ESTA

Establishment Labs Holdings Inc.
NasdaqCMUSDEQUITY Healthcare DELAYED
Last price
64.20
▼ 1.09 (1.67%)
MARKET · —

Price

1D — H — L — Range — Vol —
Drag pan · Pinch zoom · Hold crosshair · pick a tool then drag to draw
Open
65.30
Prev close
65.29
Day high
65.97
Day low
63.97
Volume
222.82K
Market cap
$1.91B
P/E (TTM)
—
52W range
38.38 – 97.59

Day trading desk

Current session · delayed
Gap from prior close
+0.02%
Prior close 65.29
VWAP
65.08
-1.35% from price
Relative volume
0.52×
Quiet session
Session range
3.13%
63.97 – 65.97
Position in range
11%
Near session low
ATR (14D)
2.70
4.20% of price
Prior day high
68.05
PDH
Prior day low
64.59
PDL
Bid / ask spread
—
Quote not published
Session volume
222.50K
Avg 426.60K

VWAP and the session figures are computed from the delayed intraday series on this page, so they lag the live tape and will not match a broker's real-time VWAP exactly. Turn on Prior day H/L/C, Opening range and Volume profile in the chart's Studies menu to see these levels drawn on price.

Trailing performance

Price return · vs SPY
Returnvs SPY
1W
+0.05% -1.8%
1M
-14.73% -16.2%
3M
-27.68% -31.0%
6M
+3.53% -11.4%
YTD
-11.91% -25.9%
1Y
+63.23% +47.5%
3Y
+41.44% -40.4%
5Y
— —

Price return only. Dividends are not reinvested, so total return on a dividend payer will be higher than shown.

Unusual options activity

Account required
Nothing crossed the thresholds in the expiries we scanned.
That is the normal state — most contracts trade well inside their existing open interest.
Free account required

Contracts trading at or above their open interest, ranked by notional and where the print landed.

Free account

11 more panels on ESTA open with an account.

Options chains and analytics, valuation ratios, insider filings, analyst targets and ownership. No card, no trial, nothing to cancel.

Insider net activity

6m · Form 4 rollup
Net shares
-417.79K
Net selling
Buy transactions
15
45.82K shares
Sell transactions
7
463.61K shares
Net transactions
+22
Buys less sells
Sell : buy shares
10.1 : 1
Heavily one-sided
Insider-held shares
2.99M
Total on file
Bought 45.82KSold 463.61K

Insider transactions

Account required
DateInsiderAction SharesValueHeld
Sep 30, 26
LEWIN NICHOLAS SHERIDAN
Director
STOCK 389 $24.96K Direct
Jun 30, 26
SCHUTTER EDWARD JAMES
Director
STOCK 216 $18.54K Direct
Jun 30, 26
LEWIN NICHOLAS SHERIDAN
Director
STOCK 291 $24.97K Direct
Jun 30, 26
CUSTIN ANN
Director
STOCK 239 $20.51K Direct
Jun 30, 26
SLOTKIN BRYAN
Director
STOCK 189 $16.22K Direct
Jun 30, 26
GILLIN LESLIE
Director
STOCK 196 $16.82K Direct
Jun 24, 26
HARRIS TAYLOR C
Director
STOCK 3.23K $0 Direct
Jun 24, 26
HARRIS TAYLOR C
Director
STOCK 3.72K $0 Direct
May 28, 26
JW ASSET MANAGEMENT, L.L.C.
Beneficial Owner of more than 10% of a Class of Security
SELL 90.53K $6.64M Indirect
May 22, 26
SCHUTTER EDWARD JAMES
Director
STOCK 2.35K $0 Direct
May 22, 26
LEWIN NICHOLAS SHERIDAN
Director
STOCK 2.35K $0 Direct
May 22, 26
CUSTIN ANN
Director
STOCK 2.35K $0 Direct
May 22, 26
SLOTKIN BRYAN
Director
STOCK 2.35K $0 Direct
May 22, 26
GILLIN LESLIE
Director
STOCK 2.35K $0 Direct
What this is, and what it is not

These are SEC Form 4 filings — officers, directors and 10% owners reporting their own trades in the company's stock. Filing is due within two business days of the transaction, so this lags reality by days, and the provider adds its own lag on top.

A sale is not automatically bearish. Executives sell on scheduled 10b5-1 plans, to cover tax on vesting equity, and to diversify. Purchases with cash are generally the more informative signal, and they are far rarer.

