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ESTABLISHMENT LABS HOLDINGS INC.

ESTA

$64.33 ▼ -2.58 (-3.85%) at close

10 Visible periods

31 Metrics

Peer-ranked Benchmarks

Price Chart

Health

Poor

Bearish

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Analytical Summary

ESTABLISHMENT LABS HOLDINGS INC. faces fundamental challenges with weakness in Return on Common Equity (%) and Profit Margin (%). The fundamentals warrant careful consideration of downside risks.

Market Cap $1.9B

Dividend Yield —

Revenue Growth 27.1% ↗

Op. Margin -18.5% ↗

ROIC -12.7% ↗

FCF / Share $-1.92 ↗

Trailing P/E —

Price / Book 80.1x

FCF Yield —

Debt / Equity 10.51

info Valuation on last close. End-of-day price, Nov 5, 2026.

10-Year Financial Trajectory

Annual

Metric Value Trend Year over Year Percentile

Revenue Total top-line sales

$211.08M

↑ +27.1% —

Net Income Profit after all expenses

$-51.06M

↑ +39.6% —

Operating Margin Operating profit as % of sales

-18.5%

↑ +38.6% 11th

FCF / Share Free cash flow per share

$-1.92

↑ +16.2% —

Long-Term Debt Long-term obligations

$247.52M

— —

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Bullish Indicators

No bullish signals detected.

warning

Bearish Risks

Debt to EquityDebt to Equity is concerning (bottom quartile)
Operating Margin (%)Operating Margin (%) is in the bottom quartile
Profit Margin (%)Profit Margin (%) is in the bottom quartile
Return on Common Equity (%)Return on Common Equity (%) is in the bottom quartile

Health Breakdown

Profitability ↑

Returns ↓

Financial Health ↑

Cash Quality ↑

Financial view

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📈 Is growth accelerating? 6 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Revenue Growth YoY (%)	27.1% Excellent ↑ Excellent Improving Year-over-year change in total revenue Optimal: > 10% vs Sector: Above avg (+239%)	0.5% Caution ↓ Caution Declining Year-over-year change in total revenue Optimal: > 10% vs Sector: Below avg (-93%)	2.1% Caution ↓ Caution Declining Year-over-year change in total revenue Optimal: > 10% vs Sector: Below avg (-73%)	27.6% Excellent ↓ Excellent Declining Year-over-year change in total revenue Optimal: > 10% vs Sector: Above avg (+246%)	49.6% Excellent ↑ Excellent Improving Year-over-year change in total revenue Optimal: > 10% vs Sector: Above avg (+520%)	-5.5% Weak ↓ Weak Declining Year-over-year change in total revenue Optimal: > 10% vs Sector: Below avg (-168%)	46.3% Excellent Excellent Year-over-year change in total revenue Optimal: > 10% vs Sector: Above avg (+479%)	76.5% Excellent Excellent Year-over-year change in total revenue Optimal: > 10% vs Sector: Above avg (+856%)	—	—
EPS Growth YoY (%)	42.7% Excellent ↑ Excellent Improving Year-over-year change in earnings per share Optimal: > 10%	2.3% Caution ↑ Caution Improving Year-over-year change in earnings per share Optimal: > 10%	0.3% Caution ↑ Caution Improving Year-over-year change in earnings per share Optimal: > 10%	-79.1% Weak Weak Year-over-year change in earnings per share Optimal: > 10%	-5.5% Weak Weak Year-over-year change in earnings per share Optimal: > 10%	—	—	—	—	—
Net Income Growth YoY (%)	39.6% Excellent ↑ Excellent Improving Year-over-year change in net income	-7.8% Weak ↑ Weak Improving Year-over-year change in net income	-4.4% Weak ↑ Weak Improving Year-over-year change in net income	-82.8% Weak ↓ Weak Declining Year-over-year change in net income	-7.9% Weak ↑ Weak Improving Year-over-year change in net income	0.1% Caution ↑ Caution Improving Year-over-year change in net income	-80.8% Weak Weak Year-over-year change in net income	39.5% Excellent Excellent Year-over-year change in net income	—	—
FCF Growth YoY (%)	16.2% Good ↑ Good Improving Year-over-year change in free cash flow	39.1% Excellent ↑ Excellent Improving Year-over-year change in free cash flow	-67.4% Weak ↑ Weak Improving Year-over-year change in free cash flow	-80.0% Weak Weak Year-over-year change in free cash flow	-99.3% Weak Weak Year-over-year change in free cash flow	—	—	—	—	—
Revenue CAGR 3Y (%)	9.3% Fair ↓ Fair Declining Compound annual revenue growth over 3 years	9.4% Fair ↓ Fair Declining Compound annual revenue growth over 3 years	24.9% Excellent ↓ Excellent Declining Compound annual revenue growth over 3 years	21.8% Excellent ↓ Excellent Declining Compound annual revenue growth over 3 years	27.4% Excellent Excellent Compound annual revenue growth over 3 years	34.7% Excellent Excellent Compound annual revenue growth over 3 years	—	—	—	—
Revenue CAGR 5Y (%)	20.0% Excellent ↓ Excellent Declining Compound annual revenue growth over 5 years	13.1% Excellent ↓ Excellent Declining Compound annual revenue growth over 5 years	22.0% Excellent Excellent Compound annual revenue growth over 5 years	36.1% Excellent Excellent Compound annual revenue growth over 5 years	—	—	—	—	—	—

