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ESTABLISHMENT LABS HOLDINGS INC. (ESTA) Annual Reports

Q: Where can I read ESTABLISHMENT LABS HOLDINGS INC. (ESTA) annual reports?

Every year on this page links straight to the full text on SEC EDGAR. US annual reports are web pages (HTML) rather than PDFs, so you can read and search them in the browser. 3 filings are currently indexed.

Q: What is the difference between a 10-K and a 20-F?

A 10-K is the annual report of a US domestic issuer; a 20-F is filed by foreign private issuers (Taiwanese companies with US ADRs, such as TSMC, file 20-F). A 40-F applies to Canadian issuers under the MJDS.

ESTABLISHMENT LABS HOLDINGS INC. is listed on Nasdaq, classified by the SEC under Orthopedic, Prosthetic & Surgical Appliances & Supplies (SIC 3842). This page indexes 3 annual reports, each linking to the full text on the SEC's EDGAR system.

Company profile

Exchange： Nasdaq
Fiscal year end： 12/31
SEC CIK： 1688757 →

Website：Official site ↗

Financial Highlights

FY2026 Q2 (quarterly, ended 2026-06-30)
	Current	Prior year	YoY
Revenue	$67.5M	$51.3M	+31.7%
Operating income	$-4.3M	$-14.1M	+69.6%
Net income	$-11.7M	$-16.6M	+29.2%
EPS (diluted)	$-0.39	$-0.57	+31.6%

Source: SEC EDGAR (XBRL company facts)

Financial history

Revenue & profit

Quarterly · In mn (USD)

Revenue 67.5 mn Net income -11.8 mn

Show table：Income statement

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
Revenue	8.63	7.32	11.8	14.8	13.7	16.3	16.4	20.8	21.7	22.9	24.3	24.5	10.5	22.8	27.0	30.3	32.0	29.0	35.3	38.5	41.2	38.2	43.8	46.5	48.6	38.5	31.6	37.2	44.1	40.2	44.5	41.4	51.3	53.8	64.6	59.9	67.5
Gross profit	4.13	3.60	6.56	7.92	8.22	10.1	9.87	11.3	13.0	14.2	16.4	15.5	7.23	15.2	14.6	20.1	21.5	19.6	24.2	24.9	27.4	26.0	28.2	30.1	30.3	26.1	20.6	24.4	28.9	25.7	30.5	27.8	35.3	37.7	45.5	42.3	47.7
Operating income	-5.48	-5.97	-4.59	-2.88	-6.32	-6.05	-8.62	-8.39	-9.38	-8.76	-4.40	-7.70	-9.60	-2.59	-8.02	-2.10	-4.63	-9.04	-9.37	-5.57	-10.4	-10.5	-13.2	-8.16	-13.7	-21.0	-22.1	-8.83	-9.34	-13.1	-18.7	-16.9	-14.1	-4.03	-3.93	-6.51	-4.29
Net income	-12.1	-10.7	-7.13	-6.53	-5.36	1.31	-10.5	-10.8	-9.04	-12.8	-5.56	-17.8	-10.5	-4.25	-5.64	-6.95	-5.32	-14.7	-14.2	-5.93	-37.1	-18.6	-13.6	-11.9	-16.7	-29.3	-20.5	-16.2	-17.2	-16.7	-34.5	-20.7	-16.6	-11.2	-2.61	-13.4	-11.8

Balance sheet

Quarterly · In mn (USD)

Total assets 352 mn Total liabilities 330 mn

Equity = assets − liabilities. Balance-sheet figures are period-end balances, not cumulative.

Show table：Balance sheet

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
Current assets	—	—	39.4	—	45.3	105	99.4	91.7	84.2	97.9	95.8	148	136	134	132	128	128	125	113	110	156	138	150	142	209	187	175	204	186	183	243	232	229	240	250	246	248
Total assets	—	—	57.1	—	63.3	121	117	109	105	118	117	168	157	155	156	152	152	148	140	142	200	188	211	209	285	271	269	302	285	283	347	333	330	339	357	351	352
Current liabilities	—	—	57.4	—	18.8	14.8	16.4	16.6	21.4	20.4	23.2	22.5	20.6	20.1	25.9	24.8	27.3	30.4	31.9	36.5	34.8	32.4	39.0	41.5	43.3	50.3	57.1	48.0	41.9	50.5	68.3	69.0	80.7	72.0	82.1	83.2	64.6
Total liabilities	—	—	62.1	—	61.0	44.5	47.1	47.9	51.0	74.5	76.9	78.1	75.0	74.7	81.4	79.8	83.3	86.8	88.8	93.7	184	186	219	225	230	240	250	245	240	250	294	295	307	323	334	336	330
Equity	-22.4	-3.25	-5.01	-8.76	2.37	77.0	69.5	61.0	53.8	43.8	39.6	90.3	81.8	80.0	75.0	72.5	68.8	61.6	50.7	47.8	15.9	1.52	-8.18	-16.0	54.9	30.5	18.4	56.9	45.0	32.7	53.1	38.5	22.8	16.4	23.6	14.8	21.6

