InsiderClue
Stocks · Health care · Orthopedic, Prosthetic & Surgical Appliances & Supplies

ESTABLISHMENT LABS HOLDINGS INC.

ESTA Clue Score35
Costa Rica Fiscal year ends December CIK 0001688757
$61.67 +1.75% Close, 9 Oct 2026
Alert on the numbers Alert on insider trades
Price $61.67 −12.35% Close, 9 Oct 2026

Closing prices at the end of each trading day, from 19 Jul 2018. Not a live quote. Adjusted for share splits, so the line has no step at a split; dividends are not added back.

Revenue and profit

What the business sells, and what is left of it. Point at a year for the detail.
RevenueOperating incomeNet income
Fiscal year 2017Revenue34.7Operating income−20.0Net income−34.9Fiscal year 2018Revenue61.2 +76.5%Operating income−23.9Net income−21.1Fiscal year 2019Revenue89.6 +46.3%Operating income−30.9Net income−38.2EPS, diluted−1.86Fiscal year 2020Revenue84.7 −5.5%Operating income−27.9Net income−38.1EPS, diluted−1.63Fiscal year 2021Revenue126.7 +49.6%Operating income−25.1Net income−41.1EPS, diluted−1.72Fiscal year 2022Revenue161.7 +27.6%Operating income−39.7Net income−75.2EPS, diluted−3.08Fiscal year 2023Revenue165.2 +2.1%Operating income−65.0Net income−78.5EPS, diluted−3.07Fiscal year 2024Revenue166.0 +0.5%Operating income−50.0Net income−84.6EPS, diluted−3.00Fiscal year 2025Revenue211.1 +27.1%Operating income−39.0Net income−51.1EPS, diluted−1.72
FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Revenue 34.7 61.2 89.6 84.7 126.7 161.7 165.2 166.0 211.1
Growth +76.5% +46.3% −5.5% +49.6% +27.6% +2.1% +0.5% +27.1%
Operating income −20.0 −23.9 −30.9 −27.9 −25.1 −39.7 −65.0 −50.0 −39.0
Net income −34.9 −21.1 −38.2 −38.1 −41.1 −75.2 −78.5 −84.6 −51.1
Growth
EPS, diluted n/a n/a −1.86 −1.63 −1.72 −3.08 −3.07 −3.00 −1.72
Growth

Margins

How much of each dollar of revenue it keeps. Point at a year for the detail.
Gross marginOperating marginNet margin
Fiscal year 2017Gross margin51.0%Operating margin−57.6%Net margin−100.6%Free cash flow margin−94.8%Fiscal year 2018Gross margin59.0%Operating margin−39.0%Net margin−34.5%Free cash flow margin−58.2%Fiscal year 2019Gross margin61.3%Operating margin−34.5%Net margin−42.6%Free cash flow margin−40.5%Fiscal year 2020Gross margin62.0%Operating margin−33.0%Net margin−45.0%Free cash flow margin−17.3%Fiscal year 2021Gross margin67.4%Operating margin−19.8%Net margin−32.5%Free cash flow margin−23.6%Fiscal year 2022Gross margin65.9%Operating margin−24.5%Net margin−46.5%Free cash flow margin−34.0%Fiscal year 2023Gross margin64.8%Operating margin−39.4%Net margin−47.5%Free cash flow margin−58.4%Fiscal year 2024Gross margin66.0%Operating margin−30.1%Net margin−51.0%Free cash flow margin−38.9%Fiscal year 2025Gross margin69.3%Operating margin−18.5%Net margin−24.2%Free cash flow margin−27.0%
FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Gross margin 51.0% 59.0% 61.3% 62.0% 67.4% 65.9% 64.8% 66.0% 69.3%
Operating margin −57.6% −39.0% −34.5% −33.0% −19.8% −24.5% −39.4% −30.1% −18.5%
Net margin −100.6% −34.5% −42.6% −45.0% −32.5% −46.5% −47.5% −51.0% −24.2%
Free cash flow margin −94.8% −58.2% −40.5% −17.3% −23.6% −34.0% −58.4% −38.9% −27.0%

