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Stock research / United States / ESTA · Orthopedic, Prosthetic & Surgical Appliances & Supplies · Nasdaq

Establishment Labs Holdings Inc. (ESTA)

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Establishment Labs Holdings Inc. (ESTA) reported revenue of $68 million for Q2 FY2026, the quarter ended 30 June 2026, up 31.7% on the same quarter a year earlier. Net income was -$12 million, and diluted earnings per share $-0.39. The figures are the company's own, from the 10-Q it filed with the SEC on 7 August 2026.

Revenue$68 millionup 31.7%
Net income-$12 million
Diluted EPS$-0.39
QuarterQ2 FY2026ended 30 June 2026

Establishment Labs Holdings (ESTA) in brief

Establishment Labs Holdings (ESTA) reported revenue of $211 million for fiscal 2025, the year ended 31 December 2025, up 27.1% on the year before.
Read moreNet loss was $51 million and the diluted loss per share $1.72. Revenue was $166 million in fiscal 2024, $165 million in fiscal 2023, $162 million in fiscal 2022 and $127 million in fiscal 2021. Net income in the same years was a loss of $85 million, a loss of $79 million, a loss of $75 million and a loss of $41 million. Over the twelve months to 30 June 2026, Establishment Labs Holdings reported revenue of $246 million and net loss of $39 million. Revenue grew 20.0% a year, compounded, over the five years to fiscal 2025. Establishment Labs Holdings had 30 million shares outstanding at the latest filed count. At 30 June 2026 it carried $262 million of debt and $71 million of cash. At the close of 27 October 2026 the market cap of Establishment Labs Holdings was $2.0 billion.

Ratios

From the filings

ROE-180.0%
ROCE-6.6%
Operating margin-7.6%
Net margin-15.8%
FCF margin-16.9%
Interest cover-0.68
Debt to equity12.11
Cash conversionn/a
Share count, last 12 months2.8%
Sales CAGR, 3 years9.3%
Profit CAGR, 3 yearsn/a
EPS, TTM-$1.31

At the close of 27 October 2026

Price$66.93
Market cap$2.0 billion
Stock P/En/a
Price to book92.29
EV / EBITDAn/a
Dividend yieldn/a
Market cap / sales8.11
52-week high$95.65
52-week low$47.80
Price, 1 year31.8%
Price CAGR, 3 years28.5%
Price CAGR, 5 years-3.4%
Worked from the filed figures; hover a name for the formula.
Read moreThe priced ones use the latest price, the last regular-hours trade on IEX. Debt to equity here stands on long-term debt as Establishment Labs Holdings Inc. files it, with lease liabilities counted separately and never inside it. Nothing here is a valuation or a view.
ESTAgreeksoup.ai
Daily prices to 27 October 2026, adjusted for splits; from 28 September 2026 each day's price is the last regular-hours trade on IEX.
Read moreData provided for free by IEX. By accessing or using IEX Historical Data, you agree to the IEX Historical Data Terms of Use. Day by day for the last three years; before that one point a week, carrying the week's last close and its average daily volume, so a volume bar means the same thing across the whole series; the bars sit under the price on their own scale, on the right. The moving averages need consecutive days and are drawn from the daily part. P/E is the close over the trailing four quarters' EPS as filed at each filing date, on the current share count; the dashed line is the median over the range shown. Sales and margin are quarterly revenue and the operating margin from the tables above. EV/EBITDA, price to book and market cap to sales use the latest filed balance sheet and share count at each date. Before the quarters on file begin, P/E, price to book and market cap to sales stand on each annual report from the day it was filed. Drawn in your browser; the range and overlay you pick are remembered here only.

