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Establishment Labs Holdings (ESTA) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 8, 2026

Establishment Labs Holdings (ESTA) reported revenue of $59.9M for the first quarter 2026 (Q1 2026), +45% from a year earlier and -7% from the quarter before. Operating margin was -10.9%, net loss $13.4M (22.3% of revenue).

Revenue$59.9M
Year over year+45%
Quarter over quarter-7%
Operating margin-10.9%
Net earnings−$13.4M

Establishment Labs Holdings, Q1 2026: revenue $59.9M (+45% year over year), operating margin -10.9%, net loss $13.4M, operating cash flow −$4.3M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$59.9M-7%+45%
Operating profit−$6.5M——
Net earnings−$13.4M——
Operating cash flow−$4.3M——

What changed

Revenue was $59.9M in Q1 2026, up 45% year over year and down 7% from the previous quarter.

Gross margin was 70.7%, up 3.5 points from Q1 2025. Operating costs exceeded revenue by $6.5M, an operating margin of -10.9%. Operating expenses grew 9% against revenue growth of 45%. The quarter ended with a net loss of $13.4M, wider than the previous quarter's $2.6M loss.

Operating cash flow was −$4.3M. Non-cash charges added back $1.6M of depreciation and amortization and $3.0M of share-based compensation. Working capital and other items added $4.5M. Capital expenditures of $1.9M exceeded it, leaving free cash flow of −$6.2M.

Questions

What was Establishment Labs Holdings' revenue in the first quarter 2026?

Establishment Labs Holdings (ESTA) reported revenue of $59.9M for the first quarter 2026 (Q1 2026), +45% from a year earlier and -7% from the quarter before.

Was Establishment Labs Holdings profitable in the first quarter 2026?

Operating loss was $6.5M (-10.9% of revenue) and net loss $13.4M.

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Source: Establishment Labs Holdings 10-Q on SEC EDGAR.