ESTAEstablishment Labs Holdings Inc.

$72.44

Is the business good?

How good a business is ESTA?

Establishment Labs Holdings Inc. earns −7.0% on the capital it employs against a 9.0% cost of capital, so growth costs more than it returns.

−7.0%

Return on invested capital · cost of capital 9.0% · 16 points below what the capital costs: growth destroys value

Operating margin
−7.6%

Operating margin · Medical Devices median 11% · 12 months to Q2 2026

Share count, year on year
+4.2%

Share count, year on year · shareholders own a smaller slice than a year ago

R&D as % of revenue
8.3%

R&D as % of revenue

Operating margin by fiscal year
YearOperating margin
FY2020−33%
FY2021−20%
FY2022−25%
FY2023−39%
FY2024−30%
FY2025−18%
Details
Gross margin12 months to Q2 2026
70%
Operating margin12 months to Q2 2026
−7.6%
Net margin12 months to Q2 2026
−16%
Free cash flow margin
−17%
R&D as % of revenue
8.3%
Revenue, trailing twelve months
$246M
Free cash flow, trailing twelve months
−$42M
Net income, trailing twelve months
−$39M
Return on invested capitaloperating profit after tax ÷ debt + equity − cash
−7.0%

Margins, capital and share counts from the statements as filed with the SEC; cash conversion from the cash flow statement.