Establishment Labs Holdings Inc.

NasdaqCM:ESTA Stock Report

Market Cap: US$1.1b

Establishment Labs Holdings Valuation

Is ESTA undervalued compared to its fair value, analyst forecasts and its price relative to the market?

Valuation Score

0/6

Valuation Score 0/6

  • Below Fair Value

  • Significantly Below Fair Value

  • Price-To-Sales vs Peers

  • Price-To-Sales vs Industry

  • Price-To-Sales vs Fair Ratio

  • Analyst Forecast

Share Price vs Fair Value

What is the Fair Price of ESTA when looking at its future cash flows? For this estimate we use a Discounted Cash Flow model.

Below Fair Value: ESTA ($40.01) is trading above our estimate of fair value ($19.92)

Significantly Below Fair Value: ESTA is trading above our estimate of fair value.

Key Valuation Metric

Which metric is best to use when looking at relative valuation for ESTA?

Key metric: As ESTA is unprofitable we use its Price-To-Sales Ratio for relative valuation analysis.

The above table shows the Price to Sales ratio for ESTA. This is calculated by dividing ESTA's market cap by their current revenue.
What is ESTA's PS Ratio?
PS Ratio7.3x
SalesUS$153.07m
Market CapUS$1.12b

Price to Sales Ratio vs Peers

How does ESTA's PS Ratio compare to its peers?

The above table shows the PS ratio for ESTA vs its peers. Here we also display the market cap and forecasted growth for additional consideration.
CompanyForward PSEstimated GrowthMarket Cap
Peer Average2.6x
STAA STAAR Surgical
3.6x13.5%US$1.2b
EMBC Embecta
1x0.7%US$1.2b
BVS Bioventus
1.3x4.6%US$697.5m
VIVO Meridian Bioscience
4.5xn/aUS$1.5b
ESTA Establishment Labs Holdings
7.3x23.6%US$1.1b

Price-To-Sales vs Peers: ESTA is expensive based on its Price-To-Sales Ratio (7.3x) compared to the peer average (2x).

Price to Sales Ratio vs Industry

How does ESTA's PS Ratio compare vs other companies in the US Medical Equipment Industry?

49 CompaniesPrice / SalesEstimated GrowthMarket Cap
INGN Inogen
0.6x4.4%US$201.98m
ARAY Accuray
0.4x5.5%US$186.05m
NVRO Nevro
0.3x2.8%US$142.02m
RMTI Rockwell Medical
0.7x-7.3%US$67.22m
ESTA 7.3xIndustry Avg. 3.2xNo. of Companies49PS02.85.68.411.214+
49 CompaniesEstimated GrowthMarket Cap
No more companies

Price-To-Sales vs Industry: ESTA is expensive based on its Price-To-Sales Ratio (7.3x) compared to the US Medical Equipment industry average (3.2x).

Price to Sales Ratio vs Fair Ratio

What is ESTA's PS Ratio compared to its Fair PS Ratio? This is the expected PS Ratio taking into account the company's forecast earnings growth, profit margins and other risk factors.

ESTA PS Ratio vs Fair Ratio.
Fair Ratio
Current PS Ratio7.3x
Fair PS Ratio4.6x

Price-To-Sales vs Fair Ratio: ESTA is expensive based on its Price-To-Sales Ratio (7.3x) compared to the estimated Fair Price-To-Sales Ratio (4.6x).

Analyst Price Targets

What is the analyst 12-month forecast and do we have any statistical confidence in the consensus price target?