Cash flow

Quarterly · In mn (USD)

Operating -16.6 mn Investing -3.65 mn Financing 23.5 mn

Positive = cash in, negative = cash out.

Show table：Cash flow statement

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
Operating	-14.8	-9.03	-8.14	-5.93	-8.98	-10.5	-8.48	-8.00	-7.06	-10.9	-4.03	-6.80	-6.09	-3.05	3.43	-6.55	-0.81	-12.4	-7.71	-4.84	-11.3	-22.0	-14.0	-20.6	-28.2	-31.5	-8.15	-11.2	-14.2	-12.5	-20.8	-20.7	-18.8	-11.3	-0.16	-4.31	-16.6
Investing	-0.92	-0.37	0.45	-0.41	-0.32	-0.57	-4.43	-1.45	-4.21	-0.74	-1.36	-0.95	-1.33	-2.15	-1.12	-1.53	-0.93	-1.08	-3.61	-5.74	-13.8	-4.81	-10.4	-4.28	-9.05	-6.60	-4.62	-6.63	-4.40	-2.76	-1.82	-1.34	-2.07	-1.96	-1.66	-1.96	-3.65
Financing	16.1	13.2	13.7	1.98	14.3	65.3	-0.06	-0.02	-0.03	22.5	0.37	63.9	0.12	0.09	0.54	1.79	0.42	1.64	0.21	1.70	72.3	1.26	25.0	1.18	84.5	0.49	0.07	51.0	0.39	-0.03	74.5	-0.2	5.13	29.4	6.05	-0.86	23.5
Cash at period end	0.96	4.67	10.9	6.61	11.6	65.6	52.6	43.1	31.9	42.6	37.7	93.6	86.4	81.4	84.5	78.0	76.8	64.6	53.4	44.7	91.3	65.3	66.4	42.9	90.2	52.2	40.0	73.0	54.6	39.7	90.3	69.2	54.6	70.6	75.6	68.1	71.2

Profitability

Quarterly · %

Gross margin 70.6% Operating margin -6.3% Net margin -17.4%

Gross, operating and net margin = the respective profit ÷ revenue.

Show table：Profitability

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
Gross margin	47.8%	49.2%	55.6%	53.4%	59.9%	62.1%	60.2%	54.1%	60.0%	62.3%	67.5%	63.2%	69.1%	66.5%	54.3%	66.2%	67.1%	67.6%	68.6%	64.8%	66.7%	68.1%	64.3%	64.7%	62.3%	67.7%	65.2%	65.6%	65.6%	63.9%	68.5%	67.2%	68.8%	70.1%	70.5%	70.7%	70.6%
Operating margin	-63.5%	-81.5%	-38.9%	-19.4%	-46.1%	-37.1%	-52.6%	-40.4%	-43.3%	-38.4%	-18.2%	-31.5%	-91.7%	-11.4%	-29.7%	-6.9%	-14.5%	-31.1%	-26.5%	-14.5%	-25.3%	-27.5%	-30.0%	-17.5%	-28.2%	-54.6%	-70.1%	-23.8%	-21.2%	-32.7%	-41.9%	-41.0%	-27.5%	-7.5%	-6.1%	-10.9%	-6.3%
Net margin	-140.2%	-145.7%	-60.4%	-44.1%	-39.1%	8.0%	-64.1%	-51.9%	-41.7%	-55.9%	-22.9%	-72.5%	-100.0%	-18.7%	-20.9%	-22.9%	-16.6%	-50.5%	-40.2%	-15.4%	-90.1%	-48.6%	-30.9%	-25.7%	-34.5%	-76.0%	-65.1%	-43.6%	-38.9%	-41.5%	-77.6%	-50.0%	-32.4%	-20.7%	-4.0%	-22.4%	-17.4%

Returns & leverage

Quarterly · %

ROE -175.3% ROA -11.4% Debt ratio 93.9%

ROE / ROA = trailing four-quarter net income ÷ average equity / total assets (annual mode: the year’s net income ÷ average of opening and closing). Not computed when the denominator is zero or negative.

