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Establishment Labs Holdings (ESTA) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 6, 2026 · Establishment Labs Holdings (ESTA) Q3 2026 earnings results →

Q3 2026 Revenue up 34% year over year to $72.0M · 15¢ of every $1 of revenue lost · operating margin -3.6%

Establishment Labs Holdings made $72.0M in Q3 2026 (+34% Y/Y). Operating margin -3.6%, net loss $10.7M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 6, 2026.

Revenue$72.0M
Year over year+34%
Operating margin-3.6%
Net earnings−$10.7M
Operating cash flow$7.7M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $72.0M in Q3 2026, up 34% year over year and up 7% from the previous quarter.

Gross margin was 69.1%, down 1.0 points from Q3 2025. Operating costs exceeded revenue by $2.6M, an operating margin of -3.6%. Operating expenses grew 25% against revenue growth of 34%. The fastest-growing cost line was SG&A (+29%). The quarter ended with a net loss of $10.7M, narrower than the previous quarter's $11.7M loss. Net interest and other expense of $7.5M was the main reason.

Operating cash flow was $7.7M. Non-cash charges added back $2.9M of share-based compensation. Working capital and other items added $15.5M. After cost incurred for intangible assets ($1.7M) and purchases of property and equipment ($885K), free cash flow as the company reports it was $5.1M.

Quarterly history

Establishment Labs Holdings revenue by quarterEstablishment Labs Holdings revenue by quarter$41.4MQ1 2025$51.3MQ2 2025$53.8MQ3 2025$64.6MQ4 2025$59.9MQ1 2026$67.5MQ2 2026$72.0MQ3 2026
Establishment Labs Holdings net earnings by quarterEstablishment Labs Holdings net earnings by quarter−$20.7MQ1 2025−$16.6MQ2 2025−$11.1MQ3 2025−$2.6MQ4 2025−$13.4MQ1 2026−$11.7MQ2 2026−$10.7MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 6, 2026$72.0M+34%-3.6%−$10.7M$7.7M
Q2 202610-QAug 7, 2026$67.5M+32%-6.4%−$11.7M−$16.6M
Q1 202610-QMay 8, 2026$59.9M+45%-10.9%−$13.4M−$4.3M
Q4 202510-KFeb 27, 2026$64.6M+45%-6.1%−$2.6M−$162K
Q3 202510-QNov 7, 2025$53.8M+34%-7.5%−$11.1M−$11.2M
Q2 202510-QAug 7, 2025$51.3M+16%-27.5%−$16.6M−$18.8M
Q1 202510-QMay 9, 2025$41.4M+11%-41.0%−$20.7M−$20.7M

Charts

Establishment Labs Holdings: revenue growth, year over year and quarter over quarterEstablishment Labs Holdings: revenue growth, year over year and quarter over quarterY/YQ/Q+11%Q1 2025+16%+24%Q2 2025+34%+5%Q3 2025+45%+20%Q4 2025+45%-7%Q1 2026+32%+13%Q2 2026+34%+7%Q3 2026
Latest (Q3 2026): Y/Y +34%, Q/Q +7%.
Establishment Labs Holdings: where the cash came from (+) and went (−), TTM to Q3 2026Establishment Labs Holdings: where the cash came from (+) and went (−), TTM to Q3 2026Net borrowing (+) / repaid (−)$265MOther financing−$260MShares issued$24.7MOperating cash flow−$13.4MCapital spending−$8.2MCash drawn (+) / kept (−)−$5.2MOther investing−$1.7MTaxes on employees’ shares−$1.3MExchange rates−$94K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Establishment Labs Holdings: profit against cash, quarter by quarterEstablishment Labs Holdings: profit against cash, quarter by quarterNet incomeOperating cash flow−$34.5M−$20.7MQ4 2024−$20.7M−$20.7MQ1 2025−$16.6M−$18.8MQ2 2025−$11.1M−$11.2MQ3 2025−$2.6M−$162KQ4 2025−$13.4M−$4.3MQ1 2026−$11.7M−$16.6MQ2 2026−$10.7M$7.7MQ3 2026
Latest (Q3 2026): Net income −$10.7M, Operating cash flow $7.7M.
Establishment Labs Holdings: diluted shares by fiscal yearEstablishment Labs Holdings: diluted shares by fiscal year23MFY202024MFY202124MFY202226MFY202328MFY202430MFY2025
+27.0% since FY2020: more shares outstanding (issuance, stock pay).
Establishment Labs Holdings in its industry: growth against margin (21 companies, SIC 3842)Establishment Labs Holdings in its industry: growth against margin (21 companies, SIC 3842)revenue growth, year over year →↑ operating marginmedian +12%median -4%ISRGZBHEWSTEALGNENOVMSACDREINGNLAKESMTIAPTMYOLFWDLGMKMLSSAVRNTRBFEEDCOCHESTA (+34%, -4%)
Orthopedic, Prosthetic & Surgical Appliances & Supplies; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Buys from

About Establishment Labs Holdings

We are a global medical technology company focused on improving patient safety and aesthetic outcomes, initially in the breast aesthetics and reconstruction market. We initially incorporated in Costa Rica in 2004 and subsequently reorganized in 2013 under a parent holding company in the British Virgin Islands. Our line of silicone gel-filled breast implants, branded as Motiva Implants, is the centerpiece of our medical technology platform. Our 5-year results from our Motiva U.S. IDE study as well as our patient and practitioner reported post-market surveillance data indicate that Motiva Implants have low rates of adverse events (including rupture, capsular contracture, and implant-related reoperations) that compare favorably with those of our competitors.

In its own words, from its 10-K, filed Feb 27, 2026.

Establishment Labs Holdings against its Orthopedic, Prosthetic & Surgical Appliances & Supplies peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +34% against the peers' median +10%. Operating margin: -3.6% against the peers' median 16.4%.

CompanyQuarterRevenueY/YOp. margin
ESTA Establishment Labs HoldingsQ3 2026$72.0M+34%-3.6%
ISRG Intuitive SurgicalQ3 2026$3.0B+22%19.4%
ZBH Zimmer Biomet HoldingsQ3 2026$2.1B+3%14.9%
EW Edwards LifesciencesQ3 2026$1.7B+10%17.4%
STE SterisQ2 FY27$1.6B+9%18.5%
ALGN Align TechnologyQ3 2026$1.0B+2%16.7%
ENOV EnovisQ3 2026$559M+2%0.6%
MSA MSA SafetyQ3 2026$536M+14%16.4%
CDRE Cadre HoldingsQ3 2026$203M+30%14.0%

Source: Establishment Labs Holdings 10-Q on SEC EDGAR · CIK 1688757 · Orthopedic, Prosthetic & Surgical Appliances & Supplies

Guidance and outlook

Establishment Labs Holdings: what its forward-looking statements are about (10-Q filed 2026-11-06)Establishment Labs Holdings: what its forward-looking statements are about (10-Q filed 2026-11-06)Other1Financing1
2 statements; tone -0.50 (−1 all cautious, +1 all confident); 1 hedged.
Establishment Labs Holdings: outlook statements against the filing beforeEstablishment Labs Holdings: outlook statements against the filing beforeCautious1

More on ESTA

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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