The above table shows the analyst ESTA forecast and predictions for the stock price in 12 month’s time.
DateShare PriceAverage 1Y Price TargetDispersionHighLow1Y Actual priceAnalysts
CurrentUS$40.01
US$60.29
+50.7%
15.3%US$75.00US$46.00n/a7
Dec ’25US$45.89
US$60.29
+31.4%
15.3%US$75.00US$46.00n/a7
Nov ’25US$45.42
US$62.83
+38.3%
15.2%US$75.00US$50.00n/a6
Oct ’25US$40.56
US$62.33
+53.7%
15.3%US$75.00US$50.00n/a6
Sep ’25US$45.82
US$60.43
+31.9%
16.0%US$75.00US$45.00n/a7
Aug ’25US$42.51
US$64.43
+51.6%
11.5%US$75.00US$50.00n/a7
Jul ’25US$43.34
US$65.14
+50.3%
7.3%US$75.00US$60.00n/a7
Jun ’25US$52.23
US$63.00
+20.6%
4.5%US$68.00US$60.00n/a7
May ’25US$50.61
US$59.29
+17.1%
9.0%US$65.00US$50.00n/a7
Apr ’25US$48.80
US$56.43
+15.6%
11.2%US$65.00US$49.00n/a7
Mar ’25US$44.11
US$52.86
+19.8%
9.8%US$65.00US$49.00n/a7
Feb ’25US$38.02
US$46.14
+21.4%
22.2%US$65.00US$32.00n/a7
Jan ’25US$25.89
US$46.14
+78.2%
22.2%US$65.00US$32.00n/a7
Dec ’24US$25.73
US$46.14
+79.3%
22.2%US$65.00US$32.00US$45.897
Nov ’24US$31.55
US$81.25
+157.5%
11.2%US$95.00US$66.00US$45.428
Oct ’24US$49.07
US$96.88
+97.4%
16.9%US$125.00US$75.00US$40.568
Sep ’24US$59.50
US$96.88
+62.8%
16.9%US$125.00US$75.00US$45.828
Aug ’24US$70.33
US$100.71
+43.2%
14.3%US$125.00US$79.00US$42.517
Jul ’24US$68.61
US$100.71
+46.8%
14.3%US$125.00US$79.00US$43.347
Jun ’24US$64.45
US$104.33
+61.9%
11.8%US$125.00US$89.00US$52.236
May ’24US$71.28
US$104.83
+47.1%
11.2%US$125.00US$90.00US$50.616
Apr ’24US$67.74
US$101.00
+49.1%
12.2%US$125.00US$89.00US$48.806
Mar ’24US$72.95
US$101.00
+38.5%
12.2%US$125.00US$89.00US$44.116
Feb ’24US$68.52
US$100.67
+46.9%
12.6%US$125.00US$87.00US$38.026
Jan ’24US$65.65
US$91.43
+39.3%
22.1%US$125.00US$61.00US$25.897
Dec ’23US$67.57
US$91.86
+35.9%
21.9%US$125.00US$61.00US$25.737

Analyst Forecast: Target price is more than 20% higher than the current share price, but analysts are not within a statistically confident range of agreement.

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Company Analysis and Financial Data Status

DataLast Updated (UTC time)
Company Analysis2024/12/22 08:55
End of Day Share Price 2024/12/20 00:00
Earnings2024/09/30
Annual Earnings2023/12/31

Data Sources

The data used in our company analysis is from S&P Global Market Intelligence LLC. The following data is used in our analysis model to generate this report. Data is normalised which can introduce a delay from the source being available.

PackageDataTimeframeExample US Source *
Company Financials10 years
  • Income statement
  • Cash flow statement
  • Balance sheet
Analyst Consensus Estimates+3 years
  • Forecast financials
  • Analyst price targets
Market Prices30 years
  • Stock prices
  • Dividends, Splits and Actions
Ownership10 years
  • Top shareholders
  • Insider trading
Management10 years
  • Leadership team
  • Board of directors
Key Developments10 years
  • Company announcements

* example for US securities, for non-US equivalent regulatory forms and sources are used.

Unless specified all financial data is based on a yearly period but updated quarterly. This is known as Trailing Twelve Month (TTM) or Last Twelve Month (LTM) Data. Learn more here.

Analysis Model and Snowflake

Details of the analysis model used to generate this report is available on our Github page, we also have guides on how to use our reports and tutorials on Youtube.

Learn about the world class team who designed and built the Simply Wall St analysis model.

Industry and Sector Metrics

Our industry and section metrics are calculated every 6 hours by Simply Wall St, details of our process are available on .

Analyst Sources

Establishment Labs Holdings Inc. is covered by 13 analysts. 7 of those analysts submitted the estimates of revenue or earnings used as inputs to our report. Analysts submissions are updated throughout the day.

AnalystInstitution
Neil ChatterjiB. Riley Securities, Inc.
Marie ThibaultBTIG
Michael GormanBTIG