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Establishment Labs (NASDAQ: ESTA) amends $300M Oaktree term loan

Filing Impact
(Very High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Establishment Labs Holdings Inc. entered into an amended credit agreement with Oaktree-affiliated lenders providing term loans of up to $300,000,000. The facility includes a $265,000,000 Tranche E funded at closing and a Tranche F of up to $35,000,000 available upon mutual consent.

About $259,000,000 from Tranche E will repay all obligations under the prior credit agreement and related costs, with remaining proceeds for working capital and general corporate purposes. The term loans bear interest at 8.75% per annum with partial payment-in-kind options in the first year, mature on April 30, 2031, carry a 1% original issue discount and a 1% exit fee on repayments, and are subject to prepayment premiums in the first three years.

Positive

  • None.

Negative

  • None.

Insights

Company refinances debt with a long-dated $300M term loan that adds covenants and structured prepayment costs.

Establishment Labs arranged term loans of up to $300,000,000, with $265,000,000 funded at closing and most proceeds—about $259,000,000—used to retire the prior facility. This is effectively a refinancing with potential incremental liquidity.

The loans carry a relatively high cash interest rate of 8.75% per annum, partially deferrable as payment-in-kind before the first anniversary, plus a 1% original issue discount and 1% exit fee on repayments. Early prepayments face yield protection premiums that decline after the second and third anniversaries.

The agreement adds financial covenants, including minimum liquidity of at least $30,000,000 and minimum gross sales thresholds by quarter, with an equity cure right for sales shortfalls. Overall, this reshapes the company’s debt profile and embeds tighter operating and reporting disciplines.

Item 1.01 Entry into a Material Definitive Agreement Business
The company signed a significant contract such as a merger agreement, credit facility, or major partnership.
Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement Financial
The company incurred a new significant debt or off-balance-sheet obligation.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Total term loan capacity $300,000,000 Aggregate principal amount of term loans under amended credit agreement
Tranche E funded amount $265,000,000 Advanced on April 30, 2026 Closing Date
Tranche F potential amount $35,000,000 Additional term loan available upon mutual consent
Refinancing use of proceeds $259,000,000 Used to repay all outstanding obligations under Prior Credit Agreement and transaction costs
Interest rate 8.75% per annum Base cash interest on term loans, with PIK options in first year
Minimum liquidity covenant $30,000,000 Required minimum liquidity under financial covenants
Original issue discount 1% of principal OID applied on each tranche when drawn
Exit fee on repayments 1% of principal repaid Payable upon any payment or prepayment of term loans
Term Loans financial
"the Lenders agreed to make term loans to the Company in an aggregate principal amount of up to $300,000,000 (the “Term Loans”)"
Term loans are long-term bank or lender loans with a set repayment schedule and fixed end date, similar to a mortgage or car loan for a business. They matter to investors because they create predictable interest payments and principal obligations that affect a company’s cash flow, credit risk and capacity to fund growth or return money to shareholders; heavier or expensive term loans can raise default risk and reduce future flexibility.
original issue discount financial
"Each of the Term Loans will be subject to original issue discount of 1% of the principal amount thereof"
Original issue discount (OID) is the difference between a debt security’s face value and the lower price at which it is first sold, treated as additional interest that accrues over the life of the instrument. For investors it matters because OID raises the effective yield and changes taxable income and the holding’s cost basis over time — think of buying a $100 voucher for $90 and recognizing the $10 gain as earned interest as the voucher approaches maturity.
yield protection premium financial
"Prepayments of the Terms Loans on or prior to the second anniversary ... will be accompanied by a yield protection premium"
gross leverage ratio financial
"the applicable interest rate will step down by 0.25% upon the Company’s achieving a gross leverage ratio of less than 4.0 to 1.0"
Gross leverage ratio measures how much debt a company carries compared with its size, using total debt before subtracting cash or other offsets; it is reported against a size metric such as assets, equity or earnings depending on context. Investors use it to gauge how heavily leveraged a business is and how vulnerable it might be to shocks—like comparing a household’s total mortgage and loans to its income or house value to see how comfortably it could pay bills or withstand a lost paycheck.
equity cure right financial
"The Credit Agreement provides for a customary equity cure right in the event the Company fails to comply with the minimum gross sales covenant"
minimum liquidity financial
"The Credit Agreement contains financial covenants requiring (a) the Company to maintain minimum liquidity of at least $30,000,000"
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
April 30, 2026
Date of Report (date of earliest event reported)
Establishment Labs Holdings Inc.
(Exact name of registrant as specified in its charter)
British Virgin Islands001-38593
98-1436377
(State or other jurisdiction of
incorporation or organization)
(Commission File No.)
(I.R.S. Employer
Identification Number)
11401 Century Oaks Terrace
Suite 400
Austin, Texas 78758
(Address of principal executive offices) (Zip Code)
+1 800 924-5072
(Registrant’s telephone number, including area code)
Building B23 and B25
Coyol Free Zone
Alajuela
Costa Rica
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading symbolName of each exchange on which registered
Common Shares, No Par ValueESTA
The Nasdaq Capital Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2) of this chapter.
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐



