NASDAQ$ESTA

Establishment Labs Holdings Inc · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Establishment Labs reported its financial results for the fourth quarter and full year ended December 31, 2024, reaffirming its 2025 guidance.

Establishment Labs reported a fourth quarter revenue of $44.5 million, consistent with preannouncement, and a net loss from operations of $18.7 million, which was a 15% reduction compared to the prior year. The company also saw its adjusted EBITDA loss improve by 25% to $13.1 million.

  • Fourth quarter revenue reached $44.5 million, aligning with earlier preannouncements.
  • Motiva Implants were approved and launched in the U.S., contributing $3.3 million in U.S. revenue for the fourth quarter.
  • Net loss from operations decreased by 15% to $18.7 million compared to the same period last year.
  • Adjusted EBITDA loss improved by 25% to $13.1 million year-over-year.

Headline financials

Total Revenue

$44.5M

Previous: $31.6M+41.0%
EPS (adj)

-$1.19

Previous: -$0.79-50.6%
Capital Expenditures

-$2.04M

Previous: $655K-411.1%
Free Cash Flow

-$22.4M

No prior period
Net Income

-$34.5M

Previous: -$20.5M-68.1%
Operating Income

-$18.7M

Previous: -$22.1M+15.6%
Gross Profit

$30.5M

Previous: $20.6M+48.1%
R&D Expense

$5.14M

Previous: $5.82M-11.6%

Revenue & EPS history

Establishment Labs · Revenue · Quarterly

$44.5M

Q4 2024+41%vs Q4 2023
Beat estimate in 13 of 15 quarters(87%)
ActualEstimate

Forward guidance

Establishment Labs reaffirmed its 2025 revenue guidance of $205 million to $210 million, representing an increase of 23% to 26% over 2024, with U.S. revenue expected to be approximately $35 million.

Tailwinds

  • Reaffirmed 2025 revenue guidance of $205 million to $210 million.
  • Anticipated 23% to 26% increase in 2025 revenue over 2024.
  • Expected U.S. revenue of approximately $35 million in 2025.
  • First quarter 2025 U.S. revenue expected to be approximately $5.5 million.
  • Targeting first positive EBITDA quarter in 2025 and positive cash flow in 2026.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

+1.5%

Avg return

Earnings day

+0.7%

Avg return

5 days after

+2.4%

Avg return

30 days after

56%

18 / 32 earnings

Positive

+22.5%

Q3 2025

Best reaction

-26.0%

Q3 2023

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026-0.4%-4.3%+2.9%
Q4 2025-1.9%+5.0%-20.1%
Q3 2025+22.5%+37.0%+43.2%
Q1 2025+4.9%+5.1%+14.2%
Q4 2024+17.9%+28.1%+12.1%
Q3 2024-5.2%-13.2%-10.0%
Q2 2024+3.4%+20.6%+23.5%
Q1 2024+5.4%+4.2%-10.8%
Q4 2023+15.1%+19.6%+28.2%
Q3 2023-26.0%-36.1%-31.7%
Q2 2023-8.4%-12.0%-12.2%
Q1 2023+1.8%-1.6%-1.9%
Q4 2022+7.2%+10.3%+0.3%
Q3 2022-7.7%+11.1%+27.1%
Q2 2022-3.0%+1.3%-0.4%
Q1 2022-10.5%-10.1%+2.3%
Q4 2021+3.3%+1.6%+11.5%
Q3 2021-10.6%-14.3%-15.2%
Q2 2021+6.0%-3.7%-3.1%
Q1 2021-0.6%-1.8%+8.9%
Q4 2020+0.4%-6.8%+9.5%
Q3 2020+8.9%-0.4%+22.6%
Q2 2020+6.2%+7.3%+9.3%
Q1 2020+2.9%+0.5%+15.3%
Q4 2019+4.5%-16.4%+0.4%
Q3 2019-0.3%+0.5%+7.8%
Q2 2019-5.2%-10.6%-10.2%
Q1 2019+1.5%-0.3%-15.9%
Q4 2018-1.9%-4.9%-15.2%
Q3 2017+10.3%+4.5%-6.2%
Q3 2018+10.3%+4.5%-6.2%
Q2 2018-2.7%-2.9%-3.4%
Q4 2017
Q2 2017
Q1 2017

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