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LeMaitre Vascular (LMAT) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Health Care· Aug 4, 2026

Source: earnings call transcript

Executive summary

LeMaitre Vascular Q2 FY26 — Strong Organic Growth Despite Headwinds, Artegraft Drives International Expansion

LeMaitre Vascular delivered robust organic growth in Q2, primarily fueled by strong Artegraft performance and international expansion, despite facing currency headwinds, Middle East conflict impacts, and supply constraints for cardiac allografts. The company is actively investing in global infrastructure and sales force expansion, while navigating regulatory pathways for key products and addressing supply chain challenges to support future growth.

Highlights

5
  • Organic sales grew 10% in Q2, with 7% from price and 3% from units, reaching 12% excluding catheter recall impact.

  • Artegraft sales grew 34% in Q2, accounting for 21% of total sales, with 2026 sales now expected to reach $11 million, up from $4 million in 2025.

  • Gross margin expanded by 210 basis points year-over-year to 72.1% in Q2, driven by higher ASPs and positive product mix.

  • Operating income increased 26% to a record $20.4 million, resulting in a 29% operating margin for the quarter.

  • EMEA and APAC regions both posted strong 18% growth in Q2, contributing to global expansion.

Concerns

5
  • Q2 sales underperformed guidance by $1.1 million due to strengthening dollar, Middle East conflict, and cardiac allograft supply issues.

  • Catheter sales were down 11% in Q2 due to recall-driven overstocking in the prior year, impacting overall organic growth.

  • Quick Stick project likely requires a clinical trial, extending the timeline for market entry from quarters to years.

  • Cardiac allograft sales growth is slowing due to anticipated supply constraints, despite a 39% QoQ growth.

  • Full-year organic revenue growth guidance reduced from 12% to 11% due to Q2 results and ongoing headwinds.

Guidance & targets

CategoryTargetConfidence
Full-year 2026 Reported Revenue
$276.3 million
high materiality
High
Full-year 2026 Reported Revenue Growth
11%
high materiality
High
Full-year 2026 Organic Revenue Growth
11%
high materiality
High
Full-year 2026 Gross Margin
72.4%
medium materiality
High
Full-year 2026 Operating Income
$76.8 million
high materiality
High
Full-year 2026 Operating Margin
28%
medium materiality
High
Full-year 2026 Fully Diluted EPS
$2.89
high materiality
High
Artegraft Sales
$11 million
medium materiality
High
Artegraft International Approvals
Korea, Brazil, India
medium materiality
High
Artegraft Japan PMDA Approval (AV indication)
By 2029/2030
medium materiality
Medium
Artegraft Canada Launch
September
low materiality
High
Longer Artegraft Sizes Approval Filings
Q4 2026
low materiality
High
Longer Artegraft Sizes Sales Start
H2 2027
low materiality
High
Irish RFA Approval
H1 2027
low materiality
High
RFA Distribution Expansion
Austria, Holland, Spain
low materiality
High
RFA Distribution Expansion
Australia, Switzerland
low materiality
High
Sales Rep Count
170 to 180 reps
medium materiality
High
Polish Go-Direct Launch
December
low materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
Americas
Reported growth was impacted by prior-year catheter recall overstocking and Aziyo issues.
Organic growth (ex-Aziyo): 6%Organic growth (ex-catheters): 8%
—5%——
EMEA
Strong growth and significant profitability improvement driven by relocalization efforts and Artegraft sales.
—18%—70% profitability growth
APAC
Strong growth in the region.
—18%——

Deals & partnerships

Polish entity (unnamed) Signed a go-direct term sheet to sell direct to hospitals from a Warsaw warehouse.

Part of the company's 'relocalization' strategy to establish direct connections with worldwide hospital customers.

Risks & headwinds

Strengthening U.S. dollar Q2 2026 and H2 2026

Contributed to $1.1 million Q2 sales miss; 1/3 of Q2 miss and 1/3 of full-year guidance change. Euro rate moved from $1.17 forecast to $1.14 (end June) and $1.15 (July).

Mitigation:Reflected in updated full-year guidance.

Middle East war / conflict Q2 2026 and H2 2026

Contributed to $1.1 million Q2 sales miss; $400,000 of export orders ready but unable to ship.

Mitigation:Reflected in updated full-year guidance; export business overall expected to be down for the year if unresolved.

Cardiac allograft supply constraints Q2 2026 and H2 2026

Contributed to $1.1 million Q2 sales miss; slowing growth for RFA. Cardiac allografts grew 39% QoQ but below expectations.

Mitigation:Moving tissue processing to Burlington, MA; exploring bringing on more recovery groups; removed internal purchasing constraints.