💰 Are margins durable? 5 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Operating Margin (%) (%)	-18.5% Weak ↑ Weak Improving Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-223%)	-30.1% Weak ↓ Weak Declining Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-301%)	-39.4% Weak ↓ Weak Declining Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-362%)	-24.5% Weak ↑ Weak Improving Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-264%)	-19.8% Weak ↑ Weak Improving Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-232%)	-33.0% Weak ↑ Weak Improving Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-320%)	-34.5% Weak ↑ Weak Improving Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-330%)	-39.0% Weak Weak Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-360%)	-57.6% Weak Weak Operating income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-484%)	—
Effective Tax Rate (%) (%)	12.0% Excellent ↑ Excellent Improving Actual taxes paid relative to pre-tax income Optimal: 15-25%	0.0% Excellent ↑ Excellent Improving Actual taxes paid relative to pre-tax income Optimal: 15-25%	0.1% Excellent ↑ Excellent Improving Actual taxes paid relative to pre-tax income Optimal: 15-25%	-3.3% Excellent ↓ Excellent Declining Actual taxes paid relative to pre-tax income Optimal: 15-25%	-3.6% Excellent ↓ Excellent Declining Actual taxes paid relative to pre-tax income Optimal: 15-25%	-0.3% Excellent ↑ Excellent Improving Actual taxes paid relative to pre-tax income Optimal: 15-25%	-1.7% Excellent ↓ Excellent Declining Actual taxes paid relative to pre-tax income Optimal: 15-25%	-1.0% Excellent Excellent Actual taxes paid relative to pre-tax income Optimal: 15-25%	-0.3% Excellent Excellent Actual taxes paid relative to pre-tax income Optimal: 15-25%	—
Profit Margin (%) (%)	-24.2% Weak ↑ Weak Improving Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-302%)	-51.0% Weak ↓ Weak Declining Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-525%)	-47.5% Weak ↓ Weak Declining Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-496%)	-46.5% Weak ↓ Weak Declining Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-488%)	-32.5% Weak ↑ Weak Improving Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-371%)	-45.0% Weak ↑ Weak Improving Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-475%)	-42.6% Weak ↑ Weak Improving Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-455%)	-34.5% Weak Weak Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-387%)	-100.6% Weak Weak Net income as a percentage of revenue Optimal: > 15% vs Sector: Below avg (-939%)	—
FCF Margin (%) (%)	-27.0% Weak ↑ Weak Improving Free cash flow as a percentage of revenue Optimal: > 10%	-38.9% Weak → Weak Stable Free cash flow as a percentage of revenue Optimal: > 10%	-58.4% Weak ↓ Weak Declining Free cash flow as a percentage of revenue Optimal: > 10%	-34.0% Weak ↓ Weak Declining Free cash flow as a percentage of revenue Optimal: > 10%	-23.6% Weak ↑ Weak Improving Free cash flow as a percentage of revenue Optimal: > 10%	-17.3% Weak ↑ Weak Improving Free cash flow as a percentage of revenue Optimal: > 10%	-40.5% Weak ↑ Weak Improving Free cash flow as a percentage of revenue Optimal: > 10%	-58.2% Weak Weak Free cash flow as a percentage of revenue Optimal: > 10%	-94.8% Weak Weak Free cash flow as a percentage of revenue Optimal: > 10%	—
FCF / Net Income (x)	1.12x Fair ↑ Fair Improving Free cash flow relative to reported net income Optimal: > 1x	0.76x Caution ↓ Caution Declining Free cash flow relative to reported net income Optimal: > 1x	1.23x Good ↑ Good Improving Free cash flow relative to reported net income Optimal: > 1x	0.73x Caution ↑ Caution Improving Free cash flow relative to reported net income Optimal: > 1x	0.73x Caution ↓ Caution Declining Free cash flow relative to reported net income Optimal: > 1x	0.38x Weak ↓ Weak Declining Free cash flow relative to reported net income Optimal: > 1x	0.95x Caution ↓ Caution Declining Free cash flow relative to reported net income Optimal: > 1x	1.69x Excellent Excellent Free cash flow relative to reported net income Optimal: > 1x	0.94x Caution Caution Free cash flow relative to reported net income Optimal: > 1x	—

