Press Releases & News

Establishment Labs Reports Second Quarter 2019 Financial Results

August 13, 2019

NEW YORK, Aug. 13, 2019 (GLOBE NEWSWIRE) -- Establishment Labs Holdings Inc. (NASDAQ: ESTA), a medical technology company focused on women’s health, initially in the breast aesthetics and reconstruction market, today announced its financial results for the second quarter ended June 30, 2019.

Business Highlights

  • Reported second quarter 2019 worldwide sales of $21.7 million, an increase of 58.2% year-over-year.
  • Grew revenue through the ongoing strong adoption of Motiva Implants® across addressable markets, with double digit growth in Latin America, Europe, Middle East and Asia Pacific, as well as by the successful transition to a direct sales model in Europe and Brazil.
  • To date, Motiva Implants® continue to be unaffected by the recent safety related bans on silicone gel filled breast implants associated with BIA-ALCL from international regulatory bodies.
  • Launched Motiva® in Taiwan and Thailand, one of the largest breast aesthetic markets in Asia.
  • Continued to progress its U.S. FDA clinical trial, with all surgeries in the primary and revision augmentation cohorts completed and enrollment progressing in the reconstruction cohorts.
  • Raised full-year 2019 revenue guidance to a range of $84.0 to $86.0 million from $80.0 to $84.0 million previously.

“During the second quarter, we continued to prove the strength of our Women’s Health story, driving strong sales growth of over 58%, while regulatory agencies worldwide are placing restrictions on the rest of the industry,” said Juan José Chacón-Quirós, Chief Executive Officer of Establishment Labs. “We believe this growth trajectory speaks to the clear differentiation and improved safety and aesthetic outcomes of our product portfolio, as well as to the effectiveness of the direct sales force model that we have implemented in Europe and Brazil.

“In parallel with our ongoing research and development activities, our U.S. FDA clinical trial is progressing with all surgeries now complete in the primary and revision augmentation cohorts and enrollment continuing in the reconstruction cohorts. Importantly, we are implementing a bifurcation strategy in the U.S. that will allow us to submit for the aesthetic cohorts sooner while pursuing approval for the reconstruction cohorts separately. I am very pleased with our progress to this point and I look forward to a strong second half of the year,” Mr. Chacón-Quirós concluded.

Second Quarter 2019 Financial Results

Revenues increased $8.0 million, or 58.2%, to $21.7 million for the second quarter of 2019, as compared to $13.7 million in the same period in 2018. The increase was primarily due to increased sales of Motiva Implants®, driven by greater market penetration in existing geographies and commencement of sales in new geographies including certain European direct markets.

Gross profit for the second quarter of 2019 was $13.0 million, or 60.0% of revenues, compared to gross profit of $8.2 million, or 59.9 % of revenues in the same period in 2018.

Total operating expenses for the second quarter of 2019 increased $7.9 million, or 54.1%, to $22.4 million, as compared to $14.5 million in the same period in 2018 driven by continued investment across the company, including the expansion into European direct markets and the related supporting systems required for this growth.

SG&A expense increased $7.6 million, or 69.9%, to $18.4 million for the three months ended June 30, 2019, compared to $10.8 million for the three months ended June 30, 2018. The increase in SG&A was primarily due to a $3.1 million increase in personnel costs as a result of the hiring of additional sales, marketing and administrative employees, a $2.3 million increase in sales and administrative consulting fees, including stock compensation, a $1.1 million increase in sales commissions and a $0.7 million increase in marketing expenses.

R&D expenses increased $0.3 million, or 8.0%, to $4.0 million for the three months ended June 30, 2019, compared to $3.7 million for the three months ended June 30, 2018. The increase in R&D expenses was primarily due to $0.5 million increase in R&D personnel costs and $0.1 million increase in expenditures related to the initiation of our Premarket Approval (PMA) clinical study in the United States, primarily attributable to third parties fees for set-up and management of the clinical trial.

Net losses for the second quarter of 2019 was $9.0 million, as compared to a net loss of $5.4 million in the same period in 2018, a result of the Company’s continued growth and investments in operations to support the expected increase in market demand.

The Company’s cash balance as of June 30, 2019 was $31.9 million and subsequently the Company has drawn the $25.0 million remaining from its credit facility on August 12, 2019.

Full Year 2019 Financial Outlook

The Company anticipates full-year 2019 revenues in the range of $84.0 to $86.0 million, up from the previous range of $80.0 million to $84.0 million.

Conference Call

Establishment Labs will host a conference call and webcast today at 8:30 a.m. Eastern Time to discuss its financial results. The conference call can be accessed by dialing (877) 376-9925 (U.S. and Canada) or (629) 228-0732 (international) and using the conference ID: 1168908. In addition, the webcast will be available on the Investor Relations section of the Company's website at

The webcast will be available for 30 days following the call on the Investor Relations section of the Company's website at

