Establishment Labs Holdings Inc. key statistics and ratios

In fiscal 2025, Establishment Labs Holdings Inc. had return on equity of -133.3%, an operating margin of -18.5%, debt equal to 1051.2% of equity and a current ratio of 3.04. Each ratio below is calculated from the figures on its income statement, balance sheet and cash flow pages.

Financial ratios

US$ thousands unless shown otherwise. Fiscal years, plus the last twelve months (LTM) when newer.

Establishment Labs Holdings Inc.: financial ratios, annual
Fiscal year	2017Dec 2017	2018Dec 2018	2019Dec 2019	2020Dec 2020	2021Dec 2021	2022Dec 2022	2023Dec 2023	2024Dec 2024	2025Dec 2025	LTMJun 2026
Gross margin	51.0%	59.0%	61.3%	62.0%	67.4%	65.9%	64.8%	66.0%	69.3%	70.5%
Operating margin	−57.6%	−39.0%	−34.5%	−33.0%	−19.8%	−24.5%	−39.4%	−30.1%	−18.5%	−7.6%
Net margin	−100.6%	−34.5%	−42.6%	−45.0%	−32.5%	−46.5%	−47.5%	−51.0%	−24.2%	−15.8%
Free-cash-flow margin	−94.8%	−58.2%	−40.5%	−17.3%	−23.6%	−34.0%	−58.4%	−38.9%	−27.0%	−16.9%
Return on equity	—	−65.4%	−69.9%	−66.5%	−65.5%	—	—	—	−133.3%	−172.3%
Return on assets	−61.1%	−24.3%	−32.7%	−27.9%	−27.8%	−42.9%	−32.7%	−27.5%	−14.5%	−11.0%
Asset turnover	0.61	0.70	0.77	0.62	0.86	0.92	0.69	0.54	0.60	0.69
Current ratio	0.69	6.05	4.12	5.11	3.55	3.85	3.06	3.56	3.04	3.84
Debt to equity	—	32.1%	121.5%	66.5%	102.3%	—	>999%	413.6%	>999%	>999%
Interest cover (operating income ÷ interest)	n/m	n/m	n/m	n/m	n/m	n/m	n/m	n/m	n/m	n/m
R&D as % of revenue	19.8%	20.7%	16.7%	16.3%	14.5%	12.5%	16.0%	11.9%	9.6%	8.3%
SG&A as % of revenue	88.9%	77.3%	79.1%	78.7%	72.8%	77.9%	88.1%	84.2%	78.2%	69.9%
Capital spending as % of revenue	2.6%	2.8%	7.0%	2.5%	1.9%	1.8%	4.8%	3.7%	2.9%	3.7%

US$ thousands unless shown otherwise. Fiscal quarters.

Establishment Labs Holdings Inc.: financial ratios, quarterly
Quarter	2024 Q3Sept 2024	2024 Q4Dec 2024	2025 Q1Mar 2025	2025 Q2Jun 2025	2025 Q3Sept 2025	2025 Q4Dec 2025	2026 Q1Mar 2026	2026 Q2Jun 2026
Gross margin	63.9%	68.5%	67.2%	68.8%	70.1%	70.5%	70.7%	70.6%
Operating margin	−32.7%	−41.9%	−41.0%	−27.5%	−7.5%	−6.1%	−10.9%	−6.4%
Net margin	−41.5%	−77.6%	−50.1%	−32.3%	−20.7%	−4.0%	−22.3%	−17.4%
Free-cash-flow margin	−34.6%	−47.8%	−51.9%	−39.7%	−24.4%	−3.1%	−10.3%	−30.0%
Current ratio	3.62	3.56	3.36	2.84	3.33	3.04	2.96	3.84
Debt to equity	594.2%	413.6%	571.6%	993.4%	>999%	>999%	>999%	>999%
R&D as % of revenue	11.9%	11.6%	12.2%	10.1%	8.5%	8.4%	8.8%	7.5%
SG&A as % of revenue	84.7%	98.9%	95.9%	86.1%	69.1%	68.1%	72.8%	69.4%

Returns use average equity or assets over the year. Return on equity is left blank when equity is negative or so small that the ratio says nothing (above ±200%); interest cover is left blank above 200 times. Price-based ratios such as P/E are on the valuation page.

Financial health

1 of 7 checks passed · June 30, 2026

What it owns · $352m

Short-term assets $248mLonger-term assets $104m

What it owes, and who funded it · $352m

Short-term liabilities $65mLonger-term liabilities $266mShareholders' equity $22m

Short-term assets cover short-term liabilities $248m of assets due within a year against $65m of liabilities due within a year.
Short-term assets cover long-term liabilities $248m short-term assets against $266m of longer-dated liabilities.
More cash than debt $71m of cash against $262m of debt.
Debt below 40% of shareholders' equity Debt is 1211% of equity.
Debt burden no higher than five years ago Debt to equity moved from 102% to 1211% over five years.
A year's operating cash flow covers at least 20% of debt −$32m of operating cash flow against $262m of debt.
Operating profit covers interest at least five times over Operating income of −$19m against $28m of interest.

From Establishment Labs Holdings Inc.'s latest balance sheet as filed. Checks are fixed, documented rules (methodology), counted only where the company reports the figures — a dot means the filing doesn't break the item out. Descriptions of reported data, not advice.

Moat

31 /100

Weak moat

How hard Establishment Labs's competitive advantage looks for rivals to wear away, judged from 9 years of its own filings: returns on capital, pricing power, profit durability, cash conversion and discipline.

Returns on capital 0 / 20

Cash operating profit has been a median -13.4% of total assets over 8 years.
Pricing power 18 / 20

Gross margin has been a median 65.0%, moving by 4.3 percentage points (standard deviation) across 9 years.
Durability 10 / 20

Operating margin has been a median -35.4%; its worst year was -43.2%.
Cash conversion 0 / 20

Free cash flow was positive in 0 of 9 years, at a median -43.4% of revenue.
Discipline 3 / 20

The diluted share count rose 26.3% over five years; stock-based pay has been a median 7.3% of revenue.

AI disruption exposure: Low. In this industry, the business rests on physical assets, regulated networks or products AI itself depends on.

A rules-based reading of reported figures, not a forecast and not investment advice. How the score is built: methodology.

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Figures from Establishment Labs Holdings Inc.'s SEC filings (10-K and 10-Q), retrieved October 29, 2026. How we read and check them: methodology and data sources. Not investment advice. Back to Establishment Labs Holdings Inc.