🎯 Is capital allocation efficient? 3 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Return on Invested Capital (%)	-12.7% Weak ↑ Weak Improving Return earned on debt + equity capital invested Optimal: > 10%	-94.1% Weak ↓ Weak Declining Return earned on debt + equity capital invested Optimal: > 10%	-31.4% Weak ↑ Weak Improving Return earned on debt + equity capital invested Optimal: > 10%	-24.5% Weak ↑ Weak Improving Return earned on debt + equity capital invested Optimal: > 10%	-51.3% Weak → Weak Stable Return earned on debt + equity capital invested Optimal: > 10%	-37.3% Weak ↓ Weak Declining Return earned on debt + equity capital invested Optimal: > 10%	-79.4% Weak ↓ Weak Declining Return earned on debt + equity capital invested Optimal: > 10%	-34.7% Weak Weak Return earned on debt + equity capital invested Optimal: > 10%	399.8% Excellent Excellent Return earned on debt + equity capital invested Optimal: > 10%	—
Return on Capital (%) (%)	-10.9% Weak ↑ Weak Improving Operating profit relative to total assets Optimal: > 10%	-14.4% Weak ↑ Weak Improving Operating profit relative to total assets Optimal: > 10%	-24.2% Weak ↓ Weak Declining Operating profit relative to total assets Optimal: > 10%	-18.8% Weak ↑ Weak Improving Operating profit relative to total assets Optimal: > 10%	-18.0% Weak ↑ Weak Improving Operating profit relative to total assets Optimal: > 10%	-17.9% Weak ↑ Weak Improving Operating profit relative to total assets Optimal: > 10%	-26.6% Weak → Weak Stable Operating profit relative to total assets Optimal: > 10%	-20.5% Weak Weak Operating profit relative to total assets Optimal: > 10%	-35.0% Weak Weak Operating profit relative to total assets Optimal: > 10%	—
Return on Common Equity (%) (%)	-216.9% Weak Weak Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-1546%)	-159.3% Weak Weak Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-1162%)	—	—	-81.1% Weak ↓ Weak Declining Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-641%)	-50.9% Weak ↑ Weak Improving Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-439%)	-96.3% Weak Weak Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-742%)	-30.4% Weak Weak Profit generated per dollar of shareholder equity Optimal: > 15% vs Sector: Below avg (-302%)	—	—