Show table：Returns & leverage

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
ROE	—	—	—	—	—	-48.0%	-65.5%	-97.0%	-103.4%	-71.4%	-69.9%	-59.6%	-68.7%	-61.5%	-66.5%	-33.5%	-29.4%	-46.1%	-65.5%	-66.7%	-169.8%	-240.4%	-353.5%	-510.2%	-172.1%	-446.9%	-1537.8%	-404.6%	-166.6%	-223.4%	-236.7%	-186.7%	-261.2%	-338.2%	-133.3%	-164.0%	-175.3%
ROA	—	—	—	—	-46.9%	-14.6%	-24.3%	-23.3%	-34.5%	-36.0%	-32.7%	-32.5%	-35.6%	-27.9%	-27.9%	-17.0%	-14.3%	-21.5%	-27.8%	-27.3%	-40.9%	-45.1%	-42.9%	-46.3%	-25.1%	-31.2%	-32.7%	-32.4%	-29.2%	-25.5%	-27.5%	-28.1%	-28.8%	-26.7%	-14.5%	-12.8%	-11.4%
Debt ratio	—	—	108.8%	—	96.3%	36.6%	40.4%	44.0%	48.7%	63.0%	66.0%	46.4%	47.8%	48.3%	52.1%	52.4%	54.8%	58.5%	63.6%	66.2%	92.1%	99.2%	103.9%	107.6%	80.8%	88.7%	93.2%	81.2%	84.2%	88.4%	84.7%	88.4%	93.1%	95.2%	93.4%	95.8%	93.9%

EPS

Quarterly · US$

EPS US$-0.39

Show table：EPS

Item	2017Q2	2017Q3	2017Q4	2018Q1	2018Q2	2018Q3	2018Q4	2019Q1	2019Q2	2019Q3	2019Q4	2020Q1	2020Q2	2020Q3	2020Q4	2021Q1	2021Q2	2021Q3	2021Q4	2022Q1	2022Q2	2022Q3	2022Q4	2023Q1	2023Q2	2023Q3	2023Q4	2024Q1	2024Q2	2024Q3	2024Q4	2025Q1	2025Q2	2025Q3	2025Q4	2026Q1	2026Q2
EPS（US$）	—	-1.21	—	—	—	0.06	—	—	—	-0.62	-0.27	—	-0.45	-0.18	-0.23	-0.29	-0.22	-0.61	-0.59	-0.24	-1.52	-0.76	-0.55	-0.48	-0.65	-1.12	-0.79	-0.58	-0.62	-0.59	-1.20	-0.70	-0.57	-0.38	-0.08	-0.45	-0.39

Revenue & profit

Year-to-date · In mn (USD)

Revenue 127 mn Net income -25.1 mn

Year-to-date = summed from the first quarter of the fiscal year; balance-sheet items are period-end balances.

Balance sheet

Year-to-date · In mn (USD)

Total assets 352 mn Total liabilities 330 mn

Equity = assets − liabilities. Balance-sheet figures are period-end balances, not cumulative.

Cash flow

Year-to-date · In mn (USD)

Operating -20.9 mn Investing -5.61 mn Financing 22.6 mn

Positive = cash in, negative = cash out.

Profitability

Year-to-date · %

Gross margin 70.7% Operating margin -8.5% Net margin -19.7%

Gross, operating and net margin = the respective profit ÷ revenue.

Returns & leverage

Year-to-date · %

ROE -175.3% ROA -11.4% Debt ratio 93.9%

EPS

Year-to-date · US$

EPS US$-0.84

Revenue & profit

Annual · In mn (USD)

Revenue 211 mn Net income -51.1 mn

Annual = sum of four quarters of a complete fiscal year (incomplete years are omitted); balance-sheet items are year-end balances.

