Establishment Labs Holdings Inc. ESTA R3KPHARMA
Company Overview
Establishment Labs Holdings Inc., a medical technology company, manufactures and markets medical devices for breast aesthetic and reconstructive plastic surgeries in Europe, the Middle East, Africa, Latin America, Asia, and the United States. The company offers silicone gel-filled breast implants under the Motiva Implants brand. It also provides breast tissue expanders. The company sells products to physicians, hospitals, and clinics through distributors and its direct sales force. Establishment Labs Holdings Inc. was incorporated in 2004 and is based in Austin, Texas.
Why Investors Should Care
Revenue has grown at a 25.3% CAGR over the past five years.
Recent Developments
- Dec 2025 Revenue of $211.08M (+27.1% YoY); net profit $-51.06M.
- Trailing 12 Months Year-on-year growth — revenue +31.7%.
- 5-Year Trend Long-term compounding — revenue CAGR 25.3%.
Growth & Price Performance
Compounded Sales Growth
| 5 Years: | 25.33% |
| 1 Year: | 31.70% |
Stock Price Performance
| 1 Year: | +96.37% |
| 6 Months: | +9.02% |
| 3 Months: | +0.60% |
| 1 Month: | -2.75% |
Highlights auto-generated from reported financials and price data; not investment advice. Verify with official filings before acting.
- Price vs 50-DMABelow
- Price vs 200-DMAAbove
- RSI (14)47.47 · Neutral
Auto-generated from price history and fundamentals; not investment advice.
Price Chart
Technical Trend
Computed from daily close history using EMA cross, slope, and RSI signals.
Note: intraday data is not stored locally. “Hourly” uses the most recent 10 daily candles as a short-term proxy.
Fundamental Growth Charts
No fundamental data available for this stock.
Interactive charts for Revenue, Net Income, EBITDA, Free Cash Flow, EPS, ROE, ROCE, Gross/Net/Operating Margin and more — switch metric and period using the dropdowns above. CAGR is computed across the displayed window (quarterly CAGR is annualised). Visual growth charts make it easy to spot multi-year compounding trends at a glance — far faster than reading raw numbers in a table.
PROS
- Compounding revenue at 25.3% over 5 years.
- In a confirmed uptrend (50-DMA above 200-DMA).
CONS
No notable concerns flagged.
* The pros and cons are auto-generated from financial metrics.
Valuation
Growth (CAGR)
Profitability & Returns
Balance Sheet & Liquidity
Ownership
Financial Snapshot
Peer comparison
Peer companies in the same sector (Healthcare).
| # | Name | CMP $ | P/E | Mkt Cap | Div Yld % | ROCE % | ROE % | Rev CAGR 5Y % | Profit CAGR 5Y % |
|---|---|---|---|---|---|---|---|---|---|
| 1 | ESTA Establishment Labs Holdings Inc. R3KPHARMA | 75.29 | -59.28 | $2.24B | 0.00% | -14.18% | - | 25.33% | - |
| 2 | LLY Eli Lilly and Company SPXR3KPHARMA | 1,123.91 | 37.80 | $1.00T | 0.60% | - | 102.29% | 7.20% | 11.41% |
| 3 | JNJ Johnson & Johnson SPXR3KPHARMA | 269.12 | 31.22 | $648.55B | 1.98% | 14.88% | 25.74% | 2.43% | 4.76% |
| 4 | ABBV AbbVie Inc. SPXR3KPHARMA | 248.78 | 70.48 | $439.62B | 2.78% | 10.47% | -129.24% | 1.75% | -29.06% |
| 5 | MRK Merck & Co., Inc. SPXR3KPHARMA | 148.46 | 118.77 | $366.28B | 2.31% | - | 6.96% | 5.64% | 10.01% |
| 6 | UNH UnitedHealth Group Incorporated SPXR3KPHARMA | 400.84 | 25.74 | $359.79B | 2.47% | 9.74% | 14.15% | 10.40% | 5.43% |
| 7 | NVS Novartis AG PHARMA | 137.70 | 20.80 | $261.73B | 3.36% | 21.09% | 30.35% | 9.25% | 26.22% |
| 8 | AZN AstraZeneca PLC NDXPHARMA | 160.04 | 23.99 | $248.20B | 2.00% | 15.97% | 21.96% | 9.82% | 45.96% |
| 9 | TMO Thermo Fisher Scientific Inc. SPXR3KPHARMA | 603.02 | 32.49 | $222.97B | 0.29% | 8.14% | 13.51% | 8.81% | 12.95% |
Financial Statements Quarterly Results · Profit & Loss · Balance Sheet · Cash Flows · Ratios
Quarterly Results
Figures in USD.