Item 1.01 Entry into a Material Definitive Agreement.
On April 30, 2026 (the “Closing Date”), Establishment Labs Holdings Inc. (the “Company”) entered into an Amended Credit Agreement and Guaranty (the “Credit Agreement”) together with certain of its subsidiaries party thereto as guarantors, the lenders from time to time party thereto (the “Lenders”), and Oaktree Fund Administration, LLC, as administrative agent for the Lenders (in such capacity, the “Administrative Agent”), pursuant to which the Lenders agreed to make term loans to the Company in an aggregate principal amount of up to $300,000,000 (the “Term Loans”). The Credit Agreement amended and restated that certain Credit Agreement and Guaranty dated as of April, 26 2022 (as amended from time to time) (the “Prior Credit Agreement”), by and among the Company, its subsidiaries party thereto as guarantors, the lenders party thereto and Oaktree Fund Administration, LLC, as administrative agent. The proceeds of the Term Loans will be used for (a) repayment of outstanding indebtedness under the Prior Credit Agreement, and (b) other working capital and general corporate purposes, including the payment of fees and expenses associated with the Credit Agreement.
Pursuant to the terms of the Credit Agreement, the Term Loans will be advanced in two tranches. The first tranche (the “Tranche E Term Loan”) will be advanced in the amount of $265,000,000 on the Closing Date. The second tranche (the “Tranche F Term Loan”) in an amount up to $35,000,000 will be advanced upon the mutual consent of Lenders and the Company. The Term Loans will mature on April 30, 2031 (the “Maturity Date”). Approximately $259 million of the proceeds from the Tranche E Term Loan will be used to repay in full all outstanding obligations under the Prior Credit Agreement and transaction costs in connection with the Term Loans.
The Term Loans accrue interest at a rate equal to 8.75% per annum, subject to certain conditions. Accrued interest is due and payable in cash on the last business day of March, June, September, and December of each year, commencing on the first such date to occur after the Closing Date; provided, however, that prior to the first anniversary of the Closing Date, the Company may pay an amount of interest on the outstanding Term Loans corresponding to 25, 50, 75 or 100% of the interest rate in kind, subject to prior written notice delivered to the Administrative Agent. If the Company elects to pay up to 50% of the interest rate in kind for any period, the Company will incur a step-up of 0.375% for such period, which shall be payable in cash, and if the Company elects to pay more than 50% of the interest rate in kind for any period, the Company will incur a step-up of 0.500% for such period, which shall be payable in cash. Further, the applicable interest rate will step down by 0.25% upon the Company’s achieving a gross leverage ratio of less than 4.0 to 1.0.
Each of the Term Loans will be subject to original issue discount of 1% of the principal amount thereof upon the drawing of each applicable tranche. Upon any payment or prepayment in full or in part of the Term Loans, whether voluntary or involuntary, the Company is required to pay an exit fee equal to 1% of the principal amount of the Term Loan paid (the “Exit Fee”).
The Company may elect to prepay all or any portion of the amounts owed prior to the Maturity Date, provided that the Company provides notice to the Administrative Agent, the amount is not less than $5,000,000, and the amount is accompanied by all accrued and unpaid interest thereon through the date of prepayment, plus the applicable yield protection premium and the applicable Exit Fee.
Prepayments of the Terms Loans on or prior to the second anniversary of the funding date thereof will be accompanied by a yield protection premium equal to the present value of all interest that would have accrued on the principal amount prepaid through such date (discounted at the Treasury Rate plus 50 basis points), plus 2% of the principal amount so prepaid. Prepayments of the Term Loans after the second anniversary of the funding date thereof but on or prior to the third anniversary of such date will be accompanied by a yield protection premium equal to 2% of the principal amount so prepaid. No yield protection premium will be required for prepayments of the Term Loans made after the third anniversary of the funding date thereof.
Pursuant to the Credit Agreement, the obligations of the Company are guaranteed by its subsidiaries that are party thereto as guarantors.
The Credit Agreement contains customary affirmative and restrictive covenants and representations and warranties. The Company and its subsidiaries are bound by certain affirmative covenants setting forth actions that are required



