ESTABLISHMENT LABS HOLDINGS INC.

ESTA

ESTABLISHMENT LABS HOLDINGS INC.

ESTA

Insider Sentiment (TTM):

Last Purchase:2025-08-14Last Sale:2026-05-28Shares Purchased (TTM):7,750Shares Sold (TTM):353,121

Institutional Sentiment:

As of:2026-03-31Institutional Shares Owned:25,924,808Shares Outstanding:29,947,157Institutional Ownership Pct.:86.57%

Earnings Market Reaction:

Filing Date:2026-05-08Price on Filing Date:N/APrevious Close:N/A% Change:N/A

Companies in Orthopedic, Prosthetic & Surgical Appliances & Supplies

ISRG EW STE ZBH ALGN MSA

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Financial Statements

10‑Q10‑K

Values in Millions ($)	2026-03-31	2025-12-31	2025-09-30	2025-06-30	2025-03-31	2024-12-31	2024-09-30	2024-06-30	2024-03-31	2023-12-31	2023-09-30	2023-06-30
Assets
Assets Current
Cash	-	-	-	-	-	-	40	55	73	-	52	90
Cash And Cash Equivalents At Carrying Value	68	76	71	55	69	90	-	-	-	40	-	-
Accounts Receivable Net Current	77	77	71	70	63	65	67	60	51	47	55	51
Inventory Net	87	86	88	95	90	79	67	64	72	79	68	56
Prepaid Expense And Other Assets Current	14	11	9	10	9	9	9	7	7	8	12	11
Assets Current	246	250	240	229	232	243	183	186	204	175	187	209
Assets Noncurrent
Property Plant And Equipment Net	75	76	76	76	76	78	79	80	79	77	73	66
Goodwill	1	1	1	1	1	1	0	0	0	0	0	0
Intangible Assets Net Excluding Goodwill	9	10	10	11	12	12	10	10	10	8	6	4
Operating Lease Right Of Use Asset	4	4	5	5	5	6	5	4	4	3	4	4
Other Assets Noncurrent	16	16	7	7	7	7	5	5	5	5	1	2
Assets	351	357	339	330	333	347	283	285	302	269	271	285
Liabilities And Stockhold…
Liabilities Current
Accounts Payable Current	42	43	40	56	45	45	34	28	31	42	29	24
Accrued Liabilities Current	22	19	18	17	21	17	14	12	15	14	19	17
Contract With Customer Liability Current	-	-	-	-	-	-	2	2	2	-	-	-
Other Liabilities Current	19	20	14	8	3	7	2	-	-	2	2	1
Liabilities Current	83	82	72	81	69	68	50	42	48	57	50	43
Liabilities Noncurrent
Long Term Debt Noncurrent	249	248	246	221	220	220	194	194	192	189	185	182
Operating Lease Liability Noncurrent	2	3	3	3	4	4	4	3	3	3	3	3
Other Liabilities Noncurrent	2	1	1	2	2	2	1	1	2	2	2	2
Liabilities	336	334	323	307	295	294	250	240	245	250	240	230
Stockholders Equity
Common Stock Value	435	433	426	426	425	420	369	368	367	316	311	310
Additional Paid In Capital	90	88	85	82	79	77	74	70	67	64	60	56
Treasury Stock Common Value	-3	-3	-3	-3	-3	-3	-3	-3	-3	-3	-3	-3
Retained Earnings Accumulated Deficit	-509	-496	-493	-482	-465	-445	-410	-393	-376	-360	-340	-310
Accumulated Other Comprehensive Income Loss Net Of…	2	1	1	-0	3	3	3	3	2	2	2	2
Stockholders Equity	15	24	16	23	39	53	33	45	57	18	30	55
Liabilities And Stockholders Equity	351	357	339	330	333	347	283	285	302	269	271	285
Allowance For Doubtful Accounts Receivable Current	-	7	-	-	-	3	3	2	2	2	1	1
Common Stock Shares Issued	30	30	29	29	29	29	28	28	28	26	26	26
Shares Outstanding	29	29	29	29	29	29	28	28	27	26	26	26
Treasury Stock Common Shares	0	0	0	0	0	0	0	0	0	0	0	0

