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Establishment Labs Reports Third-Quarter 2018 Financial Results

November 13, 2018

NEW YORK, Nov. 13, 2018 (GLOBE NEWSWIRE) -- Establishment Labs Holdings Inc. (NASDAQ: ESTA), a medical technology company focused on improving patient safety and aesthetic outcomes, initially in the breast aesthetics and reconstruction market, today announced its financial results for the third quarter ended September 30, 2018.

Business Highlights

-- Third-quarter 2018 revenue of $16.3 million, representing an increase of 122.4% year-over-year. -- Increase in revenue driven by the continued adoption of Motiva Implants® across addressable markets. -- Continued improvement in gross margins in the third quarter of 62.1%, an increase of 26.2% year-over-year. -- Launching a targeted expansion of direct sales in the fourth quarter in the United Kingdom, Germany and Spain to meet the growing demands in those markets.

“We are pleased to report a record quarterly performance, which was driven by the continued adoption of Motiva Implants® across our addressable markets,” said Juan José Chacón-Quirós, Founder and Chief Executive Officer of Establishment Labs. “While we remained focused on executing against our commercial strategy during the quarter, we continued to take important steps to position ourselves for long-term, sustainable growth. We invested in direct sales forces in Europe, enhanced our infrastructure and manufacturing facilities, and continued key clinical and R&D programs, which will allow us to continue to bring differentiated products to market.”

Third-Quarter 2018 and Year-to-Date Financial Results

Revenues increased $9.0 million, or 122.4%, to $16.3 million for the three months ended September 30, 2018, as compared to $7.3 million for the three months ended September 30, 2017. Revenues for the nine months ended September 30, 2018 increased $21.9 million, or 95.9%, to $44.8 million, as compared to $22.9 million for the nine months ended September 30, 2017. The increase in revenue in the third quarter was driven by the increased sales of Motiva Implants®, expansion of the Company’s direct sales force across key markets, and the continued strong performance of our distributors worldwide.

Gross profit for the third quarter of 2018 was $10.1 million, or 62.1% of revenues, compared to gross profit of $3.6 million, or 49.2% of revenues, in the same period in 2017. Gross profit for the nine months ended September 30, 2018 was $26.2 million, or 58.6% of revenues, as compared to gross profit of $11.1 million, or 48.7% of revenues, in the same period in 2017.

The increase in gross margin was primarily due to an increase in production volume, improved production efficiencies and the addition of direct market revenues with generally higher average selling prices.

Total operating expenses for the third quarter of 2018 were $16.2 million, compared to operating expenses of $9.6 million in the same period in 2017. Sales, general and administrative expenses increased $4.8 million, or 59.5%, to $13.0 million due to the hiring of additional sales and administrative employees, an increase in consulting and audit fees and an increase in stock compensation expense.

Research and development expenses increased $1.7 million, or 121.0%, to $3.2 million due to investments related to the Company’s FDA clinical trial in the United States and enhancing the Company’s product pipeline and infrastructure.

Total operating expenses for the nine months ended September 30, 2018 were $41.5 million, compared to operating expenses of $26.5 million in the same period in 2017. While this reflects a 56.4% year over year increase, it is not attributable to our direct sales force transitions.

Net income for the third quarter was $1.3 million up from net loss of $10.7 million in the same period in 2017, while net losses for the nine months ended September 30, 2018 decreased to $10.6 million from $27.8 million in the same period in 2017. The significant decrease in net losses is due to change in fair value of derivatives related to the fair value of Madryn derivatives embedded in the credit agreement we entered into in August 2017.

The Company’s cash balance as of September 30, 2018 was $65.6 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 dial-in number to access the call is U.S./Canada (877) 376-9925, International (629) 228-0732, and the conference ID is 5096498. A live webcast of the conference call will be available on the Investor Relations section of the Company’s website at www.establishmentlabs.com.

A replay of the call will be available starting on November 13, 2018 at 11:30 a.m. Eastern Time, through December 12, 2018 at 11:59 p.m. Eastern Time. To access the replay, dial (855) 859-2056 for domestic callers and (404) 537-3406 for international callers and use the replay conference ID 5096498. The webcast will be available on the Investor Relations section of the Company’s website for 30 days following the completion of the call.

