Stock Ratings / Health Care / ESTA / financials

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Establishment Labs Holdings Inc. (ESTA) Revenue-to-Profit Sankey Flow & SEC XBRL Financials

$68.41 -0.81% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot)

Establishment Labs Holdings Inc. (ESTA) carries a Roarable Rating of E (Strong Sell) with 34/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

ROARABLE E • RED ALERT Cap $2.04B

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RQD QUANT TACHOMETERRED ALERT • E

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Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E · Rk D-

Each axis scored 0–20

12M PRICE TARGET CONE-10.8% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for ESTA)Realized 20D OHLCV Swing Band: ±12.5%

VISUAL REVENUE-TO-PROFIT SANKEY WATERFALL • FY 2025 (10-K)

How ESTA Turns Every Dollar of Sales Into Real Bottom-Line Profit

Free Cash Flow:$0 (0% FCF Margin)

Multi-Year SEC EDGAR XBRL Revenue, Net Profit & Free Cash Flow Trajectory

■ Revenue■ Net Profit■ Free Cash Flow

FY23

Rev $165.2M

FY24

Rev $166.0M

FY25

Rev $211.1M

Fiscal Year	Revenue	Gross Margin	Op Margin	Net Profit	Free Cash Flow	ROIC %
FY 2025	$211.1M	69.3%	-18.5%	-$51.1M	-$56.9M	-15.8%
FY 2024	$166.0M	66%	-30.1%	-$84.6M	-$64.6M	-21.7%
FY 2023	$165.2M	69.3%	-39.4%	-$78.5M	-$88.5M	-15.8%

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Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring ESTA)

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ESTA // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -0.32%▲ RESISTANCE BREAKOUT

2026-10-30O $67.38H $68.41L $60.25C $68.41VOL 1.03M

RES: $61.19SUP: $50.38SMA50: $67.06SMA200: $72.38

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

ESTA Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 ESTA Butterfly Map → + Track ESTA →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

8.0%/yr Implied 5Y Growth

vs. +27.1% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on ESTA today. View full Setup Ledger →

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No direct multi-tier Butterfly edges indexed yet for ESTA. Explore sector supply chains on /butterfly.

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DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (ESTA)

Health Care Rank #835 of 1016 ⚔️ CDRE vs ESTA Full Matrix →

1. Head-to-Head Health Care Peer Comparison (ESTA vs. CDRE, ENOV, AVR, MSA)

Industry: Industrial Specialties (55 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Establishment Labs Holdings Inc. (ESTA) ranks #835 by composite RQD confidence (34/100, grade E) and #259 by equity capitalization ($2.04B). Within this direct 5-issuer industry benchmark cohort, MSA leads on earnings valuation at 24.8x trailing P/E, while MSA leads on capital efficiency and profitability with 16.6% ROIC and 46.5% gross margin. CDRE currently holds the highest overall quantitative score in the immediate peer group at 74/100 (B) compared with ESTA at 34/100 (E).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
ESTA ACTIVE Establishment Labs Holdings Inc.	E	34/100	—	69.3%	-15.8%	-0.81%	$2.04B	Benchmark Subject
CDRE Cadre Holdings Inc.	B	74/100	30.2x	42.5%	11.0%	+3.81%	$1.33B	/cdre-vs-esta →
ENOV Enovis Corporation	D	46/100	—	59.8%	-32.7%	+4.11%	$1.32B	/enov-vs-esta →
AVR Anteris Technologies Global Corp.	D-	36/100	—	70.3%	-35.0%	+5.25%	$625.9M	/avr-vs-esta →
MSA MSA Safety Incorporated	B	72/100	24.8x	46.5%	16.6%	+1.13%	$6.91B	/msa-vs-esta →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001688757

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Establishment Labs Holdings Inc. (ESTA) reported GAAP revenue of $211.1M (+27.1% vs. FY2024 revenue of $166.0M , and +27.8% cumulative change since FY2023) , GAAP net income of -$51.1M, operating cash flow of -$50.9M, and free cash flow of -$56.9M (+11.9% YoY). On the balance sheet, ESTA closed FY2025 with $357.2M in total assets against $247.5M in total debt (Altman Z-Score: 2.52, Piotroski F-Score: 5/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$211.1M	-$51.1M	-$50.9M	-$56.9M	$357.2M	$247.5M
FY2024 (FY)	2024-12-31	$166.0M	-$84.6M	-$58.5M	-$64.6M	$346.8M	$219.6M
FY2023 (FY)	2023-12-31	$165.2M	-$78.5M	-$88.5M	-$88.5M	—	—

3. ESTA Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is ESTA stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-01, Establishment Labs Holdings Inc. (NASDAQ: ESTA) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 34/100 at a spot price of $68.41 (-0.81% 1D, market cap $2.04B). Pillar breakdown: Fundamental Cash Engine 5/20, Institutional 13F & Options Flow 11/20, Executive Insider Alignment 8/20, FRED Macro Regime Fit 7/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, ESTA ranks #835 in composite RQD confidence.

How does ESTA compare to CDRE and ENOV in the Health Care sector?

Within the Health Care sector (Industrial Specialties), ESTA carries a Roarable E (34/100 RQD), trailing P/E of N/A, gross margin of 69.3%, and ROIC of -15.8%. By comparison, CDRE (Cadre Holdings Inc.) holds a B grade (74/100 RQD, P/E 30.2x, ROIC 11.0%, cap $1.33B) and ENOV (Enovis Corporation) posts a D grade (46/100 RQD, P/E N/A, ROIC -32.7%, cap $1.32B). Among the 5-stock peer group, MSA leads on earnings multiple (24.8x) while MSA leads on capital efficiency (16.6% ROIC).

What are the biggest fundamental strengths and SEC risk factors for ESTA?

Per ESTA's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001688757), Establishment Labs Holdings Inc. generated $211.1M in revenue (+27.1% YoY), -$51.1M in net income, and -$56.9M in free cash flow against $357.2M in total assets and $247.5M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is ESTA trading relative to its 50-day, 200-day, and 52-week technical levels?

ESTA last traded at $68.41 (-0.81% on volume of 1,043,253 shares), positioning the stock +2.01% above its 50-day simple moving average ($67.06) and -5.48% below its 200-day simple moving average ($72.38). Across its 52-week range of $47.00 to $97.59, ESTA sits at the 42.3% percentile with a 14-day RSI of 44.9 (NEUTRAL RANGE) and an implied next-earnings move of ±12.5% ($59.86 to $76.96).

ESTA Investor FAQ & Complete 8-Part Research Index

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How profitable is Establishment Labs Holdings Inc. (ESTA)?

In FY 2025 (10-K), ESTA converted $211.1M of revenue into a 69.3% gross margin, 0% operating margin, and $0 in free cash flow (0% FCF margin).

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