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Earnings Market Reaction

10‑Q10‑K

Fiscal Year	Q1 1 Month	Q1 2 Month	Q1 3 Month	Q2 1 Month	Q2 2 Month	Q2 3 Month	Q3 1 Month	Q3 2 Month	Q3 3 Month	Q4 1 Month	Q4 2 Month	Q4 3 Month
2026	-1.50%	23.14%	-	-	-	-	-	-	-	-	-	-
2025	1.47%	20.67%	25.03%	14.77%	8.76%	36.48%	6.60%	17.62%	1.42%	-20.39%	-14.76%	-16.44%
2024	-8.09%	-20.04%	-15.19%	28.85%	32.28%	25.53%	3.70%	9.16%	-24.37%	-7.46%	-26.64%	-15.65%
2023	-7.04%	-4.00%	1.82%	2.50%	-15.47%	-45.70%	2.43%	3.07%	42.91%	7.23%	2.11%	12.79%
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Performance and Valuation Metrics

Metrics	2026-03-31	2025-12-31	2025-09-30	2025-06-30	2025-03-31	2024-12-31	2024-09-30	2024-06-30	2024-03-31	2023-12-31	2023-09-30	2023-06-30
Liquidity Ratios
Current Ratio	2.96	3.04	3.33	2.84	3.36	3.56	3.62	4.44	4.24	3.06	3.71	4.83
Quick Ratio	1.75	1.86	1.97	1.54	1.92	2.28	2.12	2.74	2.58	1.52	2.12	3.27
Working Capital	162.67M	167.80M	167.62M	148.43M	162.66M	174.76M	132.46M	144.24M	155.68M	117.75M	136.42M	165.74M
Leverage & Debt
Debt to Equity	22.75	14.17	19.71	13.48	7.65	5.53	7.64	5.33	4.30	13.60	7.87	4.20
Interest Coverage TTM	-1.08	-1.54	-2.24	-2.72	-2.61	-2.40	-2.78	-3.49	-4.10	-4.22	-4.23	-3.39
Debt Ratio	0.96	0.93	0.95	0.93	0.88	0.85	0.88	0.84	0.81	0.93	0.89	0.81
Efficiency & Turnover
Asset Turnover TTM	0.67	0.60	0.61	0.58	0.54	0.54	0.55	0.53	0.61	0.69	0.77	0.73
Days Sales Outstanding TTM	111.54	123.21	132.54	133.80	122.29	123.03	145.39	134.30	107.64	90.99	88.41	85.92
Receivables Turnover TTM	3.27	2.96	2.75	2.73	2.98	2.97	2.51	2.72	3.39	4.01	4.13	4.25
Per Share Metrics
Diluted EPS TTM	-1.46	-1.72	-2.80	-3.06	-3.02	-3.00	-2.50	-2.98	-2.98	-3.07	-2.75	-2.38
Free Cash Flow Per Share TTM	-1.39	-1.92	-2.57	-2.67	-2.43	-2.29	-1.85	-2.63	-3.23	-3.77	-3.94	-3.51
Dividend Per Share TTM	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Margin Metrics
Gross Profit Margin TTM	70.06%	69.32%	68.74%	67.24%	66.35%	65.97%	65.08%	66.04%	65.01%	64.78%	64.57%	64.66%
Operating Profit Margin TTM	-12.45%	-18.48%	-28.14%	-35.43%	-34.13%	-30.11%	-34.91%	-40.52%	-42.17%	-39.37%	-31.61%	-25.71%
Net Profit Margin TTM	-19.05%	-24.19%	-43.45%	-49.89%	-52.34%	-50.95%	-46.13%	-54.97%	-53.12%	-47.53%	-40.32%	-34.35%
Growth Metrics
Net Revenue Growth (1Y)	34.86%	27.14%	24.76%	17.22%	9.27%	0.53%	-13.72%	-14.56%	-8.23%	2.13%	15.80%	23.02%