The public record on ESTA

Dividendsno dividend in its filings for fiscal 2017 onward
Filings18 in twelve months: 10 current reports (8-K), about 5 results of operations; 2 material agreement; 2 regulation FD disclosure; 1 officer or director change; 1 shareholder vote
Planned insider sales2 Form 144 notices in twelve months, $22.7 million; latest 15 June 2026
Options tapeput/call 1.42 by open interest at the 27 October 2026 close; the straddle prices a 16.3% move to 20 November 2026
13F holders196 funds reported a position for the quarter to 30 June 2026; largest JW Asset Management, LLC
Insider trading30 sales and 0 purchases on Form 4 in twelve months
Congress0 House trades disclosed in six months
Short interest4.0 million shares short, 9.77 days to cover at 15 October 2026
Documentsthe 10-K, the 10-Qs, the proxy and 5 earnings press releases, each linked

Quarterly results, the last 20 quarters

Q3 FY2021Q4 FY2021 *Q1 FY2022Q2 FY2022Q3 FY2022Q4 FY2022 *Q1 FY2023Q2 FY2023Q3 FY2023Q4 FY2023 *Q1 FY2024Q2 FY2024Q3 FY2024Q4 FY2024 *Q1 FY2025Q2 FY2025Q3 FY2025Q4 FY2025 *Q1 FY2026Q2 FY2026
Revenue29.035.338.541.238.243.846.548.638.531.637.244.140.244.541.451.353.864.659.967.5
Cost of revenue9.411.113.513.712.215.616.418.312.511.012.815.214.514.013.616.016.119.117.519.8
Gross profit19.624.224.927.526.028.230.130.326.120.624.428.925.730.527.835.337.745.542.347.7
Gross margin68%69%65%67%68%64%65%62%68%65%66%66%64%68%67%69%70%70%71%71%
R&D3.96.03.64.95.36.56.56.97.15.84.35.54.85.15.15.24.65.45.25.1
SG&A24.827.626.933.031.334.831.737.040.036.928.932.834.144.039.744.237.244.043.646.9
Operating income-9.0-9.4-5.6-10.4-10.5-13.2-8.2-13.7-21.0-22.1-8.8-9.3-13.1-18.7-16.9-14.1-4.0-3.9-6.5-4.3
Operating margin-31%-27%-14%-25%-27%-30%-18%-28%-55%-70%-24%-21%-33%-42%-41%-27%-7%-6%-11%-6%
Interest expense2.32.32.33.43.92.23.83.63.74.34.45.25.35.95.96.06.27.27.17.0
Pre-tax income-14.6-13.4-5.5-36.5-18.0-12.7-11.1-15.8-28.6-23.0-15.8-16.8-16.2-35.9-19.8-15.6-10.7-11.9-13.1-11.7
Net income-14.7-14.2-5.9-37.1-18.6-13.6-11.9-16.7-29.3-20.5-16.2-17.2-16.7-34.5-20.7-16.6-11.1-2.6-13.4-11.7
Net margin-51%-40%-15%-90%-49%-31%-26%-34%-76%-65%-44%-39%-41%-78%-50%-32%-21%-4%-22%-17%
Diluted EPS-$0.61-$0.60-$0.24-$1.52-$0.76-$0.55-$0.48-$0.65-$1.12-$0.79-$0.58-$0.62-$0.59-$1.19-$0.70-$0.57-$0.38-$0.09-$0.45-$0.39
Operating cash flow-12.5-7.7-4.8-11.3-22.0-14.0-20.6-28.2-31.5-8.1-11.2-14.2-12.5-20.7-20.7-18.8-11.2-0.2-4.3-16.6
Capital expenditure1.0n/a0.80.60.51.00.43.13.70.73.30.81.50.50.81.61.81.81.93.7
Free cash flow-13.4n/a-5.6-11.9-22.5-15.0-21.0-31.4-35.2-8.8-14.5-15.0-13.9-21.3-21.5-20.4-13.1-2.0-6.2-20.3
Shares outstanding24m24m24m24m24m24m24m26m26m26m27m28m28m29m29m29m29m29m29m30m
Filing10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q
Each quarter as filed, linked to its filing.
Read more* The fourth quarter is the full year less the first three quarters, because the company files the year and not the quarter on its own. A fourth quarter's EPS, and its diluted share count where shown, are from the company's results press release for that quarter, checked against the company's filed figures or a second data source. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and the share count are as they are. Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Cash flow lines filed year to date are the difference between two filings. Shares outstanding are at the period end where the balance sheet tags them, otherwise the count on the filing's cover page. A derived fourth-quarter EPS is left blank when a split in the year makes the arithmetic meaningless.

