Establishment Labs Holdings Inc. (ESTA)
As-reported financials and SEC filings for Establishment Labs Holdings Inc. The latest annual period is FY2025. The latest reported quarter is Q2 FY2026. Financial statements come straight from the company’s EDGAR filings; valuation figures such as P/E and market cap use market data.
About Establishment Labs Holdings Inc.
Establishment Labs Holdings Inc. is a global medical technology company specializing in breast aesthetics and reconstruction. Its main product line is Motiva Implants, silicone gel-filled breast implants designed to improve safety and aesthetic outcomes, sold in over 100 countries. The company also offers related products such as tissue expanders and minimally invasive breast tissue-preserving technologies, serving patients and healthcare providers in the breast augmentation and reconstruction markets.
Snapshot
Fundamentals are from SEC filings for FY2025, the latest annual period (ended December 31, 2025). P/E and market cap are derived from stored market prices, last retrieved on a rolling basis and typically within the past week.
What changed at Establishment Labs Holdings
- Revenue grew 27.1% to $211M in FY2025, faster than the 0.5% the year before.
- Operating margin is -18.5% in FY2025, +1.4 pp against -19.8% in FY2021.
- Most recent quarter Q2 FY2026: revenue $68M, up 31.7% from Q2 FY2025.
- Free cash flow was negative $57M in FY2025.
- Net loss narrowed to $51M in FY2025, from $85M in FY2024.
Computed from the as-reported figures in the statements below. A change we cannot state from filed figures is left out rather than estimated.
Peer comparison
Where Establishment Labs Holdings’s fundamentals sit among the 570 Healthcare companies. Each figure is ranked only against peers that report it, from lowest (left) to highest (right).
Establishment Labs Holdings’s long-term debt to equity of 10.51 ranks in the 98th percentile of the 251 Healthcare companies reporting it. Establishment Labs Holdings’s return on equity of -216.9% ranks in the 4th percentile of the 481 Healthcare companies reporting it. Establishment Labs Holdings’s FCF margin of -27.0% ranks in the 15th percentile of the 385 Healthcare companies reporting it.
No reported insider transactions (codes P/S) in the last 90 days. For context, about 15% of companies in the universe saw any reported insider purchase (code P) in the same window. Browse insider activity →
Percentiles describe where a figure sits among sector peers reporting it (100th = highest). They are position within a peer group, not a rating, and not investment advice. Short interest ranking uses days to cover from FINRA Consolidated Short Interest data; FINRA is the owner and source of that data, included at no additional charge.
Recent insider activity
Non-derivative buys and sells (codes P/S) reported by officers, directors and 10% owners on SEC Form 4.
| Trade date | Insider | Type | Shares | Price | Value |
|---|---|---|---|---|---|
2026-05-28 | JW Asset Management, LLCInsider | Sell | 65.1K | $72.89 | $4.7M |
2026-05-27 filed 2026-05-28 | JW Asset Management, LLCInsider | Sell | 113 | $72.50 | $8K |
2026-05-26 filed 2026-05-28 | JW Asset Management, LLCInsider | Sell | 25.3K | $74.39 | $1.9M |
2026-05-21 filed 2026-05-22 | JW Asset Management, LLC10% owner | Sell | 17.0K | $71.40 | $1.2M |
2026-05-20 filed 2026-05-22 | JW Asset Management, LLC10% owner | Sell | 3.6K | $70.56 | $253K |
2026-05-06 filed 2026-05-08 | Quiros Juan Jose ChaconDirector | Sell | 93.2K | $75.33 | $7.0M |
2026-05-06 filed 2026-05-08 | JW Asset Management, LLC10% owner | Sell | 60.0K | $75.63 | $4.5M |
2026-05-06 filed 2026-05-08 | Quiros Juan Jose ChaconDirector | Sell | 11.8K | $76.10 | $898K |
2026-05-04 | Quiros Juan Jose ChaconDirector | Sell | 7.7K | $70.47 | $539K |
2026-05-04 | Quiros Juan Jose ChaconDirector | Sell | 100 | $71.34 | $7K |
2026-05-01 filed 2026-05-04 | Quiros Juan Jose ChaconDirector | Sell | 41.3K | $70.52 | $2.9M |
2026-05-01 filed 2026-05-04 | Quiros Juan Jose ChaconDirector | Sell | 26.0K | $71.18 | $1.8M |
Reported non-derivative purchases and sales (codes P/S), which may be open-market or private. Excludes option exercises, grants, and shares withheld for taxes. Dates shown are the trade date; a Form 4 can be filed days to years later. A sale can be routine (e.g. a pre-set 10b5-1 plan), so read individual transactions in context. From SEC Form 4. Not investment advice.