Net Income Growth (1Y)	-50.92%	-39.64%	17.52%	6.39%	7.66%	7.76%	-1.28%	36.71%	1.90%	4.38%	-5.69%	-15.37%
EPS Growth (1Y)	-51.69%	-42.61%	12.07%	2.68%	1.50%	-2.04%	-9.02%	25.49%	-9.50%	-0.28%	-11.21%	-19.39%
Valuation Metrics
P/E TTM	-38.88	-42.27	-14.63	-13.95	-13.50	-15.34	-17.31	-15.24	-17.09	-8.44	-17.86	-28.88
P/B TTM	115.02	91.68	74.20	54.25	31.20	24.44	37.37	28.17	24.85	36.03	41.90	32.03
P/S TTM	7.41	10.23	6.36	6.96	7.07	7.81	7.99	8.38	9.08	4.01	7.20	9.92
Market Cap	1.70B	2.16B	1.21B	1.23B	1.20B	1.30B	1.22B	1.27B	1.41B	662.78M	1.28B	1.76B
Enterprise Value	1.88B	2.33B	1.39B	1.40B	1.35B	1.43B	1.38B	1.41B	1.53B	811.49M	1.41B	1.85B
Calculated Values
Free Cash Flow TTM	-41.62M	-56.94M	-76.23M	-77.07M	-71.64M	-64.63M	-52.15M	-73.43M	-89.84M	-96.42M	-102.60M	-89.85M
Net Debt	180.49M	171.95M	175.83M	166.49M	151.16M	129.23M	154.66M	139.13M	119.21M	148.70M	133.13M	91.79M
Per-Share and Margin
EPS TTM
Adjusted EPS TTM
Cash Flow Per Share TTM
Pretax Margin TTM
Stock Comp to Revenue TTM
Turnover Ratios and Averages
Average Assets
Average Equity
Average Inventory
Average Receivables
Average Accounts Payables
Inventory Turnover TTM
Payables Turnover TTM
Days Inventory Outstanding TTM
Days Payables Outstanding TTM
Cash Conversion Cycle TTM
Working Capital to Revenue
Deferred Revenue to Revenue
Growth Rates
Total Assets Growth (1Y)
Total Assets Growth (3Y)
Total Assets Growth (5Y)
Dividends Paid Growth (1Y)
Dividends Paid Growth (3Y)
Dividends Paid Growth (5Y)
EPS Growth (3Y)
EPS Growth (5Y)
Net Income Growth (3Y)
Net Income Growth (5Y)
Net Profit Margin Growth (1Y)
Net Profit Margin Growth (3Y)
Net Profit Margin Growth (5Y)
Net Revenue Growth (3Y)
Net Revenue Growth (5Y)
Deferred Revenue Growth (1Y)
Retained Earnings Growth (1Y)
Credit, Liquidity, Returns, Payout
Cash Ratio
Net Working Capital
Debt to EBITDA TTM
Net Debt to EBITDA TTM
Net Debt to Equity
Altman A
Altman B
Altman C
Altman D
Altman E
Altman Z-Score
ROA TTM
ROE TTM
NOPAT TTM
ROIC TTM
Effective Tax Rate TTM
Payout Ratio TTM
Dilution Ratio
Retained Earnings to Equity
Treasury Stock to Equity
Treasury Stock Change (1Y)
Accrued to Current Liabilities
Valuation Ratios
P/CF TTM
Dividend Yield TTM
Free Cash Flow Yield TTM
EV EBITDA TTM
EV EBIT TTM
Stock Compensation TTM
Adjusted Net Income TTM
Billings TTM
Total Debt
Invested Capital