This does not include congressional or senate trading. That comes from STOCK Act disclosures filed with the Senate eFD system and the House Clerk, which this data source does not carry.

Free account required

Officer and director trades in their own stock, straight from Form 4 filings.

Insider holders

10 reporting
NameRelationShares heldLatest
CALDINI FILIPPO
Chief Executive Officer 43.43K Stock Award(Grant)
CHACON QUIROS JUAN JOSE
Director — Sale
CUSTIN ANN
Director 24.32K Stock Award(Grant)
DENHOY RAJ
Chief Financial Officer 23.35K Stock Award(Grant)
GILLIN LESLIE
Director 18.59K Stock Award(Grant)
JW ASSET MANAGEMENT, L.L.C.
Beneficial Owner of more than 10% of a Class of Security — Sale
LEWIN NICHOLAS SHERIDAN
Director 1.08M Stock Award(Grant)
MANSBACH SAMUEL ROSS
General Counsel 19.32K Stock Award(Grant)
SCHUTTER EDWARD JAMES
Director 177.95K Stock Award(Grant)
SLOTKIN BRYAN
Director 32.80K Stock Award(Grant)

Fundamentals

TTM · reported
Market cap$1.91B
Enterprise value$2.14B
Revenue (TTM)$245.82M
Gross profit$173.27M
EBITDA$-8.98M
Net income$-38.89M
EPS (TTM)$-1.30
Free cash flow$-19.29M
Total cash$71.16M
Total debt$263.67M
Book value / share$0.73
Shares outstanding29.80M
Float19.53M
Short % of float18.39%
Dividend yield0.00%
Beta (5Y)1.06

Valuation & profitability ratios

Account required
Trailing P/E—
Forward P/E1,070.00
PEG ratio—
Price / sales—
Price / book88.55
EV / revenue8.70
EV / EBITDA-238.01
Gross margin70.49%
Operating margin-6.35%
Profit margin-15.82%
Return on equity-175.30%
Return on assets-3.44%
Debt / equity1,220.32
Current ratio3.84
Free account required

Fourteen ratios including P/E, PEG, EV/EBITDA, margins and return on equity.

Financial statements

As reported · 4 years · 5 quarters
Blank means not reported, not zero
Line item2025202420232022YoY
Total revenue $211.08M$166.03M$165.15M$161.70M +27.1%
Operating revenue $211.08M$166.03M$165.15M$161.70M +27.1%
Cost of revenue $64.77M$56.50M$58.17M$55.10M +14.6%
Gross profit $146.31M$109.53M$106.98M$106.59M +33.6%
Research & development $20.25M$19.71M$26.43M$20.27M +2.7%
Selling, general & admin $165.07M$139.81M$145.57M$125.98M +18.1%
Total operating expense $185.32M$159.51M$172.00M$146.25M +16.2%
Operating income -$39.01M-$49.99M-$65.03M-$39.66M +22.0%
Net interest income -$24.83M-$19.35M-$14.37M-$11.67M -28.3%
Pre-tax income -$58.02M-$84.63M-$78.58M-$72.82M +31.4%
Tax provision -$6.96M-$32.00K-$81.00K$2.38M -21,643.8%
Net income -$51.06M-$84.60M-$78.50M-$75.21M +39.6%
Net income to common -$51.06M-$84.60M-$78.50M-$75.21M +39.6%
Basic EPS -1.72-3.00-3.07-3.08 +42.7%
Diluted EPS -1.72-3.00-3.07-3.08 +42.7%
EBIT -$32.77M-$63.80M-$63.19M-$61.06M +48.6%
EBITDA -$22.29M-$56.22M-$58.31M-$56.73M +60.4%
Basic shares 29.62M28.16M25.60M24.46M +5.2%
Diluted shares 29.62M28.16M25.60M24.46M +5.2%

Options analytics

Account required
Put / call volume
22.03
Put-heavy session
Put / call open interest
1.93
Positioning, not flow
Max pain
70.00
+9.0% from spot
ATM implied vol
56.3%
Nearest strike to spot
Skew (10% OTM)
-20.3%
Calls bid over puts
Call volume
66
Contracts, this expiry
Put volume
1.45K
Contracts, this expiry
Heaviest call OI
72.50
428 contracts
Heaviest put OI
65.00
903 contracts

Max pain is the strike at which the largest dollar value of open contracts expires worthless. It describes current positioning; it is not a forecast and it moves as open interest changes.

