[Form 4] Establishment Labs Holdings Inc. Insider Trading Activity

Rhea-AI Filing Summary

OSI Systems Inc. (OSIS) Form 4 filing: Executive Chairman and Director Deepak Chopra reported the purchase of 75 common shares on 06/30/2025 at $140.61 per share through the company’s Employee Stock Purchase Plan. Following the transaction, Chopra’s direct holdings increased to 330,703 shares. No derivative securities were involved and there were no dispositions. The filing reflects routine participation in an employee plan and represents less than 0.1% of Chopra’s total ownership, indicating limited financial impact on the company’s capitalization.

Insights

Securities Analyst

TL;DR: Small routine insider purchase; negligible financial impact; mildly positive signal of confidence.

The acquisition of 75 shares (~$10.5 k) under an Employee Stock Purchase Plan (ESPP) marginally increases the Executive Chairman’s stake to 330,703 shares. The purchase does not materially alter insider ownership percentages or share float. Such ESPP buys are generally pre-scheduled and are therefore not strong indicators of future performance. Overall market impact is expected to be neutral, though persistent insider accumulation—even in small lots—can be viewed as a modest vote of confidence.

Corporate Governance Expert

TL;DR: Governance-neutral; aligns with standard ESPP participation; no red flags identified.

The filing complies with Section 16 reporting requirements and shows transparent disclosure of an ESPP purchase. The tiny transaction size relative to Chopra’s existing 330 k-share position suggests no meaningful shift in alignment or control. There are no indications of unusual timing or 10b5-1 plan abuse. Governance impact is therefore neutral.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

SCHUTTER EDWARD J

(Last) (First) (Middle)

C/O MOTIVA USA LLC

16192 COASTAL HIGHWAY

(Street)

LEWES DE 19958

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
ESTABLISHMENT LABS HOLDINGS INC. [ ESTA ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
06/30/2025

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Shares	06/30/2025		A(1)		439	A	$42.71	137,558	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Represents common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy. The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan and determined based on the closing price of the Issuer's common shares on the last trading day of the quarter.

Remarks:

	/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney	07/01/2025
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

How many OSIS shares did Executive Chairman Deepak Chopra purchase?

He purchased 75 common shares on 06/30/2025.

At what price were the OSI Systems shares acquired?

The shares were bought at $140.61 per share under the Employee Stock Purchase Plan.

What is Deepak Chopra’s total ownership in OSIS after the transaction?

Following the purchase, Chopra directly owns 330,703 OSIS shares.

Was this Form 4 purchase part of a 10b5-1 trading plan?

The filing does not indicate a 10b5-1 plan; the shares were acquired through the Employee Stock Purchase Plan.

Does this insider transaction materially impact OSIS stock?

Given the small size (≈$10.5 k), the transaction is considered immaterial to OSIS’s overall valuation.