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Insider Transactions

2026-05-28Sale

Owner: Jw, Partners, Lp, Jw Gp, …

Title: -

Shares: 65,100

Price/Share: $72.89

Value: $4,745,139.00

Shares Owned: 2,890,582

Relationship: Other

Ownership: Indirect

2026-05-21Sale

Owner: Jw, Gp, Llc, Wild Jason G…

Title: -

Shares: 16,999

Price/Share: $71.40

Value: $1,213,728.60

Shares Owned: 2,981,115

Relationship: TenPercentOwner

Ownership: Indirect

2026-05-06Sale

Owner: Chacon, Quiros Juan Jose

Title: -

Shares: 105,000

Price/Share: $75.72

Value: $7,950,600.00

Shares Owned: 927,504

Relationship: Director

Ownership: Indirect

2026-05-06Sale

Owner: Jw, Asset Management, Llc…

Title: -

Shares: 60,000

Price/Share: $75.63

Value: $4,537,800.00

Shares Owned: 3,001,694

Relationship: TenPercentOwner

Ownership: Indirect

2026-05-04Sale

Owner: Chacon, Quiros Juan Jose

Title: -

Shares: 7,751

Price/Share: $70.90

Value: $549,545.90

Shares Owned: 1,032,504

Relationship: Director

Ownership: Indirect

Filed Date	Owner	Relationship	Title	Ownership	Purchase/Sale	No. Shares	Price Per Share	Value	Shares Owned	Document Type
2026-05-28	Jw, Partners, Lp, Jw Gp, …	Other	-	Indirect	Sale	65,100	72.89	$4,745,139.00	2,890,582	4
2026-05-21	Jw, Gp, Llc, Wild Jason G…	TenPercentOwner	-	Indirect	Sale	16,999	71.40	$1,213,728.60	2,981,115	4
2026-05-06	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	105,000	75.72	$7,950,600.00	927,504	4
2026-05-06	Jw, Asset Management, Llc…	TenPercentOwner	-	Indirect	Sale	60,000	75.63	$4,537,800.00	3,001,694	4
2026-05-04	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	7,751	70.90	$549,545.90	1,032,504	4
2026-04-27	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	2,180	66.50	$144,970.00	1,107,504	4
2026-04-14	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	37,500	65.23	$2,446,125.00	1,182,504	4
2026-03-25	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	3,575	60.08	$214,786.00	1,220,004	4
2026-03-23	Chacon, Quiros Juan Jose	Director	-	Indirect	Sale	33,925	61.89	$2,099,618.25	1,223,579	4
2025-11-10	Jw, Opportunities Fund, L…	TenPercentOwner	-	Indirect	Sale	11,000	67.07	$737,770.00	3,061,694	4
2025-11-07	Jw, Asset Management, Llc…	TenPercentOwner	-	Indirect	Sale	2,500	65.09	$162,725.00	3,072,694	4
2025-11-06	Wild, Jason G., Jw Partne…	TenPercentOwner	-	Indirect	Sale	7,591	65.00	$493,415.00	3,075,194	4
2025-08-14	Lewin, Nicholas Sheridan	Director	-	Indirect	Purchase	2,600	37.85	$98,410.00	19,090	4
2025-08-13	Lewin, Nicholas Sheridan	Director	-	Indirect	Purchase	2,300	34.30	$78,890.00	16,490	4
2025-08-11	Caldini, Filippo	Director,Officer	Chief Executive Officer	Direct	Purchase	2,850	35.20	$100,320.00	35,245	4/A
2025-07-01	Jw, Asset Management, Llc…	TenPercentOwner	-	Indirect	Sale	9,700	44.38	$430,486.00	3,082,785	4
2024-12-04	Jw, Gp, Llc, Wild Jason G…	TenPercentOwner	-	Indirect	Sale	100,000	45.15	$4,515,000.00	3,092,485	4
2024-07-11	Chacon, Quiros Juan Jose	Director,Officer	Chief Executive Officer	Direct	Sale	3,641	45.04	$163,990.64	210,735	4
2024-07-09	Chacon, Quiros Juan Jose	Director,Officer	Chief Executive Officer	Direct	Sale	654	45.00	$29,430.00	214,376	4
2024-07-01	Chacon, Quiros Juan Jose	Director,Officer	Chief Executive Officer	Direct	Sale	6,839	45.30	$309,806.70	218,896	4
2023-12-14	Lewin, Nicholas Sheridan	Director	-	Direct	Purchase	2,000	27.01	$54,020.00	1,064,888	4
2023-11-20	Lewin, Nicholas Sheridan	Director	-	Indirect	Purchase	5,000	22.00	$110,000.00	14,190	4
2023-11-17	Denhoy, Raj	Officer	Chief Financial Officer	Direct	Purchase	2,250	22.21	$49,972.50	8,112	4
2023-08-15	Lewin, Nicholas Sheridan	Director	-	Indirect	Purchase	400	56.13	$22,452.00	9,190	4
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Institutional Ownership