| Metric | Jun 2017 | Sep 2017 | Mar 2018 | Jun 2018 | Sep 2018 | Mar 2019 | Jun 2019 | Sep 2019 | Mar 2020 | Jun 2020 | Sep 2020 | Mar 2021 | Jun 2021 | Sep 2021 | Mar 2022 | Jun 2022 | Sep 2022 | Mar 2023 | Jun 2023 | Sep 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 | Jun 2026 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | - | - | 14.82M | 13.71M | 16.29M | 20.78M | 21.68M | 22.85M | 24.48M | 10.47M | 22.76M | 30.34M | 31.99M | 29.04M | 38.45M | 41.19M | 38.24M | 46.52M | 48.56M | 38.51M | 37.17M | 44.12M | 40.23M | 41.38M | 51.30M | 53.78M | 64.62M | 59.88M | 67.54M |
| Cost of Revenue | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 13.57M | 16.03M | 16.09M | 19.09M | 17.54M | - |
| Gross Profit | 4.12M | 3.60M | 7.92M | 8.22M | 10.11M | 11.25M | 13.01M | 14.24M | 15.48M | 7.23M | 15.15M | 20.09M | 21.47M | 19.62M | 24.94M | 27.45M | 26.04M | 30.08M | 30.26M | 26.05M | 24.38M | 28.94M | 25.72M | 27.81M | 35.27M | 37.70M | 45.53M | 42.34M | 47.71M |
| Operating Expenses | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 44.75M | 49.38M | 41.72M | 49.46M | 48.85M | - |
| Operating Income | -5.48M | -5.97M | -2.88M | -6.32M | -6.05M | -8.39M | -9.38M | -8.77M | -7.71M | -9.60M | -2.59M | -2.10M | -4.63M | -9.04M | -5.58M | -10.41M | -10.52M | -8.16M | -13.71M | -21.04M | -8.83M | -9.34M | -13.14M | -16.95M | -14.11M | -4.03M | -3.93M | -6.51M | -4.29M |
| EBITDA | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | -11.38M | -7.04M | -1.98M | -1.90M | -3.31M | - |
| Interest Expense | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 5.85M | 5.96M | 6.20M | 7.24M | 7.09M | - |
| Pretax Income | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | -19.80M | -15.59M | -10.72M | -11.91M | -13.09M | - |
| Tax Provision | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 914.00K | 1.00M | 424.00K | -9.30M | 288.00K | - |
| Net Income | -12.09M | -10.67M | -6.53M | -5.36M | 1.31M | -10.78M | -9.04M | -12.78M | -17.75M | -10.47M | -4.25M | -6.95M | -5.32M | -14.68M | -5.93M | -37.11M | -18.61M | -11.94M | -16.75M | -29.27M | -16.20M | -17.18M | -16.68M | -20.71M | -16.59M | -11.15M | -2.62M | -13.38M | -11.75M |
| Diluted EPS | - | -1.21 | - | - | 0.06 | - | - | -0.62 | - | -0.45 | -0.18 | -0.29 | -0.22 | -0.61 | -0.24 | -1.52 | -0.76 | -0.48 | -0.65 | -1.12 | -0.58 | -0.62 | -0.59 | -0.70 | -0.57 | -0.38 | -0.09 | -0.45 | -0.39 |
| R&D Expense | 1.48M | 1.44M | 2.15M | 3.71M | 3.17M | 3.58M | 4.00M | 3.78M | 4.20M | 2.40M | 2.73M | 4.05M | 4.35M | 3.88M | 3.60M | 4.90M | 5.29M | 6.53M | 6.95M | 7.13M | 4.27M | 5.49M | 4.80M | 5.05M | 5.20M | 4.55M | - | 5.24M | 5.10M |
Profit & Loss (Annual)
Figures in USD.