Income statement (profit and loss), 9 fiscal years and the trailing twelve months

FY2017FY2018FY2019FY2020 †FY2021FY2022FY2023FY2024FY2025TTM
Revenue34.761.289.684.7127162165166211246
Cost of revenue17.025.134.732.241.355.158.256.564.872.5
Gross profit17.736.154.952.585.4107107110146173
Gross margin51.0%59.0%61.3%62.0%67.4%65.9%64.8%66.0%69.3%70.5%
Research and development6.912.715.013.818.320.326.419.720.220.3
Selling, general and administrative30.847.370.866.692.2126146140165172
Operating income-20.0-23.9-30.9-27.9-25.1-39.7-65.0-50.0-39.0-18.8
Operating margin-57.6%-39.0%-34.5%-33.0%-19.8%-24.5%-39.4%-30.1%-18.5%-7.6%
Interest expense10.48.88.79.49.111.815.420.825.327.6
Pre-tax income-34.8-20.9-37.5-38.0-39.7-72.8-78.6-84.6-58.0-47.5
Income tax0.10.20.60.11.42.4-0.1-0.0-7.0-8.6
Net income-34.9-21.1-38.1-38.1-41.1-75.2-78.5-84.6-51.1-38.9
Net margin-100.6%-34.5%-42.6%-45.0%-32.5%-46.5%-47.5%-51.0%-24.2%-15.8%
Diluted EPS-$3.41-$1.22-$1.86-$1.63-$1.72-$3.08-$3.07-$3.00-$1.72-$1.31
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K
From each year's 10-K, linked; TTM is the last four quarters.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are. † The year as the company last restated it in a later filing; rest on a figure for the one first filed. EPS is as filed.

Revenue by region FY2023 to FY2025

FY2023FY2024FY2025Share
of the parts, latest year
EMEA (Europe / Middle East / Africa)80.278.291.143.1%
North America2.24.445.621.6%
Latin America48.935.039.918.9%
Asia-Pacific34.048.434.516.4%
EMEA (Europe / Middle East / Africa)North AmericaLatin AmericaAsia-Pacific
165FY2023166FY2024211FY2025

$ million; hover a block for its figure and share

From the company's 10-Ks, in its own words (latest 10-K).
Read moreEach year's figures come from the most recent 10-K that includes that year. A year is shown only where the parts add up to the revenue above. Fiscal years are labelled by the year they end in.

Cash flow and capital returned

FY2017FY2018FY2019FY2020 †FY2021FY2022FY2023FY2024FY2025TTM
Operating cash flow-32.0-33.9-30.0-12.5-27.5-52.2-88.5-58.5-50.9-32.3
Capital expenditure0.91.76.32.12.42.97.96.16.09.2
Free cash flow-32.9-35.6-36.3-14.6-30.0-55.0-96.4-64.6-56.9-41.5
Free cash flow margin-94.8%-58.2%-40.5%-17.3%-23.6%-34.0%-58.4%-38.9%-27.0%-16.9%
Cash from investing-0.8-5.7-7.8-5.6-7.2-34.8-24.5-15.6-7.0-9.2
Cash from financing43.081.522.864.74.110086.212640.458.1
Depreciation and amortisationn/an/an/an/a2.52.52.84.76.2n/a
Share-based compensationn/a7.36.55.710.413.414.414.411.412.0
Buybacks4.50.0n/an/an/an/an/an/an/an/a
Diluted shares, weightedn/an/a21m23m24m24m26m28m30m30m
Shares outstanding at period endn/a20m21m24m24m24m26m29m29m30m
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K
Cash paid in the year, from the cash flow statement.
Read moreThe dividend per share is as declared. Diluted shares are the weighted average for the year; a falling count is the buybacks net of issuance. TTM sums the last four quarters; the share counts are the latest quarter's.