Free account required

Put/call ratios, max pain, implied volatility skew and where open interest is concentrated.

Earnings

History & consensus estimates
Reported vs expected · EPS
QuarterEst.ActualSurprise
Jun 2026 -0.31-0.32 -4.2%
Mar 2026 -0.38-0.40 -4.6%
Dec 2025 -0.22-0.09 +58.1%
Sep 2025 -0.51-0.38 +26.0%
Forward consensus
PeriodEPSAnalystsRevenueGrowth
Current quarter -0.23 2 $66.79M +24.2%
Next quarter -0.04 2 $75.99M +17.6%
Current year -1.10 2 $270.18M +28.0%
Next year 0.06 2 $339.21M +25.6%

Analyst targets & ownership

Account required
Mean target$102.44
High target$117.00
Low target$92.00
Implied upside59.57%
Analyst count9
ConsensusSTRONG BUY
Strong buy / Buy2 / 7
Hold0
Sell / Strong sell0 / 0
Held by insiders10.04%
Held by institutions105.81%
Institutions holding270
Free account required

Price targets, consensus spread, insider and institutional ownership.

Moving averages & technicals

Computed from 2Y daily closes
SMA 10
64.78
-0.90% from price
SMA 20
67.47
-4.84% from price
SMA 50
73.66
-12.84% from price
SMA 100
78.15
-17.85% from price
SMA 200
73.13
-12.22% from price
EMA 12
65.79
-2.42% from price
EMA 26
68.47
-6.23% from price
EMA 50
72.06
-10.91% from price
RSI (14)
37.6
Neutral
MACD (12,26,9)
-2.68
Hist 0.14
ATR (14)
2.70
4.20% of price
Realised vol 30D
39.2%
Annualised
Bollinger upper
73.39
20, 2σ
Bollinger lower
61.54
20, 2σ
50 / 200 cross
Golden
73.66 vs 73.13
Trend bias
Below 200
-12.22%

Options chain

Account required
Expiry
Spot 64.20
Calls
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Puts
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Free account required

Every listed expiry, both sides of the book, with volume, open interest and implied volatility.

Risk profile

Daily returns · 1Y window
Beta vs SPY
1.30
More volatile than market
Correlation to SPY
0.31
Loosely linked
Realised vol 30D
39.2%
Annualised
Market vol 1Y
13.0%
SPY, annualised
Max drawdown 1Y
-34.1%
Peak to trough
Max drawdown 5Y
-74.3%
Peak to trough
ATR 14
2.70
4.20% of price
Beta (reported)
1.06
5Y monthly, from filing

Short interest

Semi-monthly exchange report · lags by ~2 weeks
Shares short
4.39M
Prior 4.10M
Change vs prior
+7.0%
Shorts adding
% of float
18.39%
Elevated
% of shares out
14.72%
Against total outstanding
Days to cover
12.3
Crowded exit
Float
19.53M
Freely tradeable shares

Exchanges publish short interest twice a month with a settlement lag, so this is roughly two weeks behind. Days to cover divides shares short by average daily volume — it estimates how long covering would take, not whether it will happen.

Rating changes

82 on file
DateFirm ActionFromTo
Sep 1, 26 BTIG MAINTAINED Buy Buy
Aug 13, 26 Citigroup UPGRADE Neutral Buy
Aug 7, 26 JP Morgan MAINTAINED Overweight Overweight
Aug 6, 26 Needham MAINTAINED Buy Buy
Aug 6, 26 BTIG MAINTAINED Buy Buy
Aug 3, 26 TD Cowen MAINTAINED Buy Buy
Jul 15, 26 Mizuho MAINTAINED Outperform Outperform
Jul 8, 26 Citigroup MAINTAINED Neutral Neutral
May 7, 26 BTIG MAINTAINED Buy Buy
Apr 29, 26 BTIG MAINTAINED Buy Buy
Mar 11, 26 Citigroup MAINTAINED Neutral Neutral
Feb 26, 26 Canaccord Genuity MAINTAINED Buy Buy

Dividends & splits

Declared · from the issuer
Forward rate—
Forward yield0.00%
5-year avg yield—
Payout ratio—
Ex-dividend date—
Next pay date—
Last split—
Split date—

PRIVATE STRATEGY · BY QUALIFICATION

The same data. A different seat.

The research you are reading is the input layer for a discretionary options program we run for a small number of qualified investors. Minimum $1,000,000.