Establishment Labs Holdings Inc.

ESTA

$72.30

-3.50%

N/A-$2.62

Healthcare

Medical - Devices

NASDAQ

Active Trading

Establishment Labs Holdings Inc. operates as a medical technology enterprise specializing in the creation and commercialization of devices for aesthetic and reconstructive ...

Key Metrics of ESTA

Snapshot

Latest / TTM · 6 periods

Market Cap

$2.13B

ROCE

-6.5%

EV / EBITDA

-346.63x

+7.7% YoY

FCF Yield

-2.0%

+0.7% YoY

Cash Conversion Cycle

374.7d

Current Ratio

3.84

Quick take

TTM —

Positive CCC

Key Metrics

Latest / TTM · 6 periods

Valuation trend

Valuation trend table

Metric	2021	2022	2023	2024	2025	TTM
Market CapTotal market value of all shares outstanding.	$1.62B	$1.61B	$662.78M	$1.30B	$2.16B	$2.13B
Enterprise ValueCompany value including debt and cash adjustments.	$1.62B	$1.72B	$814.97M	$1.43B	$2.35B	$2.32B
EV / SalesHow many dollars investors pay per dollar of sales.	12.80x	10.63x	4.93x	8.63x	11.12x	9.44x
EV / EBITDAValuation multiple versus operating earnings before non-cash charges.	-61.07x	-30.21x	-13.98x	-25.48x	-105.32x	-346.63x
Net Debt / EBITDALeverage ratio using net debt divided by EBITDA.	-0.03	-1.99	-2.61	-2.40	-8.47	-28.76

Returns + ROCE gauge

ROCE latest

-6.5%

Prev year -14.2%

Returns + ROCE gauge table

Metric	2021	2022	2023	2024	2025	TTM
ROEProfit generated from shareholders' equity.	-81.1%	918.9%	-426.8%	-159.3%	-216.9%	-203.9%
ROAProfit generated from total assets.	-29.5%	-35.6%	-29.2%	-24.4%	-14.3%	-11.1%
ROICReturn generated on invested operating capital.	-29.7%	-36.9%	-30.5%	-23.5%	-11.1%	-6.1%
ROCEOperating return on long-term capital used.	-23.4%	-23.0%	-30.7%	-17.9%	-14.2%	-6.5%
Earnings YieldEarnings as a percentage of market value.	-2.5%	-4.7%	-11.8%	-6.5%	-2.4%	-1.8%

Cash flow quality

Cash flow quality table

Metric	2021	2022	2023	2024	2025	TTM
FCFFCash flow available to all capital providers.	$-24.87M	$-74.29M	$-81.04M	$-43.81M	$-34.71M	$-19.21M
FCFECash flow available to equity holders after debt flows.	$-34.44M	$9.95M	$-96.42M	$-40.16M	$-23.46M	$3.60M
FCF YieldFree cash flow divided by market capitalization.	-2.1%	-5.4%	-17.1%	-5.7%	-2.7%	-2.0%
Income QualityHow well accounting earnings are backed by cash flow.	0.67	0.69	1.13	0.69	1.00	0.84
Capex / OCFShare of operating cash flow spent on capital expenditures.	-24.4%	-65.7%	-27.7%	-26.6%	-13.2%	-28.6%

Operating efficiency

Operating efficiency table

Metric	2021	2022	2023	2024	2025	TTM
DSOAverage days to collect cash from customers.	70.4d	80.0d	103.7d	142.9d	134.0d	112.3d
DIOAverage days inventory stays before being sold.	251.2d	242.3d	498.6d	508.8d	482.5d	427.6d
DPOAverage days the company takes to pay suppliers.	128.0d	132.7d	261.2d	289.2d	242.9d	165.2d
Operating CycleTime from buying inventory to collecting receivables.	321.6d	322.3d	602.3d	651.7d	616.5d	539.9d
Cash Conversion CycleNet days cash is tied in operations.	193.6d	189.6d	341.2d	362.6d	373.5d	374.7d

Snapshot

Latest / TTM: —

Market Cap

$2.13B

ROE

-203.9%

FCF Yield

-2.0%

Current Ratio

3.84

Upstream

Avantor, Inc. (NuSil brand)NYSE:AVTRJAMM Technologies, LLCNelipak Healthcare PackagingUnnamed Contract Manufacturers (Surgical Tools)Dow Inc.NYSE:DOWWacker Chemie AGXETRA:WCH

Downstream

Motiva USA LLC (wholly owned subsidiary)Human Investments Ltd. (Motiva Korea / Motiva China)Motiva Europe (direct sales subsidiaries)Motiva Brazil (wholly owned subsidiary)Independent Distributor Network (LatAm, ME, Asia ex-China/Korea)Puregraft LLC (Bimini Health Tech)

Proxies

Avantor, Inc.NYSE:AVTR AbbVie Inc. (Allergan Aesthetics)NYSE:ABBV Johnson & Johnson (Mentor Worldwide)NYSE:JNJSientra, Inc.Unconfirmed

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Establishment Labs Holdings Inc.

Key Metrics of ESTA

Key Metrics

Valuation trend

Returns + ROCE gauge

Cash flow quality

Operating efficiency

Snapshot

Supply Chain of ESTA

Upstream

Downstream

Proxies

Key Metrics of ESTA

Key Metrics

Valuation trend

Returns + ROCE gauge

Cash flow quality

Operating efficiency

Snapshot

Supply Chain of ESTA

Upstream

Downstream

Proxies