RxSight, Inc.: Q3 FY2026 earnings call
What management said about Q3 FY2026, from the documents filed with the SEC on 3 November 2026: press release. The quarter’s numbers.
Key takeaways
- Revenue fell 19% year over year: Total revenue was $24.6 million against $30.3 million a year earlier. Product sales were $24.5 million, and collaboration revenue was $40 thousand. Source
- Net loss was $16.2 million: Net loss was $16.2 million, or $0.39 per share, against $9.8 million, or $0.24 per share. Loss from operations was $18.5 million, against $12.2 million a year earlier. Source
- Gross margin fell to 73.6%: Gross margin was 73.6% against 79.9% a year earlier. Product gross profit was $18.1 million on product sales of $24.5 million. Source
- Cash and investments reached $254.7 million: Cash, cash equivalents and short-term investments totaled $254.7 million, including $60 million received in the quarter from Alcon. Source
- Sales force nearly doubled: The company is advancing U.S. commercial transformation, which includes nearly doubling the sales force to support deeper customer engagement and practice support. Source
- Restructuring completed in quarter: Organizational restructuring is reported as complete, aimed at aligning resources with strategic priorities. Source
- Commercial leaders added: Taryn Conway was named Chief Commercial Officer and Frank Shields EVP of Sales and Commercial Strategy, both described as experienced eye care leaders. Source
“Since I joined last quarter, the team has moved quickly and accomplished a great deal in a short period of time”
Aziz Mottiwala, President and Chief Executive Officer of RxSight
What changed from last quarter
- New: Taryn Conway and Frank Shields were added to commercial leadership as Chief Commercial Officer and EVP of Sales and Commercial Strategy. Source
- New: The company reports it is nearly doubling its sales force as part of U.S. commercial transformation. Source
- New: The company reports completing an organizational restructuring aimed at aligning resources with strategic priorities. Source
- Ended: The $60 million receivable from the collaboration partner shown at June 30 no longer appears on the September 30 balance sheet; the release says $60 million was received in the quarter.
Results and growth drivers
- Revenue fell 19% year over year: Total revenue was $24.6 million against $30.3 million a year earlier. Product sales were $24.5 million, and collaboration revenue was $40 thousand. Source
- Net loss was $16.2 million: Net loss was $16.2 million, or $0.39 per share, against $9.8 million, or $0.24 per share. Loss from operations was $18.5 million, against $12.2 million a year earlier. Source
- Adjusted net loss was $8.6 million: Adjusted net loss, which is net loss adjusted for stock-based compensation of $7.6 million, was $8.6 million, or $0.21 per share, against $1.7 million, or $0.04 per share. Source
- Nine-month net loss reached $44.2 million: For the nine months, net loss was $44.2 million, or $1.07 per share, against $29.8 million, or $0.73 per share. Nine-month total revenue was $89.2 million. Source
Products and customers
- Light Adjustable Lens units totaled 23,128: Light Adjustable Lens units were 23,128 in the quarter, against 24,917 LAL units in the second quarter. The release gives no Light Delivery Device unit count for the quarter.
- Next-generation platform announced earlier: The prior release announced development of a next-generation platform with new LAL, LAL+ and LAL Toric lenses, intended to improve workflow and reduce office visits.
- Installed base named as priority: In August, management named strengthening commercial execution and deeper adoption across the installed base as its immediate priority.
“We have strengthened our commercial organization and leadership, made progress across key long-term growth initiatives, and taken decisive actions to align our cost structure with our priorities”
Aziz Mottiwala, President and Chief Executive Officer of RxSight
Costs and margins
- Gross margin fell to 73.6%: Gross margin was 73.6% against 79.9% a year earlier. Product gross profit was $18.1 million on product sales of $24.5 million. Source
- Alcon effect on margin immaterial: The company said the Alcon collaboration had an immaterial effect on gross margin in the quarter. Source
- Operating costs near prior-year level: Total costs and expenses were $43.1 million against $42.5 million. Selling, general and administrative expense was $27.4 million, and research and development was $9.2 million. Source
- Cost of sales rose: Cost of sales was $6.5 million, against $6.1 million a year earlier. Source
Alcon collaboration and revenue
- Collaboration revenue was minimal: Management said collaboration revenue was minimal, consistent with the early stages of the program. Collaboration revenue was $40 thousand in the quarter and $6.5 million for nine months. Source
- Alcon agreement terms from earlier: The prior release described a collaboration to develop and commercialize presbyopia-correcting lenses, with up to $200 million upfront and milestone payments and royalty potential.
- Initial 120-day Alcon period complete: Management said the initial 120-day period under the agreement is now complete. The release does not describe results from that period. Source
Capital, cash and balance sheet
- Cash and investments reached $254.7 million: Cash, cash equivalents and short-term investments totaled $254.7 million, including $60 million received in the quarter from Alcon. Source
- Cash and investments by type: Cash and cash equivalents were $66.7 million and short-term investments were $188.0 million, against $19.9 million and $208.2 million at December 31, 2025. Source
- Inventories rose, receivables fell: Inventories were $39.6 million against $31.6 million at December 31, 2025. Accounts receivable were $17.0 million against $23.4 million. Source
- Refund liability of $50.0 million: A $50.0 million current refund liability appears on the balance sheet, the same amount shown at June 30. The release does not describe it. Noncurrent deferred revenue of $2.1 million is also reported. Source
- Shares outstanding rose: Shares issued and outstanding were 41,927,222 at September 30, 2026, against 41,242,005 at December 31, 2025. Source
Commercial build-out and restructuring
- Sales force nearly doubled: The company is advancing U.S. commercial transformation, which includes nearly doubling the sales force to support deeper customer engagement and practice support. Source
- Restructuring completed in quarter: Organizational restructuring is reported as complete, aimed at aligning resources with strategic priorities. Source
- Operating expense savings targeted: Management described the restructuring as intended to produce meaningful operating expense savings in the core business. Total costs and expenses were $43.1 million, against $42.5 million. Source
People and leadership
- Mottiwala leads as CEO: Aziz Mottiwala was appointed President and Chief Executive Officer. The current release says he joined last quarter and that the team has moved quickly.
- Commercial leaders added: Taryn Conway was named Chief Commercial Officer and Frank Shields EVP of Sales and Commercial Strategy, both described as experienced eye care leaders. Source
- Comprehensive review begun in August: In August, Mottiwala said he had begun a comprehensive review of the business. The current release does not describe the review's results.
Coming up, as management said on 3 November 2026
- Formal guidance to resume early 2027: The company withdrew 2026 guidance in August and said it will resume formal guidance in early 2027. No figures for the period are given in the current release.
Figures management reported
| Figure | Reported |
|---|---|
| Light Adjustable Lens (LAL) units Source | 23,128 |
Risks management discussed
- Demand: Management tied the third-quarter revenue decline to ongoing competitive pressures. Source
- Operational: Inventory reserves and higher inventory costs for LAL and LDD reduced gross margin, partly offset by favorable product mix. Source
- Operational: Management said more work remains on execution following the leadership and cost changes. Source
Earlier plans management reported on
- Met: In August, management said it would focus resources on the core business, pipeline and Alcon collaboration. The current release reports the restructuring to align resources as completed.
Other quarters
Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.