Balance sheet at year end

FY2017FY2018FY2019FY2020 †FY2021FY2022FY2023FY2024FY2025TTM
Funded by
Shareholders' equity-5.069.539.675.050.7-8.218.453.123.521.6
Short-term borrowingsn/an/an/an/an/an/an/a0.0n/an/a
Debtn/an/a48.149.851.9175189220248262
Operating lease liabilitiesn/an/an/a1.91.93.22.74.22.82.0
Finance lease liabilitiesn/an/an/a0.00.0n/an/an/an/an/a
Other liabilities62.147.128.829.635.040.658.870.083.366.6
Total liabilities and equity57.1117117156140211269347357352
Owned
Fixed assets13.512.916.416.218.751.177.278.075.674.0
Goodwill0.50.50.50.50.50.50.51.21.21.2
Intangible assets3.43.43.44.14.44.68.011.79.99.4
Cash and equivalents10.952.637.784.553.466.440.090.375.671.2
Receivables13.117.622.819.124.435.446.965.077.575.7
Inventory13.224.828.723.228.436.679.578.885.685.0
Other assets2.64.67.18.79.816.516.621.831.735.5
Total assets57.1117117156140211269347357352
Filing10-K10-K10-K10-K10-K10-K10-K10-K10-K
At the fiscal year end; the TTM column is the latest quarter end.
Read moreBoth totals are the company's own. Other liabilities is the filed total less the rows above it: payables, deferred revenue, taxes, borrowings the rows above do not carry and the rest; other assets is the same on the other side. Investments add the current and non-current lines as filed. Debt is the company's own stated total where it files one, otherwise its long-term debt with the current maturities, never parts added together. A row is left blank in a year where the lines shown overlap and the remainder would fall below nil.

Compounded growth

10 years5 years3 yearsTTM
Sales growth, compoundedn/a20.0%9.3%38.6%
Profit growth, compoundedn/an/an/an/a
Return on equity, averagen/a-221.0%-267.6%-216.9%
Yearly growth, compounded; TTM is the last four quarters against the four before.
Read moreReturn on equity is net income over shareholders' equity at each year end, averaged over the window (the TTM column is the latest year alone); equity is the parent's shareholders' equity as tagged in the 10-K. Arithmetic on filed numbers, nothing forecast.

Questions

What was Establishment Labs Holdings' revenue in fiscal 2025?

Establishment Labs Holdings (ESTA) reported revenue of $211 million for fiscal 2025, the year ended 31 December 2025, up 27.1% on the year before.

How much did Establishment Labs Holdings earn in fiscal 2025?

Net loss was $51 million for fiscal 2025, and the diluted loss per share $1.72.

What is Establishment Labs Holdings' market cap?

The market cap of Establishment Labs Holdings was $2.0 billion at the close of 27 October 2026.

How much debt does Establishment Labs Holdings have?

At 30 June 2026 Establishment Labs Holdings carried $262 million of debt and $71 million of cash.

