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Model output · Signal date 2026-10-16

Establishment Labs Holdings Inc. (ESTA) Stock Forecast Oct. 16, 2026

Analysis updated on Oct. 16, 2026 (UTC) · Alpha · vs marketSwitch to Total · Nasdaq

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Rating · 90D ▲ Bullish Exact rating locked
90-day forecast Sign up free to reveal
30-day forecast Alpha
Rank in coverage Top 35% of 5171 stocks scored
Rank correlation · 90D 32.0% Spearman, 357 dates
Market Cap $1.76B small-cap · #7 of 27 peers
Summary

Establishment Labs Holdings Inc. (ESTA) stock forecast summary

Our AI ranks Establishment Labs Holdings Inc. outside the neutral middle of its coverage (a directional signal). Create a free account and follow it to see the exact price target.

Establishment Labs Holdings Inc. is a small-cap company with a market capitalization of $1.76B. It ranks number 7 by market capitalization among the 27 Orthopedic, Prosthetic & Surgical Appliances & Supplies issuers in our coverage with a current forecast. Its P/B Ratio of 81.63x is the highest of the 22 peers that report one. Its D/E Ratio of 15.29x is the highest of the 24 peers that report one.

For ESTA, the Spearman rank correlation between our 90-day forecasts and the returns that followed is 32.0%, measured on 357 forecast dates between 2022-07-29 and 2026-07-17 on this stock's own recent history. A rank correlation runs from -100% to +100%: it measures whether higher forecasts were followed by higher returns, and a value near zero or below means the model has shown little skill on this stock. On the 30-day forecasts the same correlation is 47.0%, measured on 400 forecast dates between 2022-07-29 and 2026-09-16. Across our coverage, the out-of-sample test on 4495 stocks from 2025-01-06 to 2026-07-07 produced a positive net return in 82.5% of rebalance periods (factor-neutral book, net of estimated costs). Full backtest report

Expected return relative to the market over the horizon: a positive alpha means the model expects the stock to beat the market, whatever the market does. Ratings: strong buy ≥ +1.8%, buy ≥ +0.2%, sell < -0.9%, strong sell < -1.2% (top 15%, next 20%, middle 30%, next 20%, bottom 15% of the 2026-10-16 signals)

A free account shows the exact forecast, rating and rank of 3 tickers you follow, ESTA included.

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Price

ESTA price chart and AI forecast

ESTA
Cross-section · 2026-10-16

How ESTA ranks among 5171 stocks

90D Alpha forecasts of every company scored, cut into five relative ratings at the 15th, 35th, 65th and 85th percentiles (dashed lines).

Fundamentals · 2026-06-30

Establishment Labs Holdings Inc. (ESTA) fundamentals

Trailing twelve months. The industry median and the rank (1 = highest) are taken over the Orthopedic, Prosthetic & Surgical Appliances & Supplies peers listed below that report each metric.

Valuation & Market

MetricESTAIndustry medianRank
Market Cap $1.76B $76M 7/27
P/B Ratio 81.63x 2.33x 1/22
EPS $-1.54 – –
Book Value/Share $0.73 – –
Revenue/Share $8.25 – –
FCF/Share $-1.39 – –

Profitability & Margins

MetricESTAIndustry medianRank
ROE -180.0% -25.0% 15/19
ROA -11.1% -12.9% 9/19
ROIC -6.5% -5.7% 12/22
Gross Margin 70.5% 50.2% 3/20
Operating Margin -7.6% -8.7% 10/21
Net Margin -15.8% -14.0% 10/17
EBT Margin -19.3% -19.3% 11/21
Tax Rate 18.1% – –

Financial Health

MetricESTAIndustry medianRank
Current Ratio 3.84x 2.57x 7/25
Quick Ratio 2.52x 1.89x 6/22
D/E Ratio 15.29x 0.71x 1/24
Financial Leverage 16.29x 1.71x 1/24
Interest Coverage -1.1x -3.4x 9/21
Working Capital $183M $51M 10/25

Cash Flow

MetricESTAIndustry medianRank
Operating Cash Flow -$32M -$690K 23/25
Free Cash Flow -$42M $2M 15/16
Capital Spending -$9M -$2M 10/16
FCF/Sales -16.9% 1.2% 13/16
CapEx/Sales 3.7% 1.3% 4/16

Operational Efficiency

MetricESTAIndustry medianRank
Asset Turnover 0.70x 0.72x 10/18
Receivables Turnover 3.2x 5.6x 15/17
Inventory Turnover 0.8x 2.1x 20/22
Fixed Assets Turnover 3.3x 5.5x 14/19
Days Sales Outstanding 112 days 65 days 3/17
Days Inventory 428 days 171 days 3/22
Payables Period 165 days 55 days 5/19
Cash Conversion Cycle 375 days 140 days 1/15

Income Statement

MetricESTAIndustry medianRank
Total Revenue $246M $110M 8/19
Operating Income -$19M -$6M 18/25
Net Income -$39M -$7M 17/19
R&D Expense $20M $20M 11/22
SG&A Expense $172M $126M 11/22
Cost of Goods Sold $73M $55M 11/22

