Establishment Labs Holdings Inc. (ESTA)Healthcare | Medical Devices | Austin, United States | NasdaqCM
58.45 USD
-3.18
(-5.160%) ⇩
(Oct. 13, 2026, 4 p.m.
EDT)
After hours: 58.45 |
Hot Take ↕ | Oct. 10, 2026, 5:45 a.m. EDT
The investment case for Establishment Labs is currently fractured between aggressive growth expectations and deteriorating financial reality. While analysts project a strong buy with a target price significantly higher than the current level, the company is burning cash, reporting negative operating margins, and showing a return on equity of -175%. The balance sheet is fragile with debt nearly four times the book value of equity. This disconnect creates a high-risk environment where the stock is priced for perfection that the current fundamentals cannot yet support. In the short term, the stock faces headwinds as it trades below its 50-day and 200-day moving averages, indicating a downtrend that technical traders are likely to respect until a reversal occurs. The options market reflects this uncertainty with heavy positioning on both sides, creating a volatile trading environment but lacking a clear bullish catalyst. Without a demonstrated path to profitability or a massive de-risking event, the long-term outlook remains weak due to the fundamental erosion of value and cash generation. |
| Model | MAE |
|---|---|
| MSTL ✓ | 0.202900 |
| AutoARIMA | 0.209521 |
| AutoETS | 0.209521 |
| AutoTheta | 0.231382 |
Forecast horizon: 45 days | Selected: MSTL
| Forecast Reliability | |
|---|---|
| Score | 31% |
| H-stat | 4.70 |
| Ljung-Box p | 0.000 |
| Jarque-Bera p | 0.014 |
| Excess Kurtosis | 0.29 |
| Attribute | Value |
|---|---|
| Sector | Healthcare |
| Debt to Equity Ratio | 1220.317 |
| Revenue per Share | 8.14 |
| Market Cap | 1,741,920,640 |
| Forward P/E | 974.17 |
| Beta | 1.06 |
| Profit Margins | -15.82% |
| Website | https://www.establishmentlabs.com |
As of Oct. 10, 2026, 5:45 a.m. EDT: Speculators are positioning for significant volatility rather than a clear directional move. Call open interest is heavily skewed out-of-the-money (strikes $90-$100), suggesting bets on a massive rally, while put open interest clusters around the $50-$65 range, indicating a hedge against a drop to the lower end of the trading range. The massive volume-to-open-interest ratio at the $60 strike suggests active speculation on a breakout or breakdown near current levels, but the lack of directional bias in the aggregate positioning prevents a strong conviction call.
| Attribute | Value |
|---|---|
| 52 Week Change | 0.37382972 |
| Address1 | 11,401 century oaks terrace |
| Address2 | suite 400 |
| All Time High | 97.59 |
| All Time Low | 7.56 |
| Ask | 74.96 |
| Ask Size | 2 |
| Audit Risk | 4 |
| Average Analyst Rating | 1.2 - Strong Buy |
| Average Daily Volume10 Day | 418,510 |
| Average Daily Volume3 Month | 428,965 |
| Average Volume | 428,965 |
| Average Volume10Days | 418,510 |
| Beta | 1.059 |
| Bid | 44.4 |
| Bid Size | 2 |
| Board Risk | 7 |
| Book Value | 0.725 |
| City | Austin |
| Compensation As Of Epoch Date | 1,767,139,200 |
| Compensation Risk | 7 |
| Country | United States |
| Crypto Tradeable | 0 |
| Currency | USD |
| Current Price | 58.45 |
| Current Ratio | 3.837 |
| Custom Price Alert Confidence | HIGH |
| Date Short Interest | 1,790,726,400 |
| Day High | 62.405 |
| Day Low | 58.305 |
| Debt To Equity | 1,220.317 |
| Display Name | Establishment Labs |
| Dividend Yield | 0.0 |
| Earnings Call Timestamp End | 1,786,019,400 |
| Earnings Call Timestamp Start | 1,786,019,400 |
| Earnings Timestamp | 1,786,019,400 |
| Earnings Timestamp End | 1,793,795,400 |
| Earnings Timestamp Start | 1,793,795,400 |
| Ebitda | -8,984,000 |
| Ebitda Margins | -0.03655 |
| Enterprise To Ebitda | -215.32 |
| Enterprise To Revenue | 7.869 |
| Enterprise Value | 1,934,437,504 |
| Eps Current Year | -1.1 |
| Eps Forward | 0.06 |
| Eps Trailing Twelve Months | -1.3 |
| Esg Populated | 0 |