Peers: Medical Equipment

CompanyMarket capP/EROEOp. marginSales growth
TTM
Debt to equityDiv. yield
Intuitive Surgical Inc. ISRG$154.6 billion53.9218.5%28.4%20.5%0.00n/a
Edwards Lifesciences Corp. EW$52.4 billion52.189.5%22.3%14.6%0.06n/a
Steris plc STE$22.3 billion27.9311.2%18.9%8.4%0.261.1%
Zimmer Biomet Holdings, Inc. ZBH$18.3 billion23.386.4%14.2%8.6%0.591.0%
Smith & Nephew plc SNN *$13.2 billion21.0311.8%12.9%6.1%0.592.5%
Align Technology Inc. ALGN$10.8 billion26.439.8%13.2%4.4%0.00n/a
MSA Safety Inc. MSA$6.9 billion22.3122.4%21.2%6.5%0.431.2%
Inspire Medical Systems, Inc. INSP$2.1 billion15.4416.4%6.0%4.3%0.00n/a
Axogen, Inc. AXGN$2.0 billionn/a-13.1%-5.1%23.6%0.00n/a
Establishment Labs Holdings Inc. ESTA$2.0 billionn/a-180.0%-7.6%38.6%12.11n/a
Lemaitre Vascular Inc. LMAT$1.9 billion29.3815.6%29.5%11.8%0.401.1%
Enovis Corp. ENOV$1.2 billionn/a-74.6%-45.1%4.9%0.87n/a
All 56 in Medical Equipment
CompanyMarket capP/EROEOp. marginSales growth
TTM
Debt to equityDiv. yield
Intuitive Surgical Inc. ISRG$154.6 billion53.9218.5%28.4%20.5%0.00n/a
Medtronic plc MDT$120.2 billion23.1410.4%18.1%9.8%0.563.0%
Stryker Corp. SYK$115.6 billion31.2415.5%21.4%8.5%0.621.2%
3M Co. MMM$88.7 billion25.5885.7%18.8%1.7%3.631.8%
Boston Scientific Corp. BSX$65.3 billion18.2514.7%19.8%13.5%0.51n/a
Becton Dickinson & Co. BDX$53.1 billion58.743.9%9.6%-2.6%0.692.1%
Edwards Lifesciences Corp. EW$52.4 billion52.189.5%22.3%14.6%0.06n/a
Resmed Inc. RMD$36.2 billion24.0523.1%33.4%9.9%0.101.0%
GE HealthCare Technologies Inc. GEHC$32.1 billion16.3018.1%12.9%6.5%0.920.2%
Dexcom Inc. DXCM$29.7 billion31.0638.1%22.9%15.5%0.47n/a
West Pharmaceutical Services Inc. WST$28.0 billion50.9918.9%20.5%12.4%0.070.2%
Medline Inc. MDLN$27.9 billionn/an/an/an/a1.09n/a
Koninklijke Philips N.V. PHG *$25.4 billion25.378.2%8.0%-1.0%0.741.5%
Steris plc STE$22.3 billion27.9311.2%18.9%8.4%0.261.1%
Zimmer Biomet Holdings, Inc. ZBH$18.3 billion23.386.4%14.2%8.6%0.591.0%
Solventum Corp. SOLV$14.1 billion10.1529.9%25.0%-0.9%1.06n/a
Smith & Nephew plc SNN *$13.2 billion21.0311.8%12.9%6.1%0.592.5%
Baxter International Inc. BAX$12.9 billionn/a-17.1%-2.4%5.4%1.520.8%
Penumbra Inc. PEN$12.8 billion79.6310.5%12.4%17.6%0.00n/a
Cooper Companies, Inc. COO$11.4 billion20.446.8%12.8%4.7%0.310.0%
Globus Medical Inc. GMED$10.9 billion20.7011.2%20.3%19.7%0.00n/a
Align Technology Inc. ALGN$10.8 billion26.439.8%13.2%4.4%0.00n/a
Glaukos Corp. GKOS$10.7 billionn/a-27.6%-31.6%41.5%0.00n/a
Insulet Corp. PODD$10.4 billion28.0126.4%16.9%29.4%0.67n/a
MSA Safety Inc. MSA$6.9 billion22.3122.4%21.2%6.5%0.431.2%
Bausch & Lomb Corp. BLCO$6.3 billionn/a-2.7%6.1%8.9%0.80n/a
Teleflex Inc. TFX$5.9 billionn/a-35.5%2.0%30.7%0.971.0%
Merit Medical Systems Inc. MMSI$5.6 billion38.668.7%12.8%10.2%0.44n/a
