member] - Two Thousand Twenty One Credit Agreement [Member]	Aug. 06, 2021 USD ($)
Term Loan [Member]
Line of credit facility maximum borrowing capacity	$ 75,000
Line of credit facility maturity date	Aug. 06, 2026
Revolving Credit Facility [Member]
Line of credit facility maximum borrowing capacity	$ 125,000
Line of credit facility maturity date	Aug. 06, 2026

Product and Geographic Sales (Tables)

6 Months Ended

Jun. 30, 2021

Segment Reporting [Abstract]

Schedule of Revenue by Product Category

The following tables set forth revenue by product category:


	Three Months Ended June 30,
	2021		2020
Advanced Wound Care	$	111,436	$	59,731
Surgical & Sports Medicine		11,760		9,229

Total net revenue	$	123,196	$	68,960


	Six Months Ended June 30,
	2021		2020
Advanced Wound Care	$	202,144	$	111,019
Surgical & Sports Medicine		23,604		19,673

Total net revenue	$	225,748	$	130,692

Accounts receivable, net - Sales Returns and Doubtful Accounts (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Balance at beginning of period	$ 6,076	$ 3,204	$ 4,988	$ 3,049
Additions	1,056	753	2,158	970
Write-offs	(19)	(29)	(33)	(91)
Balance at end of period	$ 7,113	$ 3,928	$ 7,113	$ 3,928

Property and Equipment, Net (Tables)

6 Months Ended

Jun. 30, 2021

Property, Plant and Equipment [Abstract]

Property and Equipment, Net

Property and equipment consisted of the following:


	June 30,			December 31,
	2021			2020

Leasehold improvements	$	48,503		$	39,574
Furniture, computers and equipment		50,221			48,236

		98,724			87,810
Accumulated depreciation and amortization		(71,593	)		(69,521	)
Construction in progress		42,608			41,779

	$	69,739		$	60,068

Stock-Based Compensation

6 Months Ended

Jun. 30, 2021

Share-based Payment Arrangement [Abstract]

Stock-Based Compensation

15. Stock-Based Compensation

Stock Incentive

Plans-the

2018 Plan

On November 28, 2018, the Board of Directors of the Company adopted, and on December 10, 2018 the Company’s stockholders approved, the Organogenesis 2018 Equity and Incentive Plan (the “2018 Plan”). The purposes of the 2018 Plan are to provide long-term incentives and rewards to the Company’s employees, officers, directors and other key persons (including consultants), to attract and retain persons with the requisite experience and ability, and to more closely align the interests of such employees, officers, directors and other key persons with the interests of the Company’s stockholders.

The 2018 Plan authorizes the Company’s Board of Directors or a committee of not less than two independent directors (in either case, the “Administrator”) to grant the following types of awards:

non-statutory

stock options; incentive stock options; restricted stock awards; restricted stock units; stock appreciation rights; unrestricted stock awards; performance share awards; and dividend equivalent rights. The 2018 Plan is administered by the Company’s Board of Directors.

As of June 30, 2021, a total of 9,198,996 shares of Class A common stock have been authorized to be issued under the 2018 Plan (subject to adjustment in the case of any stock dividend, stock split, reverse stock split, or similar change in capitalization of the Company).

Stock Incentive

Plans-the

2003 Plan

The Organogenesis 2003 Stock Incentive Plan (the “2003 Plan”), provides for the Company to issue restricted stock awards, or to grant incentive stock options or

non-statutory

stock options. Incentive stock options may be granted only to the Company’s employees. Restricted stock awards and

non-statutory

stock options may be granted to employees, members of the Board of Directors, outside advisors and consultants of the Company.

Effective as of the closing of the Avista Merger on December 10, 2018, no additional awards may be made under the 2003 Plan and as a result (i) any shares in respect of stock options that are expired or terminated under the 2003 Plan without having been fully exercised will not be available for future awards; (ii) any shares in respect of restricted stock that are forfeited to, or otherwise repurchased by the Company, will not be available for future awards; and (iii) any shares of common stock that are tendered to the Company by a participant to exercise an award will not be available for future awards.

Stock-Based

Compensation Expense

Stock options awarded under the stock incentive plans expire 10 years after the grant date and typically vest over four or five years. Restricted stock units awarded typically vest over four years.

Stock-based compensation expense was $1,042 and $469 for the three months ended June 30, 2021 and 2020, respectively, and was $1,740 and $678 for the six months ended June 30, 2021 and 2020, respectively. The total amount of stock-based compensation expense was included within selling, general and administrative expenses on the consolidated statements of operations.

Restricted Stock Units (RSUs)

In the six months ended June 30, 2021, the Company granted 290,027 time-based restricted stock units to its employees, executives and the Board of Directors. Each restricted stock unit represents the contingent right to receive one share of the Company’s 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:


	Number of Shares			Weighted Average Grant Date Fair Value
Unvested at December 31, 2020		806,048		$	3.82
Granted		290,027			14.45
Vested		(252,743	)		4.20
Canceled/Forfeited		(56,309	)		8.29

Unvested at June 30, 2021		787,023		$	7.30

As of June 30, 2021, the total unrecognized compensation cost related to unvested restricted stock units expected to vest was $3,891 and the weighted average remaining recognition period for unvested awards was 3.16 years.

Stock Option Valuation

The stock options granted during the six months ended June 30, 2021 and 2020 were 1,037,099 and 1,538,723 respectively. The assumptions that the Company used to determine the grant-date fair value of stock options granted during these periods were as follows, presented on a weighted-average basis:


	June 30, 2021			June 30, 2020
Risk-free interest rate		0.82	%		0.46	%
Expected term (in years)		6.21			6.22
Expected volatility		39.30	%		37.41	%
Expected dividend yield		0.0	%		0.0	%
Exercise price	$	13.54		$	4.04
Underlying stock price	$	13.54		$	3.36

These assumptions resulted in an estimated weighted-average grant-date fair value per share of stock options granted during the six months ended June 30, 2021 and 2020 of $5.31 and $1.04, respectively.

Stock Option Activity

The following table summarizes the Company’s stock option activity since December 31, 2020:


	Number of Shares			Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (in years)		Aggregate Intrinsic Value
Outstanding as of December 31, 2020		6,620,318		$	2.33		5.22	$	34,458
Granted		1,037,099			13.54
Exercised		(558,785	)		2.15				5,526
Canceled / forfeited		(28,624	)		9.54

Outstanding as of June 30, 2021		7,070,008			3.95		5.56		89,543

Options exercisable as of June 30, 2021		4,709,080			1.83		3.91		69,665

Options vested or expected to vest as of June 30, 2021		6,557,753		$	3.57		5.28	$	85,578

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 total fair value of options vested during the six months ended June 30, 2021 and 2020 was $586 and $209, respectively.

As of June 30, 2021, the total unrecognized stock compensation expense related to unvested stock options expected to vest was $4,676 and was expected to be recognized over a weighted-average period of 3.27 years.

Between 2010 and 2013, a former executive took several partial recourse notes totaling $635 to exercise his 675,990 shares of stock options. The notes were secured with these shares held by the former executive. When the loans were outstanding, the options were not considered exercised and were included within the options outstanding for accounting purposes. As of December 31, 2020, $334 of the principal balance of the partial recourse notes was outstanding and 195,278 shares were not considered outstanding for accounting purposes. In the three months ended March 31, 2021, the former executive repaid the remaining principal balance of the notes (see Note “19. Related Parties Transactions”). The repayments were treated as the exercise price for 195,278 shares of the options and were included in the consolidated statement of stockholders’ equity. As of

June

, 2021,

of the partial recourse notes was outstanding and all of the 675,990 shares used to secure the notes were considered outstanding for accounting purposes.

Restructuring

6 Months Ended

Jun. 30, 2021

Restructuring and Related Activities [Abstract]

Restructuring

12. Restructuring

On October 21, 2020, the Company committed to a plan to restructure the workforce and consolidate its La Jolla facilities as part of the Company’s long-term plan to consolidate manufacturing operations in Massachusetts to reduce the Company’s cost structure. The majority of the restructuring costs are expected to be incurred by the end of 2021, with certain facility and storage costs continuing through the middle of

2024

. The restructuring will result in a charge of approximately $7.0 million, of which approximately $4.5 million is attributable to the retention benefits associated with approximately 70 employees and the remaining $2.5 million is related to the facility closures. As employees are required to provide future services, employee retention and other benefit-related costs related to the Company’s restructuring are expensed over the service period.

As a result of this restructuring activity, the Company incurred

a pre-tax charge

of $939 and $1,866 during the three and six months ended June 30, 2021. This charge was primarily related to employee retention benefits and was included in selling, general and administrative expenses in the consolidated statements of operations. The liability related to the restructuring activities was $2,410 as of June 30, 2021 and was included in accrued expenses and other current liabilities in the consolidated balance sheets. The following table provides a roll-forward of the restructuring liability.

	Employee		Facility
Liability balance as of March 31, 2021	$	1,528	$	17
Expenses		853		86
Payments		—		(74	)

Liability balance as of June 30, 2021	$	2,381	$	29


	Employee		Facility
Liability balance as of December 31, 2020	$	618	$	—
Expenses		1,763		103
Payments		—		(74	)

Liability balance as of June 30, 2021	$	2,381	$	29

Fair Value of Financial Assets and Liabilities

6 Months Ended

Jun. 30, 2021

Fair Value Disclosures [Abstract]

Fair Value of Financial Assets and Liabilities

5. Fair Value of Financial Assets and Liabilities

The following table presents information about the Company’s financial assets and liabilities measured at fair value on a recurring basis and indicates the level of the fair value hierarchy utilized to determine such fair values as of June 30, 2021 and December 31, 2020.


