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NASDAQ · ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES · LARGE CAP

Establishment Labs Holdings Inc. ESTA

9 fiscal years on record · USD · FY2025 reported · SEC filings only
$211.1M
▲ 27.1% YoY
$-51.1M
$-56.9M

Slide the table for earlier years · "·" marks a figure not available in our data for that year.

In brief

What this company does

Establishment Labs produces silicone gel-filled breast implants, branded as Motiva Implants, which form the centerpiece of its medical technology platform. Since launching Motiva Implants in October 2010, the majority of its revenue has been generated from sales of Motiva Implants. Its products are commercially available in over 100 countries through exclusive distributors, except in the United States, Brazil, Argentina and several European countries, where it sells through its direct sales force. The company manufactures its products in ISO-13485-certified manufacturing facilities located in the Coyol Free Zone office park in Alajuela, Costa Rica, operating two facilities there: the original facility, opened at the end of 2016, with capacity to produce over 400,000 implants a year, and the Sulàyöm Innovation Campus, finalized in June 2024, which increased its manufacturing capacity by approximately 730,000 units per year. As of December 31, 2025, its sales organization included 278 employees and contractors. As of December 31, 2025, the company had 1,004 employees. Its portfolio includes five product families of Motiva Implants: Round and Ergonomix Round, Ergonomix Oval, Anatomical TrueFixation, Ergonomix2 Round and Ergonomix2 Diamond, and Flora Tissue Expander. Establishment Labs initially incorporated in Costa Rica in 2004 and subsequently reorganized in 2013 under a parent holding company in the British Virgin Islands.

Written from the business description in ESTABLISHMENT LABS HOLDINGS INC.'s annual report to the U.S. Securities and Exchange Commission, filed 27 February 2026. Every sentence was checked against that document before publication.

Growth

USD 211.1M
Revenue, FY2025 · full 9-year series below
Revenue $M Net income $M
FY2025 · Revenue 211.1 · Net income -51.1
100M200M-30M-60M
2017202020232025
Compound annual growth
+9.3%
+20.0%
3 yrs
5 yrs
10 yrs
15 yrs

Revenue compounded at +20.0% a year over the five years to FY2025.

Compound annual rates per period — left blank where that exact year isn't on file, the series crosses a loss, or (per-share rows) a split falls inside the window.

Profitability

−24 cents
lost on every revenue dollar
Operating margin Net margin
FY2025 · Operating -18.5% · Net -24.2%
-50%-100%
201720212025
ROE
FY2025 · ROE -133.3%
-100%-200%
201720212025
Three returns, three denominators.

Each USD of equity lost 133 cents this year.

Cash & shareholders

·
returned in FY2025 · dividends + net buybacks
Free cash flow $M
FY2025 · FCF -56.9
-40M-80M
201720212025
Net buybacks $M Dividends $M
FY2018 · Dividends · · Net buybacks -0.6
2.00M4.00M-0.25M-0.50M
20172018

Total assetsUSD 357.2M
EquityUSD 23.5M
CashUSD 75.6M
Gross debtUSD 247.5M
Net debtUSD 171.9M
Current ratio3.04×

Net debt stands at 730% of equity.

The 9-year record

9 fiscal years
Every figure from documents filed with the SEC · USD

EPS, diluted, dividend per share and shares outstanding are shown without shading, and a vertical line marks the year the share count changed — the series crosses a large, unexplained change in share count, so the years on either side are not on a comparable scale.

row low → row highnegative—not applicable◌not available in our data
ESTA, 9-year financial record
Metric 202520242023202220212020201920182017
Revenue $B0.20.20.20.20.10.10.10.10.0
Operating income $B−0.0−0.0−0.1−0.0−0.0−0.0−0.0−0.0−0.0
EBITDA $B−0.0−0.0−0.1−0.0−0.0◌◌◌◌
Income tax $B−0.0−0.0−0.00.00.00.00.00.00.0
Net income $B−0.1−0.1−0.1−0.1−0.0−0.0−0.0−0.0−0.0
Free cash flow $B−0.1−0.1−0.1−0.1−0.0−0.0−0.0−0.0−0.0
EPS, diluted $−1.72−3.00−3.07−3.08−1.72−1.63−1.86−1.22−3.41
Dividend / sh $◌◌◌◌◌◌◌◌◌
Payout % — not applicable: no dividend—————————
ROE %−133.3−236.7——−65.5−66.5−69.9——
Shares out B0.030.030.030.020.020.020.020.02◌

Slide the table for earlier years. "—" not applicable · "◌" not available in our data.

More in this sector

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Provenance

Company facts, as filed

How we verify · 0 failures in 45 reconciliationsAUDITED

Reconciled in 9 of the 9 fiscal years we could check. 20 checks were skipped: the balance sheet is not tagged before 2017. 10 checks were skipped: EPS is not tagged before 2017. 10 checks were skipped: revenue is not tagged before 2017.

EPS recomputationBalance-sheet identityGross profitBalance-sheet liquidityCurrency consistency0 failures
ActivityOrthopedic, Prosthetic & Surgical Appliances & Supplies
Listed onNASDAQ
Incorporated inoutside the United States — SEC code D8
Fiscal year endsDecember 31
Data on record since2017

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