About Establishment Labs

Establishment Labs Holdings Inc. (NASDAQ: ESTA) is a global medical technology company focused on improving patient safety and aesthetic outcomes, 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 sold in over 60 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, Puregraft and MotivaImage® Centers. Please visit the website for additional information: https://establishmentlabs.com/.

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 Form S-1, 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.

ESTABLISHMENT LABS HOLDINGS INC.

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

Three Months Ended Nine Months Ended September 30, September 30, 2018 2017 2018 2017 ---------- ----------- ----------- ----------- Revenue $ 16,286 $ 7,324 $ 44,811 $ 22,870 Cost of revenue 6,173 3,720 18,566 11,731 -------- - --------- - --------- - --------- - Gross profit 10,113 3,604 26,245 11,139 -------- - --------- - --------- - --------- - Operating expenses: Sales, general and administrative 12,985 8,139 32,462 22,114 Research and development 3,174 1,436 9,026 4,420 -------- - --------- - --------- - --------- - Total operating expenses 16,159 9,575 41,488 26,534 -------- - --------- - --------- - --------- - Loss from operations (6,046 ) (5,971 ) (15,243 ) (15,395 ) Interest income 5 3 9 9 Interest expense (2,204 ) (6,691 ) (6,548 ) (8,632 ) Change in fair value of derivative instruments 11,420 2,095 15,945 (2,104 ) Change in fair value of contingent consideration (694 ) — (1,446 ) — Initial public offering expenses — — — (1,585 ) Other income (expense), net (1,274 ) (79 ) (3,238 ) (21 ) -------- - --------- - --------- - --------- - Income (loss) before income taxes 1,207 (10,643 ) (10,521 ) (27,728 ) Benefit (provision) for income taxes 99 (31 ) (63 ) (36 ) -------- - --------- - --------- - --------- - Net income (loss) $ 1,306 $ (10,674 ) $ (10,584 ) $ (27,764 ) - ------ - - ------- - - ------- - - ------- - Basic net income (loss) per share $ 0.07 $ (1.21 ) $ (0.66 ) $ (3.15 ) - ------ - - ------- - - ------- - - ------- - Diluted net income (loss) per share 0.06 (1.21 ) (0.66 ) (3.15 ) -------- - --------- - --------- - --------- - Weighted average outstanding shares used for basic net 19,152,99 8,824,807 16,146,675 8,824,807 income (loss) per share 5 -------- - --------- - --------- - --------- - Weighted average outstanding shares used for diluted net 20,123,29 8,824.807 16,146.675 8,824.807 income (loss) per share 7 -------------------------------------------------------- ---------- ----------- ----------- -----------

ESTABLISHMENT LABS HOLDINGS INC.

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

September 30, December 2018 31, 2017 ------------- ---------- Assets Current assets: Cash $ 65,577 $ 10,864 Accounts receivable, net of allowance for doubtful accounts of $1,488 and $1,512 18,248 13,108 Inventory 15,365 13,173 Prepaid expenses and other current assets 5,597 2,237 --------- --- -------- - Total current assets 104,787 39,382 Long-term assets: Property and equipment, net of accumulated depreciation of $4,637 and $3,179 12,892 13,500 Goodwill 465 465 Intangible assets, net of accumulated amortization of $1,038 and $573 2,970 3,401 Restricted cash 75 75 Other non-current assets 283 272 --------- --- -------- - Total assets $ 121,472 $ 57,095 - ------- --- - ------ - Liabilities and shareholders’ equity (deficit) Current liabilities: Accounts payable $ 5,492 $ 9,131 Accrued liabilities 5,861 2,326 Notes payable related party, including accrued interest — 4,921 Note payable, Madryn, net of debt discount and issuance costs — 19,167 Madryn put option — 20,302 Madryn call option — 360 Other liabilities, short term 3,498 1,228 --------- --- -------- - Total current liabilities 14,851 57,435 Long-term liabilities: Note payable, Madryn, net of debt discount and issuance costs 21,486 — Madryn put option 4,717 — Other liabilities, long term 3,431 4,673 --------- --- -------- - Total liabilities 44,485 62,108 Shareholders’ equity (deficit): Total shareholders’ equity (deficit) 76,987 (5,013 ) --------- --- Total liabilities and shareholders’ equity (deficit) $ 121,472 $ 57,095 -------------------------------------------------------------------------------- ------------- ----------

Investor Relations ContactKaitlyn Rawlett Weber Shandwick krawlett@webershandwick.com

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