	Fair Value Measurements as of June 30, 2021 Using:
	Level 1		Level 2		Level 3		Total
Liabilities:

Earnout liability	$	—	$	—	$	927	$	927

	$	—	$	—	$	927	$	927


	Fair Value Measurements as of December 31, 2020 Using:
	Level 1		Level 2		Level 3		Total
Liabilities:
Earnout liability	$	—	$	—	$	3,985	$	3,985

	$	—	$	—	$	3,985	$	3,985

Earnout Liability

In connection with accounting for the CPN acquisition on September 17, 2020, the Company recorded an Earnout liability of $3,782 on the Acquisition Date, representing the fair value of contingent consideration payable upon the achievement of a certain revenue target. The Earnout Liability is classified as a Level 3 measurement within the fair value hierarchy for which fair value is derived from inputs that are unobservable and significant to the overall fair value measurement. The fair value of such Earnout Liability is estimated using a Monte Carlo simulation model that utilizes key assumptions including forecasted revenues and volatilities of the underlying financial metrics during the Earnout period. The Company assesses the fair value of the Earnout liability at each reporting period. Any subsequent changes in the estimated fair value of the liability are reflected in selling, general and administrative expenses until the liability is settled. For more information about the Earnout liability, refer to Note “3. Acquisition”. As of June 30, 2021, the Earnout liability decreased to $927 as a result of the Company’s updated assessment of the near-term market for the CPN product portfolio. The following table provides a roll-forward of the fair value of the Company’s Earnout liability, for which fair value is determined using Level 3 inputs:


	Earnout liability
Balance as of December 31, 2020	$	3,985
Change in fair value		(3,058	)

Balance as of June 30, 2021	$	927

The Company did not have any financial assets and liabilities measured at fair value on a

non-recurring

basis as of June 30, 2021 and December 31, 2020.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Cover Page - shares	6 Months Ended
Cover Page - shares	Jun. 30, 2021	Aug. 01, 2021
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2021
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	Q2
Document Quarterly Report	true
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	Non-accelerated Filer
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Trading Symbol	ORGO
Entity Small Business	true
Entity Emerging Growth Company	true
Entity Ex Transition Period	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
Entity Common Stock, Shares Outstanding		128,583,801
Entity 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

Nature of the Business and Basis of Presentation	6 Months Ended
Nature of the Business and Basis of Presentation	Jun. 30, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Nature of the Business and Basis of Presentation	1. Nature of the Business and Basis of Presentation Organogenesis Holdings Inc. (formerly Avista Healthcare Public Acquisition Corp.) (“ORGO” or the “Company”) is a leading regenerative medicine company focused on the development, manufacture, and commercialization of solutions for the Advanced Wound Care and Surgical & Sports Medicine markets. Several of the existing and pipeline products in the Company’s portfolio have Premarket Application (“PMA”) approval, Business License Applicant (“BLA”) 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 service centers (“ASCs”) and physician offices. The Company has one operating and reportable segment. COVID-19 pandemic The emergence of the coronavirus (COVID-19) around the world, and particularly in the United States, continues to present risks to the Company. While the COVID-19 pandemic has not materially adversely affected the Company’s financial results and business operations through the second quarter ended June 30, 2021, the Company is unable to predict the impact that COVID-19 will have on its financial position and operating results because of the numerous uncertainties created by the unprecedented nature of the pandemic. The Company is clos e ly monitoring the evolving impact of the pandemic on all aspects of its business. The Company has implemented a number of measures designed to protect the health and safety of its employees, support its customers and promote business continuity. Merger with Avista Healthcare Public Acquisition Corp On December 10, 2018, Avista Healthcare Public Acquisition Corp., our predecessor company (“AHPAC”), consummated a business combination (the “Avista Merger”) pursuant to an Agreement and Plan of Merger, dated as of August 17, 2018 (as amended, the “Avista Merger Agreement”), by and among AHPAC, Avista Healthcare Merger Sub, Inc., a Delaware corporation and a direct wholly-owned subsidiary of AHPAC (“Avista Merger Sub”) and Organogenesis Inc., a Delaware corporation (“Organogenesis Inc.”). As a result of the Avista Merger and the other transactions contemplated by the Avista Merger Agreement, Avista Merger Sub merged with and into Organogenesis Inc., with Organogenesis Inc. surviving the Avista Merger and becoming a wholly-owned subsidiary of AHPAC. AHPAC changed its name to Organogenesis Holdings Inc. (ORGO). The Avista Merger was accounted for as a reverse merger in accordance with accounting principles generally accepted in the United States of America (“GAAP”). Under this method of accounting, AHPAC was treated as the “acquired” company for accounting purposes. This determination was primarily based on Organogenesis Inc.’s equity holders having a majority of the voting power of the combined company, Organogenesis Inc. comprising the ongoing operations of the combined entity, Organogenesis Inc. comprising a majority of the governing body of the combined company, and Organogenesis Inc.’s senior management comprising the senior management of the combined company. Accordingly, for accounting purposes, the Avista Merger was treated as the equivalent of Organogenesis Inc. issuing stock for the net assets of AHPAC, accompanied by a recapitalization. The net assets of AHPAC were recorded at historical cost, with no goodwill or other intangible assets recorded. Operations prior to the Avista Merger are those of Organogenesis Inc. Liquidity and Financial Conditions In accordance with ASC 205-40, Going Concern (“ASC 205-40”), the Company has evaluated whether there are conditions and events, considered in the aggregate, that raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date the financial statements are issued. Since its inception, the Company has funded its operations primarily with cash flow from product sales, proceeds from loans from affiliates and entities controlled by its affiliates, sales of its Class A common stock and third-party debt. As of June 30, 2021, the Company had an accumulated deficit of $120,129 and working capital of $117,218. The Company also had up to $30,000 available (subject to Borrowing Base) for future revolving borrowings under our Revolving Facility (see Note “13. Long-Term Debt Obligations”). For the six months ended June 30, 2021, the Company has generated a net income of $30,630 and $16,180 of cash in operations. The Company expects that its cash of $89,790 and other components of working capital of $27,428 as of June 30, 2021, plus net cash flows from product sales and availability under the 2019 Credit Agreement, will be sufficient to fund its operating expenses, capital expenditure requirements and debt service payments for at least 12 months beyond the filing date of this quarterly report. The Company expects to continue investing in product development, sales and marketing, and customer support for its products. The Company may seek to raise additional funding through public and/or private equity financings, debt financings, or other strategic transactions. There can be no assurance that the Company will be able to obtain additional debt or equity financing on terms acceptable to the Company, on a timely basis or at all. The failure of the Company to obtain sufficient funds on acceptable terms when needed could have a material adverse effect on the Company’s business, results of operations, and financial condition.

Accrued Expenses and Other Current Liabilities

6 Months Ended

Jun. 30, 2021

Payables and Accruals [Abstract]

Accrued Expenses and Other Current Liabilities

11. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following:


	June 30,		December 31,
	2021		2020
Personnel costs	$	22,024	$	18,943
Royalties		2,718		2,971
Other		1,876		2,059

	$	26,618	$	23,973

Accounts receivable, net (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Receivables [Abstract]
Accounts receivable	$ 83,880	$ 61,792
Less - allowance for sales returns and doubtful accounts	(7,113)	(4,988)
Accounts receivable	$ 76,767	$ 56,804

Net Income (Loss) Per Share (EPS)

6 Months Ended

Jun. 30, 2021

Earnings Per Share [Abstract]

Net Income (Loss) per Share (EPS)

16. Net Income (Loss) per Share (EPS)

Basic EPS is calculated by dividing net income (loss) by the weighted-average number of shares outstanding during the period. Diluted EPS is calculated by dividing net income (loss) by the weighted-average number of shares outstanding plus the dilutive effect, if any, of outstanding equity awards using the treasury stock method which includes consideration of unrecognized compensation expenses as additional proceeds.

A reconciliation of the numerator and denominator used in the calculation of the basic and diluted net income (loss) attributable to the common stockholders of Organogenesis Holdings Inc. is as follows.


	Three Months Ended June 30,					Six Months Ended June 30,
	2021		2020			2021		2020
Numerator:
Net Income (loss)	$	20,687	$	(5,166	)	$	30,630	$	(21,479	)
Denominator:
Weighted average common shares outstanding—basic		128,235,224		104,714,725			128,053,654		104,600,825
Dilutive effect of restricted stock units		508,015		—			517,837		—
Dilutive effect of options		5,245,174		—			5,149,700		—

Weighted-average common shares outstanding—diluted		133,988,413		104,714,725			133,721,191		104,600,825
Earnings (loss) per share—basic	$	0.16	$	(0.05	)	$	0.24	$	(0.21	)

Earnings (loss) per share—diluted	$	0.15	$	(0.05	)	$	0.23	$	(0.21	)

For the

three and six months ended June 30, 2021, outstanding stock-based awards of 923,907 and 967,146 were excluded from the diluted EPS calculation. For the three and six months ended June 30, 2020, the Company had a net loss. As such, 8,695,401 shares of potentially dilutive securities were excluded from the computation of diluted net loss per share as these securities had anti-dilutive effect and including them would reduce the net loss per share. Therefore, the weighted-average number of common shares outstanding used to calculate both basic and diluted net loss per share attributable to common stockholders was the same for these periods.

Fair Value of Financial Assets and Liabilities - Fair value of the Company's Earnout liability (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2021 USD ($)
Business Acquisition, Contingent Consideration [Line Items]
Change in fair value	$ (3,058)
Fair Value, Inputs, Level 3 \| Earnout Liability [Member]
Business Acquisition, Contingent Consideration [Line Items]
Beginning balance	3,985
Change in fair value	(3,058)
Ending balance	$ 927

Goodwill and Intangible Assets

6 Months Ended

Jun. 30, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Intangible Assets

10. Goodwill and Intangible Assets

Goodwill was $28,772 as of June 30, 2021 and December 31, 2020.

