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Establishment Labs Holdings

ESTA
25
Medical - Devices · Healthcare
Market Cap
$2.72B
Exchange
NASDAQ
Winston Score
25
Winston is worried
Below-average fundamentals — multiple weak pillars.

Establishment Labs Holdings Inc., a medical technology company, manufactures and markets medical devices for aesthetic and reconstructive plastic surgery. The company primarily offers silicone gel-filled breast implants under Motiva Implants brand name. It also provides Motiva Ergonomix and Motiva Ergonomix2 gravity sensitive round soft silicone-gel-filled breast implants; and Motiva Flora Tissue Expander, a breast tissue expander, as well as distributes Puregraft line of products for autologous

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+44.7% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+35.7% YoY

YoY Growth Rate

EPS growth accelerating

Insider Activity

8.5%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Runway

~3 years

$68M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

$68M cash & investments at current burn rate

Revenue accelerating

Establishment Labs Holdings grew revenue 45% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
70.7%
Premium pricing power — 70.7% gross margin
Operating Margin
-10.9%
Losing money on operations — -10.9%
ROCE
-2.4%
Weak — -2.4% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+34.9%
Fast-growing sales (34.9% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
0/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-18.3%
Burning cash (-18.3%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
17.69
Heavy debt load (17.69)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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