(ESTA) Establishment Labs Holdings - Ratings and Ratios

Exchange: NASDAQ • Country: Costa Rica • Currency: USD • Type: Common Stock • ISIN: VGG312491084

Breast Implants, Tissue Expanders

ESTA EPS (Earnings per Share)

EPS (Earnings per Share) of ESTA over the last years for every Quarter: "2020-09": -0.18, "2020-12": -0.23, "2021-03": -0.29, "2021-06": -0.22, "2021-09": -0.61, "2021-12": -0.6, "2022-03": -0.24, "2022-06": -1.52, "2022-09": -0.76, "2022-12": -0.55, "2023-03": -0.48, "2023-06": -0.65, "2023-09": -1.12, "2023-12": -0.79, "2024-03": -0.58, "2024-06": -0.62, "2024-09": -0.59, "2024-12": -1.19, "2025-03": -0.7, "2025-06": -0.57, "2025-09": 0,

ESTA Revenue

Revenue of ESTA over the last years for every Quarter: 2020-09: 22.758, 2020-12: 26.963, 2021-03: 30.336, 2021-06: 31.994, 2021-09: 29.039, 2021-12: 35.313, 2022-03: 38.452, 2022-06: 41.19, 2022-09: 38.245, 2022-12: 43.813, 2023-03: 46.524, 2023-06: 48.561, 2023-09: 38.506, 2023-12: 31.56, 2024-03: 37.167, 2024-06: 44.117, 2024-09: 40.227, 2024-12: 44.514, 2025-03: 41.377, 2025-06: 51.3, 2025-09: null,

Description: ESTA Establishment Labs Holdings

Establishment Labs Holdings Inc (NASDAQ:ESTA) is a Costa Rica-based company operating in the Health Care Supplies sub-industry. The companys common stock is listed on the NASDAQ exchange.

To evaluate the companys performance, we need to examine key economic drivers and KPIs. The medical device industry is driven by factors such as technological innovation, regulatory approvals, and adoption rates among healthcare providers. Key performance indicators for Establishment Labs may include revenue growth, gross margin expansion, and research and development (R&D) pipeline advancements.

The companys financials indicate significant investment in growth, reflected in a negative Return on Equity (RoE) of -240.67%. This suggests that the company is currently prioritizing growth over profitability, which is common in the medical device industry where R&D expenses are substantial. Market capitalization stands at $973.99M USD, indicating a moderate-sized company with potential for further growth or consolidation.

To assess the viability of Establishment Labs as a trading opportunity, we must consider the competitive landscape, product pipeline, and clinical trial outcomes. The companys ability to secure regulatory approvals, drive product adoption, and expand its customer base will be crucial in determining its future financial performance.

From a trading perspective, Establishment Labs stock price volatility, as measured by its Average True Range (ATR) and beta, suggests a moderate level of risk. Traders should monitor key support and resistance levels, as well as moving averages (SMA20, SMA50, SMA200), to identify potential trading opportunities.

ESTA Stock Overview

Market Cap in USD 1,223m
Sub-Industry Health Care Supplies
IPO / Inception 2018-07-19

ESTA Stock Ratings

Growth Rating -27.0%
Fundamental 20.1%
Dividend Rating -
Return 12m vs S&P 500 -13.2%
Analyst Rating 4.50 of 5

ESTA Dividends

Currently no dividends paid

ESTA Growth Ratios

Growth Correlation 3m -30.4%
Growth Correlation 12m -18.3%
Growth Correlation 5y -54.3%
CAGR 5y -10.49%
CAGR/Max DD 3y (Calmar Ratio) -0.15
CAGR/Mean DD 3y (Pain Ratio) -0.30
Sharpe Ratio 12m 0.06
Alpha -14.93
Beta 0.856
Volatility 60.59%
Current Volume 412.2k
Average Volume 20d 243.2k
Stop Loss 38.5 (-6.5%)
Signal 0.91

Piotroski VR‑10 (Strict, 0-10) 2.5

Net Income (-88.5m TTM) > 0 and > 6% of Revenue (6% = 10.6m TTM)
FCFTA -0.22 (>2.0%) and ΔFCFTA 8.85pp (YES ≥ +1.0pp, WARN ≥ +0.5pp)
NWC/Revenue 83.66% (prev 95.30%; Δ -11.64pp) (YES ≤20% & Δ≤-1pp; WARN ≤25% & Δ≤0 oder ≤40% & Δ≤-3pp)
CFO/TA -0.22 (>3.0%) and CFO -72.7m > Net Income -88.5m (YES >=105%, WARN >=100%)
NO Net Debt/EBITDA fails (EBITDA <= 0)
Current Ratio 2.84 (target 1.5–3.0; WARN 1.2–<1.5 or >3.0–5.0; CFO/TA gate active)
Outstanding Shares last Quarter (29.5m) change vs 12m ago 5.63% (target <= -2.0% for YES)
Gross Margin 67.24% (prev 66.04%; Δ 1.20pp) >=18% & Δ>=+0.5pp (WARN >=15% & Δ>=0)
Asset Turnover 57.72% (prev 53.09%; Δ 4.63pp) >=50% & Δ>=+2pp (WARN >=35% & Δ>=0)
Interest Coverage Ratio -2.79 (EBITDA TTM -54.7m / Interest Expense TTM 23.1m) >= 6 (WARN >= 3)

Altman Z'' -3.41

(A) 0.45 = (Total Current Assets 229.2m - Total Current Liabilities 80.7m) / Total Assets 329.7m
(B) -1.46 = Retained Earnings (Balance) -482.0m / Total Assets 329.7m
warn (B) unusual magnitude: -1.46 — check mapping/units
(C) -0.21 = EBIT TTM -64.4m / Avg Total Assets 307.4m
(D) -0.18 = Book Value of Equity -56.5m / Total Liabilities 306.9m
Total Rating: -3.41 = (6.56 * A) + (3.26 * B) + (6.72 * C) + (1.05 * D)

ValueRay F-Score (Strict, 0-100) 20.12

1. Piotroski 2.50pt = -2.50
2. FCF Yield -5.15% = -2.58
3. FCF Margin -40.47% = -7.50
4. Debt/Equity 9.86 = -2.50
5. Debt/Ebitda -3.11 = -2.50
6. ROIC - WACC (= -35.41)% = -12.50
7. RoE -240.7% = -2.50
8. Rev. Trend 19.34% = 1.45
9. EPS Trend 24.83% = 1.24

What is the price of ESTA shares?

