Which has grown faster, ASTH or ESTA?

Over the past five years, ASTH grew revenue faster — ASTH at a 53.77% CAGR versus ESTA at 17.02%.

Is ASTH or ESTA more profitable?

ASTH runs the higher net margin — ASTH at 1.05% versus ESTA at -15.82%.

How have ASTH and ESTA total returns compared?

Over the past 5 years, ASTH delivered -16.52% and ESTA delivered -1.56% annualized total return. Past performance doesn't predict future results.

Astrana Health, Inc. (ASTH) vs Establishment Labs Holdings Inc. (ESTA)

A side-by-side comparison of Astrana Health, Inc. 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.

ASTH

Astrana Health, Inc.

$1.83B

$36.81HealthcareDelayed quote: Oct 5, 2026, 4:00 PM EDT

ESTA

Establishment Labs Holdings Inc.

$1.96B

$66.47HealthcareDelayed quote: Oct 5, 2026, 4:00 PM EDT

Total return — ASTH vs ESTA

growth of $100 · dividends reinvested · last 8y

ASTH +44.4% (+4.7%/yr)ESTA +168.6% (+13.1%/yr)ESTA compounded faster over this window

ASTH ESTA

ASTH vs ESTA: by the numbers

•ESTA is the larger company ($1.96B vs $1.83B market cap).
•ASTH is profitable (1.05% net margin) while ESTA runs a net loss (-15.82%).
•ASTH grew revenue faster over the past five years (53.77% vs 17.02% CAGR).

Metrics side by side

Valuation

Metric	ASTH	ESTA
P/E ratio	45.03	N/A
Forward P/E	26.33	N/A
P/S ratio	0.47	7.96
P/B ratio	2.20	90.54
EV / EBITDA	13.43	N/A
FCF yield	8.68%	N/A

Profitability

Metric	ASTH	ESTA
Gross margin	9.22%	70.49%
Operating margin	2.61%	-18.48%
Net margin	1.05%	-15.82%
ROE	4.88%	-179.99%
ROIC	4.13%	-6.53%

Growth (annualized)

Metric	ASTH	ESTA
Revenue CAGR (5Y)	53.77%	17.02%
EPS CAGR (5Y)	-15.06%	N/A
FCF CAGR (5Y)	18.35%	N/A
Total return CAGR (5Y)	-16.52%	-1.56%

Frequently asked

Which has grown faster, ASTH or ESTA?: Over the past five years, ASTH grew revenue faster — ASTH at a 53.77% CAGR versus ESTA at 17.02%.
Is ASTH or ESTA more profitable?: ASTH runs the higher net margin — ASTH at 1.05% versus ESTA at -15.82%.
How have ASTH and ESTA total returns compared?: Over the past 5 years, ASTH delivered -16.52% and ESTA delivered -1.56% annualized total return. Past performance doesn't predict future results.

Go deeper

Full ASTH analysis Full ESTA analysis Interactive comparison tool

Dig into the metrics

Astrana Health P/E ratio Astrana Health ROE Establishment Labs ROE Astrana Health operating margin Establishment Labs operating margin Astrana Health revenue growth Establishment Labs revenue growth Astrana Health free cash flow Establishment Labs free cash flow

Astrana Health & Establishment Labs appear in these rankings

Fastest Revenue Growth Stocks Highest FCF Yield Stocks Highest 10-Year Total Return Stocks

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.