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ESTABLISHMENT LABS HOLDINGS (ESTA) Stock Fundamental Analysis

NASDAQ:ESTA - Nasdaq - VGG312491084 - Common Stock - Currency: USD

41.57  -0.88 (-2.07%)

Fundamental Rating

3

Taking everything into account, ESTA scores 3 out of 10 in our fundamental rating. ESTA was compared to 187 industry peers in the Health Care Equipment & Supplies industry. Both the profitability and financial health of ESTA have multiple concerns. While showing a medium growth rate, ESTA is valued expensive at the moment.


Dividend Valuation Growth Profitability Health

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1

1. Profitability

1.1 Basic Checks

ESTA had negative earnings in the past year.
ESTA had a negative operating cash flow in the past year.
In the past 5 years ESTA always reported negative net income.
In the past 5 years ESTA always reported negative operating cash flow.
ESTA Yearly Net Income VS EBIT VS OCF VS FCFESTA Yearly Net Income VS EBIT VS OCF VS FCFYearly Net Income VS EBIT VS OCF VS FCF 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 -20M -40M -60M -80M -100M

1.2 Ratios

Looking at the Return On Assets, with a value of -26.73%, ESTA is in line with its industry, outperforming 44.92% of the companies in the same industry.
ESTA has a Return On Equity of -231.14%. This is in the lower half of the industry: ESTA underperforms 76.47% of its industry peers.
Industry RankSector Rank
ROA -26.73%
ROE -231.14%
ROIC N/A
ROA(3y)-29.75%
ROA(5y)-28.61%
ROE(3y)N/A
ROE(5y)N/A
ROIC(3y)N/A
ROIC(5y)N/A
ESTA Yearly ROA, ROE, ROICESTA Yearly ROA, ROE, ROICYearly ROA, ROE, ROIC 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 0 200 -200 400 -400 600 800

1.3 Margins

With a decent Gross Margin value of 66.35%, ESTA is doing good in the industry, outperforming 70.05% of the companies in the same industry.
ESTA's Gross Margin has been stable in the last couple of years.
ESTA does not have Profit Margin and Operating Margin available, so we won't be analyzing them here.
Industry RankSector Rank
OM N/A
PM (TTM) N/A
GM 66.35%
OM growth 3YN/A
OM growth 5YN/A
PM growth 3YN/A
PM growth 5YN/A
GM growth 3Y-0.71%
GM growth 5Y1.49%
ESTA Yearly Profit, Operating, Gross MarginsESTA Yearly Profit, Operating, Gross MarginsYearly Profit, Operating, Gross Margins 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 0 50 -50 -100

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3

2. Health

2.1 Basic Checks

ESTA does not have a ROIC to compare to the WACC, probably because it is not profitable.
Compared to 1 year ago, ESTA has more shares outstanding
The number of shares outstanding for ESTA has been increased compared to 5 years ago.
The debt/assets ratio for ESTA has been reduced compared to a year ago.
ESTA Yearly Shares OutstandingESTA Yearly Shares OutstandingYearly Shares Outstanding 2016 2017 2018 2019 2020 2021 2022 2023 2024 5M 10M 15M 20M 25M
ESTA Yearly Total Debt VS Total AssetsESTA Yearly Total Debt VS Total AssetsYearly Total Debt VS Total Assets 2016 2017 2018 2019 2020 2021 2022 2023 2024 100M 200M 300M

2.2 Solvency

Based on the Altman-Z score of 1.01, we must say that ESTA is in the distress zone and has some risk of bankruptcy.
ESTA's Altman-Z score of 1.01 is in line compared to the rest of the industry. ESTA outperforms 50.80% of its industry peers.
ESTA has a Debt/Equity ratio of 5.72. This is a high value indicating a heavy dependency on external financing.
ESTA has a worse Debt to Equity ratio (5.72) than 91.44% of its industry peers.
Industry RankSector Rank
Debt/Equity 5.72
Debt/FCF N/A
Altman-Z 1.01
ROIC/WACCN/A
WACC8.31%
ESTA Yearly LT Debt VS Equity VS FCFESTA Yearly LT Debt VS Equity VS FCFYearly LT Debt VS Equity VS FCF 2016 2017 2018 2019 2020 2021 2022 2023 2024 0 100M -100M 200M