Identifiable intangible assets consisted of the following as of June 30, 2021:


	Original		Accumulated			Net Book
	Cost		Amortization			Value
Developed technology	$	32,620	$	(16,020	)	$	16,600
Trade names and trademarks		2,080		(1,056	)		1,024
Customer relationships		10,690		(846	)		9,844
Non-compete agreements		1,010		(342	)		668

Total	$	46,400	$	(18,264	)	$	28,136

Identifiable intangible assets consisted of the following as of December 31, 2020:


	Original		Accumulated			Net Book
	Cost		Amortization			Value
Developed technology	$	32,620	$	(14,330	)	$	18,290
Trade names and trademarks		2,080		(906	)		1,174
Customer relationship		10,690		(312	)		10,378
Non-compete agreements		1,010		(230	)		780

Total	$	46,400	$	(15,778	)	$	30,622

Amortization of intangible assets, calculated on a straight-line basis or using an accelerated method, was $1,243 and $816 for the three months ended June 30, 2021 and 2020, respectively, and $2,486 and $1,633 for the six months ended June 30, 2021 and 2020, respectively.

Inventories (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Raw materials	$ 10,144	$ 10,075
Work in process	1,732	1,305
Finished goods	16,230	16,419
Inventory	$ 28,106	$ 27,799

Long-Term Debt Obligations - Future payments of term loan (Detail) $ in Thousands	Jun. 30, 2021 USD ($)
2021	$ 11,250
2022	22,500
2023	22,500
2024	13,750
Total	$ 70,000

Stock-Based Compensation (Tables)

6 Months Ended

Jun. 30, 2021

Share-based Payment Arrangement [Abstract]

Summary of Unvested Restricted Stock Units

The activity of restricted stock units is set forth below:


	Number of Shares			Weighted Average Grant Date Fair Value
Unvested at December 31, 2020		806,048		$	3.82
Granted		290,027			14.45
Vested		(252,743	)		4.20
Canceled/Forfeited		(56,309	)		8.29

Unvested at June 30, 2021		787,023		$	7.30

Schedule of Fair Value of Stock Options Granted to Employees and Directors

The assumptions that the Company used to determine the grant-date fair value of stock options granted during these periods were as follows, presented on a weighted-average basis:


	June 30, 2021			June 30, 2020
Risk-free interest rate		0.82	%		0.46	%
Expected term (in years)		6.21			6.22
Expected volatility		39.30	%		37.41	%
Expected dividend yield		0.0	%		0.0	%
Exercise price	$	13.54		$	4.04
Underlying stock price	$	13.54		$	3.36

Summary of Stock Option Activity

The following table summarizes the Company’s stock option activity since December 31, 2020:


	Number of Shares			Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (in years)		Aggregate Intrinsic Value
Outstanding as of December 31, 2020		6,620,318		$	2.33		5.22	$	34,458
Granted		1,037,099			13.54
Exercised		(558,785	)		2.15				5,526
Canceled / forfeited		(28,624	)		9.54

Outstanding as of June 30, 2021		7,070,008			3.95		5.56		89,543

Options exercisable as of June 30, 2021		4,709,080			1.83		3.91		69,665

Options vested or expected to vest as of June 30, 2021		6,557,753		$	3.57		5.28	$	85,578

Fair Value of Financial Assets and Liabilities - Financial Assets And Liabilities Measured At Fair Value (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020	Sep. 17, 2020
Liabilities:
Liabilities	$ 927	$ 3,985	$ 3,782
Fair Value, Measurements, Recurring
Liabilities:
Liabilities	927	3,985
Fair Value, Measurements, Recurring \| Earnout Liability [Member]
Liabilities:
Liabilities	927	3,985
Fair Value, Measurements, Recurring \| Fair Value, Inputs, Level 3
Liabilities:
Liabilities	927	3,985
Fair Value, Measurements, Recurring \| Fair Value, Inputs, Level 3 \| Earnout Liability [Member]
Liabilities:
Liabilities	$ 927	$ 3,985

Long-Term Debt Obligations (Tables)

6 Months Ended

Jun. 30, 2021

Long-term Debt, Unclassified [Abstract]

Schedule of long-term debt obligations

Long-term debt obligations consisted of the following:


	June 30, 2021			December 31, 2020
Line of credit	$	10,000		$	10,000

Term loan		60,000			60,000
Less debt discount and debt issuance cost		(210	)		(290	)
Less current maturities		(22,500	)		(16,666	)

Term loan, net of debt discount, debt issuance cost and current maturities	$	37,290		$	43,044

Schudle of future payments of term loan facility

Future payments of the 2019 Credit Agreement, as of June 30, 2021, are as follows for the calendar years ending December 31:


2021	$	11,250
2022		22,500
2023		22,500
2024		13,750

Total	$	70,000

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22)
-URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=119993939&loc=d3e28541-108399

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21506-112644

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690

Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
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+ Details

Stock-Based Compensation - Summary of Restricted Stock Units (Detail) - Restricted Stock Units (RSUs) [Member]	6 Months Ended
	Jun. 30, 2021 $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unvested at December 31, 2020 \| shares	806,048
Unvested Granted \| shares	290,027
Unvested Vested \| shares	(252,743)
Unvested Canceled/Forfeited \| shares	(56,309)
Unvested at June 30,2021 \| shares	787,023
Unvested at December 31, 2020 \| $ / shares	$ 3.82
Unvested Granted \| $ / shares	14.45
Unvested Vested \| $ / shares	4.20
Unvested Canceled/Forfeited \| $ / shares	8.29
Unvested at June 30,2021 \| $ / shares	$ 7.30

Fair Value of Financial Assets and Liabilities (Tables)

6 Months Ended

Jun. 30, 2021

Fair Value Disclosures [Abstract]

Fair Value, by Balance Sheet Grouping


	Fair Value Measurements as of June 30, 2021 Using:
	Level 1		Level 2		Level 3		Total
Liabilities:

Earnout liability	$	—	$	—	$	927	$	927

	$	—	$	—	$	927	$	927


	Fair Value Measurements as of December 31, 2020 Using:
	Level 1		Level 2		Level 3		Total
Liabilities:
Earnout liability	$	—	$	—	$	3,985	$	3,985

	$	—	$	—	$	3,985	$	3,985

Summary of Fair Value of Earnout liability

The following table provides a roll-forward of the fair value of the Company’s Earnout liability, for which fair value is determined using Level 3 inputs:


	Earnout liability
Balance as of December 31, 2020	$	3,985
Change in fair value		(3,058	)

Balance as of June 30, 2021	$	927

Net Income (Loss) per Share (EPS) - Additional Information (Detail) - shares	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Earnings Per Share [Abstract]
Anti-dilutive shares excluded from the diluted EPS	923,907	8,695,401	967,146	8,695,401

Inventories (Tables)

6 Months Ended

Jun. 30, 2021

Inventory Disclosure [Abstract]

Schedule of Inventory, Current

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


	June 30,		December 31,
	2021		2020
Raw materials	$	10,144	$	10,075
Work in process		1,732		1,305
Finished goods		16,230		16,419

	$	28,106	$	27,799

Subsequent Events	6 Months Ended
Subsequent Events	Jun. 30, 2021
Subsequent Events [Abstract]
Subsequent Events	21. Subsequent Events The Company has evaluated subsequent events through August 9, 2021, the date on which these consolidated financial statements were issued. On August 6, 2021, the Company, as borrower, its subsidiaries, as guarantors, and SVB, and the several other lenders entered into a credit agreement (the “2021 Credit Agreement”) providing for a term loan facility not to exceed $ 75,000 and a revolving credit facility not to exceed $ 125,000 , both of which mature on August 6, 2026 . On the same date, the Company paid all amount due under the 2019 Credit Agreement, including unpaid principal, accrued interest, Final Payment, and Prepayment Premium, and the 2019 Credit Agreement was terminated.

Taxes	6 Months Ended
Taxes	Jun. 30, 2021
Income Tax Disclosure [Abstract]
Taxes	20. Taxes The Company is principally subject to taxation in the United States. The Company has a history of net operating losses both federally and in various states and began utilizing those losses to offset current taxable income in 2020. The Company’s wholly owned Swiss subsidiary, Organogenesis GmbH, is subject to taxation in Switzerland and generally has profits as a result of a transfer pricing arrangement in place with Organogenesis Inc., its U.S. parent and a wholly owned subsidiary of the Company. The income tax rate for the six months ended June 30, 2021 varied from the U.S. statutory rate of 21% primarily due to the utilization of net operating losses federally and in many states as well as the cash taxes in Switzerland. The Company maintains a full valuation allowance against its U.S. deferred tax assets and as such, the Company’s provision for income taxes primarily relates to cash taxes to be paid in certain states where the net operating losses are expected to be fully utilized or limited based on state statute. Income tax expense for the six months ended June 30, 2021 was $687, which included discrete tax expense of $20 related to the interest on certain uncertain tax positions. Income tax expense for the six months ended June 30, 2020 was $62 and related primarily to state and foreign taxes. The Company examines all positive and negative evidence to estimate whether sufficient future taxable income in the U.S. will be generated to permit the use of existing deferred tax assets. The Company has significant negative evidence in the form of cumulative losses and believes that it is more likely than not that these United States deferred tax assets will not be utilized. As such, the Company maintained the valuation allowance against its U.S. deferred tax asset as of June 30, 2021. There are no material deferred tax assets in the other jurisdictions. On a quarterly basis, the Company reassesses the valuation allowance on deferred income tax assets, weighing positive and negative evidence to assess the recoverability of the deferred tax assets. After assessing both the positive evidence and the negative evidence, the Company may determine it is more likely than not that the deferred tax assets would be realized in the future and the Company would therefore release all or a portion of the valuation allowance related to the net operating loss carryforwards and other deferred tax assets.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

+ References + Details

Inventories - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Inventory reserve and obsolescence charged to cost of goods	$ 2,388	$ 940	$ 4,678	$ 1,709

Acquisition - Additional Information (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020	Sep. 17, 2020
Business Acquisitions, Contingent Consideration Liability Noncurrent	$ 927	$ 3,985	$ 3,782
CPN Biosciences, LLC
Earnout Calculation			70.00%

Product and Geographic Sales

6 Months Ended

Jun. 30, 2021

Segment Reporting [Abstract]

Product and Geographic Sales

4. Product and

Geographic Sales

The Company generates revenue through the sale of Advanced Wound Care and Surgical & Sports Medicine products. There is a single performance obligation in all of the Company’s contracts,

hich is the Company’s promise to transfer the Company’s products to customers based on specific payment and shipping t

rms in the arrangement. The entire transaction price reflects a single performance obligation. Product revenue is recognized when a customer obtains control of the Company’s products which occurs at a point in time and may be upon shipment, procedure date, or delivery, based on the terms of the contract. Revenue is recorded net of a reserve for returns, discounts and Group Purchasing Organization (“GPO”) rebates, which represent a direct reduction to the revenue recognized. These reductions are accrued at the time revenue is recognized, based upon historical experience and specific circumstances. For the three months ended June 30, 2021 and 2020, the Company recorded GPO fees of $829 and $837, respectively, as a direct reduction of revenue. For the six months ended June 30, 2021 and 2020, the Company recorded GPO fees of $1,529 and $1,797, respectively, as a direct reduction of revenue.