during the term of the Credit Agreement, including, without limitation, certain information delivery requirements, obligations to maintain certain insurance, and certain notice requirements. Additionally, the Company and its subsidiaries are bound by certain restrictive covenants setting forth actions that are not permitted to be taken during the term of the Credit Agreement without prior written consent, including, without limitation, incurring certain additional indebtedness, consummating certain mergers, acquisitions or other business combination transactions, or incurring any non- permitted lien or other encumbrance on the assets of the Company or any of its subsidiaries. The Credit Agreement also contains other customary provisions, such as confidentiality obligations and indemnification rights for the benefit of Lenders. The Credit Agreement contains financial covenants requiring (a) the Company to maintain minimum liquidity of at least $30,000,000 and (b) minimum gross sales of the Company and its subsidiaries for each consecutive 12-month period ending on the last day of each fiscal quarter in excess of an amount set forth in the Credit Agreement for such period. The Credit Agreement provides for a customary equity cure right in the event the Company fails to comply with the minimum gross sales covenant.
The foregoing description of the Credit Agreement is qualified in its entirety by reference to the Credit Agreement, which is filed as Exhibit 10.1 to this Current Report on Form 8-K.

Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant.
The information contained in Item 1.01 of this Current Report on Form 8-K with respect to the Credit Agreement is incorporated herein by reference.

Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
Exhibit No.Description
10.1
Credit Agreement and Guaranty, dated as of April 30, 2026, by and among Establishment Labs Holdings Inc., its subsidiaries party thereto as guarantors, the lenders from time to time party thereto, and Oaktree Fund Administration, LLC, as administrative agent for the lenders.
104Cover Page Interactive Data File (embedded within the Inline XBRL document).






SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
ESTABLISHMENT LABS HOLDINGS INC.
Dated:
April 30, 2026
By:
/s/ Cassandra "Sandra" Harris
Name:
Cassandra "Sandra" Harris
Title:
Chief Financial Officer

FAQ

What is the size of Establishment Labs (ESTA) new term loan facility?

Establishment Labs arranged term loans of up to $300,000,000. The facility includes a $265,000,000 Tranche E funded at closing and a Tranche F of up to $35,000,000, which may be drawn later upon mutual consent of the lenders and the company.

How will Establishment Labs use the proceeds from the new credit agreement?

The company plans to use about $259,000,000 from Tranche E to fully repay obligations under its prior credit agreement and related transaction costs. Any remaining proceeds are earmarked for working capital and general corporate purposes, including fees and expenses tied to the new facility.

What are the key interest and fee terms on Establishment Labs’ new term loans?

The term loans bear interest at 8.75% per annum, with options to pay part in kind before the first anniversary. They include a 1% original issue discount, a 1% exit fee on repayments, and prepayment premiums that are highest in the first two years, then decline.

When do Establishment Labs’ new term loans mature?

The term loans mature on April 30, 2031. This long-dated maturity gives the company several years of committed financing under the amended agreement, subject to ongoing compliance with financial and other covenants defined in the credit documentation with the Oaktree-led lender group.

What financial covenants apply under Establishment Labs’ amended credit agreement?

The agreement requires the company to maintain minimum liquidity of at least $30,000,000 and meet specified minimum gross sales levels for each rolling 12‑month period by quarter. A customary equity cure right is available if the company does not satisfy the minimum gross sales covenant.

Can Establishment Labs prepay the new term loans before maturity?

The company may prepay all or part of the loans before maturity, in amounts of at least $5,000,000, plus accrued interest, exit fee, and any yield protection premium. Prepayment premiums are higher if repayment occurs within the first three years after funding.

Filing Exhibits & Attachments

5 documents