2.3 Liquidity

ESTA has a Current Ratio of 3.36. This indicates that ESTA is financially healthy and has no problem in meeting its short term obligations.
The Current ratio of ESTA (3.36) is comparable to the rest of the industry.
A Quick Ratio of 2.05 indicates that ESTA has no problem at all paying its short term obligations.
ESTA has a Quick ratio (2.05) which is in line with its industry peers.
Industry RankSector Rank
Current Ratio 3.36
Quick Ratio 2.05
ESTA Yearly Current Assets VS Current LiabilitesESTA Yearly Current Assets VS Current LiabilitesYearly Current Assets VS Current Liabilites 2016 2017 2018 2019 2020 2021 2022 2023 2024 50M 100M 150M 200M

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6

3. Growth

3.1 Past

ESTA shows a small growth in Earnings Per Share. In the last year, the EPS has grown by 1.27%.
ESTA shows quite a strong growth in Revenue. In the last year, the Revenue has grown by 9.27%.
The Revenue has been growing by 13.13% on average over the past years. This is quite good.
EPS 1Y (TTM)1.27%
EPS 3YN/A
EPS 5YN/A
EPS Q2Q%-20.69%
Revenue 1Y (TTM)9.27%
Revenue growth 3Y9.43%
Revenue growth 5Y13.13%
Sales Q2Q%11.33%

3.2 Future

The Earnings Per Share is expected to grow by 25.95% on average over the next years. This is a very strong growth
ESTA is expected to show a strong growth in Revenue. In the coming years, the Revenue will grow by 34.17% yearly.
EPS Next Y31.23%
EPS Next 2Y28.83%
EPS Next 3Y26.11%
EPS Next 5Y25.95%
Revenue Next Year24.51%
Revenue Next 2Y24.5%
Revenue Next 3Y24.41%
Revenue Next 5Y34.17%

3.3 Evolution

When comparing the Revenue growth rate of the last years to the growth rate of the upcoming years, we see that the growth is accelerating.
ESTA Yearly Revenue VS EstimatesESTA Yearly Revenue VS EstimatesYearly Revenue VS Estimates 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2030 200M 400M 600M
ESTA Yearly EPS VS EstimatesESTA Yearly EPS VS EstimatesYearly EPS VS Estimates 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 0 1 -1 -2 -3

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1

4. Valuation

4.1 Price/Earnings Ratio

ESTA reported negative earnings for the last year, which makes the Price/Earnings Ratio negative.
Also next year ESTA is expected to report negative earnings again, which makes the also the Forward Price/Earnings Ratio negative.
Industry RankSector Rank
PE N/A
Fwd PE N/A
ESTA Price Earnings VS Forward Price EarningsESTA Price Earnings VS Forward Price Earnings ChartPrice Earnings - Forward Price Earnings PE FPE 0 20 -20 40 -40 60

4.2 Price Multiples

Industry RankSector Rank
P/FCF N/A
EV/EBITDA N/A
ESTA Per share dataESTA EPS, Sales, OCF, FCF, BookValue per sharePer Share Data Per Share 0 2 -2 4

4.3 Compensation for Growth

ESTA's earnings are expected to grow with 26.11% in the coming years. This may justify a more expensive valuation.
PEG (NY)N/A
PEG (5Y)N/A
EPS Next 2Y28.83%
EPS Next 3Y26.11%

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0

5. Dividend

5.1 Amount

No dividends for ESTA!.
Industry RankSector Rank
Dividend Yield N/A

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ESTABLISHMENT LABS HOLDINGS

NASDAQ:ESTA (7/18/2025, 8:00:02 PM)