The following tables set forth revenue by product category:


	Three Months Ended June 30,
	2021		2020
Advanced Wound Care	$	111,436	$	59,731
Surgical & Sports Medicine		11,760		9,229

Total net revenue	$	123,196	$	68,960


	Six Months Ended June 30,
	2021		2020
Advanced Wound Care	$	202,144	$	111,019
Surgical & Sports Medicine		23,604		19,673

Total net revenue	$	225,748	$	130,692

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

- 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

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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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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+ Details

Restructuring (Tables)

6 Months Ended

Jun. 30, 2021

Restructuring and Related Activities [Abstract]

Summary of Restructuring Liability

The following table provides a roll-forward of the restructuring liability.

	Employee		Facility
Liability balance as of March 31, 2021	$	1,528	$	17
Expenses		853		86
Payments		—		(74	)

Liability balance as of June 30, 2021	$	2,381	$	29


	Employee		Facility
Liability balance as of December 31, 2020	$	618	$	—
Expenses		1,763		103
Payments		—		(74	)

Liability balance as of June 30, 2021	$	2,381	$	29

Accounts receivable, net (Tables)

6 Months Ended

Jun. 30, 2021

Receivables [Abstract]

Schedule of accounts receivable

Accounts receivable consisted of the following:


	June 30,			December 31,
	2021			2020
Accounts receivable	$	83,880		$	61,792
Less — allowance for sales returns and doubtful accounts		(7,113	)		(4,988	)

	$	76,767		$	56,804

Schedule of allowance for sales returns and doubtful accounts

The Company’s allowance for sales returns and doubtful accounts was comprised of the following:


	Three Months Ended June 30,						Six Months Ended June 30,
	2021			2020			2021			2020
Balance at beginning of period	$	6,076		$	3,204		$	4,988		$	3,049
Additions		1,056			753			2,158			970
Write-offs		(19	)		(29	)		(33	)		(91	)

Balance at end of period	$	7,113		$	3,928		$	7,113		$	3,928

Property and Equipment, Net - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Depreciation expense	$ 1,063	$ 891	$ 2,073	$ 1,793
Leasehold improvements
Finance leases recorded within leasehold improvements	21,689		21,689		$ 21,689
Accumulated depreciation to finance lease asset recorded within leasehold improvement	$ 15,573		$ 15,573		$ 14,974

Summary of Significant Accounting Policies	6 Months Ended
Summary of Significant Accounting Policies	Jun. 30, 2021
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies Unaudited Interim Financial Information The accompanying unaudited consolidated financial statements have been prepared by management in accordance with GAAP and the rules and regulations of the Securities and Exchange Commission (the “SEC”) regarding interim financial reporting. Accordingly, they do not include all the information and footnotes required by generally accepted accounting principles for complete financial statements. While we believe that the disclosures presented are adequate in order to make the information not misleading, these unaudited quarterly financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020 (the “Annual Report”). The unaudited consolidated financial statements include the accounts and results of operations of Organogenesis Holdings Inc. and its wholly-owned subsidiaries of Organogenesis Inc., including Organogenesis GmbH (a Switzerland corporation) and Prime Merger Sub, LLC. All intercompany balances and transactions have been eliminated in consolidation. The Company considers events or transactions that occur after the balance sheet date but before the financial statements are issued to provide additional evidence relative to certain estimates or to identify matters that require additional disclosure. In the opinion of management, the unaudited consolidated financial statements reflect all adjustments of a normal recurring nature necessary for a fair presentation of the Company’s financial position, results of operations and cash flows at the dates and for the periods indicated. The results for the six months ended June 30, 2021 are not necessarily indicative of the results to be expected for the year ending December 31, 2021, any other interim periods, or any future years or periods. Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the related disclosure as of the date of the consolidated financial statements and the reported results of operations during the reporting periods. Actual results could differ from those estimates. Summary of Significant Accounting Policies The Company’s significant accounting policies are described in Note “2. Significant Accounting Policies” to the Consolidated Financial Statements included in the Annual Report. There have been no material changes to the significant accounting policies previously disclosed in the Annual Report, other than as it related to the recently adopted accounting pronouncement disclosed below. Revision to Previously Issued Financial Statements On April 12, 2021, the Staff of the SEC issued a statement regarding the accounting and reporting considerations for warrants issued by special purpose acquisition companies entitled “Staff Statement on Accounting and Reporting Considerations for Warrants Issued by Special Purpose Acquisition Companies (“SPACs”)” (the “SEC Statement”). In the SEC Statement, the SEC Staff expressed its view that certain terms and conditions common to SPAC warrants may require the warrants to be classified as liabilities on the SPAC’s financial statements as opposed to equity. As of December 31, 2018, the Company had 4.1 million private warrants outstanding, which were issued to Avista Capital Partners IV, L.P. and Avista Capital Partners IV (Offshore), L.P. in connection with the Avista Merger on December 10, 2018 (the “Private Warrants”), and 31.0 million public warrants outstanding that were issued in connection with the initial public offering of Avista Healthcare Public Acquisition Corp. on October 10, 2016 (the “Public Warrants”, together with the Private Warrants, the “Warrants”). The Company originally classified the Warrants as equity on its financial statements. In 2019, the outstanding Warrants were exchanged for 3.3 million shares of the Company’s Class A common stock. There were no Warrants outstanding as of December 31, 2019. As a result of the SEC Statement, the Company reevaluated the historical accounting treatment of its Public Warrants and Private Warrants and determined that the Private Warrants should have been recorded at fair value as a liability in the Company’s consolidated balance sheet with changes to the fair value recorded to the consolidated statements of operations. The Company assessed the materiality of this error on prior period financial statements in accordance with SEC Staff Accounting Bulletin Number 99, Materiality, and ASC 250-10, Accounting Changes and Error Corrections. The Company determined that this error was not material to the financial statements of any prior annual or interim period. The Company reclassified $2,299 from additional paid-in capital to accumulated deficit on the consolidated balance sheet as of December 31, 2020 as the cumulative adjustment for this error. Recently Adopted Accounting Pronouncements In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update No. 2016-02 (“ASU 2016-02”), Leases (Topic 842), as further amended (“ASC 842”), to increase transparency and comparability among organizations by requiring the recognition of, at the lease commencement date, a lease liability for the obligation to make lease payments, and a right-of-use (“ROU”) asset for the right to use the underlying asset, on the balance sheet. Although the Company remains an emerging growth company until December 31, 2021, it elected to early adopt ASC 842 on January 1, 2021. ASC 842 requires a modified retrospective transition method that could either be applied at the earliest comparative period in the financial statements or in the period of adoption. The Company elected to use the period of adoption (January 1, 2021) transition method and therefore did not recast prior periods. Results for reporting periods beginning on January 1, 2021 are presented under ASC 842, while prior period amounts continue to be reported and disclosed in accordance with the Company’s historical accounting treatment under Accounting Standards Codification 840, Leases (“ASC 840”). In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which allowed the Company: (1) to carry forward the historical lease classification; (2) not to reassess whether expired or existing contracts are or contain leases; and, (3) not to reassess the treatment of initial direct costs for existing leases. The Company made an accounting policy election under ASC 842 not to recognize ROU assets and lease liabilities for leases with a term of 12 months or less. The Company also elected to account for lease components and the associated non-lease components in the contracts as a single lease component for most of the leased assets. Upon the adoption of this standard on January 1, 2021, the Company recognized an operating lease liability of $15,935, representing the present value of the minimum lease payments remaining as of the adoption date, and a right-of-use asset in the amount of $13,525. The right-of-use asset reflects adjustments for de-recognition of deferred lease liabilities and lease incentives. The Company’s accounting for finance leases (previously classified as capital leases under ASC 840) remained substantially unchanged. See Note “17. Leases” for further disclosures. Recently Issued Accounting Pronouncements Not Yet Adopted In June 2016, the FASB issued ASU 2016-13 , Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). Subsequent to the issuance of ASU 2016-13, the FASB has issued the following updates: ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments- Credit Losses , ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments—Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments , ASU 2019-05, Financial Instruments—Credit Losses (Topic 326)—Targeted Transition Relief and ASU 2019-11, Codification Improvements to Topic 326, Financial Instruments—Credit Losses . The objective of ASU 2016-13 and all the related updates is to provide financial statement users with more decision-useful information about the expected credit losses on financial instruments and other commitments to extend credit held by a reporting entity at each reporting date. The amendments in this ASU replace the incurred loss impairment methodology in current GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. ASU 2016-13 and the related updates are effective for fiscal years, and interim periods within those years, beginning after December 15, 2019 for public business entities excluding entities eligible to be smaller reporting companies and for fiscal years, and interim periods within those years, beginning after December 15, 2022 for all other entities. Early adoption is permitted. The Company will adopt this standard and the related improvements on January 1, 2023 by recognizing a cumulative-effect adjustment to retained earnings for any impact. The Company is currently assessing the adoption of ASU 2016-13 and the related impact on the Company’s consolidated financial statements.

