This paper presents a dynamic simulation model and a parametric analysis of a solar-geothermal hybrid cogeneration plant based on an Organic Rankine Cycle (ORC) powered by a medium-enthalpy geothermal resource and a Parabolic Trough Collector solar field. The fluid temperature supplying heat to the ORC varies continuously as a function of the solar irradiation, affecting both the electrical and thermal energies produced by the system. Thus, a dynamic simulation was performed. The ORC model, developed in Engineering Equation Solver, is based on zero-dimensional energy and mass balances and includes specific algorithms to evaluate the off-design system performance. The overall simulation model of the solar-geothermal cogenerative plant was implemented in the TRNSYS environment. Here, the ORC model is imported, whereas the models of the other components of the system are developed on the basis of literature data. Results are analyzed on different time bases presenting energetic, economic and exergetic performance data. Finally, a rigorous optimization has been performed to determine the set of system design/control parameters minimizing simple payback period and exergy destruction rate. The system is profitable when a significant amount of the heat produced is consumed. The highest irreversibilities are due to the solar field and to the heat exchangers.