Short interest
Total shares sold short as of each twice-monthly FINRA settlement. Rising short interest means more investors are positioned against the stock; days to cover estimates how many trading days of average volume that position represents.
| Settlement | Shares short | Change | Days to cover |
|---|---|---|---|
| 2026-09-30 | 4.0M | -9.2% | 12.08 |
| 2026-09-15 | 4.4M | -0.2% | 12.76 |
| 2026-08-31 | 4.4M | +7.2% | 12.22 |
| 2026-08-14 | 4.1M | -5.7% | 5.89 |
| 2026-07-31 | 4.3M | -3.1% | 9.94 |
| 2026-07-15 | 4.5M | -6.0% | 8.50 |
| 2026-06-30 | 4.8M | +22.6% | 4.22 |
| 2026-06-15 | 3.9M | +1.6% | 7.13 |
Source: FINRA Consolidated Short Interest. FINRA is the owner and source of the FINRA-supplied data, which is included at no additional charge for your own personal or professional use; republishing or redistributing it is not permitted. Settlement dates are shown; FINRA publishes each settlement about nine business days later, so the latest figure can be two to four weeks old. Not presented as a percentage of float. No FINRA endorsement of this product is implied. Not investment advice.
Income statement (as reported)
| FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|
| Revenue | $211.1M | $166.0M | $165.2M | $161.7M | $126.7M |
| Gross profit | |||||
| Operating income | $-39.0M | $-50.0M | $-65.0M | $-39.7M | $-25.1M |
| Net income | $-51.1M | $-84.6M | $-78.5M | $-75.2M | $-41.1M |
| Diluted EPS | $-1.72 | $-3.00 | $-3.07 | $-3.08 | $-1.72 |
Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.
Balance sheet (as reported)
| FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|
| Cash and equivalents | $75.6M | $90.3M | $40.0M | $66.4M | $53.4M |
| Current assets | $249.9M | $243.0M | $174.9M | $149.9M | $113.3M |
| Total assets | $357.2M | $346.8M | $268.6M | $211.1M | $139.5M |
| Current liabilities | $82.1M | $68.3M | $57.1M | $39.0M | $31.9M |
| Long-term debt | $247.5M | $219.6M | $188.7M | $175.5M | $51.9M |
| Total liabilities | $333.6M | $293.7M | $250.2M | $219.2M | $88.8M |
| Total equity | $23.5M | $53.1M | $18.4M | $-8.2M | $50.7M |
Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.
Cash flow (as reported)
| FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|
| Operating cash flow | $-50.9M | $-58.5M | $-88.5M | $-52.2M | $-27.5M |
| Capital expenditure | $6.0M | $6.1M | $7.9M | $2.9M | $2.4M |
| Free cash flow |
Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.
Quarterly trend
| Quarter | Revenue | Revenue YoY | Net income | Diluted EPS |
|---|---|---|---|---|
| Q2 FY2026 | $67.5M | 31.7% | $-11.7M | $-0.39 |
| Q1 FY2026 | $59.9M | 44.7% | $-13.4M | $-0.45 |
| Q4 FY2025 | 45.2% | |||
| Q3 FY2025 | $53.8M | 33.7% | $-11.1M | $-0.38 |
| Q2 FY2025 | $51.3M | 16.3% | $-16.6M | $-0.57 |
| Q1 FY2025 | $41.4M | 11.3% | $-20.7M | $-0.70 |
| Q4 FY2024 | 41.0% | |||
| Q3 FY2024 | $40.2M | 4.5% | $-16.7M | $-0.59 |
Latest 8 quarters, from company XBRL filings on SEC EDGAR. A dotted underline marks a fourth-quarter figure we calculated from the full year and the first nine months. Revenue YoY is our calculation too: each quarter against the same quarter a year earlier.
Company facts
Selected SEC filings
Largest Healthcare peers
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Data sourced from SEC EDGAR. Figures are as-reported and may be unaudited or restated; verify against the source filing before relying on them. Informational only. Not investment advice.