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Establishment Labs® Reports Third Quarter 2026 Financial Results

$ESTAPress releaseOct 29, 2026, 8:00 AM ETRead the release

Establishment Labs reported Q3 2026 revenue of $72.0 million, up 33.9% year-over-year, driven by 119% U.S. growth and a 124% increase in its minimally invasive platform. The company achieved its first-ever quarter of positive operating cash flow (~$7.7 million) and free cash flow ($5.1 million), with Adjusted EBITDA of $6.4 million, up from $1.2 million a year ago. Full-year 2026 revenue guidance was raised to more than $274 million from the prior $269-271 million range, and management expects 25% growth with positive cash flow in fiscal 2027.

Key figures

Revenue
71993000
Guidance
FY26 revenue raised to more than $274 million from prior $269-271 million; adjusted gross margin ~70.7%; adjusted opex $195-200M; positive FY adjusted EBITDA; fiscal 2027 growth expected at 25% with positive cash flow
Revenue Yoy
33.9%
Fcf
5072000
Cash
$75.8 million
Us revenue
$26.0 million (+119.0% YoY)
Ous revenue
$46.0 million (+9.7% YoY)
Us accounts
more than 2,100
Gaap net loss
$10.7 million
Adjusted ebitda
6384000
Gaap gross margin
69.1%
Operating cash flow
$7.7 million
Adjusted gross margin
70.8%
Adjusted ebitda margin
8.9%
Minimally invasive revenue
approximately $9 million (+124.0% YoY)

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