No data available for chart

2026-03-31

86.57%

Inst. Shares: 25,924,808

Shares Outstanding: 29,947,157

2025-12-31

87.95%

Inst. Shares: 26,050,228

Shares Outstanding: 29,620,022

2025-09-30

89.84%

Inst. Shares: 26,612,645

Shares Outstanding: 29,622,101

2025-06-30

90.92%

Inst. Shares: 26,288,167

Shares Outstanding: 28,913,811

2025-03-31

89.28%

Inst. Shares: 26,316,748

Shares Outstanding: 29,475,649

Date	Institutional Shares Owned	Shares Outstanding	Institutional Ownership %
2026-03-31	25,924,808	29,947,157	86.57%
2025-12-31	26,050,228	29,620,022	87.95%
2025-09-30	26,612,645	29,622,101	89.84%
2025-06-30	26,288,167	28,913,811	90.92%
2025-03-31	26,316,748	29,475,649	89.28%
2024-12-31	26,298,863	28,161,761	93.39%
2024-09-30	23,945,693	28,248,256	84.77%
2024-06-30	23,454,089	27,905,614	84.05%
2024-03-31	22,652,610	27,788,120	81.52%
2023-12-31	18,660,241	25,600,029	72.89%
2023-09-30	20,618,144	26,034,185	79.20%
2023-06-30	20,099,654	25,615,444	78.47%
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ESTABLISHMENT LABS HOLDINGS INC. (ESTA) — SEC Financial Statements & Analysis

ESTABLISHMENT LABS HOLDINGS INC. (ESTA) is a orthopedic, prosthetic & surgical appliances & supplies company, incorporated in D8. ESTABLISHMENT LABS HOLDINGS INC. trades on ESTA: Nasdaq as: ESTA. Based on its latest SEC filing (Form 10-Q, period ending 2026-03-31), ESTABLISHMENT LABS HOLDINGS INC. reported a 34.86% year-over-year revenue growth, a Gross Profit Margin of 70.06% (TTM), a Debt-to-Equity ratio of 22.75x, a Price-to-Sales (P/S) ratio of 7.41x (TTM), a Price-to-Book (P/B) ratio of 115.02 (TTM), at a market cap of $1.70B. Figures below are sourced from SEC EDGAR, as-filed.

Net Revenue TTM Growth 1Y: 34.86%
Gross Profit Margin TTM: 70.06%
Debt To Equity: 22.75x
P/S TTM: 7.41x
P/B TTM: 115.02
Market Cap: $1.70B

Data as of 2026-03-31 · Source: SEC EDGAR

Frequently Asked Questions

What industry is ESTABLISHMENT LABS HOLDINGS INC. in?

ESTABLISHMENT LABS HOLDINGS INC. (ESTA) operates in the Orthopedic, Prosthetic & Surgical Appliances & Supplies industry.

What is ESTA's market cap?

ESTABLISHMENT LABS HOLDINGS INC. (ESTA) has a market capitalization of $1.70B as of 2026-03-31.

What exchange does ESTA trade on?

ESTABLISHMENT LABS HOLDINGS INC. (ESTA) trades on the ESTA: Nasdaq.

Where is ESTABLISHMENT LABS HOLDINGS INC. incorporated?

ESTABLISHMENT LABS HOLDINGS INC. is incorporated in Virgin Islands, British.

ESTABLISHMENT LABS HOLDINGS INC. (ESTA) — SEC Financial Statements & Analysis

Frequently Asked Questions

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