Dividend & Shareholder Information

MetricESTAIndustry medianRank
Shares Outstanding 30M – –

Balance Sheet Highlights (USD millions)

Total Current Assets$248M70.4% of assets
Cash & Short-term Investments$71M20.2% of assets
Accounts Receivable$76M21.5% of assets
Inventory$85M24.1% of assets
Total Liabilities$330M93.9% of assets
Short-term Debt$32M9.0% of assets
Quarterly Financial Reports

ESTA quarterly financials and insider trading

Industry Peers · Orthopedic, Prosthetic & Surgical Appliances & Supplies

Establishment Labs Holdings Inc. (ESTA) industry peers

Companies classified under the same SEC industry code as Establishment Labs Holdings Inc. (Orthopedic, Prosthetic & Surgical Appliances & Supplies): 27 common-stock issuers with a forecast this week, one row per issuer, largest first. This is a classification match, not a curated list of competitors.

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Company 90-Day AI Forecast (Alpha) Market Cap P/E Ratio P/B Ratio
ESTA Establishment Labs Holdings Inc. ▲ $1.76B – 81.6x
ISRG Intuitive Surgical Inc ▼ $150.74B 49.0x 8.3x
STE Steris Plc ▼ $21.87B 29.0x 3.0x
ZBH Zimmer Biomet Holdings, Inc. ▼ $18.00B 18.8x 1.4x
SNN Smith & Nephew Plc ▼ $12.77B 16.7x –
ALGN Align Technology Inc ▶ $10.46B 25.7x 2.5x
MSA Msa Safety Inc ▼ $7.01B 22.6x 5.0x
ENOV Enovis Corp ▶ $1.13B – 0.8x
CDRE Cadre Holdings, Inc. ▼ $1.13B 26.9x 3.3x
AVR Anteris Technologies Global Corp. ▶ $590M – 2.4x
SMTI Sanara Medtech Inc. ▼ $322M – 40.6x
INGN Inogen Inc ▲ $166M – 1.0x
LAKE Lakeland Industries Inc ▲ $90M – 0.7x
NTRB Nutriband Inc. ▲ $76M – 14.3x
APT Alpha Pro Tech Ltd ▶ $58M 14.7x 0.9x
COCH Envoy Medical, Inc. ▼ $50M – –
MYO Myomo, Inc. ▲ $48M – 8.2x
MLSS Milestone Scientific Inc. ▲ $29M – 8.4x
LFWD Lifeward Ltd. ▲ $17M – 1.4x
CUPR Cuprina Holdings (Cayman) Ltd ▶ $14M – –
UEEC United Health Products, Inc. ▲ $12M 4.7x –
RGNT Regentis Biomaterials Ltd. ▶ $11M – 2.3x
CLGN Collplant Biotechnologies Ltd ▶ $7M – 1.1x
LGMK Logicmark, Inc. ▲ $1M – 0.1x
BBLG Bone Biologics Corp ▲ $1M – 0.3x
RBOT Vicarious Surgical Inc. ▼ $550K – 0.1x
FEED Envue Medical, Inc. ▼ $450K – –

Where ESTA sits on the market map

Industrial Applications and Services · Orthopedic, Prosthetic & Surgical Appliances & Supplies
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News

Establishment Labs Holdings Inc. (ESTA) stock news

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FAQ

Establishment Labs Holdings Inc. (ESTA) stock forecast FAQ

What is the Establishment Labs Holdings Inc. (ESTA) stock forecast?

Our AI ranks Establishment Labs Holdings Inc. outside the neutral middle of its coverage (a directional signal). Create a free account and follow it to see the exact price target.

How accurate are Establishment Labs Holdings Inc. stock predictions?

For ESTA, the Spearman rank correlation between our 90-day forecasts and the returns that followed is 32.0%, measured on 357 forecast dates between 2022-07-29 and 2026-07-17 on this stock's own recent history. A rank correlation runs from -100% to +100%: it measures whether higher forecasts were followed by higher returns, and a value near zero or below means the model has shown little skill on this stock. On the 30-day forecasts the same correlation is 47.0%, measured on 400 forecast dates between 2022-07-29 and 2026-09-16. Across our coverage, the out-of-sample test on 4495 stocks from 2025-01-06 to 2026-07-07 produced a positive net return in 82.5% of rebalance periods (factor-neutral book, net of estimated costs). Full backtest report

How often are Establishment Labs Holdings Inc. forecasts updated?

Establishment Labs Holdings Inc. forecasts are refreshed on trading days as the daily model run completes. The forecast on this page was produced on Oct. 16, 2026.

Which companies are Establishment Labs Holdings Inc.'s industry peers?

27 issuers in our coverage, ESTA included, share the SEC industry code Orthopedic, Prosthetic & Surgical Appliances & Supplies. The largest are: Intuitive Surgical Inc (ISRG), Steris Plc (STE), Zimmer Biomet Holdings, Inc. (ZBH), Smith & Nephew Plc (SNN), Align Technology Inc (ALGN), Msa Safety Inc (MSA).

This analysis is generated automatically using our proprietary AI systems and should not be considered personalized investment advice. Past performance does not guarantee future results. Always conduct your own research and consider consulting a financial advisor before making investment decisions.