| Metric | Dec 2017 | Dec 2018 | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|---|---|---|
| Revenue | 34.68M | 61.21M | 89.56M | 84.68M | 126.68M | 161.70M | 165.15M | 166.03M | 211.08M |
| Gross Profit | 17.70M | 36.12M | 54.86M | 52.50M | 85.40M | 106.59M | 106.98M | 109.53M | 146.31M |
| Operating Income | -19.98M | -23.86M | -30.94M | -27.92M | -25.14M | -39.66M | -65.03M | -49.99M | -39.01M |
| Net Income | -34.90M | -21.10M | -38.15M | -38.12M | -41.14M | -75.21M | -78.50M | -84.60M | -51.06M |
| Diluted EPS | - | - | -1.86 | -1.63 | -1.72 | -3.08 | -3.07 | -3.00 | -1.72 |
| R&D Expense | 6.86M | 12.69M | 14.99M | 13.79M | 18.32M | 20.27M | 26.43M | 19.71M | 20.25M |
Balance Sheet (Annual)
Figures in USD.
| Metric | Dec 2016 | Dec 2017 | Dec 2018 | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Total Assets | - | 57.09M | 116.57M | 116.53M | 156.39M | - | 211.06M | 268.64M | 346.83M | 357.17M |
| Current Assets | - | - | - | - | - | - | 149.90M | 174.90M | 243.04M | 249.94M |
| Cash & Equivalents | 479.00K | 10.86M | 52.64M | - | - | - | 66.36M | 40.03M | 90.35M | 75.57M |
| Inventory | - | - | - | - | - | - | 36.58M | 79.47M | 78.77M | 85.61M |
| Receivables | - | - | - | - | - | - | 35.42M | 46.92M | 65.00M | 77.50M |
| Total Liabilities | - | 62.11M | 47.09M | 76.92M | 81.43M | - | 219.25M | 250.25M | 293.74M | 333.62M |
| Current Liabilities | - | 57.44M | 16.45M | 23.24M | 25.90M | - | 38.96M | 57.15M | 68.28M | 82.14M |
| Long Term Debt | - | - | - | - | - | - | 175.46M | 188.74M | 219.58M | 247.52M |
| Total Debt | - | - | - | - | - | - | 179.35M | 192.22M | 225.29M | 264.47M |
| Total Equity | -26.43M | -5.01M | 69.48M | 39.61M | 74.96M | - | -8.19M | 18.39M | 53.09M | 23.55M |
| Shares Outstanding | - | - | - | - | - | - | 24.82M | 26.50M | 29.20M | 29.71M |
Cash Flows (Annual)
Figures in USD.
| Metric | Dec 2017 | Dec 2018 | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | -31.97M | -33.88M | -29.98M | -12.51M | -27.53M | -52.17M | -88.51M | -58.52M | -50.89M |
| Investing Cash Flow | -845.00K | -5.73M | -7.77M | -5.56M | -7.16M | -34.79M | -24.55M | -15.61M | -7.03M |
| Financing Cash Flow | 42.99M | 81.53M | 22.79M | 64.67M | 4.05M | 100.25M | 86.23M | 125.89M | 40.43M |
| Capital Expenditure | -901.00K | -1.73M | -6.29M | -2.11M | -2.42M | -2.85M | -7.91M | -6.11M | -6.05M |
| Free Cash Flow | -32.87M | -35.62M | -36.27M | -14.62M | -29.96M | -55.02M | -96.42M | -64.63M | -56.94M |
| Share Buybacks | 4.51M | 0 | - | - | - | - | - | - | - |
Ratios (Annual)
Figures in %.
