Establishment Labs Holdings Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Establishment Labs Holdings Inc (ESTA) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Establishment Labs Holdings Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 245M vs 205,213M combined for tracked competitors (0.1% combined share).
- Trending: Latest-quarter revenue run-rate is accelerating (+10.2% annualized vs trailing 12 months), vs accelerating (+3.3%) for its tracked peer group.
- Growth: Establishment Labs Holdings Inc generated 31.7% revenue growth year over year in Q2 2026, vs 7.6% for its tracked competitors combined.
- Profitability: Its -17.4% net margin compares with 19.6% for the peer group.
- Scale: Establishment Labs Holdings Inc ranks #51 of 247 companies by market capitalization in the Medical Equipment & Supplies industry, holding 0.2% of industry market cap.
- Peer revenue share: Establishment Labs Holdings Inc accounted for 0.1% of combined revenue among its tracked peer group, up from 0.1% a year earlier.
- Peer differentiation: Revenue per employee of $0.24M compares with $0.62M for the peer group (0.4x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
ESTA Sales vs. its Competitors, Q2 2026
Establishment Labs Holdings Inc reported revenue growth of 31.73 % year on year in Q2 2026, above its competitors' combined revenue growth of 7.63 %.
With a net margin of -17.39 %, Establishment Labs Holdings Inc reported lower profitability than its competitors (19.55 %).
Establishment Labs Holdings Inc generated 0.13 % of the combined sales of its peer group, up from 0.10 % a year earlier.
Establishment Labs Holdings Inc vs. its Competitors, Q2 2026
Revenue growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Establishment Labs Holdings Inc and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Establishment Labs Holdings Inc | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| Similar-Size Competitors (10) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (7) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Establishment Labs Holdings Inc's competitor groups requires a Commercial License.
For context: the Medical Equipment & Supplies industry grew revenue 15.0% year over year, combined, vs 31.7% for Establishment Labs Holdings Inc. Establishment Labs Holdings Inc's share of combined industry revenue moved from 0.05% to 0.06%, a gain of 0.01 percentage points.
Establishment Labs Holdings Inc's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Establishment Labs Holdings Inc | No | Yes | Yes | No |
| Competitors combined (30) | ||||
| High-Confidence Competitors (3) | ||||
| Similar-Size Competitors (10) | ||||
| Similar Growth & Profitability (8) | 25.00 % (2 of 8) | 100.00 % (8 of 8) | 100.00 % (8 of 8) | 12.50 % (1 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
ESTA Stock Performance relative to its Competitors
ESTA Stock Performance relative to High-Confidence Competitors
ESTA Stock Performance relative to Similar-Size Competitors
ESTA Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Pulse Biosciences Inc | 282.9% | Outperformed |
| 2 | Anika Therapeutics Inc | 282.9% | Outperformed |
| 3 | Avita Medical Inc | 282.9% | Outperformed |
| 4 | Pro dex Inc | 282.9% | Outperformed |
| 5 | Johnson and Johnson | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Establishment Labs Holdings Inc's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Establishment Labs Holdings Inc's Comment on Competition and Industry Peers
Publicly Traded Peers of Establishment Labs Holdings Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Establishment Labs Holdings Inc | 1,968.15 | 245.11 |
| Johnson and Johnson | 663,585.20 | 97,929.00 |
| Abbvie Inc | 471,581.88 | 64,386.00 |
| Boston Scientific Corporation | 65,053.43 | 20,997.00 |
| Becton Dickinson And Company | 50,582.30 | 20,840.00 |
| Hologic Inc | 17,087.75 | 3,644.80 |
| SUBTOTAL | 1,277,114.82 | 209,574.23 |
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Sources: Establishment Labs Holdings Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Establishment Labs Holdings Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Establishment Labs Holdings Inc's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Mentor | Named by the company | 85% |
| Sientra | Named by the company | 85% |
| Allergan | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Establishment Labs Holdings Inc's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Establishment Labs Holdings Inc's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Johnson and Johnson | Oncology 29.26 % |
| Boston Scientific Corporation | Cardiovascular 67.31 % |
| Becton Dickinson And Company | Medical Essentials 34.94 % |
| Hologic Inc | Diagnostics 51.18 % |
