ESTABLISHMENT LABS HOLDINGS INC.
Business
Establishment Labs Holdings Inc. is a global medical technology company focused on breast aesthetics and reconstruction through its proprietary Motiva Implants product line. The company manufactures silicone gel-filled breast implants with proprietary technologies including SmoothSilk surface, ProgressiveGel formulations, RFID traceability, and minimally invasive surgical systems like Mia Femtech and Preservé. Products are sold in over 100 countries through exclusive distributors and direct sales forces in key markets including the United States, Brazil, Europe, and other regions.
Summary from 10-K filed 2026-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 211 | 166 | 165 | 162 | 127 | |
| Cost of revenue | 65 | 57 | 58 | 55 | 41 | |
| Gross profit | 146 | 110 | 107 | 107 | 85 | |
| Sales, general and administrative | 165 | 140 | 146 | 126 | 92 | |
| Research and development | 20 | 20 | 26 | 20 | 18 | |
| Total operating expenses | 185 | 160 | 172 | 146 | 111 | |
| Loss from operations | −39 | −50 | −65 | −40 | −25 | |
| Interest income | 423,000 | 1 | 1 | 87,000 | 23,000 | |
| Interest expense | −25 | −21 | −15 | −12 | — | |
| Other income (expense), net | 6 | −15 | 816,000 | −3 | −6 | |
| Loss before income taxes | −58 | −85 | −79 | −73 | −40 | |
| Benefit (provision) for income taxes | 7 | 32,000 | 81,000 | −2 | −1 | |
| Net loss | −51 | −85 | −79 | −75 | −41 | |
| Basic net loss per share (in dollars per share) | −1.72 | −3 | −3.07 | −3.08 | −1.72 | |
| Diluted net loss per share (in dollars per share) | −1.72 | −3 | −3.07 | −3.08 | −1.72 | |
| Weighted average outstanding shares used for basic net loss per share (in shares) | 30 | 28 | 26 | 24 | 24 | |
| Weighted average outstanding shares used for diluted net loss per share (in shares) | 30 | 28 | 26 | 24 | 24 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 76 | 90 | 40 | 66 | — | |
| Accounts receivable, net of allowance for credit losses of $6,835 and $3,088 at December 31, 2025 and 2024, respectively | 77 | 65 | 47 | 35 | 24 | |
| Inventory, net | 86 | 79 | 79 | 37 | 28 | |
| Prepaid expenses and other current assets | 11 | 9 | 8 | 12 | 7 | |
| Total current assets | 250 | 243 | 175 | 150 | 113 | |
| Property and equipment, net | 76 | 78 | 77 | 51 | 19 | |
| Goodwill | 1 | 1 | 465,000 | 465,000 | 465,000 | |
| Intangible assets, net of accumulated amortization | 10 | 12 | 8 | 5 | 4 | |
| Right-of-use operating lease assets, net | 4 | 6 | 3 | 4 | 2 | |
| Other non-current assets | 16 | 7 | 5 | 1 | 558,000 | |
| Total assets | 357 | 347 | 269 | 211 | 140 | |
| Accounts payable | 43 | 45 | 42 | 20 | 14 | |
| Accrued liabilities | 19 | 17 | 14 | 17 | 16 | |
| Other liabilities, short-term | 20 | 7 | 2 | 2 | 1 | |
| Total current liabilities | 82 | 68 | 57 | 39 | 32 | |
| Note payable, Oaktree, net of debt discount and issuance costs | 248 | 220 | 189 | 175 | — | |
| Operating lease liabilities, non-current | 3 | 4 | 3 | 3 | 2 | |
| Other liabilities, long-term | 1 | 2 | 2 | 2 | 2 | |
| Total liabilities | 334 | 294 | 250 | 219 | 89 | |
| Commitments and contingencies (Note 16) | — | — | — | — | — | |
| Common shares zero par value, unlimited amount of shares authorized at December 31, 2025 and 2024; 29,713,024 and 29,195,439 shares issued at December 31, 2025 and 2024, respectively; 29,304,954 and 28,787,369 shares outstanding at December 31, 2025 and 2024, respectively | 433 | 420 | 316 | 224 | 220 | |
| Additional paid-in-capital | 88 | 77 | 64 | 50 | 37 | |
| Treasury shares, at cost, 408,070 shares held at December 31, 2025 and 2024 | −3 | −3 | −3 | −3 | −3 | |
| Accumulated deficit | −496 | −445 | −360 | −282 | −206 | |
| Accumulated other comprehensive income | 1 | 3 | 2 | 3 | 4 | |
| Total shareholders equity | 24 | 53 | 18 | −8 | 51 | |
| Total liabilities and shareholders equity | 357 | 347 | 269 | 211 | 140 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 10 | 7 | 4 | 4 | — | |
| Provision for credit losses | 3 | 2 | 1 | 111,000 | 200,000 | |
| Provision for inventory obsolescence | 3 | 2 | 1 | 2 | 338,000 | |
| Change in reserve for PP&E impairment | 0 | 0 | −341,000 | 341,000 | 0 | |
| Provision for deferred income taxes | −9 | −2 | −4 | — | — | |
| Share-based compensation | 11 | 14 | 14 | 13 | 10 | |
