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    Establishment Labs Holdings Inc. filed SEC Form 8-K: Changes in Registrant's Certifying Accountant, Other Events, Financial Statements and Exhibits

    5/22/25 5:10:52 PM ET
    $ESTA
    Industrial Specialties
    Health Care
    Get the next $ESTA alert in real time by email
    esta-20250520
    Building B15 and 25Coyol Free ZoneAlajuelaCosta RicaNasdaq5062434 24000001688757false00016887572025-05-202025-05-20

    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
    May 20, 2025
    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)
    Building B15 and 25
    Coyol Free Zone
    Alajuela
    Costa Rica
    (Address of principal executive offices) (Zip Code)
    +506 2434 2400
    (Registrant’s telephone number, including area code)
    N/A
    (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 4.01 Changes in Registrant’s Certifying Accountant.
    (a) Resignation of Independent Registered Public Accounting Firm
    On November 1, 2024, CBIZ CPAs P.C. (“CBIZ”) acquired the attest business of Marcum LLP (“Marcum”), and substantially all of the partners and staff that provided attestation services with Marcum joined CBIZ in connection with the acquisition. Accordingly, on May 20, 2025, as a result of the acquisition, Marcum resigned as the independent registered public accounting firm of Establishment Labs Holdings, Inc. (the “Company”) and, on the same day, the Audit Committee of the Company’s Board of Directors (the “Audit Committee”) approved the appointment of CBIZ as the Company’s independent registered public accounting firm.
    The audit reports of Marcum on the Company’s consolidated financial statements for the years ended December 31, 2024, and December 31, 2023, did not contain an adverse opinion or a disclaimer of opinion, and were not qualified or modified as to uncertainty, audit scope, or accounting principles.
    During the fiscal years ended December 31, 2024, and December 31, 2023, and the subsequent interim period through May 20, 2025, there were (i) no “disagreements” (as defined in Item 304(a)(1)(iv) of Regulation S-K and the related instructions to Item 304 of Regulation S-K) between the Company and Marcum on any matter of accounting principles or practices, financial statement disclosure, or auditing scope or procedure, which disagreements, if not resolved to the satisfaction of Marcum, would have caused Marcum to make reference to the subject matter of the disagreements in connection with its reports on the Company’s consolidated financial statements for such years and (ii) no “reportable events” (as defined in Item 304(a)(1)(v) of Regulation S-K) other than a material weakness in internal controls over information technology general controls for the fiscal year ended December 31, 2023, as disclosed in Part II, Item 9A of the Company’s Annual Report on Form 10-K for the year ended December 31, 2023.
    The Company provided Marcum with a copy of the above disclosures and requested that Marcum furnish the Company with a letter addressed to the Securities and Exchange Commission stating whether it agrees with the statements made above and, if it does not agree, the respects in which it does not agree. A copy of Marcum’s letter, dated May 21, 2025, is attached as Exhibit 99.1 to this Current Report on Form 8-K.
    (b) Approval of New Independent Registered Public Accounting Firm
    On May 20, 2025, the Audit Committee approved the appointment of CBIZ as the Company’s independent registered public accounting firm for the fiscal year ending December 31, 2025. In connection with the engagement, CBIZ will prepare the report on the Company’s consolidated financial statements for the fiscal year ending December 31, 2025. During the fiscal years ended December 31, 2024, and December 31, 2023, and the subsequent interim period through May 20, 2025, neither the Company nor anyone on its behalf has consulted with CBIZ regarding (i) the application of accounting principles to a specific completed or contemplated transaction or regarding the type of audit opinions that might be rendered by CBIZ on the Company’s consolidated financial statements, and neither a written report nor oral advice was provided by CBIZ to the Company that CBIZ concluded was an important factor considered by the Company in reaching a decision as to any accounting, auditing, or financial reporting issue, or (ii) any matter that was either the subject of a “disagreement” (as defined in Item 304(a)(1)(iv) of Regulation S-K and the related instructions to Item 304 of Regulation S-K) or a “reportable event” (as defined in Item 304(a)(1)(v) of Regulation S-K).

    Item 8.01 Other Information.
    In connection with the appointment of CBIZ as the Company’s independent registered public accounting firm for the fiscal year ending December 31, 2025 as disclosed in Item 4.01 above, on May 21, 2025 the Company filed a proxy supplement for its 2025 annual meeting of stockholders to be held on May 23, 2025 to amend and replace in the proxy statement that was originally filed on April 10, 2025 (the “Definitive Proxy Statement”) the name of the independent registered public accounting firm in Proposal No. 2 to the Definitive Proxy Statement (seeking ratification of the Company’s independent registered public accounting firm) and in the sample proxy card included in the Definitive Proxy Statement.




    Item 9.01 Financial Statements and Exhibits.
    (d) Exhibits
    Exhibit No.Description
    99.1
    Letter from Marcum LLP to the Securities and Exchange Commission, dated May 21, 2025.
    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:
    May 22, 2025
    By:
    /s/ Rajbir S. Denhoy
    Name:
    Rajbir S. Denhoy
    Title:
    Chief Financial Officer

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