Alvotech (ALVO) vs Establishment Labs Holdings Inc. (ESTA)
A side-by-side comparison of Alvotech and Establishment Labs Holdings Inc. across valuation, profitability, dividends, and growth — built entirely from reported fundamentals, as of October 6, 2026. Differences are shown without an overall score or investment verdict.
ALVO
Alvotech
$6.14HealthcareDelayed quote: Oct 6, 2026, 12:00 PM EDT
ESTA
Establishment Labs Holdings Inc.
$65.51HealthcareDelayed quote: Oct 6, 2026, 12:00 PM EDT
Total return — ALVO vs ESTA
growth of $100 · dividends reinvested · last 4yALVO -45.4% (-14.0%/yr)ESTA +18.4% (+4.3%/yr)ESTA compounded faster over this window
ALVO ESTA
ALVO vs ESTA: by the numbers
- •ALVO is the larger company ($2.07B vs $1.93B market cap).
- •Both run net losses; ESTA's is the smaller (-15.82% vs -36.51% net margin).
- •ALVO grew revenue faster over the past five years (69.03% vs 17.02% CAGR).
Metrics side by side
Valuation
| Metric | ALVO | ESTA |
|---|---|---|
| P/S ratio | 4.22 | 7.84 |
| P/B ratio | N/A | 89.24 |
| EV / EBITDA | 41.95 | N/A |
Profitability
| Metric | ALVO | ESTA |
|---|---|---|
| Gross margin | 60.45% | 70.49% |
| Operating margin | 9.62% | -18.48% |
| Net margin | -36.51% | -15.82% |
| ROE | N/A | -179.99% |
| ROIC | 3.61% | -6.53% |
Growth (annualized)
| Metric | ALVO | ESTA |
|---|---|---|
| Revenue CAGR (5Y) | 69.03% | 17.02% |
| Total return CAGR (5Y) | N/A | -1.56% |
Frequently asked
- Which has grown faster, ALVO or ESTA?
- Over the past five years, ALVO grew revenue faster — ALVO at a 69.03% CAGR versus ESTA at 17.02%.
Go deeper
Dig into the metrics
Alvotech ROEEstablishment Labs ROEAlvotech operating marginEstablishment Labs operating marginAlvotech revenue growthEstablishment Labs revenue growthAlvotech free cash flowEstablishment Labs free cash flow
Alvotech & Establishment Labs appear in these rankings
Figures are sourced from reported fundamentals and the latest end-of-day price. This comparison is informational only and is not investment advice. Past performance does not predict future results. See our methodology. Compiled by TGMCharts Research · data verified October 6, 2026.