41.57

-0.88 (-2.07%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Equipment & Supplies
Earnings (Last)05-07 2025-05-07/amc
Earnings (Next)08-12 2025-08-12/amc
Inst Owners105.29%
Inst Owner Change-0.28%
Ins Owners7.45%
Ins Owner Change-7.79%
Market Cap1.20B
Analysts84.29
Price Target58.29 (40.22%)
Short Float %17.93%
Short Ratio11.18
Dividend
Industry RankSector Rank
Dividend Yield N/A
Yearly DividendN/A
Dividend Growth(5Y)N/A
DPN/A
Div Incr Years0
Div Non Decr Years0
Ex-DateN/A
Surprises & Revisions
EPS beat(2)1
Avg EPS beat(2)-30.34%
Min EPS beat(2)-75.04%
Max EPS beat(2)14.35%
EPS beat(4)2
Avg EPS beat(4)-18.37%
Min EPS beat(4)-75.04%
Max EPS beat(4)14.35%
EPS beat(8)5
Avg EPS beat(8)-8.71%
EPS beat(12)7
Avg EPS beat(12)-27.49%
EPS beat(16)9
Avg EPS beat(16)-25.84%
Revenue beat(2)0
Avg Revenue beat(2)-1.74%
Min Revenue beat(2)-2.16%
Max Revenue beat(2)-1.31%
Revenue beat(4)1
Avg Revenue beat(4)-1.4%
Min Revenue beat(4)-2.5%
Max Revenue beat(4)0.36%
Revenue beat(8)3
Avg Revenue beat(8)-1.53%
Revenue beat(12)6
Avg Revenue beat(12)-0.56%
Revenue beat(16)9
Avg Revenue beat(16)0.42%
PT rev (1m)5.54%
PT rev (3m)2.83%
EPS NQ rev (1m)-0.91%
EPS NQ rev (3m)-3.47%
EPS NY rev (1m)-0.29%
EPS NY rev (3m)2.62%
Revenue NQ rev (1m)0.18%
Revenue NQ rev (3m)-2.35%
Revenue NY rev (1m)0.02%
Revenue NY rev (3m)-0.18%
Valuation
Industry RankSector Rank
PE N/A
Fwd PE N/A
P/S 7.06
P/FCF N/A
P/OCF N/A
P/B 31.19
P/tB 46.64
EV/EBITDA N/A
EPS(TTM)-3.1
EYN/A
EPS(NY)-1.01
Fwd EYN/A
FCF(TTM)-2.7
FCFYN/A
OCF(TTM)-2.35
OCFYN/A
SpS5.89
BVpS1.33
TBVpS0.89
PEG (NY)N/A
PEG (5Y)N/A
Profitability
Industry RankSector Rank
ROA -26.73%
ROE -231.14%
ROCE N/A
ROIC N/A
ROICexc N/A
ROICexgc N/A
OM N/A
PM (TTM) N/A
GM 66.35%
FCFM N/A
ROA(3y)-29.75%
ROA(5y)-28.61%
ROE(3y)N/A
ROE(5y)N/A
ROIC(3y)N/A
ROIC(5y)N/A
ROICexc(3y)N/A
ROICexc(5y)N/A
ROICexgc(3y)N/A
ROICexgc(5y)N/A
ROCE(3y)N/A
ROCE(5y)N/A
ROICexcg growth 3YN/A
ROICexcg growth 5YN/A
ROICexc growth 3YN/A
ROICexc growth 5YN/A
OM growth 3YN/A
OM growth 5YN/A
PM growth 3YN/A
PM growth 5YN/A
GM growth 3Y-0.71%
GM growth 5Y1.49%
F-Score3
Asset Turnover0.51
Health
Industry RankSector Rank
Debt/Equity 5.72
Debt/FCF N/A
Debt/EBITDA N/A
Cap/Depr 112.27%
Cap/Sales 5.85%
Interest Coverage N/A
Cash Conversion N/A
Profit Quality N/A
Current Ratio 3.36
Quick Ratio 2.05
Altman-Z 1.01
F-Score3
WACC8.31%
ROIC/WACCN/A
Cap/Depr(3y)531.2%
Cap/Depr(5y)375.98%
Cap/Sales(3y)15.14%
Cap/Sales(5y)11.07%
Profit Quality(3y)N/A
Profit Quality(5y)N/A
High Growth Momentum
Growth
EPS 1Y (TTM)1.27%
EPS 3YN/A
EPS 5YN/A
EPS Q2Q%-20.69%
EPS Next Y31.23%
EPS Next 2Y28.83%
EPS Next 3Y26.11%
EPS Next 5Y25.95%
Revenue 1Y (TTM)9.27%
Revenue growth 3Y9.43%
Revenue growth 5Y13.13%
Sales Q2Q%11.33%
Revenue Next Year24.51%
Revenue Next 2Y24.5%
Revenue Next 3Y24.41%
Revenue Next 5Y34.17%
EBIT growth 1Y11.57%
EBIT growth 3YN/A
EBIT growth 5YN/A
EBIT Next Year45.63%
EBIT Next 3Y39.7%
EBIT Next 5Y50.21%
FCF growth 1Y22.53%
FCF growth 3YN/A
FCF growth 5YN/A
OCF growth 1Y-0.22%
OCF growth 3YN/A
OCF growth 5YN/A