Stock-Based Compensation - Parenthetical (Detail) - shares	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Share-based Payment Arrangement [Abstract]
Options granted	1,037,099	1,538,723

Fair Value of Financial Assets and Liabilities - Additional Information (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020	Sep. 17, 2020
Earnout liability	$ 927	$ 3,985	$ 3,782

Prepaid Expenses and Other Current Assets

6 Months Ended

Jun. 30, 2021

Payables and Accruals [Abstract]

Prepaid Expenses and Other Current Assets

8. Prepaid Expenses and

Other Current Assets

Prepaid expenses and other current assets consisted of the following:


	June 30, 2021		December 31, 2020
Subscriptions	$	2,211	$	2,013
Conferences and marketing expenses		921		63
Deposits		1,796		1,438
Reimbursement of offering expenses		—		1,009
Other		1,655		412

	$	6,583	$	4,935

Prepaid deposits are deposits held by vendors which are expected to be released within twelve months and therefore they are recorded as current assets.

Product and Geographic Sales - Schedule of Revenue by Product Category (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Total revenue	$ 123,196	$ 68,960	$ 225,748	$ 130,692
Advanced Wound Care
Total revenue	111,436	59,731	202,144	111,019
Surgical & Sports Medicine
Total revenue	$ 11,760	$ 9,229	$ 23,604	$ 19,673

- 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).

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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-Subparagraph (a)
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Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 41
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9038-108599

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 42
-URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9054-108599

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(g)(1)(ii))
-URI http://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 235
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-05(b)(2))
-URI http://asc.fasb.org/extlink&oid=120399901&loc=d3e537907-122884

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 220
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03(1))
-URI http://asc.fasb.org/extlink&oid=120395209&loc=SL114868664-224227

+ Details

Related Party Transactions - Additional Information (Detail) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Dec. 31, 2020	Dec. 31, 2019
Selling, General and Administrative Expenses
Related Party Transaction, Amounts of Transaction	$ 179
Option Loans
Related Parties Notes Receivable	0	$ 334	$ 635
Proceeds from Collection of Long-term Loans to Related Parties	$ 334
Liquidity Loan [Member]
Related Parties Notes Receivable		$ 100
Maximum [Member] \| Liquidity Loan and Option Loans
Interest Rate	3.86%
Minimum [Member] \| Liquidity Loan and Option Loans
Interest Rate	2.30%

Stock-Based Compensation - Summary of Stock Option Activity (Detail) - USD ($) $ / shares in Units, $ in Thousands	6 Months Ended		12 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Number of Shares Outstanding	6,620,318
Number of Shares Granted	1,037,099	1,538,723
Number of Shares Exercised	(558,785)
Number of Shares Canceled / forfeited	(28,624)
Number of Shares Outstanding	7,070,008		6,620,318
Number of Shares Options Exercisable	4,709,080
Number of Shares Options vested or expected to vest	6,557,753
Weighted Average Exercise Price Outstanding	$ 2.33
Weighted Average Exercise Price Granted	13.54
Weighted Average Exercise Price Exercised	2.15
Weighted Average Exercise Price Cancelled / forfeited	9.54
Weighted Average Exercise Price Outstanding	3.95		$ 2.33
Weighted Average Exercise Price Options Exercisable	1.83
Weighted Average Exercise Price Options Vested or Expected to Vest	$ 3.57
Weighted Average Remaining Contractual Term (in years) Outstanding	5 years 6 months 21 days		5 years 2 months 19 days
Weighted Average Remaining Contractual Term (in years) Options Exercisable	3 years 10 months 28 days
Weighted Average Remaining Contractual Term (in years) Options Vested or Expected to Vest	5 years 3 months 10 days
Aggregate Intrinsic Value Outstanding	$ 34,458
Aggregate Intrinsic Value Options Exercised	5,526
Aggregate Intrinsic Value Options Exercisable	69,665
Aggregate Intrinsic Value Options Vested or Expected to Vest	85,578
Aggregate Intrinsic Value Outstanding	$ 89,543		$ 34,458

Long-Term Debt Obligations

6 Months Ended

Jun. 30, 2021

Long-term Debt, Unclassified [Abstract]

Long-Term Debt Obligations

13. Long-Term Debt

Obligations

Long-term debt obligations consisted of the following:


	June 30, 2021			December 31, 2020
Line of credit	$	10,000		$	10,000

Term loan		60,000			60,000
Less debt discount and debt issuance cost		(210	)		(290	)
Less current maturities		(22,500	)		(16,666	)

Term loan, net of debt discount, debt issuance cost and current maturities	$	37,290		$	43,044

2019 Credit Agreement

In March 2019, the Company, its subsidiaries and Silicon Valley Bank (“SVB”), and the several other lenders thereto (collectively, the “Lenders”) entered into a credit agreement, as amended (the “2019 Credit Agreement”), providing for a term loan (the “Term Loan Facility”) and a revolving credit facility (the “Revolving Facility”) in an aggregate principal amount of $100,000. Capitalized terms used herein and not otherwise defined are defined as set forth in the 2019 Credit Agreement.

The Term Loan Facility is structured in three tranches, as follows: (i) the first tranche of $40,000 was made available to the Company and fully funded on March 14, 2019; (ii) the second tranche of $10,000 was made available to the Company and fully funded in September 2019 upon achievement of certain financial metrics; and (iii) the third tranche of $10,000 was made available to the Company and fully funded in March 2020 upon achievement of a certain financial metric. The interest rate for the Term Loan Facility is a floating per annum interest rate equal to the greater of 3.75% above the Wall Street Journal Prime Rate and 9.25%. The interest rate as of June 30, 2021 was 9.25%. The 2019 Credit Agreement requires the Company to make monthly interest-only payments on outstanding balances under the Term Loan Facility through June 2021. Thereafter, each term loan advance is repaid in

thirty-two

equal monthly installments of principal, plus accrued interest, with the Term Loan Facility maturing on February 1, 2024 (the “Term Loan Maturity Date”).

The Company’s final payment on the Term Loan Facility, due on the Term Loan Maturity Date, will include all outstanding principal and accrued and unpaid interest under the Term Loan Facility, plus a final payment (the “Final Payment”) equal to the original aggregate principal amount of the Term Loan Facility multiplied by 6.5%. The Company may prepay the Term Loan Facility, subject to paying the Prepayment Premium (described below) and the Final Payment. The Prepayment Premium is equal to 1.50% of the outstanding principal amount of the Term Loan Facility if the prepayment occurs after the

two-year

anniversary but prior to the three-year anniversary of the closing, and 0.50% thereafter. Once repaid, amounts borrowed under the Term Loan Facility may not be

re-borrowed.

The Revolving Facility is equal to the lesser of $40,000 and the amount determined by the Borrowing Base, which is defined as a percentage of the Company’s book value of qualifying finished goods inventory and eligible accounts receivable. The interest rate for advances under the Revolving Facility is a floating per annum interest rate equal to the greater of the Wall Street Journal Prime Rate and 5.50%. The interest rate as of June 30, 2021 was 5.50%. If the actual outstanding advances are less than 25% of the then-available Revolving Commitments, the Company must pay monthly interest equal to the interest that would have accrued if the average outstanding advances had been 25% of the then-available Revolving Commitments. The Company is also required to pay an unused line fee equal to 0.25% per annum, calculated based on the difference of $40,000

minus

the greater of (i) the average balance outstanding under the Revolving Facility for such period and (ii) 25% of the then-available Revolving Commitments. The maturity date for advances made under the Revolving Facility is March 1, 2024.

The Company may elect to reduce or terminate the Revolving Facility in its entirety at any time by repaying all outstanding principal, unpaid accrued interest and a reduction or termination fee equal to 2.00% of the aggregate Revolving Commitments so reduced or terminated if the reduction or termination occurs after the two year anniversary but prior to the three year anniversary of the closing, and $0 thereafter.

The Company is required to achieve certain financial covenants under the 2019 Credit Agreement, including Minimum Trailing Twelve Month Consolidated Revenue and

Non-PuraPly

Revenue, tested quarterly. In addition, the Company is required to maintain Minimum Liquidity equal to the greater of (i) 6 months Monthly Burn and (ii) $10,000.

As of June 30, 2021, the Company had outstanding borrowings of $60,000 under the Term Loan Facility and $10,000 under the Revolving Facility with up to $30,000 available (subject to Borrowing Base) for future revolving borrowings. The Company accrues for the Final Payment of $3,900 over the term of the Term Loan Facility through a charge to the interest expense. The related liability of $2,416 and $1,858 as of June 30, 2021 and December 31, 2020, respectively, was included in other liabilities on the consolidated balance sheets. The Company incurred costs of $554 in connection with the Term Loan Facility, which are recorded as a reduction of the carrying value of the term loan on the Company’s consolidated balance sheets. In connection with the Revolving Facility, the Company incurred costs of $370, which are recorded as other assets. Both of these costs are being amortized to interest expense through the maturity date of the facilities.

Future payments of the 2019 Credit Agreement, as of June 30, 2021, are as follows for the calendar years ending December 31:


2021	$	11,250
2022		22,500
2023		22,500
2024		13,750

Total	$	70,000

Accrued Expenses and Other Current Liabilities (Tables)

6 Months Ended

Jun. 30, 2021

Payables and Accruals [Abstract]

Schedule of Accounts Payable and Accrued Liabilities

Accrued expenses and other current liabilities consisted of the following:


	June 30,		December 31,
	2021		2020
Personnel costs	$	22,024	$	18,943
Royalties		2,718		2,971
Other		1,876		2,059

	$	26,618	$	23,973

Related Party Transactions	6 Months Ended
Related Party Transactions	Jun. 30, 2021
Related Party Transactions [Abstract]
Related Party Transactions	19. Related Party Transactions Finance lease obligations to affiliates, including unpaid lease obligations, and an operating lease with affiliates are further described in Note “17. Leases”. During 2010, the Company’s Board of Directors approved a loan program that permitted the Company to make loans to three executives of the Company (the “Employer Loans”) to (i) provide them with liquidity (“Liquidity Loans”) and (ii) fund the exercise of vested stock options (“Option Loans”). Two of the executives left the Company in 2014. The Employer Loans matured with all principal and accrued interest due on the tenth anniversary of the issuance date of each subject loan. Interest on the Employer Loans was at various rates ranging from 2.30%—3.86% per annum, compounded annually. The Employer Loans were secured by shares of the Company’s Class A common stock held by the former executives. With respect to the Liquidity Loans, the Company had no personal recourse against the borrowers beyond the pledged shares. As of December 31, 2020, Liquidity Loans and Option Loans to one former executive were outstanding with an aggregate principal balance of $100 and $334, respectively. During the three months ended March 31, 2021, this former executive paid off the outstanding principal balance of his Employer Loans and the related interest receivable. As a result, the Company recorded $179 as a recovery of the previously reserved related party receivables within selling, general and administrative expenses on the consolidated statement of operations for the six months ended June 30, 2021. The $334 of the repaid principal balance of the Option Loans was recorded to eq uity. See Note “15. Share-Based Compensation” .