| Loss from disposal of property and equipment | 153,000 | 163,000 | 280,000 | 229,000 | 170,000 | |
| Unrealized foreign currency (gain)/loss, net | −10 | 5 | −4 | 2 | 4 | |
| Amortization of right-to-use asset | 911,000 | 743,000 | 717,000 | 469,000 | 406,000 | |
| Non-cash loss on contract termination | 543,000 | 6 | 0 | 0 | — | |
| Stock compensation in lieu of cash fees | 403,000 | 964,000 | 495,000 | 0 | 0 | |
| Interest capitalized for construction in progress | 0 | −555,000 | −4 | −2 | 0 | |
| Non-cash interest expense and amortization of debt discount | 3 | 6 | 13 | 8 | 2 | |
| Accounts receivable | −11 | −26 | −12 | −12 | −7 | |
| Inventory | −7 | −471,000 | −42 | −11 | −8 | |
| Prepaid expenses and other current assets | 2 | 86,000 | 3 | −4 | −2 | |
| Other assets | 454,000 | −483,000 | 318,000 | −750,000 | 90,000 | |
| Accounts payable | −2 | 7 | 19 | 4 | 5 | |
| Accrued liabilities | 2 | 4 | −2 | 3 | 5 | |
| Operating lease liabilities | −887,000 | −646,000 | −689,000 | −378,000 | −408,000 | |
| Other liabilities | 4 | 1 | 97,000 | 117,000 | 143,000 | |
| Net cash used in operating activities | −51 | −59 | −89 | −52 | −28 | |
| Purchases of property and equipment | −6 | −6 | −8 | −3 | −2 | |
| Cash used in business acquisitions, net of cash acquired | −307,000 | −50,000 | 0 | 0 | — | |
| Cost incurred for intangible assets | −672,000 | −7 | −1 | −1 | −1 | |
| Capital expenditures on construction in progress | 0 | −2 | −15 | −30 | −3 | |
| Net cash used in investing activities | −7 | −16 | −25 | −35 | −7 | |
| Issuance of common stock, net of underwriters discount and issuance costs | 0 | 99 | 85 | 0 | 0 | |
| Borrowings under Oaktree credit agreement, net of debt discount and issuance costs | 25 | 24 | 0 | 168 | 0 | |
| Borrowings on short term notes payable | 10 | 0 | 0 | — | — | |
| Repayments of short term notes payable for insurance premium financing | −1 | 0 | 0 | — | — | |
| Proceeds from stock option exercises | 8 | 2 | 2 | 4 | 5 | |
| Tax payments related to shares withheld upon vesting of restricted stock | −637,000 | −510,000 | −484,000 | −4,000 | −356,000 | |
| Net cash provided by financing activities | 40 | 126 | 86 | 100 | 4 | |
| Effect of exchange rate changes on cash and cash equivalents | 3 | −1 | 513,000 | −358,000 | −465,000 | |
| Net (decrease)/increase in cash and cash equivalents | −15 | 50 | −26 | 13 | −31 | |
| Cash paid for interest | 21 | 10 | 6 | 5 | 7 | |
| Cash paid for income taxes | 420,000 | 2 | 2 | 2 | 652,000 | |
| Unpaid balance for property and equipment | 144,000 | 240,000 | 3 | 1 | 22,000 | |
| Unpaid balance for intangible assets | 581,000 | 592,000 | 3 | 0 | 0 | |
| Equity consideration in an asset acquisition | 0 | 0 | 250,000 | 0 | 0 | |
| Equity consideration issued in a business acquisition | 4 | 1 | 0 | 0 | — | |
| Contingent consideration payable related to a business acquisition | 4 | 973,000 | 0 | 0 | — | |
| Consideration payable related to a business acquisition | 315,000 | 3 | 0 | 0 | — | |
| Cashless option exercises | 0 | 0 | 5 | 0 | 2 | |
| Cashless warrant exercises | 0 | 600,000 | 0 | 0 | — | |
| Cash payable to settle contract termination | 0 | 214,000 | 0 | 0 | — | |
| Liability to issue shares to settle contract termination | 0 | 1 | 0 | 0 | — | |
| Borrowings of short term notes payable for insurance premium financing | 3 | 0 | 0 | — | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is ESTABLISHMENT LABS HOLDINGS INC.'s CIK number?
ESTABLISHMENT LABS HOLDINGS INC.'s SEC CIK number is 0001688757 (1688757). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find ESTABLISHMENT LABS HOLDINGS INC.'s SEC filings?
All of ESTABLISHMENT LABS HOLDINGS INC.'s EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did ESTABLISHMENT LABS HOLDINGS INC. last report earnings?
ESTABLISHMENT LABS HOLDINGS INC. (ESTA) most recently filed an earnings 8-K with the SEC on May 6, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001688757-26-000038). This is ESTABLISHMENT LABS HOLDINGS INC.'s most recent earnings filing of record — not a forecast of its next earnings date.
What is ESTABLISHMENT LABS HOLDINGS INC.'s most recent earnings 8-K?
ESTABLISHMENT LABS HOLDINGS INC.'s latest earnings 8-K (Item 2.02) was filed May 6, 2026 under accession 0001688757-26-000038. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
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