Haemonetics Corp. HAE$5.5 billion58.7811.5%11.9%0.4%1.42n/a
MiniMed Group, Inc. MMED$5.3 billionn/an/an/an/a0.00n/a
Heartflow, Inc. HTFL$5.0 billionn/a-42.3%-37.8%n/a0.00n/a
LivaNova plc LIVN$4.4 billion23.7714.2%12.7%12.4%0.22n/a
Integer Holdings Corp. ITGR$4.3 billion34.607.5%9.7%2.7%0.72n/a
ICU Medical Inc. ICUI$4.1 billion138.351.4%3.3%-9.0%0.57n/a
iRhythm Holdings, Inc. IRTC$4.1 billionn/a-7.5%-3.0%25.6%3.50n/a
Envista Holdings Corp. NVST$3.8 billion40.663.1%9.6%11.9%0.47n/a
Pulse Biosciences, Inc. PLSE$3.8 billionn/a-80.5%-7,007.8%n/a0.00n/a
AtriCure, Inc. ATRC$3.1 billion293.192.0%2.3%13.9%0.12n/a
Warby Parker Inc. WRBY$2.8 billion358.292.0%0.2%11.0%0.00n/a
TransMedics Group, Inc. TMDX$2.4 billion17.9229.3%12.2%25.8%0.990.0%
UFP Technologies Inc. UFPT$2.3 billion31.7815.6%15.3%7.3%0.25n/a
Inspire Medical Systems, Inc. INSP$2.1 billion15.4416.4%6.0%4.3%0.00n/a
Axogen, Inc. AXGN$2.0 billionn/a-13.1%-5.1%23.6%0.00n/a
Establishment Labs Holdings Inc. ESTA$2.0 billionn/a-180.0%-7.6%38.6%12.11n/a
Lemaitre Vascular Inc. LMAT$1.9 billion29.3815.6%29.5%11.8%0.401.1%
Dentsply Sirona Inc. XRAY$1.9 billionn/a-40.4%-8.5%-0.8%1.656.8%
Kestra Medical Technologies, Ltd. KMTS$1.8 billionn/a-67.4%-134.5%60.7%0.33n/a
NovoCure Ltd. NVCR$1.7 billionn/a-43.9%-22.1%11.0%0.58n/a
Alphatec Holdings, Inc. ATEC$1.7 billionn/an/a-6.0%19.5%n/an/a
Conmed Corp. CNMD$1.4 billion25.475.4%8.0%3.4%0.801.3%
Tandem Diabetes Care Inc. TNDM$1.3 billionn/a-48.6%-4.4%4.0%4.62n/a
National Vision Holdings, Inc. EYE$1.3 billion26.525.6%4.1%7.8%0.26n/a
Enovis Corp. ENOV$1.2 billionn/a-74.6%-45.1%4.9%0.87n/a
Staar Surgical Co. STAA$1.2 billion345.141.1%4.0%51.3%0.00n/a
Artivion, Inc. AORT$1.1 billionn/a-0.7%4.4%16.4%0.820.0%
Integra LifeSciences Holdings Corp. IART$932 million70.501.2%4.4%0.8%1.71n/a
8 companies share its SEC industry code (Orthopedic, Prosthetic & Surgical Appliances & Supplies); the rest are the names nearest in size in its wider industry, Medical Equipment, one of the Fama-French 48 industries, a published grouping of SEC industry codes.
Read moreBy market capitalisation; a click on a heading sorts by it, largest first, and a second click turns it round. Each figure is the same arithmetic as the ratio box above, on each company's own filings and latest close; a name marked * is a foreign company that files once a year, on its latest fiscal year.

Filings

FilingPeriodFiledWhere
10-Q30 June 20267 August 2026EDGAR
10-Q31 March 20268 May 2026EDGAR
10-K31 December 202527 February 2026EDGAR
10-Q30 September 20257 November 2025EDGAR
10-Q30 June 20257 August 2025EDGAR
10-Q31 March 20259 May 2025EDGAR
10-K31 December 202428 February 2025EDGAR
10-Q30 September 202412 November 2024EDGAR
10-Q30 June 20247 August 2024EDGAR
10-Q31 March 20249 May 2024EDGAR