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Establishment Labs Holdings Inc. (ESTA)

Healthcare | Medical Devices | Austin, United States | NasdaqCM
89.77 USD +3.18 (3.672%) ⇧ (July 15, 2026, 11:18 a.m. EDT)

Short-term:★★★⯪☆Long-term:★★⯪☆☆Dividends:☆☆☆☆☆
Hot Take | July 11, 2026, 3:06 a.m. EDT

Establishment Labs presents a classic high-risk, high-reward turnaround profile. Technically, the stock is commanding a premium, trading well above its 50-day and 200-day moving averages, which aligns with the strong buy consensus among analysts. Revenue growth is robust at nearly 45%, validating the core business expansion in breast aesthetics. However, the financial health is precarious; the company is burning cash with negative free cash flow and operating margins, while carrying a massive debt-to-equity load. The valuation is stretched with a price-to-book ratio exceeding 175x, pricing in perfection that hasn't yet materialized in profitability. While the momentum is positive, the lack of earnings and cash generation makes this a volatile hold rather than a core investment.

Model Selection — Backtest MAE (log-scale, lower is better)
ModelMAE
AutoTheta ✓0.100785
AutoETS0.112353
MSTL0.113341
AutoARIMA0.117911

Forecast horizon: 45 days | Selected: AutoTheta

Forecast Reliability
Score 32%
H-stat 25.93
Ljung-Box p 0.000
Jarque-Bera p 0.139
Excess Kurtosis -1.45
Attribute Value
Sector Healthcare
Debt to Equity Ratio 1785.544
Revenue per Share 7.72
Market Cap 2,641,966,080
Forward P/E 1196.93
Beta 1.07
Profit Margins -19.05%
Website https://www.establishmentlabs.com

As of July 11, 2026, 3:06 a.m. EDT: Implied volatility is elevated across expirations, averaging around 60%. Call volume exceeds put volume, indicating a bullish speculative bias, particularly with new flow at the 90 and 100 strikes. However, put open interest remains concentrated at lower strikes (70-85), suggesting significant downside hedging and support expectations.