As of October 14, 2025, the stock is trading at USD 41.16 with a total of 412,246 shares traded.
Over the past week, the price has changed by +4.65%, over one month by +11.73%, over three months by -9.59% and over the past year by -0.29%.

Is Establishment Labs Holdings a good stock to buy?

No, based on ValueRay´s Fundamental Analyses, Establishment Labs Holdings (NASDAQ:ESTA) is currently (October 2025) a stock to sell. It has a ValueRay Fundamental Rating of 20.12 and therefor a negative outlook according to the companies health.
Based on momentum, paid dividends and discounted-cash-flow analyses, the fair value of ESTA is around 35.33 USD . This means that ESTA is currently overvalued and has a potential downside of -14.16%.

Is ESTA a buy, sell or hold?

Establishment Labs Holdings has received a consensus analysts rating of 4.50. Therefore, it is recommended to buy ESTA.
  • Strong Buy: 5
  • Buy: 2
  • Hold: 1
  • Sell: 0
  • Strong Sell: 0

What are the forecasts/targets for the ESTA price?

Issuer Target Up/Down from current
Wallstreet Target Price 55.4 34.7%
Analysts Target Price 55.4 34.7%
ValueRay Target Price 39.3 -4.5%

Last update: 2025-10-04 03:51

ESTA Fundamental Data Overview

Market Cap USD = 1.22b (1.22b USD * 1.0 USD.USD)
P/S = 6.8958
P/B = 51.9521
Beta = 0.856
Revenue TTM = 177.4m USD
EBIT TTM = -64.4m USD
EBITDA TTM = -54.7m USD
Long Term Debt = 221.1m USD (from longTermDebt, last quarter)
Short Term Debt = 1.62m USD (from shortTermDebt, last quarter)
Debt = 224.5m USD (from shortLongTermDebtTotal, last quarter)
Net Debt = 169.9m USD (from netDebt column, last quarter)
Enterprise Value = 1.39b USD (1.22b + Debt 224.5m - CCE 54.6m)
Interest Coverage Ratio = -2.79 (Ebit TTM -64.4m / Interest Expense TTM 23.1m)
FCF Yield = -5.15% (FCF TTM -71.8m / Enterprise Value 1.39b)
FCF Margin = -40.47% (FCF TTM -71.8m / Revenue TTM 177.4m)
Net Margin = -49.89% (Net Income TTM -88.5m / Revenue TTM 177.4m)
Gross Margin = 67.24% ((Revenue TTM 177.4m - Cost of Revenue TTM 58.1m) / Revenue TTM)
Gross Margin QoQ = 68.76% (prev 67.21%)
Tobins Q-Ratio = 4.23 (Enterprise Value 1.39b / Total Assets 329.7m)
Interest Expense / Debt = 2.65% (Interest Expense 5.96m / Debt 224.5m)
Taxrate = -6.44% (negative due to tax credits) (1.00m / -15.6m)
NOPAT = -68.6m (EBIT -64.4m * (1 - -6.44%)) [loss with tax shield] [negative tax rate / tax credits]
Current Ratio = 2.84 (Total Current Assets 229.2m / Total Current Liabilities 80.7m)
Debt / Equity = 9.86 (Debt 224.5m / totalStockholderEquity, last quarter 22.8m)
Debt / EBITDA = -3.11 (negative EBITDA) (Net Debt 169.9m / EBITDA -54.7m)
Debt / FCF = -2.37 (negative FCF - burning cash) (Net Debt 169.9m / FCF TTM -71.8m)
Total Stockholder Equity = 36.8m (last 4 quarters mean from totalStockholderEquity)
RoA = -26.85% (Net Income -88.5m / Total Assets 329.7m)
RoE = -240.7% (Net Income TTM -88.5m / Total Stockholder Equity 36.8m)
RoCE = -24.98% (EBIT -64.4m / Capital Employed (Equity 36.8m + L.T.Debt 221.1m))
RoIC = -27.22% (negative operating profit) (NOPAT -68.6m / Invested Capital 251.9m)
WACC = 8.19% (E(1.22b)/V(1.45b) * Re(9.17%) + D(224.5m)/V(1.45b) * Rd(2.65%) * (1-Tc(-0.06)))
Discount Rate = 9.17% (= CAPM, Blume Beta Adj.)
Shares Correlation 3-Years: 100.0 | Cagr: 6.35%
Fair Price DCF = unknown (Cash Flow -71.8m)
EPS Correlation: 24.83 | EPS CAGR: 23.46% | SUE: 2.17 | # QB: 1
Revenue Correlation: 19.34 | Revenue CAGR: 11.27% | SUE: 0.19 | # QB: 0

Additional Sources for ESTA Stock

News: Wall Street Journal | Benzinga | Yahoo Finance
Tweets: X | Stocktwits
Fund Manager Positions: Dataroma | Stockcircle