Cash flow

The cash the business makes, what it reinvests, and what it hands back. Point at a year for the detail.
Operating cash flowCapital expenditureFree cash flow
Fiscal year 2017Operating cash flow−32.0Capital expenditure−0.9Free cash flow−32.9Buybacks−4.5Fiscal year 2018Operating cash flow−33.9Capital expenditure−1.7Free cash flow−35.6Buybacks0.0Fiscal year 2019Operating cash flow−30.0Capital expenditure−6.3Free cash flow−36.3Fiscal year 2020Operating cash flow−12.5Capital expenditure−2.1Free cash flow−14.6Fiscal year 2021Operating cash flow−27.5Capital expenditure−2.4Free cash flow−30.0Fiscal year 2022Operating cash flow−52.2Capital expenditure−2.9Free cash flow−55.0Fiscal year 2023Operating cash flow−88.5Capital expenditure−7.9Free cash flow−96.4Fiscal year 2024Operating cash flow−58.5Capital expenditure−6.1Free cash flow−64.6Fiscal year 2025Operating cash flow−50.9Capital expenditure−6.0Free cash flow−56.9
FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Operating cash flow −32.0 −33.9 −30.0 −12.5 −27.5 −52.2 −88.5 −58.5 −50.9
Capital expenditure −0.9 −1.7 −6.3 −2.1 −2.4 −2.9 −7.9 −6.1 −6.0
Free cash flow −32.9 −35.6 −36.3 −14.6 −30.0 −55.0 −96.4 −64.6 −56.9
Growth
Buybacks −4.5 0.0 n/a n/a n/a n/a n/a n/a n/a

Balance sheet

What it holds against what it owes, at each year end. Point at a year for the detail.
CashTotal debt
Fiscal year 2017Cash10.9Shareholders’ equity−5.0Fiscal year 2018Cash52.6Shareholders’ equity69.5Fiscal year 2019Cash37.7Total debt48.1Net cash (debt)−10.5Shareholders’ equity39.6Debt to equity1.22Fiscal year 2020Cash84.5Total debt49.8Net cash (debt)34.7Shareholders’ equity75.0Debt to equity0.66Fiscal year 2021Cash53.4Total debt51.9Net cash (debt)1.5Shareholders’ equity50.7Debt to equity1.02Fiscal year 2022Cash66.4Total debt175.5Net cash (debt)−109.1Shareholders’ equity−8.2Fiscal year 2023Cash40.0Total debt188.7Net cash (debt)−148.7Shareholders’ equity18.4Debt to equity10.26Fiscal year 2024Cash90.3Total debt219.6Net cash (debt)−129.2Shareholders’ equity53.1Debt to equity4.14Fiscal year 2025Cash75.6Total debt247.5Net cash (debt)−172.0Shareholders’ equity23.5Debt to equity10.51
FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Cash 10.9 52.6 37.7 84.5 53.4 66.4 40.0 90.3 75.6
Total debt n/a n/a 48.1 49.8 51.9 175.5 188.7 219.6 247.5
Net cash (debt) n/a n/a −10.5 34.7 1.5 −109.1 −148.7 −129.2 −172.0
Shareholders’ equity −5.0 69.5 39.6 75.0 50.7 −8.2 18.4 53.1 23.5
Debt to equity n/a n/a 1.22 0.66 1.02 n/a 10.26 4.14 10.51

In millions of USD, except per-share figures and ratios. Fiscal years, as last filed with the SEC.

Financial statements FY2025 · 10-K

Balance sheet

In millions of USD, except per-share figures; shares in millions. Fiscal years ending December, each column as last filed with the SEC.
Click a line to chart it
Fiscal year FY2017 31 Dec 2017 FY2018 31 Dec 2018 FY2019 31 Dec 2019 FY2020 31 Dec 2020 FY2021 31 Dec 2021 FY2022 31 Dec 2022 FY2023 31 Dec 2023 FY2024 31 Dec 2024 FY2025 31 Dec 2025
Assets
10.9 52.6 37.7 84.5 53.4 66.4 40.0 90.3 75.6
13.1 17.6 22.8 19.1 24.4 35.4 46.9 65.0 77.5
13.2 24.8 28.7 23.2 28.4 36.6 79.5 78.8 85.6
13.5 12.9 16.4 16.2 18.7 51.1 77.2 78.0 75.6
0.5 0.5 0.5 0.5 0.5 0.5 0.5 1.2 1.2
57.1 116.6 116.5 156.4 139.5 211.1 268.6 346.8 357.2
Growth +104.2% −0.0% +34.2% −10.8% +51.3% +27.3% +29.1% +3.0%
Liabilities
n/a n/a 48.1 49.8 51.9 175.5 188.7 219.6 247.5
calc n/a n/a 48.1 49.8 51.9 175.5 188.7 219.6 247.5
62.1 47.1 76.9 81.4 88.8 219.2 250.2 293.7 333.6
Equity
−67.9 −89.0 −127.1 −165.2 −206.4 −281.6 −360.1 −444.7 −495.8
−5.0 69.5 39.6 75.0 50.7 −8.2 18.4 53.1 23.5
Growth −43.0% +89.2% −32.3% −116.1% +188.6% −55.7%
Per share and net cash
calc n/a n/a −10.5 34.7 1.5 −109.1 −148.7 −129.2 −172.0
n/a 20.3 20.6 23.5 24.1 24.4 26.1 28.8 29.3
calc n/a 3.43 1.92 3.19 2.11 −0.34 0.71 1.84 0.80

Lines marked calc are worked out here from filed figures; point at one for how.