| Anika Therapeutics Inc | Single Reportable Segment 100.00 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
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Establishment Labs Holdings Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Establishment Labs Holdings Inc | 1,968 | 244,128 | -38,736 |
| Johnson and Johnson | 663,585 | 695,518 | 149,411 |
| Abbvie Inc | 471,582 | 1,129,579 | 110,807 |
| Boston Scientific Corporation | 65,053 | 355,881 | 62,186 |
| Becton Dickinson And Company | 50,582 | 289,444 | 13,069 |
| Hologic Inc | 17,088 | 515,530 | 76,917 |
| PEERS TOTAL | 1,275,147 | 617,150 | 94,832 |
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Establishment Labs Holdings Inc's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Establishment Labs Holdings Inc | Non-US 63.44 % |
| Johnson and Johnson | United States 57.42 % |
| Boston Scientific Corporation | United States 63.11 % |
| Becton Dickinson And Company | United States 61.88 % |
| Hologic Inc | Non-US 30.23 % |
| Inmode Ltd | US 53.62 % |
Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
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Establishment Labs Holdings Inc's Position in Industry Market Structure
Market-capitalization share and concentration across all 222 companies in Establishment Labs Holdings Inc's industry classification, broader than the peer set above. Market cap in millions of $.Establishment Labs Holdings Inc ranks #51 of 222 companies by market capitalization in its industry, holding 0.18 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 587, indicating a unconcentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Intuitive Surgical Inc | 145,832 | 13.38 % |
| 2 | Medtronic Plc | 113,372 | 10.40 % |
| 3 | Stryker Corp | 105,405 | 9.67 % |
| 4 | 3m Company | 88,542 | 8.12 % |
| 5 | Boston Scientific Corporation | 1,234 | 5.2% |
| 6 | Becton Dickinson And Company | 1,234 | 5.2% |
| 7 | Edwards Lifesciences Corporation | 1,234 | 5.2% |
| 8 | Dexcom Inc | 1,234 | 5.2% |
| 9 | Resmed Inc | 1,234 | 5.2% |
| 10 | Alcon inc | 1,234 | 5.2% |
| 51 | Establishment Labs Holdings Inc | 1,947 | 0.18 % |
Market cap and industry share for the rest of Establishment Labs Holdings Inc's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Establishment Labs Holdings Inc's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 46 | Genedx Holdings Corp | 2,579 | -23.15 % |
| 47 | Axogen inc | 2,327 | 157.86 % |
| 48 | Ufp Technologies Inc | 2,305 | 55.77 % |
| 49 | Inspire Medical Systems inc | 2,026 | -9.47 % |
| 50 | Lemaitre Vascular Inc | 1,234 | 12.3% |
| 51 | Establishment Labs Holdings Inc | 1,947 | 65.30 % |
| 52 | Biolife Solutions Inc | 1,234 | 12.3% |
| 53 | Dentsply Sirona Inc | 1,234 | 12.3% |
| 54 | Novocure Limited | 1,234 | 12.3% |
| 55 | Kestra Medical Technologies Ltd | 1,234 | 12.3% |
| 56 | Alphatec Holdings Inc | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Establishment Labs Holdings Inc's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Establishment Labs Holdings Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Medical Equipment & Supplies industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (288 companies).| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 70.69 % | 53.35 % (avg) | +17.3 pp |
| Operating Margin | -7.65 % | industry median | +0.7 pp |
| EBITDA Margin | -16.26 % | -6.82 % (avg) | -9.4 pp |
| Capital Intensity (Capex / Revenue) | 3.77 % | 5.43 % (avg) | -1.7 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Establishment Labs Holdings Inc's Valuation vs Competitive Position
Valuation multiples vs the Medical Equipment & Supplies industry average (288 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | - | 34.6x | - |
| EV / EBITDA | - | 19.7x | - |
| P/B | 128.3x | 4.7x | +123.6x |
| Return on Equity | -203.88 % | industry aggregate | -215.94 % |
| Return on Invested Capital | -6.37 % | -2.32 % (avg) | -4.05 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Establishment Labs Holdings Inc's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|
| Revenue Growth | - | - | 49.61 % | 27.64 % | 2.03 % | 0.33 % | 27.06 % |
| Operating Margin | - | -32.97 % | -19.84 % | -24.53 % | -39.42 % | -30.20 % | -18.55 % |
| Return on Invested Capital | - | -12.77 % | -13.75 % | -24.23 % | -27.99 % | -16.73 % | -13.49 % |
| P/E | - | - | - | - | - | - | - |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Establishment Labs Holdings Inc's Strategic Group Map
Every company in Establishment Labs Holdings Inc's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Establishment Labs Holdings Inc is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Establishment Labs Holdings Inc's BCG Growth-Share Matrix
Relative market share (vs Establishment Labs Holdings Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.