Catheter recall-driven overstocking impact Q2 2026 (prior year comp)

Catheter sales down 11% in Q2, impacting overall organic growth by 2 percentage points (10% reported vs 12% ex-catheters).

Mitigation:Believed to be transient, comp will normalize in H2.

Quick Stick clinical trial requirement Multi-year

Likely requires a clinical trial, extending timeline for market entry from quarters to years.

Mitigation:Company is evaluating resource allocation and strategic path forward.

FDA quality system observations Ongoing

Additional observations received June 25, 2026, after reaudit of New Jersey facility.

Mitigation:Company responded July 16; no disruption to production, shipping, or invoicing.

What to watch in Q3 FY26

Artegraft Canada Launch

Next quarter (Q3 FY26)
Current Approved last year, launch set for September.
Target Successful launch and initial sales data.

Why it matters

Indicates successful international expansion for a key growth driver.

Canada approved Artegraft last year and the launch is set to occur this September.

Find out whether LMAT delivers this. Inve re-checks your case every morning.

Q&A highlights

How will LeMaitre allocate resources to the Quick Stick project given the likely need for a multi-year clinical trial?

Management acknowledges the market opportunity for Quick Stick but needs time to decide on resource allocation for a clinical trial, as they are not historically a clinical trial company, despite aspirations for more R&D focus.

“We're not really a clinical trial company historically, but we do have these aspirations to get a little bit more R&D focused. So I think it will take us a little time to figure that out.”

asked by Michael Sarcone · answered by George LeMaitre

3 min read 6 chapters

Detailed narrative

Artegraft's Accelerating Momentum and International Expansion

Artegraft continues to be a significant growth driver, growing 34% in Q2 and contributing 21% of total sales. International sales for Artegraft increased sequentially from $2.1 million in Q1 to $2.8 million in Q2, with full-year 2026 sales now projected at $11 million, a substantial increase from $4 million in 2025.

The product received approvals in Vietnam, Morocco, and Turkey in Q2, bringing its global reach to 56 countries, with major approvals expected in Korea, Brazil, and India in 2027. The company is also developing longer Artegraft sizes for leg bypasses in Europe, with approval filings planned for Q4 2026 and sales commencing in H2 2027.

Strategic Infrastructure and Sales Force Investments

LeMaitre is undertaking a significant "relocalization" initiative, expanding its global warehouse footprint to enhance customer connections and reduce shipping costs. This includes tripling the primary warehouse in Billerica, Massachusetts, doubling Madrid, and planning expansions in Paris and Toronto, with a total of seven new or larger warehouses opening in 2026/2027.

Concurrently, the company is aggressively expanding its sales force, aiming for 170-180 reps by year-end, up from 163 in Q2, with 9 new reps starting in Q3 and 13 open requisitions. This strategy has already yielded significant gross margin expansion in Europe, with segment profitability up 70%.

Navigating Regulatory and Supply Challenges

The Quick Stick project faces a potential setback, with the FDA indicating a clinical trial is likely, extending the timeline for market entry to years. Cardiac allograft sales, while growing 39% quarter-on-quarter, are experiencing slowing growth due to anticipated supply constraints, which the company is actively addressing by moving processing to Burlington, Massachusetts, and exploring additional recovery groups.

Management emphasized that 95% of their products have ample supply, and they are committed to resolving the allograft issue.

Geographic Performance and Catheter Impact

EMEA and APAC regions demonstrated strong growth of 18% each in Q2, while the Americas grew 5%. The Americas' performance was notably impacted by an 11% decline in catheter sales, attributed to recall-driven overstocking in Q2 2025. Excluding catheters, the Americas organic growth would have been 8%, indicating underlying strength in other product lines.

The company believes the catheter impact is transient and will normalize in the second half of the year.

Financial Performance and Outlook Adjustments

The company reported a 10% organic revenue growth in Q2, driven by 7% price and 3% unit growth, which would have been 12% excluding the catheter impact. Gross margin improved by 210 basis points year-over-year to 72.1%, primarily due to higher ASPs, reduced shipping costs, and a favorable product mix, particularly from Artegraft.

Full-year organic revenue guidance was adjusted from 12% to 11% due to Q2 performance, FX headwinds (euro rate moving from $1.17 forecast to $1.14), and Middle East conflict impacts on export business, which has resulted in $400,000 of unshipped orders.

FDA Audit and Quality Systems

Following a 2025 warning letter, the FDA reaudited the New Jersey facility in June 2026. Management believes 3 out of 4 observations from 2025 were adequately addressed. Additional quality system observations were provided on June 25, to which the company responded on July 16, with no disruption to production, shipping, or invoicing. The company continues to prioritize compliance and quality in its manufacturing processes.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.