Info Dump

Attribute Value
52 Week Change 0.98327994
Address1 11,401 century oaks terrace
Address2 suite 400
All Time High 93.8
All Time Low 7.56
Ask 111.57
Ask Size 2
Average Analyst Rating 1.4 - Strong Buy
Average Daily Volume10 Day 563,830
Average Daily Volume3 Month 617,786
Average Volume 617,786
Average Volume10Days 563,830
Beta 1.068
Bid 64.08
Bid Size 2
Book Value 0.503
City Austin
Compensation As Of Epoch Date 1,767,139,200
Country United States
Crypto Tradeable 0
Currency USD
Current Price 89.77
Current Ratio 2.956
Custom Price Alert Confidence HIGH
Date Short Interest 1,782,777,600
Day High 90.34
Day Low 86.1
Debt To Equity 1,785.544
Display Name Establishment Labs
Earnings Call Timestamp End 1,778,070,600
Earnings Call Timestamp Start 1,778,070,600
Earnings Timestamp 1,778,070,600
Earnings Timestamp End 1,786,019,400
Earnings Timestamp Start 1,786,019,400
Ebitda -18,867,000
Ebitda Margins -0.08218
Enterprise To Ebitda -145.452
Enterprise To Revenue 11.953
Enterprise Value 2,744,233,472
Eps Current Year -1.015
Eps Forward 0.075
Eps Trailing Twelve Months -1.47
Esg Populated 0
Exchange NCM
Exchange Data Delayed By 0
Exchange Timezone Name America/New_York
Exchange Timezone Short Name EDT
Fifty Day Average 78.3152
Fifty Day Average Change 11.454796
Fifty Day Average Change Percent 0.1462653
Fifty Two Week Change Percent 98.327995
Fifty Two Week High 92.84
Fifty Two Week High Change -3.0699997
Fifty Two Week High Change Percent -0.03306764
Fifty Two Week Low 33.35
Fifty Two Week Low Change 56.42
Fifty Two Week Low Change Percent 1.6917541
Fifty Two Week Range 33.35 - 92.84
Financial Currency USD
First Trade Date Milliseconds 1,532,007,000,000
Float Shares 19,630,659
Forward Eps 0.075
Forward P E 1,196.9332
Free Cashflow -27,834,000
Full Exchange Name NasdaqCM
Full Time Employees 1,004
Gmt Off Set Milliseconds -14,400,000
Gross Margins 0.70057
Gross Profits 160,835,008
Has Pre Post Market Data 1
Held Percent Insiders 0.10149
Held Percent Institutions 1.02823
Implied Shares Outstanding 29,430,390
Industry Medical Devices
Industry Disp Medical Devices
Industry Key medical-devices
Is Earnings Date Estimate 1
Language en-US
Last Fiscal Year End 1,767,139,200
Long Business Summary Establishment Labs Holdings Inc., a medical technology company, manufactures and markets medical devices for breast aesthetic and reconstructive plastic surgeries in Europe, the Middle East, Africa, Latin America, Asia, and the United States. The company offers silicone gel-filled breast implants under the Motiva Implants brand. It also provides breast tissue expanders. The company sells products to physicians, hospitals, and clinics through distributors and its direct sales force. Establishment Labs Holdings Inc. was incorporated in 2004 and is based in Austin, Texas.
Long Name Establishment Labs Holdings Inc.
Market us_market
Market Cap 2,641,966,080
Market State REGULAR
Max Age 86,400
Message Board Id finmb_417932316
Most Recent Quarter 1,774,915,200
Net Income To Common -43,736,000
Next Fiscal Year End 1,798,675,200
Non Diluted Market Cap 2,546,317,342
Number Of Analyst Opinions 9
Open 89.49
Operating Cashflow -34,475,000
Operating Margins -0.108739994
Payout Ratio 0.0
Phone 800 924 5072
Previous Close 86.59
Price Eps Current Year -88.443344
Price Hint 2
Price To Book 178.46918
Price To Sales Trailing12 Months 11.508024
Profit Margins -0.19051
Quick Ratio 1.746
Quote Source Name Nasdaq Real Time Price
Quote Type EQUITY
Recommendation Key strong_buy
Recommendation Mean 1.44444
Region US
Regular Market Change 3.1800003
Regular Market Change Percent 3.67248
Regular Market Day High 90.34
Regular Market Day Low 86.1
Regular Market Day Range 86.1 - 90.34
Regular Market Open 89.49
Regular Market Previous Close 86.59
Regular Market Price 89.77
Regular Market Time 1,784,128,730
Regular Market Volume 66,200
Return On Assets -0.05219
Return On Equity -1.64011
Revenue Growth 0.447
Revenue Per Share 7.72
Sand P52 Week Change 0.2043345
Sector Healthcare
Sector Disp Healthcare
Sector Key healthcare
Shares Outstanding 29,430,390
Shares Percent Shares Out 0.162
Shares Short 4,768,474
Shares Short Previous Month Date 1,780,012,800
Shares Short Prior Month 3,826,159
Short Name Establishment Labs Holdings Inc
Short Percent Of Float 0.2031
Short Ratio 5.92
Source Interval 15
State TX
Symbol ESTA
Target High Price 105.0
Target Low Price 84.0
Target Mean Price 94.11111
Target Median Price 92.0
Total Cash 68,101,000
Total Cash Per Share 2.314
Total Debt 263,956,992
Total Revenue 229,576,000
Tradeable 0
Trailing Annual Dividend Rate 0.0
Trailing Annual Dividend Yield 0.0
Trailing Eps -1.47
Trailing Peg Ratio None
Triggerable 1
Two Hundred Day Average 67.22555
Two Hundred Day Average Change 22.544449
Two Hundred Day Average Change Percent 0.33535537
Type Disp Equity
Volume 66,200
Website https://www.establishmentlabs.com
Zip 78,758