About Establishment Labs

Establishment Labs Holdings Inc. (NASDAQ: ESTA) is a global medical technology company focused on women’s health, initially in the breast aesthetics and reconstruction market, by designing, developing, manufacturing and marketing an innovative portfolio of silicone gel-filled breast implants, branded as Motiva Implants®, the centerpiece of the MotivaImagine® platform. Motiva Implants® are produced at our two manufacturing sites that are compliant with ISO13485:2016, FDA 21 CFR 820 under the MDSAP program, and are currently commercially available in 75 countries through exclusive distributors or the Company’s direct salesforce. In March 2018, Establishment Labs received approval for an investigational device exemption (IDE) from the FDA and initiated the Motiva Implant® clinical trial in the United States in April 2018. In addition to Motiva Implants®, Establishment Labs’ product and technologies portfolio includes the Divina ® 3D Simulation System, MotivaImagine® Centers and other products and services. Please visit the website for additional information:

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). You can find many (but not all) of these statements by looking for words such as “approximates,” “believes,” “expects,” “anticipates,” “estimates,” “intends,” “plans,” “would,” “may” or other similar expressions in this press release, and includes statements related to the expected growth in sales of Motiva Implants®, product development, and the PMA clinical trial currently being conducted to obtain approval of Motiva Implants® in the U.S. Any statements that refer to projections of our future financial or operating performance, anticipated trends in our business, our goals, strategies, focus and plans, and other characterizations of future events or circumstances, including statements expressing general optimism about future operating results, are forward-looking statements. We claim the protection of the safe harbor contained in the Private Securities Litigation Reform Act of 1995. We caution investors that any forward-looking statements presented in this report, or that we may make orally or in writing from time to time, are expressions of our beliefs and expectations based on currently available information at the time such statements are made. Such statements are based on assumptions, and the actual outcome will be affected by known and unknown risks, trends, uncertainties and factors that are beyond our control. Although we believe that our assumptions are reasonable, they are not guarantees of future performance, and some will inevitably prove to be incorrect. As a result, our actual future results may differ from our expectations, and those differences may be material. Factors that could cause or contribute to these differences include, among others, those risks and uncertainties discussed in the Company’s annual report on Form 10-K filed on March 20, 2019, quarterly reports on Form 10-Q, and other filings made by the Company with the Securities and Exchange Commission. The risks included in those documents are not exhaustive, and additional factors could adversely affect our business and financial performance. We operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time, and it is not possible for us to predict all such risk factors, nor can we assess the impact of all such risk factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We are not undertaking any obligation to update any forward-looking statements. Accordingly, investors should use caution in relying on past forward-looking statements, which are based on known results and trends at the time they are made, to anticipate future results or trends.


Condensed Consolidated Statements of Operations
(In thousands, except share and per share data)

    Three Months Ended
June 30,
  Six Months Ended
June 30,
    2019   2018   2019   2018
Revenue   $ 21,684     $ 13,709     $ 42,462     $ 28,525  
Cost of revenue   8,672     5,492     18,198     12,393  
Gross profit   13,012     8,217     24,264     16,132  
Operating expenses:                
Sales, general and administrative   18,394     10,829     34,450     19,477  
Research and development   4,001     3,705     7,585     5,852  
Total operating expenses   22,395     14,534     42,035     25,329  
Loss from operations   (9,383 )   (6,317 )   (17,771 )   (9,197 )
Interest income   4         10     4  
Interest expense   (2,521 )   (2,173 )   (4,763 )   (4,344 )
Change in fair value of derivative instruments   2,640     5,830     2,608     4,525  
Change in fair value of contingent consideration   137     (389 )   362     (752 )
Other income (expense), net   118     (2,159 )   (186 )   (1,964 )
Loss before income taxes   (9,005 )   (5,208 )   (19,740 )   (11,728 )
Provision for income taxes   (35 )   (152 )   (79 )   (162 )
Net loss   $ (9,040 )   $ (5,360 )   $ (19,819 )   $ (11,890 )
Basic and diluted net loss per share   $ (0.44 )   $ (0.35 )   $ (0.97 )   $ (0.79 )
Weighted average outstanding shares used for basic and diluted net loss per share   20,448,643     15,351,899     20,407,912     14,981,070  



Condensed Consolidated Balance Sheets
(In thousands, except share data)

  June 30,
  December 31,
Current assets:      
Cash $ 31,870     $ 52,639  
Accounts receivable, net of allowance for doubtful accounts of $902 and $926 21,312     17,648  
Inventory 26,540     24,845  
Prepaid expenses and other current assets 4,455     4,303  
Total current assets 84,177     99,435  
Long-term assets:      
Property and equipment, net of accumulated depreciation 16,708     12,913  
Goodwill 465     465  
Intangible assets, net of accumulated amortization 3,081     3,445  
Other non-current assets 370     315  
Total assets $ 104,801     $ 116,573  
Liabilities and shareholders’ equity      
Current liabilities:      
Accounts payable $ 8,531     $ 6,239  
Accrued liabilities 8,718     6,125  
Other liabilities, short term 4,137     4,083  
Total current liabilities 21,386     16,447  
Long-term liabilities:      
Note payable, Madryn, net of debt discount and issuance costs 24,053     22,322  
Madryn put option 2,160     4,768  
Other liabilities, long term 3,415     3,551  
Total liabilities 51,014     47,088  
Total shareholders’ equity 53,787     69,485  
Total liabilities and shareholders’ equity $ 104,801     $ 116,573  

Investor Relations
Jeremy Feffer
LifeSci Advisors, LLC



Source: Establishment Labs Holdings, Inc.