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ESTA

Establishment Labs Holdings Inc.

At today's price, Establishment Labs Holdings Inc. (ESTA) is priced for today's economics sustained for ~18.1 years. boothcheck doesn't publish a fair value or a price target; it shows what the price assumes, so you can judge whether that bar is too high. Built from SEC EDGAR filings.

Live priced in
today's economics sustained for ~18.1 years
Priced In
elevated

Key Takeaways

• Establishment Labs is at a profitability inflection: revenue grew 44.7% to $59.9 million with a 70.7% gross margin, the operating loss narrowed sharply, and adjusted EBITDA turned positive for a third straight quarter, with management targeting free cash flow positivity in the second half of 2026. • The biggest specific risk is the valuation: no standard method reaches the price, which embeds a swing from a negative 12% operating margin to roughly 28% sustained for nearly eighteen years, leavi

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Institutional ownership

171 institutional managers reported holding ESTA in 13F filings for the quarter ended 2026-03-31. Together they hold about 88% of the company; the top 10 hold 44%. 29 opened new positions that quarter. Held by Goldman Sachs, Jane Street, Citadel Advisors, among others. On the short side, 3.9M shares were sold short as of the 2026-06-15 count, about 13% of shares outstanding (7.1 days of typical volume to cover).

Quarterly 13F filings arrive up to 45 days after quarter end, so the picture is never current (filed through 2026-05-29). Nothing here is investment advice.

Capital returns

ESTA's share count grew 25% over the past five years. It pays no dividend.

Share counts are split-adjusted; repurchase totals are gross of share issuance. Nothing here is investment advice.

Insider activity

Open-market insider buys at ESTA over the trailing three years: 2023: 5 buys totaling $237k; 2025: 3 buys totaling $278k. 10 officers and directors are on file.

Code P open-market purchases from SEC Form 4 filings, non-derivative, excluding scheduled 10b5-1 plans. Nothing here is investment advice.

Earnings reactions

ESTA's recent reports: the day-one move, then what the following quarter actually did.

reportday onenext quarter
2023-08-10-8.3%-41.4%
2023-11-09-26.0%+49.7%
2024-03-05+15.1%+17.2%
2024-05-10+5.4%-19.8%

Day-one is the close-to-close move around the filing. Nothing here is investment advice.

Recent filings

ESTA's latest 8-K filings: 2026-06-29 (items 5.02, 7.01, 9.01); 2026-05-22 (items 5.07, 9.01); 2026-05-06 (items 2.02, 9.01); 2026-04-30 (items 1.01, 2.03); 2026-02-24 (items 2.02, 9.01).

Item codes are the SEC's own classification of what each report discloses. Nothing here is investment advice.

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Last analyzed: June 27, 2026

For informational and research purposes only. Not investment advice. Not a recommendation to buy, sell, or hold any security. boothcheck is not a registered investment adviser. Past performance does not guarantee future results.