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Establishment Labs

ESTA

Establishment Labs is a global medical technology company specializing in advanced breast aesthetics and reconstruction solutions.

Market cap
$2.71B+123%
Revenue$229.6M+34.9%
Net income-$43.7M+50.9%
Free cash flow-$41.6M+41.9%
EPS (diluted)-$1.48+52.4%
Trailing twelve months · change vs. prior year

Earnings

Next report

Aug 6, 2026 (In 1 week)
Revenue estimate$65.8M
EPS estimate-$0.34

Financials

Q1 2026

Income statement

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Revenue$59.9M+44.7%
Gross profit$42.3M+52.2%
Operating income-$6.5M+61.6%
Net income-$13.4M+35.4%
EPS (diluted)-$0.45+35.7%

Balance sheet

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Cash & equivalents$68.1M-1.6%
Total debt$252.7M+12.0%
Total equity$14.8M-61.7%
Total assets$351.0M+5.3%

Cash flow

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Operating cash flow-$4.3M+79.2%
CapEx$1.9M+146%
Free cash flow-$6.2M+71.3%

Valuation & ratios

Valuation

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Market cap$2.71B+123%
Enterprise value$2.9B+106%
P/S11.8×+4.9×

Profitability

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Gross margin70.1%+3.7pp
Operating margin-12.4%-4.8pp
Net margin-19.1%-7.4pp
FCF margin-18.1%-6.6pp

Returns & leverage

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Return on equity-164%-17.8pp
Debt / equity17.1×+11.2×
Current ratio-0.4×

Segments

By geography

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OUS$40.3M

Competitors

Profile

Establishment Labs is a global medical technology company specializing in advanced breast aesthetics and reconstruction solutions. The company's core value proposition centers on improving patient safety and aesthetic outcomes through proprietary silicone gel-filled implants that feature lower complication rates compared to traditional legacy products.

Competitive position

Establishment Labs is a high-growth challenger in the breast implant market, positioning itself as a safer, technology-driven alternative to long-standing industry incumbents.

GeographiesUnited States, Costa Rica, Brazil, Global
Customer segmentsMedical Professionals, Healthcare Facilities
Business modelDirect-to-provider sales, Distributor-based wholesale, Manufacturing
SuppliersSilicone raw material suppliers, RFID technology components, Specialized manufacturing equipment
CustomersPlastic and reconstructive surgeons, Third-party medical device distributors, Surgical centers
CountryCosta Rica
Listed2018
Employees781.0
CEOFillipo Peter Caldini
FilingsSEC EDGAR

Questions, answered.

What is Establishment Labs's market cap?
Establishment Labs (ESTA) has a market capitalization of $2.7B and trades on NASDAQ.
What is Establishment Labs's revenue and profitability?
Establishment Labs generated $229.6M in trailing twelve-month revenue with a net loss of $43.7M, representing a net margin of -19.1%. Gross margin stands at 70.1%, with free cash flow of -$41.6M. These figures are based on the Q1 2026 filing.
Who are Establishment Labs's competitors?
Establishment Labs's key competitors include Allergan, Mentor Worldwide, TELA Bio, Inc. Common Stock, and others. These companies compete in similar markets and product categories.
Who does Establishment Labs partner with?
Establishment Labs's notable partners include RTW Investments, Meghan Trainor.
Where is Establishment Labs headquartered?
Establishment Labs is headquartered in Costa Rica and employs approximately 781 people. It has been publicly traded since 2018.