Prepaid Expenses and Other Current Assets (Tables)

6 Months Ended

Jun. 30, 2021

Payables and Accruals [Abstract]

Schedule of prepaid expenses and other current assets

Prepaid expenses and other current assets consisted of the following:


	June 30, 2021		December 31, 2020
Subscriptions	$	2,211	$	2,013
Conferences and marketing expenses		921		63
Deposits		1,796		1,438
Reimbursement of offering expenses		—		1,009
Other		1,655		412

	$	6,583	$	4,935

Summary of Significant Accounting Policies (Policies)	6 Months Ended
Summary of Significant Accounting Policies (Policies)	Jun. 30, 2021
Accounting Policies [Abstract]
Unaudited Interim Financial Information	Unaudited Interim Financial Information The accompanying unaudited consolidated financial statements have been prepared by management in accordance with GAAP and the rules and regulations of the Securities and Exchange Commission (the “SEC”) regarding interim financial reporting. Accordingly, they do not include all the information and footnotes required by generally accepted accounting principles for complete financial statements. While we believe that the disclosures presented are adequate in order to make the information not misleading, these unaudited quarterly financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020 (the “Annual Report”). The unaudited consolidated financial statements include the accounts and results of operations of Organogenesis Holdings Inc. and its wholly-owned subsidiaries of Organogenesis Inc., including Organogenesis GmbH (a Switzerland corporation) and Prime Merger Sub, LLC. All intercompany balances and transactions have been eliminated in consolidation. The Company considers events or transactions that occur after the balance sheet date but before the financial statements are issued to provide additional evidence relative to certain estimates or to identify matters that require additional disclosure. In the opinion of management, the unaudited consolidated financial statements reflect all adjustments of a normal recurring nature necessary for a fair presentation of the Company’s financial position, results of operations and cash flows at the dates and for the periods indicated. The results for the six months ended June 30, 2021 are not necessarily indicative of the results to be expected for the year ending December 31, 2021, any other interim periods, or any future years or periods.
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the related disclosure as of the date of the consolidated financial statements and the reported results of operations during the reporting periods. Actual results could differ from those estimates.
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies The Company’s significant accounting policies are described in Note “2. Significant Accounting Policies” to the Consolidated Financial Statements included in the Annual Report. There have been no material changes to the significant accounting policies previously disclosed in the Annual Report, other than as it related to the recently adopted accounting pronouncement disclosed below.
Revision to Previously Issued Financial Statements	Revision to Previously Issued Financial Statements On April 12, 2021, the Staff of the SEC issued a statement regarding the accounting and reporting considerations for warrants issued by special purpose acquisition companies entitled “Staff Statement on Accounting and Reporting Considerations for Warrants Issued by Special Purpose Acquisition Companies (“SPACs”)” (the “SEC Statement”). In the SEC Statement, the SEC Staff expressed its view that certain terms and conditions common to SPAC warrants may require the warrants to be classified as liabilities on the SPAC’s financial statements as opposed to equity. As of December 31, 2018, the Company had 4.1 million private warrants outstanding, which were issued to Avista Capital Partners IV, L.P. and Avista Capital Partners IV (Offshore), L.P. in connection with the Avista Merger on December 10, 2018 (the “Private Warrants”), and 31.0 million public warrants outstanding that were issued in connection with the initial public offering of Avista Healthcare Public Acquisition Corp. on October 10, 2016 (the “Public Warrants”, together with the Private Warrants, the “Warrants”). The Company originally classified the Warrants as equity on its financial statements. In 2019, the outstanding Warrants were exchanged for 3.3 million shares of the Company’s Class A common stock. There were no Warrants outstanding as of December 31, 2019. As a result of the SEC Statement, the Company reevaluated the historical accounting treatment of its Public Warrants and Private Warrants and determined that the Private Warrants should have been recorded at fair value as a liability in the Company’s consolidated balance sheet with changes to the fair value recorded to the consolidated statements of operations. The Company assessed the materiality of this error on prior period financial statements in accordance with SEC Staff Accounting Bulletin Number 99, Materiality, and ASC 250-10, Accounting Changes and Error Corrections. The Company determined that this error was not material to the financial statements of any prior annual or interim period. The Company reclassified $2,299 from additional paid-in capital to accumulated deficit on the consolidated balance sheet as of December 31, 2020 as the cumulative adjustment for this error.
Recently Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update No. 2016-02 (“ASU 2016-02”), Leases (Topic 842), as further amended (“ASC 842”), to increase transparency and comparability among organizations by requiring the recognition of, at the lease commencement date, a lease liability for the obligation to make lease payments, and a right-of-use (“ROU”) asset for the right to use the underlying asset, on the balance sheet. Although the Company remains an emerging growth company until December 31, 2021, it elected to early adopt ASC 842 on January 1, 2021. ASC 842 requires a modified retrospective transition method that could either be applied at the earliest comparative period in the financial statements or in the period of adoption. The Company elected to use the period of adoption (January 1, 2021) transition method and therefore did not recast prior periods. Results for reporting periods beginning on January 1, 2021 are presented under ASC 842, while prior period amounts continue to be reported and disclosed in accordance with the Company’s historical accounting treatment under Accounting Standards Codification 840, Leases (“ASC 840”). In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which allowed the Company: (1) to carry forward the historical lease classification; (2) not to reassess whether expired or existing contracts are or contain leases; and, (3) not to reassess the treatment of initial direct costs for existing leases. The Company made an accounting policy election under ASC 842 not to recognize ROU assets and lease liabilities for leases with a term of 12 months or less. The Company also elected to account for lease components and the associated non-lease components in the contracts as a single lease component for most of the leased assets. Upon the adoption of this standard on January 1, 2021, the Company recognized an operating lease liability of $15,935, representing the present value of the minimum lease payments remaining as of the adoption date, and a right-of-use asset in the amount of $13,525. The right-of-use asset reflects adjustments for de-recognition of deferred lease liabilities and lease incentives. The Company’s accounting for finance leases (previously classified as capital leases under ASC 840) remained substantially unchanged. See Note “17. Leases” for further disclosures.
Recently Issued Accounting Pronouncements Not Yet Adopted	Recently Issued Accounting Pronouncements Not Yet Adopted In June 2016, the FASB issued ASU 2016-13 , Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). Subsequent to the issuance of ASU 2016-13, the FASB has issued the following updates: ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments- Credit Losses , ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments—Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments , ASU 2019-05, Financial Instruments—Credit Losses (Topic 326)—Targeted Transition Relief and ASU 2019-11, Codification Improvements to Topic 326, Financial Instruments—Credit Losses . The objective of ASU 2016-13 and all the related updates is to provide financial statement users with more decision-useful information about the expected credit losses on financial instruments and other commitments to extend credit held by a reporting entity at each reporting date. The amendments in this ASU replace the incurred loss impairment methodology in current GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. ASU 2016-13 and the related updates are effective for fiscal years, and interim periods within those years, beginning after December 15, 2019 for public business entities excluding entities eligible to be smaller reporting companies and for fiscal years, and interim periods within those years, beginning after December 15, 2022 for all other entities. Early adoption is permitted. The Company will adopt this standard and the related improvements on January 1, 2023 by recognizing a cumulative-effect adjustment to retained earnings for any impact. The Company is currently assessing the adoption of ASU 2016-13 and the related impact on the Company’s consolidated financial statements.

Stockholders' Equity

6 Months Ended

Jun. 30, 2021

Equity [Abstract]

Stockholders' Equity

14. Stockholders’ Equity

Common Stock

As of June 30, 2021, the Company was authorized to issue 400,000,000 shares of $0.0001 par value Class A common stock and 1,000,000 shares of $0.0001 par value preferred stock. 129,011,789 shares of Class A common stock were issued and 128,283,241 shares were outstanding as of June 30, 2021. No shares of preferred stock were outstanding as of June 30, 2021. The issued shares of Class A common stock include 728,548 treasury shares that were reacquired in connection with the redemption of redeemable shares in March 2019. As of June 30, 2021 and December 31, 2020, the Company reserved the following shares of Class A common stock for future issuance:


	June 30,		December 31,
	2021		2020
Shares reserved for issuance for outstanding options		7,070,008		6,425,040
Shares reserved for issuance for outstanding restricted stock units		787,023		806,048
Shares reserved for issuance for future grants		5,642,864		6,832,649


Total shares of authorized common stock reserved for future issuance		13,499,895		14,063,737

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Income Statement [Abstract]
Net revenue	$ 123,196	$ 68,960	$ 225,748	$ 130,692
Cost of goods sold	29,940	20,042	55,435	38,835
Gross profit	93,256	48,918	170,313	91,857
Operating expenses:
Selling, general and administrative	62,349	46,502	120,581	99,115
Research and development	7,320	4,668	13,529	10,078
Total operating expenses	69,669	51,170	134,110	109,193
Income (loss) from operations	23,587	(2,252)	36,203	(17,336)
Other expense, net:
Interest expense, net	(2,431)	(2,912)	(4,901)	(5,422)
Gain on settlement of deferred acquisition consideration				1,295
Other income, net	18	25	15	46
Total other expense, net	(2,413)	(2,887)	(4,886)	(4,081)
Net income (loss) before income taxes	21,174	(5,139)	31,317	(21,417)
Income tax expense	(487)	(27)	(687)	(62)
Net income (loss)	$ 20,687	$ (5,166)	$ 30,630	$ (21,479)
Net income (loss), per share:
Basic	$ 0.16	$ (0.05)	$ 0.24	$ (0.21)
Diluted	$ 0.15	$ (0.05)	$ 0.23	$ (0.21)
Weighted-average common shares outstanding
Basic	128,235,224	104,714,725	128,053,654	104,600,825
Diluted	133,988,413	104,714,725	133,721,191	104,600,825