| Exchange | NCM |
| Exchange Data Delayed By | 15 |
| Exchange Timezone Name | America/New_York |
| Exchange Timezone Short Name | EDT |
| Fifty Day Average | 71.7732 |
| Fifty Day Average Change | -13.3232 |
| Fifty Day Average Change Percent | -0.18562917 |
| Fifty Two Week Change Percent | 37.382973 |
| Fifty Two Week High | 97.59 |
| Fifty Two Week High Change | -39.139996 |
| Fifty Two Week High Change Percent | -0.40106565 |
| Fifty Two Week Low | 44.22 |
| Fifty Two Week Low Change | 14.23 |
| Fifty Two Week Low Change Percent | 0.32180008 |
| Fifty Two Week Range | 44.22 - 97.59 |
| Financial Currency | USD |
| First Trade Date Milliseconds | 1,532,007,000,000 |
| Float Shares | 19,530,371 |
| Forward Eps | 0.06 |
| Forward P E | 974.1667 |
| Free Cashflow | -19,287,124 |
| Full Exchange Name | NasdaqCM |
| Full Time Employees | 1,004 |
| Fullday Change | -3.1800003 |
| Fullday Change Percent | -5.1598253 |
| Fullday Price | 58.45 |
| Gmt Off Set Milliseconds | -14,400,000 |
| Governance Epoch Date | 1,790,812,800 |
| Gross Margins | 0.70489 |
| Gross Profits | 173,274,000 |
| Has Pre Post Market Data | 1 |
| Held Percent Insiders | 0.10042 |
| Held Percent Institutions | 1.05779 |
| Implied Shares Outstanding | 29,801,891 |
| 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 | 1,741,920,640 |
| Market State | PREPRE |
| Max Age | 86,400 |
| Message Board Id | finmb_417932316 |
| Most Recent Quarter | 1,782,777,600 |
| Net Income To Common | -38,891,000 |
| Next Fiscal Year End | 1,798,675,200 |
| Non Diluted Market Cap | 2,016,395,945 |
| Number Of Analyst Opinions | 9 |
| Open | 61.63 |
| Operating Cashflow | -32,324,000 |
| Operating Margins | -0.06352 |
| Overall Risk | 5 |
| Phone | 800 924 5072 |
| Post Market Change | 0.0 |
| Post Market Change Percent | 0.0 |
| Post Market Price | 58.45 |
| Post Market Time | 1,791,921,670 |
| Previous Close | 61.63 |
| Price Eps Current Year | -53.136364 |
| Price Hint | 2 |
| Price To Book | 80.62069 |
| Price To Sales Trailing12 Months | 7.0862207 |
| Profit Margins | -0.15821 |
| Quick Ratio | 2.274 |
| Quote Source Name | Nasdaq Real Time Price |
| Quote Type | EQUITY |
| Recommendation Key | strong_buy |
| Recommendation Mean | 1.22222 |
| Region | US |
| Regular Market Change | -3.18 |
| Regular Market Change Percent | -5.15983 |
| Regular Market Day High | 62.405 |
| Regular Market Day Low | 58.305 |
| Regular Market Day Range | 58.305 - 62.405 |
| Regular Market Open | 61.63 |
| Regular Market Previous Close | 61.63 |
| Regular Market Price | 58.45 |
| Regular Market Time | 1,791,921,601 |
| Regular Market Volume | 482,980 |
| Return On Assets | -0.0344 |
| Return On Equity | -1.75303 |
| Revenue Growth | 0.317 |
| Revenue Per Share | 8.14 |
| Sand P52 Week Change | 0.17502642 |
| Sector | Healthcare |
| Sector Disp | Healthcare |
| Sector Key | healthcare |
| Share Holder Rights Risk | 3 |
| Shares Outstanding | 29,801,891 |
| Shares Percent Shares Out | 0.1336 |
| Shares Short | 3,982,907 |
| Shares Short Previous Month Date | 1,788,134,400 |
| Shares Short Prior Month | 4,396,568 |
| Short Name | Establishment Labs Holdings Inc |
| Short Percent Of Float | 0.16700001 |
| Short Ratio | 11.43 |
| Source Interval | 15 |
| State | TX |
| Symbol | ESTA |
| Target High Price | 117.0 |
| Target Low Price | 92.0 |
| Target Mean Price | 102.44444 |
| Target Median Price | 105.0 |
| Total Cash | 71,157,000 |
| Total Cash Per Share | 2.388 |
| Total Debt | 263,674,000 |
| Total Revenue | 245,818,000 |
| Tradeable | 0 |
| Trailing Annual Dividend Rate | 0.0 |
| Trailing Annual Dividend Yield | 0.0 |
| Trailing Eps | -1.3 |
| Trailing Peg Ratio | None |
| Triggerable | 1 |
| Two Hundred Day Average | 72.9164 |
| Two Hundred Day Average Change | -14.466396 |
| Two Hundred Day Average Change Percent | -0.19839703 |
| Type Disp | Equity |
| Volume | 482,980 |
| Website | https://www.establishmentlabs.com |
| Zip | 78,758 |