Establishment Labs Holdings Inc falls in the Dog quadrant: relative market share of 0.01x vs its largest competitor, in an industry growing revenue 9.2% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution.
Establishment Labs Holdings Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | High | Industry HHI of 587 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | Lower than typical for the industry | Capital intensity (capex / revenue) of 3.77 % vs industry average 5.43 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Establishment Labs Holdings Inc's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Establishment Labs Holdings Inc's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Establishment Labs Holdings Inc's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Establishment Labs Holdings Inc falls in the Low attractiveness / Medium strength cell: Harvest.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Establishment Labs Holdings Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Latest-quarter revenue run-rate is accelerating (+10.2% annualized vs trailing 12 months).
- Outperforming the U.S.A. 500 over the trailing 12 months.
Weaknesses
- Return on equity 215.9 points below the industry aggregate.
- Low relative market share vs the industry leader (0.01x).
Opportunities
- A meaningful share of tracked competitors (35.70 %) show financial-distress signals, a possible opening to gain share.
Threats
No rule matched.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Establishment Labs Holdings Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Establishment Labs Holdings Inc | 0.95 | 3.26 | 13.16 |
| Johnson and Johnson | 0.37 | 1.05 | 0.60 |
| Abbvie Inc | 0.16 | 0.75 | - |
| Boston Scientific Corporation | 0.25 | 1.54 | 0.47 |
| Becton Dickinson And Company | 0.10 | 1.00 | 0.73 |
| Hologic Inc | 1.88 | 3.64 | 0.51 |
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Establishment Labs Holdings Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Establishment Labs Holdings Inc | Q2 2026 | +31.7 % | - |
| Johnson and Johnson | Q2 2026 | +6.6 % | -0.1 % |
| Abbvie Inc | Q2 2026 | +10.2 % | +284.3 % |
| Boston Scientific Corporation | Q2 2026 | +7.5 % | +13.8 % |
| Becton Dickinson And Company | Q2 2026 | +5.4 % | -34.3 % |
| Hologic Inc | Q4 2025 | +44.8 % | -10.9 % |
| PEERS TOTAL | +8.0 % | +30.6 % |
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Establishment Labs Holdings Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Establishment Labs Holdings Inc | Q2 2026 | +23.9 % | +76.2 % |
| Johnson and Johnson | Q2 2026 | +5.5 % | +26.7 % |
| Abbvie Inc | Q2 2026 | -1.3 % | +19.7 % |
| Boston Scientific Corporation | Q2 2026 | -2.6 % | +24.2 % |
| Becton Dickinson And Company | Q2 2026 | +7.1 % | -12.8 % |
| Hologic Inc | Q4 2025 | -18.1 % | -54.3 % |
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Establishment Labs Holdings Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Establishment Labs Holdings Inc | - | - | - |
| Johnson and Johnson | 10.60% | 13.30% | 25.74% |
| Abbvie Inc | 4.68% | 9.11% | - |
| Boston Scientific Corporation | 8.34% | 9.91% | 14.77% |
| Becton Dickinson And Company | 1.77% | 2.22% | 3.79% |
| Hologic Inc | 6.12% | 7.26% | 11.01% |
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Establishment Labs Holdings Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Establishment Labs Holdings Inc | - | 8.03 |
| Johnson and Johnson | 31.48 | 6.78 |
| Abbvie Inc | 75.22 | 7.32 |
| Boston Scientific Corporation | 17.88 | 3.10 |
| Becton Dickinson And Company | 55.54 | 2.43 |
| Hologic Inc | 31.65 | 4.69 |
| PEERS AVERAGE | 39.75 | 6.09 |
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.