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ESTABLISHMENT LABS HOLDINGS (ESTA) Stock Fundamental Analysis

USA - NASDAQ:ESTA - VGG312491084 - Common Stock

45.76 USD
+0.9 (+2.01%)
Last: 10/16/2025, 2:27:58 PM
Fundamental Rating

3

Overall ESTA gets a fundamental rating of 3 out of 10. We evaluated ESTA against 191 industry peers in the Health Care Equipment & Supplies industry. ESTA has a bad profitability rating. Also its financial health evaluation is rather negative. ESTA is valied quite expensively at the moment, while it does show a decent growth rate.


Dividend Valuation Growth Profitability Health

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1

1. Profitability

1.1 Basic Checks

In the past year ESTA has reported negative net income.
In the past year ESTA has reported a negative cash flow from operations.
In the past 5 years ESTA always reported negative net income.
ESTA had a negative operating cash flow in each of the past 5 years.
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

ESTA's Return On Assets of -26.85% is in line compared to the rest of the industry. ESTA outperforms 45.55% of its industry peers.
ESTA has a worse Return On Equity (-388.86%) than 81.15% of its industry peers.
Industry RankSector Rank
ROA -26.85%
ROE -388.86%
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

ESTA has a Gross Margin of 67.24%. This is in the better half of the industry: ESTA outperforms 72.77% of its industry peers.
ESTA's Gross Margin has been stable in the last couple of years.
The Profit Margin and Operating Margin are not available for ESTA so they could not be analyzed.
Industry RankSector Rank
OM N/A
PM (TTM) N/A
GM 67.24%
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.
ESTA has more shares outstanding than it did 1 year ago.
ESTA has more shares outstanding than it did 5 years ago.
ESTA has a better debt/assets ratio than last year.
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

ESTA has an Altman-Z score of 0.94. This is a bad value and indicates that ESTA is not financially healthy and even has some risk of bankruptcy.
The Altman-Z score of ESTA (0.94) is comparable to the rest of the industry.
A Debt/Equity ratio of 9.71 is on the high side and indicates that ESTA has dependencies on debt financing.
ESTA has a worse Debt to Equity ratio (9.71) than 89.01% of its industry peers.
Industry RankSector Rank
Debt/Equity 9.71
Debt/FCF N/A
Altman-Z 0.94
ROIC/WACCN/A
WACC8.01%
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 2.84. This indicates that ESTA is financially healthy and has no problem in meeting its short term obligations.
Looking at the Current ratio, with a value of 2.84, ESTA is in line with its industry, outperforming 57.59% of the companies in the same industry.
A Quick Ratio of 1.67 indicates that ESTA should not have too much problems paying its short term obligations.
The Quick ratio of ESTA (1.67) is comparable to the rest of the industry.
Industry RankSector Rank
Current Ratio 2.84
Quick Ratio 1.67
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 1.93%.
The Revenue has grown by 17.22% in the past year. This is quite good.
ESTA shows quite a strong growth in Revenue. Measured over the last years, the Revenue has been growing by 13.13% yearly.
EPS 1Y (TTM)1.93%
EPS 3YN/A
EPS 5YN/A
EPS Q2Q%8.06%
Revenue 1Y (TTM)17.22%
Revenue growth 3Y9.43%
Revenue growth 5Y13.13%
Sales Q2Q%16.28%

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
Based on estimates for the next years, ESTA will show a very strong growth in Revenue. The Revenue will grow by 27.70% on average per year.
EPS Next Y28.8%
EPS Next 2Y27.91%
EPS Next 3Y25.45%
EPS Next 5Y25.95%
Revenue Next Year25.67%
Revenue Next 2Y24.91%
Revenue Next 3Y24.57%
Revenue Next 5Y27.7%

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

The Price/Earnings Ratio is negative for ESTA. In the last year negative earnings were reported.
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 6

4.3 Compensation for Growth

ESTA's earnings are expected to grow with 25.45% in the coming years. This may justify a more expensive valuation.
PEG (NY)N/A
PEG (5Y)N/A
EPS Next 2Y27.91%
EPS Next 3Y25.45%

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0

5. Dividend

5.1 Amount

ESTA does not give a dividend.
Industry RankSector Rank
Dividend Yield N/A

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ESTABLISHMENT LABS HOLDINGS

NASDAQ:ESTA (10/16/2025, 2:27:58 PM)