Show table：Income statement

Item	2018	2019	2020	2021	2022	2023	2024	2025
Revenue	61.2	89.6	84.7	127	162	165	166	211
Gross profit	36.1	54.9	52.5	85.4	107	107	110	146
Operating income	-23.9	-30.9	-27.9	-25.1	-39.7	-65.0	-50.0	-39.0
Net income	-21.1	-38.1	-38.1	-41.1	-75.2	-78.5	-84.6	-51.1

Balance sheet

Annual · In mn (USD)

Total assets 357 mn Total liabilities 334 mn

Equity = assets − liabilities. Balance-sheet figures are period-end balances, not cumulative.

Show table：Balance sheet

Item	2018	2019	2020	2021	2022	2023	2024	2025
Current assets	99.4	95.8	132	113	150	175	243	250
Total assets	117	117	156	140	211	269	347	357
Current liabilities	16.4	23.2	25.9	31.9	39.0	57.1	68.3	82.1
Total liabilities	47.1	76.9	81.4	88.8	219	250	294	334
Equity	69.5	39.6	75.0	50.7	-8.18	18.4	53.1	23.6

Cash flow

Annual · In mn (USD)

Operating -50.9 mn Investing -7.03 mn Financing 40.4 mn

Positive = cash in, negative = cash out.

Show table：Cash flow statement

Item	2018	2019	2020	2021	2022	2023	2024	2025
Operating	-33.9	-30.0	-12.5	-27.5	-52.2	-88.5	-58.5	-50.9
Investing	-5.73	-7.77	-5.56	-7.16	-34.8	-24.6	-15.6	-7.03
Financing	81.5	22.8	64.7	4.05	100	86.2	126	40.4
Cash at period end	52.6	37.7	84.5	53.4	66.4	40.0	90.3	75.6

Profitability

Annual · %

Gross margin 69.3% Operating margin -18.5% Net margin -24.2%

Gross, operating and net margin = the respective profit ÷ revenue.

Show table：Profitability

Item	2018	2019	2020	2021	2022	2023	2024	2025
Gross margin	59.0%	61.3%	62.0%	67.4%	65.9%	64.8%	66.0%	69.3%
Operating margin	-39.0%	-34.5%	-33.0%	-19.8%	-24.5%	-39.4%	-30.1%	-18.5%
Net margin	-34.5%	-42.6%	-45.0%	-32.5%	-46.5%	-47.5%	-51.0%	-24.2%

Returns & leverage

Annual · %

ROE -133.3% ROA -14.5% Debt ratio 93.4%

Show table：Returns & leverage

Item	2018	2019	2020	2021	2022	2023	2024	2025
ROE	-30.4%	-69.9%	-66.5%	-65.5%	-353.5%	-1537.8%	-236.7%	-133.3%
ROA	-18.1%	-32.7%	-27.9%	-27.8%	-42.9%	-32.7%	-27.5%	-14.5%
Debt ratio	40.4%	66.0%	52.1%	63.6%	103.9%	93.2%	84.7%	93.4%

EPS

Annual · US$

EPS US$-1.73

Show table：EPS

Item	2018	2019	2020	2021	2022	2023	2024	2025
EPS（US$）	—	—	—	-1.71	-3.07	-3.04	-2.99	-1.73

Source: SEC EDGAR (XBRL company facts)

Annual reports by year

	10-K
2025	Open full text →
2024	Open full text →
2023	Open full text →

10-K: annual report of a US domestic issuer. Filings are the original documents hosted on SEC EDGAR — this site neither mirrors nor edits them.

FAQ

Where can I read ESTABLISHMENT LABS HOLDINGS INC. (ESTA) annual reports?

Every year in the table above links straight to the full text on SEC EDGAR. US annual reports are web pages (HTML) rather than PDFs, so you can read and search them in the browser without downloading anything. 3 filings are currently indexed.

What is the difference between a 10-K and a 20-F?

A 10-K is the annual report of a US domestic issuer, with sections fixed by law: Item 1 Business, Item 1A Risk Factors, Item 7 Management's Discussion and Analysis. A 20-F is filed by foreign private issuers — Taiwanese companies with US ADRs, such as TSMC, file 20-F rather than 10-K. A 40-F applies to Canadian issuers under the MJDS.

Are earnings call materials available here?

No. Earnings calls are not SEC filings, so US pages on this site cover annual reports only. Taiwan has a mandatory investor-conference disclosure regime, and those materials are indexed under Annual Reports.

Source: US Securities and Exchange Commission (SEC) EDGAR. This site indexes public filings and links to them; it hosts no copies, offers no investment advice, and makes no warranty as to timeliness or completeness.
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