| Metric | Dec 2017 | Dec 2018 | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|---|---|---|
| Gross Margin % | 51.0% | 59.0% | 61.3% | 62.0% | 67.4% | 65.9% | 64.8% | 66.0% | 69.3% |
| Operating Margin % | -57.6% | -39.0% | -34.5% | -33.0% | -19.8% | -24.5% | -39.4% | -30.1% | -18.5% |
| Net Margin % | -100.6% | -34.5% | -42.6% | -45.0% | -32.5% | -46.5% | -47.5% | -51.0% | -24.2% |
| ROE % | 696.1% | -30.4% | -96.3% | -50.9% | - | 918.9% | -426.8% | -159.3% | -216.9% |
| ROCE % | 5,877.4% | -23.8% | -33.2% | -21.4% | - | -23.0% | -30.7% | -17.9% | -14.2% |
Shareholding Pattern
Top Institutional Holders
| # | Holder | % Held | Shares | Value |
|---|---|---|---|---|
| 1 | JW Asset Management, LLC | 9.04% | 2.69M | $186.61M |
| 2 | RTW Investments LP | 8.91% | 2.66M | $184.04M |
| 3 | Blackrock Inc. | 5.31% | 1.58M | $109.63M |
| 4 | Price (T.Rowe) Associates Inc | 5.15% | 1.53M | $106.27M |
| 5 | Brown Advisory Inc. | 4.41% | 1.31M | $91.00M |
| 6 | Findell Capital Management LLC | 3.68% | 1.10M | $75.95M |
| 7 | Mudita Advisors LLP | 2.43% | 723.06K | $50.11M |
| 8 | William Blair Investment Management, LLC | 2.40% | 714.05K | $49.48M |
| 9 | Rubric Capital Management LP | 2.31% | 688.33K | $47.70M |
| 10 | Franklin Resources, Inc. | 2.06% | 613.70K | $42.53M |
Analyst View
Analyst aggregate. Targets and ratings update periodically; not investment advice.
Latest News
Recent headlines for ESTA
Establishment Labs (ESTA) Stock Looks Fair On Cash Flow Yet Trades At A Premium On Sales - finance.yahoo.com
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Establishment Labs Holdings (ESTA) Tests Its Bull Case As Analysts Still See Undervaluation - simplywall.st
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A Look at Establishment Labs Holdings Inc (ESTA) After 7.6% Gain -- GF Value $64.04 vs Price $74.92 - gurufocus.com
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Is Establishment Labs Holdings Inc. (ESTA) A Good Stock To Buy Now? - finance.yahoo.com
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Meta’s Cheap Stock Is an Investor Trap - WSJ
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ESTA - Finviz
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ESTA — Frequently Asked Questions
What is the current share price of Establishment Labs Holdings Inc. (ESTA)?
As of 2026-09-19 21:16 PDT, Establishment Labs Holdings Inc. (ESTA) trades at $75.29 on NasdaqCM. Its 52-week range is $36.84 to $95.65.
What is the market capitalisation of ESTA?
Establishment Labs Holdings Inc. (ESTA) has a market capitalisation of $2.24B on NasdaqCM.
What is the P/E ratio of ESTA?
ESTA trades at a trailing price-to-earnings (P/E) ratio of -59.28. The industry average P/E is 24.83. Its price-to-book (P/B) ratio is 102.77.
Is ESTA a good stock to buy?
This page provides a data-driven analysis of Establishment Labs Holdings Inc. (ESTA), including valuation ratios, profitability, growth trends, auto-generated pros and cons, peer comparison and AI exposure. Review these fundamentals alongside your own research and risk tolerance. This is informational content, not investment advice.