⚖️ Is the balance sheet risky? 4 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Debt to Equity (x)	10.51x Weak ↑ Weak Improving Total debt relative to shareholder equity Optimal: < 0.6x vs Sector: Above avg (+1652%)	0.00x Excellent ↑ Excellent Improving Total debt relative to shareholder equity Optimal: < 0.6x vs Sector: Below avg (-100%)	10.26x Weak Weak Total debt relative to shareholder equity Optimal: < 0.6x vs Sector: Above avg (+1610%)	-21.44x Excellent Excellent Total debt relative to shareholder equity Optimal: < 0.6x vs Sector: Below avg (-3673%)	—	—	—	—	—	—
Interest Coverage (x)	-1.90x Weak ↑ Weak Improving Operating income divided by interest expense Optimal: > 5x	-5.10x Weak ↓ Weak Declining Operating income divided by interest expense Optimal: > 5x	-4.22x Weak ↓ Weak Declining Operating income divided by interest expense Optimal: > 5x	-3.37x Weak ↓ Weak Declining Operating income divided by interest expense Optimal: > 5x	-2.77x Weak ↑ Weak Improving Operating income divided by interest expense Optimal: > 5x	-2.98x Weak ↓ Weak Declining Operating income divided by interest expense Optimal: > 5x	-3.56x Weak ↓ Weak Declining Operating income divided by interest expense Optimal: > 5x	-2.71x Weak Weak Operating income divided by interest expense Optimal: > 5x	-1.92x Weak Weak Operating income divided by interest expense Optimal: > 5x	—
Net Debt (USD)	$171.95M	$-90.35M	$148.70M	$109.11M	—	—	—	—	$-10.86M	$-479.00K
Debt / EBITDA (x)	-7.54x Excellent ↓ Excellent Declining Debt relative to earnings before interest, taxes, depreciation Optimal: < 2x	0.00x Excellent ↑ Excellent Improving Debt relative to earnings before interest, taxes, depreciation Optimal: < 2x	-3.03x Excellent Excellent Debt relative to earnings before interest, taxes, depreciation Optimal: < 2x	-4.72x Excellent Excellent Debt relative to earnings before interest, taxes, depreciation Optimal: < 2x	—	—	—	—	—	—

📊 What does each share earn? 6 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Revenue per Share (USD)	$7.13	$5.90	$6.45	$6.61	$5.28	$3.63	—	—	—	—
Basic EPS, GAAP (USD)	$-1.72	$-3.00	$-3.07	$-3.08	$-1.72	$-1.63	—	—	—	—
Free Cash Flow per Share (USD)	$-1.92	$-2.29	$-3.77	$-2.25	$-1.25	$-0.63	—	—	—	—
Book Value per Share (USD)	$0.80	$1.84	$0.71	$-0.34	$2.11	$3.19	$1.92	$3.43	—	—
Tangible Book Value per Share (USD)	$0.42	$1.40	$0.38	$-0.54	$1.91	$2.99	$1.73	$3.24	—	—
Basic Weighted Avg Shares (shares)	29.62M	28.16M	25.60M	24.46M	23.97M	23.32M	—	—	—	—

🏦 How resilient is the balance sheet? 3 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Working Capital (USD)	$167.80M	$174.76M	$117.75M	$110.94M	$81.38M	$106.40M	$72.60M	$82.99M	$-18.05M	—
LT Debt (USD)	$247.52M	$0.00	$188.74M	$175.46M	—	—	—	—	—	—
Total Equity (USD)	$23.55M	$53.09M	$18.39M	$-8.19M	$50.74M	$74.96M	$39.61M	$69.48M	$-5.01M	$-26.43M

📋 What is driving earnings? 4 metrics

Metric	FY 2025 Dec 31, 2025 10-K ↗	FY 2024 Dec 31, 2024 10-K ↗	FY 2023 Dec 31, 2023 10-K ↗	FY 2022 Dec 31, 2022 10-K ↗	FY 2021 Dec 31, 2021 10-K ↗	FY 2020 Dec 31, 2020 10-K ↗	FY 2019 Dec 31, 2019 10-K ↗	FY 2018 Dec 31, 2018 10-K ↗	FY 2017 Dec 31, 2017 10-K ↗	FY 2016 Dec 31, 2016 10-K ↗
Sales/Revenue/Turnover (USD)	$211.08M	$166.03M	$165.15M	$161.70M	$126.68M	$84.68M	$89.56M	$61.21M	$34.68M	—
Depreciation Expense (USD)	$6.20M	$4.70M	$2.80M	$2.50M	—	—	—	—	—	—
Net Income, GAAP (USD)	$-51.06M	$-84.60M	$-78.50M	$-75.21M	$-41.14M	$-38.12M	$-38.15M	$-21.10M	$-34.90M	—
Operating Cash Flow (USD)	$-50.89M	$-58.52M	$-88.51M	$-52.17M	$-27.53M	$-12.51M	$-29.98M	$-33.88M	$-31.97M	—

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bar_chart Data from SEC EDGAR XBRL filings

Synced 5 days ago 10 years · 39 quarters

ESTABLISHMENT LABS HOLDINGS INC.

Analytical Summary

10-Year Financial Trajectory

Bullish Indicators

Bearish Risks

Health Breakdown

Statement lens

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