9 years of revenue, profit, cash flow and balance-sheet history through FY2025,
from SEC filings — with a computed, factual read of the trend.
Updated Overview →
Growth & profitability
Revenue has grown 20.0% per year over the past 5 years.
Operating margin has expanded, at -18.5% in the latest year.
Financial health
Total debt ($248M) exceeds cash ($76M); net debt is $172M.
Total debt has grown faster than revenue (37.8% vs 20.0% per year).
Operating income covered interest expense -1.5× in the latest year.
The company is unprofitable; at its current free-cash-flow burn it has roughly 1.3 years of cash runway.
Revenue & net income
RevenueNet income
Margins (gross / operating / net)
GrossOperatingNet
Free cash flow (CFO − capex)
Free cash flow
Cash vs total debt
CashTotal debt
Cash flow: operating / investing / financing
OperatingInvestingFinancing
Key annual figures
FY
Revenue
Net income
Gross M
Op M
FCF
Total debt
Cash
2025
$211M
-$51M
69.3%
-18.5%
-$57M
$248M
$76M
2024
$166M
-$85M
66.0%
-30.1%
-$65M
$0
$90M
2023
$165M
-$79M
64.8%
-39.4%
-$96M
$189M
$40M
2022
$162M
-$75M
65.9%
-24.5%
-$55M
$175M
$66M
2021
$127M
-$41M
67.4%
-19.8%
-$30M
$52M
—
2020
$85M
-$38M
62.0%
-33.0%
-$15M
$50M
—
2019
$90M
-$38M
61.3%
-34.5%
-$36M
$48M
—
2018
$61M
-$21M
59.0%
-39.0%
-$36M
—
$53M
2017
—
-$35M
—
—
-$33M
—
$11M
Revenue & net income
RevenueNet income
Margins (gross / operating / net)
GrossOperatingNet
Free cash flow (CFO − capex, quarterly)
Free cash flow
Cash vs total debt
CashTotal debt
Cash flow: operating / investing / financing
OperatingInvestingFinancing
Key quarterly figures
Quarter
Revenue
Net income
Gross M
Op M
FCF
Total debt
Cash
Mar '26
$60M
-$13M
70.7%
-10.9%
-$6M
$249M
$68M
Dec '25
$65M
-$3M
70.5%
-6.1%
-$2M
$248M
$76M
Sep '25
$54M
-$11M
70.1%
-7.5%
-$13M
$256M
$71M
Jun '25
$51M
-$17M
68.8%
-27.5%
-$20M
$226M
$55M
Mar '25
$41M
-$21M
67.2%
-41.0%
-$21M
$220M
$69M
Dec '24
$45M
-$35M
68.5%
-41.9%
-$21M
$0
$90M
Sep '24
$40M
-$17M
63.9%
-32.7%
-$14M
$194M
—
Jun '24
$44M
-$17M
65.6%
-21.2%
-$15M
$194M
—
Mar '24
$37M
-$16M
65.6%
-23.8%
-$14M
$192M
—
Dec '23
$32M
-$21M
65.2%
-70.1%
-$9M
$189M
$40M
Sep '23
$39M
-$29M
67.7%
-54.6%
-$35M
$185M
—
Jun '23
$49M
-$17M
62.3%
-28.2%
-$31M
$182M
—
Mar '23
$47M
-$12M
64.7%
-17.5%
-$21M
$179M
—
Dec '22
$44M
-$14M
64.3%
-30.0%
-$15M
$175M
$66M
Sep '22
$38M
-$19M
68.1%
-27.5%
-$22M
—
—
Jun '22
$41M
-$37M
66.7%
-25.3%
-$12M
—
—
Mar '22
$38M
-$6M
64.8%
-14.5%
-$6M
$52M
—
Dec '21
$35M
-$14M
68.6%
-26.5%
-$7M
$52M
—
Sep '21
$29M
-$15M
67.6%
-31.1%
-$13M
$51M
—
Jun '21
$32M
-$5M
67.1%
-14.5%
-$2M
$51M
—
Valuation over time
How the market has priced ESTA against its own fundamentals since 2023-03 —
each month-end's share price set against the most recent annual filing, so the multiple moves
as price runs ahead of (or behind) earnings. Split-adjusted.
The price-to-sales ratio has risen from 12.4× (Mar '23) to 12.4× (Jun '26).
Price / sales (P/S)
P/S
Frequently asked questions
Is ESTA growing its revenue and profit?
Over the past 5 years, Establishment Labs Holdings Inc.'s revenue has grown 20.0% per year. These are computed facts, not advice.
How much debt does ESTA have?
As of FY2025, Establishment Labs Holdings Inc. reported $248M of total debt against $76M of cash; operating income covered interest expense -1.5×.
What is ESTA's profit margin?
In FY2025, gross margin was 69.3%, operating margin -18.5%, and net margin -24.2%.
Where does this data come from?
All figures are extracted from the company’s SEC EDGAR/XBRL filings — 10-K annual reports and 10-Q quarterly reports (use the Annual / Quarterly toggle). Quarterly figures are derived from the as-filed statements (year-to-date amounts are differenced into discrete quarters). Growth rates and ratios are computed by tradmap; nothing here is investment advice.
Source: SEC EDGAR / XBRL (10-K + 10-Q filings) · prices EOD (Databento), corporate-action-adjusted ·
growth rates, valuation multiples & ratios computed by tradmap. Valuation uses each month-end price
against the latest annual filing. Informational only — not investment advice.