Taxes - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Income Tax Disclosure [Abstract]
Federal corporate income tax rate			21.00%
Income tax expense	$ 487	$ 27	$ 687	$ 62
Income tax penalities and interest expense			$ 20

- Definition

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

+ References + Details

Summary of Significant Accounting Policies - Additional Information (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Jan. 01, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Significant Accounting Policies [Line Items]
Lease liabilities, Term	12 months
Operating lease liability	$ 28,728	$ 15,935
Right-of-use asset	26,531	$ 13,525
Number of Warrants				0
Retained Earnings Accumulated Deficit	$ (120,129)		$ (150,759)
Error Correction, Other
Significant Accounting Policies [Line Items]
Retained Earnings Accumulated Deficit			$ 2,299
Common Class A
Significant Accounting Policies [Line Items]
Number of common stock issuable				3,300,000
Private Warrants
Significant Accounting Policies [Line Items]
Number of Warrants					4,100,000
Public Warrant
Significant Accounting Policies [Line Items]
Number of Warrants					31,000,000.0

Net Income (Loss) Per Share (EPS) (Tables)

6 Months Ended

Jun. 30, 2021

Earnings Per Share [Abstract]

Schedule of Earnings Per Share, Basic and Diluted


	Three Months Ended June 30,					Six Months Ended June 30,
	2021		2020			2021		2020
Numerator:
Net Income (loss)	$	20,687	$	(5,166	)	$	30,630	$	(21,479	)
Denominator:
Weighted average common shares outstanding—basic		128,235,224		104,714,725			128,053,654		104,600,825
Dilutive effect of restricted stock units		508,015		—			517,837		—
Dilutive effect of options		5,245,174		—			5,149,700		—

Weighted-average common shares outstanding—diluted		133,988,413		104,714,725			133,721,191		104,600,825
Earnings (loss) per share—basic	$	0.16	$	(0.05	)	$	0.24	$	(0.21	)

Earnings (loss) per share—diluted	$	0.15	$	(0.05	)	$	0.23	$	(0.21	)

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Current assets:
Cash	$ 89,790	$ 84,394
Restricted cash	517	412
Accounts receivable, net	76,767	56,804
Inventory	28,106	27,799
Prepaid expenses and other current assets	6,583	4,935
Total current assets	201,763	174,344
Property and equipment, net	69,739	60,068
Intangible assets, net	28,136	30,622
Goodwill	28,772	28,772
Operating lease right-of-use assets, net	26,531
Deferred tax asset, net	18	18
Other assets	605	670
Total assets	355,564	294,494
Current liabilities:
Deferred acquisition consideration		483
Current portion of term loan	22,500	16,666
Current portion of finance lease obligations	4,134	3,619
Current portion of operating lease obligations	4,504
Current portion of deferred rent and lease incentive obligation		95
Accounts payable	26,789	23,381
Accrued expenses and other current liabilities	26,618	23,973
Total current liabilities	84,545	68,217
Line of credit	10,000	10,000
Term loan, net of current portion	37,290	43,044
Deferred acquisition consideration, net of current portion	1,436	1,436
Earnout liability	927	3,985
Deferred rent and lease incentive obligation, net of current portion		2,315
Finance lease obligations, net of current portion	9,553	11,442
Operating lease obligations, net of current portion	24,224
Other liabilities	8,667	7,971
Total liabilities	176,642	148,410
Commitments and contingencies (Note 18)
Stockholders' equity:
Preferred stock, $0.0001 par value; 1,000,000 shares authorized; none issued
Common stock, $0.0001 par value; 400,000,000 shares authorized; 129,011,789 and 128,460,381 shares issued; 128,283,241 and 127,731,833 shares outstanding at June 30, 2021 and December 31, 2020, respectively.	13	13
Additional paid-in capital	299,038	296,830
Accumulated deficit	(120,129)	(150,759)
Total stockholders' equity	178,922	146,084
Total liabilities and stockholders' equity	$ 355,564	$ 294,494

Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2021

Equity [Abstract]

Schedule Of Common Stock Shares Reserved For Future Issuance

As of June 30, 2021 and December 31, 2020, the Company reserved the following shares of Class A common stock for future issuance:


	June 30,		December 31,
	2021		2020
Shares reserved for issuance for outstanding options		7,070,008		6,425,040
Shares reserved for issuance for outstanding restricted stock units		787,023		806,048
Shares reserved for issuance for future grants		5,642,864		6,832,649


Total shares of authorized common stock reserved for future issuance		13,499,895		14,063,737

CONSOLIDATED STATEMENTS STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Previously Reported [Member]	Common Stock	Common Stock Previously Reported [Member]	Additional Paid-in Capital	Additional Paid-in Capital Previously Reported [Member]	Additional Paid-in Capital Revision of Prior Period, Reclassification, Adjustment [Member]	Accumulated Deficit	Accumulated Deficit Previously Reported [Member]	Accumulated Deficit Revision of Prior Period, Reclassification, Adjustment [Member]
Balance at Dec. 31, 2019	$ 55,583	$ 55,583	$ 10	$ 10	$ 224,281	$ 226,580		$ (168,708)	$ (171,007)
Balance (in shares) at Dec. 31, 2019			104,870,886	104,870,886
Adjustment due to Private Warrant reclassification							$ (2,299)			$ 2,299
Exercise of stock options	968		$ 1		967
Exercise of stock options (in shares)			546,282
Stock-based compensation expense	678				678
Net income (loss)	(21,479)							(21,479)
Balance at Jun. 30, 2020	35,750		$ 11		225,926			(190,187)
Balance (in shares) at Jun. 30, 2020			105,417,168
Balance at Mar. 31, 2020	40,295	40,295	$ 11	$ 11	225,305	227,604		(185,021)	(187,320)
Balance (in shares) at Mar. 31, 2020			105,360,015	105,360,015
Adjustment due to Private Warrant reclassification							(2,299)			2,299
Exercise of stock options	152				152
Exercise of stock options (in shares)			57,153
Stock-based compensation expense	469				469
Net income (loss)	(5,166)							(5,166)
Balance at Jun. 30, 2020	35,750		$ 11		225,926			(190,187)
Balance (in shares) at Jun. 30, 2020			105,417,168
Balance at Dec. 31, 2020	$ 146,084	$ 146,084	$ 13	$ 13	296,830	$ 299,129		(150,759)	$ (153,058)
Balance (in shares) at Dec. 31, 2020	127,731,833		127,731,833	127,731,833
Adjustment due to Private Warrant reclassification							$ (2,299)			$ 2,299
Exercise of stock options	$ 1,205				1,205
Exercise of stock options (in shares)	558,785		363,507
Vesting of RSUs, net of shares surrendered to pay taxes	$ (737)				(737)
Vesting of RSUs, net of shares surrendered to pay taxes (in shares)			187,901
Stock-based compensation expense	1,740				1,740
Net income (loss)	30,630							30,630
Balance at Jun. 30, 2021	$ 178,922		$ 13		299,038			(120,129)
Balance (in shares) at Jun. 30, 2021	128,283,241		128,283,241
Balance at Mar. 31, 2021	$ 157,292		$ 13		298,095			(140,816)
Balance (in shares) at Mar. 31, 2021			128,102,255
Exercise of stock options	221				221
Exercise of stock options (in shares)			78,163
Vesting of RSUs, net of shares surrendered to pay taxes	(320)				(320)
Vesting of RSUs, net of shares surrendered to pay taxes (in shares)			102,823
Stock-based compensation expense	1,042				1,042
Net income (loss)	20,687							20,687
Balance at Jun. 30, 2021	$ 178,922		$ 13		$ 299,038			$ (120,129)
Balance (in shares) at Jun. 30, 2021	128,283,241		128,283,241

- Definition

The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

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+ Details

- Definition

Total of all stockholders' equity (deficit) items, net of receivables from officers, directors, owners, and affiliates of the entity which are attributable to the parent. The amount of the economic entity's stockholders' equity attributable to the parent excludes the amount of stockholders' equity which is allocable to that ownership interest in subsidiary equity which is not attributable to the parent (noncontrolling interest, minority interest). This excludes temporary equity and is sometimes called permanent equity.

+ References + Details

Property and Equipment, Net (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Property, Plant and Equipment, Gross	$ 98,724	$ 87,810
Accumulated depreciation and amortization	(71,593)	(69,521)
Property, Plant and Equipment, Net	69,739	60,068
Leasehold improvements
Property, Plant and Equipment, Gross	48,503	39,574
Furniture, computers and equipment
Property, Plant and Equipment, Gross	50,221	48,236
Construction in progress
Property, Plant and Equipment, Net	$ 42,608	$ 41,779

Net Income (Loss) Per Share (EPS) - Basic and diluted net loss per share (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Net Income (loss)	$ 20,687	$ (5,166)	$ 30,630	$ (21,479)
Weighted-average common shares outstanding—basic	128,235,224	104,714,725	128,053,654	104,600,825
Weighted-average common shares outstanding—diluted	133,988,413	104,714,725	133,721,191	104,600,825
Earnings (loss) per share—basic	$ 0.16	$ (0.05)	$ 0.24	$ (0.21)
Earnings (loss) per share—diluted	$ 0.15	$ (0.05)	$ 0.23	$ (0.21)
Restricted Stock Units [Member]
Dilutive effect of awards	508,015		517,837
Employee Stock Option
Dilutive effect of awards	5,245,174		5,149,700

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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+ Details

- Definition

The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

+ References

+ Details

Product and Geographic Sales - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Significant Accounting Policies [Line Items]
GPO Fees	$ 829	$ 837	$ 1,529	$ 1,797
Sales Revenue
Significant Accounting Policies [Line Items]
Concentration Risk, Percentage			1.00%