45.76

+0.9 (+2.01%)

Chartmill FA Rating
GICS SectorHealth Care
GICS IndustryGroupHealth Care Equipment & Services
GICS IndustryHealth Care Equipment & Supplies
Earnings (Last)08-07 2025-08-07/bmo
Earnings (Next)11-05 2025-11-05/amc
Inst Owners104.53%
Inst Owner Change-0.01%
Ins Owners6.86%
Ins Owner Change-7.46%
Market Cap1.33B
Analysts84
Price Target57.89 (26.51%)
Short Float %19.72%
Short Ratio14.31
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)4.69%
Min EPS beat(2)-4.97%
Max EPS beat(2)14.35%
EPS beat(4)2
Avg EPS beat(4)-14.93%
Min EPS beat(4)-75.04%
Max EPS beat(4)14.35%
EPS beat(8)4
Avg EPS beat(8)-10.7%
EPS beat(12)7
Avg EPS beat(12)-5.04%
EPS beat(16)8
Avg EPS beat(16)-27.63%
Revenue beat(2)0
Avg Revenue beat(2)-1.39%
Min Revenue beat(2)-1.47%
Max Revenue beat(2)-1.31%
Revenue beat(4)0
Avg Revenue beat(4)-1.86%
Min Revenue beat(4)-2.5%
Max Revenue beat(4)-1.31%
Revenue beat(8)2
Avg Revenue beat(8)-1.78%
Revenue beat(12)5
Avg Revenue beat(12)-1.11%
Revenue beat(16)8
Avg Revenue beat(16)-0.08%
PT rev (1m)0%
PT rev (3m)4.82%
EPS NQ rev (1m)0%
EPS NQ rev (3m)-7.15%
EPS NY rev (1m)0.14%
EPS NY rev (3m)-3.54%
Revenue NQ rev (1m)0%
Revenue NQ rev (3m)-0.29%
Revenue NY rev (1m)0%
Revenue NY rev (3m)0.93%
Valuation
Industry RankSector Rank
PE N/A
Fwd PE N/A
P/S 7.47
P/FCF N/A
P/OCF N/A
P/B 58.24
P/tB 127.86
EV/EBITDA N/A
EPS(TTM)-3.05
EYN/A
EPS(NY)-1.08
Fwd EYN/A
FCF(TTM)-2.77
FCFYN/A
OCF(TTM)-2.51
OCFYN/A
SpS6.12
BVpS0.79
TBVpS0.36
PEG (NY)N/A
PEG (5Y)N/A
Profitability
Industry RankSector Rank
ROA -26.85%
ROE -388.86%
ROCE N/A
ROIC N/A
ROICexc N/A
ROICexgc N/A
OM N/A
PM (TTM) N/A
GM 67.24%
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-Score5
Asset Turnover0.54
Health
Industry RankSector Rank
Debt/Equity 9.71
Debt/FCF N/A
Debt/EBITDA N/A
Cap/Depr 78.35%
Cap/Sales 4.3%
Interest Coverage N/A
Cash Conversion N/A
Profit Quality N/A
Current Ratio 2.84
Quick Ratio 1.67
Altman-Z 0.94
F-Score5
WACC8.01%
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)1.93%
EPS 3YN/A
EPS 5YN/A
EPS Q2Q%8.06%
EPS Next Y28.8%
EPS Next 2Y27.91%
EPS Next 3Y25.45%
EPS Next 5Y25.95%
Revenue 1Y (TTM)17.22%
Revenue growth 3Y9.43%
Revenue growth 5Y13.13%
Sales Q2Q%16.28%
Revenue Next Year25.67%
Revenue Next 2Y24.91%
Revenue Next 3Y24.57%
Revenue Next 5Y27.7%
EBIT growth 1Y-2.49%
EBIT growth 3YN/A
EBIT growth 5YN/A
EBIT Next Year47.98%
EBIT Next 3Y40.51%
EBIT Next 5Y45.62%
FCF growth 1Y29.18%
FCF growth 3YN/A
FCF growth 5YN/A
OCF growth 1Y14.33%
OCF growth 3YN/A
OCF growth 5YN/A