ESTA logo
ESTA NASDAQ CR

Establishment Labs Holdings Inc. - Common Shares

Health Care · Health Care Website · IPO Jul 2018
$58.31
▼ $-0.39 (-0.66%)
Vol 279K
6
Quality Score
fail
Mkt Cap
$2.1B
ROE
-255.4%
Margin
-43.7%
D/E
1506.19
Beta
1.02
52W
$27–$78

Wall Street Consensus

15 analysts · Apr 2026
5
Strong Buy
8
Buy
2
Hold
0
Sell
0
Strong Sell
86.7%
Buy Rating

Price Chart

Earnings

Beat rate: 75.0%
Quarter EPS Est EPS Act Surprise
Dec 2025 $-0.22 $-0.09 +$0.13
Sep 2025 $-0.54 $-0.38 +$0.16
Jun 2025 $-0.54 $-0.57 $-0.03
Mar 2025 $-0.82 $-0.70 +$0.12

Quarterly Revenue & Earnings

Quarter 2024-1… 2025-0… 2025-0… 2025-0… 2025-1…
Revenue $44.5M $41.4M $51.3M $53.8M $64.6M
Net Income -$34.5M -$20.7M -$16.6M -$11.1M -$2.6M

Fundamentals Trend

Metric 2025-06-30 2025-09-02 2025-10-02 2025-11-03 2025-12-03 2026-01-02
ROE (TTM) -242.5% -240.7% -240.7% -240.7% -255.4% -255.4%
P/E (TTM)
Net Margin -32.4% -49.9% -49.9% -49.9% -43.7% -43.7%
Gross Margin 68.8% 67.2% 67.2% 67.2% 68.7% 68.7%
D/E Ratio 971.46 971.46 971.46 971.46 1506.19 1506.19
Current Ratio 2.84 2.84 2.84 2.84 3.33 3.33

Key Ratios

ROA (TTM)
-24.8%
P/S (TTM)
11.09
P/B
24.3
EPS (TTM)
$-2.86
CF/Share
$-2.69
Rev Growth 3Y
+9.4%
52W High
$78.24
52W Low
$26.56
$26.56 52-Week Range $78.24

Financial Health

Free Cash Flow
-$1.8M
Net Debt
$188.9M
Cash
$75.6M
Total Debt
$264.5M
As of Dec 31, 2025

How does ESTA compare to Health Care peers?

Peer group: Micro-cap Health Care (All) · 241 companies

ESTA valuation vs Health Care peers

P/E ratio
0% below peers (30.7)
vs Peers
vs Industry
Undervalued
P/S ratio
11.1
330% above peers (2.6)
vs Peers
vs Industry
Overvalued
P/B ratio
24.3
774% above peers (2.8)
vs Peers
vs Industry
Overvalued
Div yield
0% below peers (0.7%)
vs Peers
vs Industry
Low yield

ESTA profitability vs Health Care peers

ROE
-255.4%
563% below peers (-38.5%)
vs Peers
vs Industry
Weak
Net margin
-43.7%
77% below peers (-24.7%)
vs Peers
vs Industry
Weak
Gross margin
68.7%
30% above peers (52.9%)
vs Peers
vs Industry
Below avg
ROA
-24.8%
17% below peers (-21.2%)
vs Peers
vs Industry
Below avg

ESTA financial health vs Health Care peers

D/E ratio
1506.2
7712% above peers (19.3)
vs Peers
vs Industry
High debt
Current ratio
3.3
54% above peers (2.2)
vs Peers
vs Industry
Below avg
Beta
1.0
3% below peers (1.1)
vs Peers
vs Industry
Less volatile

ESTA fundamentals radar

ESTA Peer median Industry

ESTA profitability vs leverage

Bubble size = market cap · X = net margin · Y = D/E ratio

ESTA vs peers: key metrics

Insider Activity

Neutral
Buys
0
Sells
0
CHACON QUIROS JUAN JOSE
Director · Mar 25
3575 shs
CHACON QUIROS JUAN JOSE
Director · Mar 23
33925 shs
HARRIS CASSANDRA
Chief Financial Officer · Mar 09
7372 shs
CALDINI FILIPPO
Chief Executive Officer · Feb 18
8185 shs
MANSBACH SAMUEL ROSS
General Counsel · Feb 13
4082 shs
Last 90 days

Top Holders

Top 5: 33.6%
JW Asset Management, LLC
10.44%
$169.3M
RTW Investments LP
8.83%
$143.2M
Brown Advisory Inc.
6.80%
$110.3M
Findell Capital Management …
3.86%
$62.5M
Tyro Capital Management LLC
3.67%
$59.6M
As of Dec 31, 2025