Leases - Schedule of Lease Cost (Detail) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2021
Leases [Abstract]
Finance lease Amortization of right-of-use assets	$ 304	$ 603
Finance lease Interest on lease liabilities	312	661
Total Finance lease cost	616	1,264
Operating lease cost	1,735	3,015
Short-term lease cost	699	1,414
Variable lease cost	1,086	2,449
Total lease cost	$ 4,136	$ 8,142

Property and Equipment, Net

6 Months Ended

Jun. 30, 2021

Property, Plant and Equipment [Abstract]

Property and Equipment, Net

9. Property and Equipment, Net

Property and equipment consisted of the following:


	June 30,			December 31,
	2021			2020

Leasehold improvements	$	48,503		$	39,574
Furniture, computers and equipment		50,221			48,236

		98,724			87,810
Accumulated depreciation and amortization		(71,593	)		(69,521	)
Construction in progress		42,608			41,779

	$	69,739		$	60,068

Depreciation expense was $1,063 and $891 for the three months ended June 30, 2021 and 2020. Depreciation expense was $2,073 and $1,793 for the six months ended June 30, 2021 and 2020. As of June 30, 2021 and December 31, 2020, the Company had $21,689 of buildings under finance leases recorded within leasehold improvements. As of June 30, 2021 and December 31, 2020, the Company had $15,573 and $14,974 recorded within accumulated depreciation and amortization related to buildings under finance leases, respectively. Construction in progress primarily represents unfinished construction work on a building under a finance lease and, more recently, improvements at the Company’s leased facilities in Canton and Norwood, Massachusetts.

Goodwill and Intangible Assets - Identifiable intangible assets (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Original Cost	$ 46,400	$ 46,400
Accumulated Amortization	(18,264)	(15,778)
Net Book Value	28,136	30,622
Developed technology
Original Cost	32,620	32,620
Accumulated Amortization	(16,020)	(14,330)
Net Book Value	16,600	18,290
Trade names and trademarks
Original Cost	2,080	2,080
Accumulated Amortization	(1,056)	(906)
Net Book Value	1,024	1,174
Customer relationships
Original Cost	10,690	10,690
Accumulated Amortization	(846)	(312)
Net Book Value	9,844	10,378
Non-compete agreements
Original Cost	1,010	1,010
Accumulated Amortization	(342)	(230)
Net Book Value	$ 668	$ 780

Leases (Tables)

6 Months Ended

Jun. 30, 2021

Leases [Abstract]

Schedule of Lease Cost

The components of lease cost were as follows:


	Classification	Three Months Ended June 30, 2021		Six Months Ended June 30, 2021
Finance lease
Amortization of right-of-use assets	COGS and SG&A	$	304	$	603
Interest on lease liabilities	Interest Expense		312		661

Total Finance lease cost			616		1,264
Operating lease cost	COGS, R&D, SG&A		1,735		3,015
Short-term lease cost	COGS, R&D, SG&A		699		1,414
Variable lease cost	COGS, R&D, SG&A		1,086		2,449

Total lease cost		$	4,136	$	8,142

Summary of Balance Sheet Information Related To Finance Leases

Supplemental balance sheet information related to finance leases was as follows:


	June 30, 2021			January 1, 2021

Property and equipment, gross	$	22,989		$	22,989
Accumulated depreciation		(15,578	)		(14,974	)

Property and equipment, net	$	7,411		$	8,015


Current portion of finance lease obligations	$	4,134		$	3,619
Finance lease long-term obligations		9,553			11,442

Total finance lease liabilities	$	13,687		$	15,061

Summary of Cash Flow Information Related To Leases

Supplemental cash flow

information related to leases was as follows:


	Six Months Ended June 30, 2021
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases		3,228
Operating cash flows for finance leases		1,022
Financing cash flows for finance leases		1,374
Right-of-use assets obtained in exchange for lease obligations - upon adoption:
Operating leases		13,525
Finance leases		—
Right-of-use assets obtained in exchange for lease obligations - post adoption:
Operating leases		15,567
Finance leases		—


	June 30, 2021
Weighted-average remaining lease term
Finance leases		1.49
Operating leases		8.27

	June 30, 2021
Weighted-average discount rate
Finance leases		19.69	%
Operating leases		4.19	%

Summary of Maturities of Lease Liabilities

As of June 30, 2021, maturities of lease liabilities were as follows:


	Operating leases			Finance leases
2021 (remaining 6 months)	$	3,319		$	2,390
2022		4,507			4,945
2023		3,845			—
2024		3,177			9,782
2025		3,164			—
Thereafter		16,341			—

Total lease payments		34,353			17,117
Less: interest		(5,625	)		(3,430	)

Total lease liabilities	$	28,728		$	13,687

Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Finite-Lived Intangible Assets

Identifiable intangible assets consisted of the following as of June 30, 2021:


	Original		Accumulated			Net Book
	Cost		Amortization			Value
Developed technology	$	32,620	$	(16,020	)	$	16,600
Trade names and trademarks		2,080		(1,056	)		1,024
Customer relationships		10,690		(846	)		9,844
Non-compete agreements		1,010		(342	)		668

Total	$	46,400	$	(18,264	)	$	28,136

Identifiable intangible assets consisted of the following as of December 31, 2020:


	Original		Accumulated			Net Book
	Cost		Amortization			Value
Developed technology	$	32,620	$	(14,330	)	$	18,290
Trade names and trademarks		2,080		(906	)		1,174
Customer relationship		10,690		(312	)		10,378
Non-compete agreements		1,010		(230	)		780

Total	$	46,400	$	(15,778	)	$	30,622

Accounts receivable, net

6 Months Ended

Jun. 30, 2021

Receivables [Abstract]

Accounts receivable, net

6. Accounts Receivable, Net

Accounts receivable consisted of the following:


	June 30,			December 31,
	2021			2020
Accounts receivable	$	83,880		$	61,792
Less — allowance for sales returns and doubtful accounts		(7,113	)		(4,988	)

	$	76,767		$	56,804

The Company’s allowance for sales returns and doubtful accounts was comprised of the following:


	Three Months Ended June 30,						Six Months Ended June 30,
	2021			2020			2021			2020
Balance at beginning of period	$	6,076		$	3,204		$	4,988		$	3,049
Additions		1,056			753			2,158			970
Write-offs		(19	)		(29	)		(33	)		(91	)

Balance at end of period	$	7,113		$	3,928		$	7,113		$	3,928

Restructuring - Additional Information (Detail) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2021 USD ($)	Jun. 30, 2021 USD ($)	Oct. 21, 2020 USD ($) Employees
Restructuring Cost and Reserve [Line Items]
Restructuring and Related Cost	$ 7,000	$ 7,000
Number of employees to retention Benefits \| Employees			70
Restructuring Reserve Current	2,410	2,410
Selling, General and Administrative Expenses
Restructuring Cost and Reserve [Line Items]
Restructuring Charges	939	1,866
Employee Cost
Restructuring Cost and Reserve [Line Items]
Restructuring and Related Cost			$ 4,500
Restructuring Charges	853	1,763
Facility and Other
Restructuring Cost and Reserve [Line Items]
Restructuring and Related Cost			$ 2,500
Restructuring Charges	$ 86	$ 103

Leases - Additional Information (Detail) $ in Thousands	3 Months Ended	6 Months Ended
Leases - Additional Information (Detail) $ in Thousands	Jun. 30, 2020 USD ($)	Jun. 30, 2021 USD ($) ft²	Jun. 30, 2020 USD ($)	Dec. 31, 2020 USD ($)
Operating lease, expense	$ 1,837		$ 3,351
Lessee, operating lease, term of contract		12 months
Accrued But Unpaid Capital Lease Obligation
Accrued Interest		$ 2,151		$ 1,673
Accrued But Unpaid Capital Lease Obligation \| CAM Portion of Accrued Rent
Capital lease rental arrears		554		525
Accrued But Unpaid Capital Lease Obligation \| Principal, Interest and CAM [Member]
Capital lease rental arrears		10,336		10,336
Accrued But Unpaid Capital Lease Obligation \| Principal
Capital lease rental arrears		7,307		6,946
Accrued But Unpaid Capital Lease Obligation \| Interest [Member]
Capital lease rental arrears		2,475		$ 2,865
Dan Road Associates
Capital Lease Obligations		$ 4,308
Capital Leases Aggregate Annual Lease Payments Rent Percentage		10.00%
NuTech Medical
Under the lease, the Company is required to make monthly rent payments of approximately		$ 22
California
Lessee, operating lease, term of contract		10 years
Lessee, Operating Lease, Option to Extend		five years
Annual lease payments during the first year		$ 1,562
Aggregate annual lease payments rent percentage increases		3.00%
Security Deposit		$ 237
Land Subject to Ground Leases \| ft²		23,000
Fleet Lease
Lessee, operating lease, term of contract		367 days
Maximum
Lessee, operating lease, renewal term		10 years
Minimum
Lessee, operating lease, renewal term		5 years

Long-Term Debt Obligations (Detail) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Less current maturities	$ (22,500)	$ (16,666)
Term loan, net of debt discount, debt issuance cost and current maturities	37,290	43,044
2019 Credit Facility [Member]
Line of credit	10,000	10,000
Term loan	60,000	60,000
Less debt discount and debt issuance cost	(210)	(290)
Less current maturities	(22,500)	(16,666)
Term loan, net of debt discount, debt issuance cost and current maturities	$ 37,290	$ 43,044

- Definition

The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

+ References + Details

Leases - Summary of Cash Flow Information Related To Leases (Detail) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases	$ 3,228
Operating cash flows for finance leases	1,022
Financing cash flows for finance leases	1,374	$ 1,149
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$ 29,092
Weighted-average remaining lease term
Finance leases	1 year 5 months 26 days
Operating leases	8 years 3 months 7 days
Weighted-average discount rate
Finance leases	19.69%
Operating leases	4.19%
Post Adoption [Member]
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$ 15,567
Upon Adoption [Member]
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$ 13,525