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Ross Mansbach

General Counsel and Chief Compliance Officer at ESTABLISHMENT LABS HOLDINGS
Executive

About Ross Mansbach

S. Ross Mansbach is General Counsel and Chief Compliance Officer at Establishment Labs, serving since August 2022; he is age 58, with a B.A. from Yale College and a J.D. from the University of Chicago . His background includes senior legal leadership at Avanos Medical and roles at Kimberly‑Clark and Bryan Cave (formerly Powell Goldstein) . Company performance context during his tenure: revenue was $161.7m (2022), $165.2m (2023), and $166.0m (2024), with total shareholder return (TSR) values of an initial $100 investment at $237 (2022), $94 (2023), and $167 (2024) versus peer TSR of $100 (2022), $106 (2023), and $105 (2024); net losses were $75.2m (2022), $78.5m (2023), and $84.6m (2024) .

Past Roles

OrganizationRoleYearsStrategic Impact
Avanos Medical, Inc.Senior Vice President; Interim General Counsel & Corporate Secretary; Vice President, Deputy General Counsel & Corporate SecretaryNov 2014–Mar 2022 Led legal, governance and compliance at a public medtech; supported corporate and regulatory matters
Kimberly‑Clark CorporationLegal Department rolesOver 10 years Supported global consumer products legal operations and compliance
Powell Goldstein Frazer & Murphy (Bryan Cave)PartnerEarlier career Corporate legal practice; foundational governance and transactions experience

External Roles

OrganizationRoleYearsNotes
None disclosedNo current public company directorships disclosed in proxy

Fixed Compensation

Metric202220232024
Salary ($)$127,436 $352,917 $358,761
Non‑equity Incentive Plan ($)$59,592 $106,500 $127,800
Stock Awards ($, grant‑date fair value)$0 $212,984 $266,246
Option Awards ($, grant‑date fair value)$1,292,243 $318,503 $265,100
All Other Compensation ($)$14,096 $50,341 $42,245
Total ($)$1,493,367 $1,041,245 $1,060,152
2024 Base Salary2024 Target Bonus2024 Bonus Paid
$355,000 $177,500 $127,800
2024 All Other Compensation ComponentsAmount ($)
Life insurance premiums$1,977
Health insurance premiums$36,394
Other$3,874
Total$42,245

Performance Compensation

Annual Incentive Metric (2024)WeightingTargetActualCorporate Performance FactorPayout (Mansbach)Vesting/Timing
Revenue35% Not disclosedNot disclosed65% $127,800 Annual cash bonus paid for 2024
Operating Expenses (OPEX)25% Not disclosedNot disclosed65% $127,800 Annual cash bonus paid for 2024
Year‑end Cash Balance25% Not disclosedNot disclosed65% $127,800 Annual cash bonus paid for 2024
Strategic Objectives (Board Discretion)15% Not disclosedNot disclosed65% $127,800 Annual cash bonus paid for 2024
2024 Plan‑Based Equity Awards (Grant 3/6/2024)RSUs (#)Options (#)Exercise Price ($/sh)Grant‑Date Fair Value ($)
S. Ross Mansbach5,406 7,691 $49.25 $266,246 (RSUs) ; $265,100 (Options)
Vesting25% per year over 4 years 25% per year over 4 years
2024 Stock Vesting and Option ExercisesShares/Value
RSUs vested (shares)715
RSUs vested (value)$35,214
Options exercised (shares/value)— / $0

Equity Ownership & Alignment

Beneficial Ownership (as of 3/31/2025)Shares% of SO
S. Ross Mansbach24,588 <1%
Outstanding Options (12/31/2024)Exercisable (#)Unexercisable (#)Exercise Price ($)Expiration
Grant 8/29/202217,398 17,398 $63.55 8/29/2032
Grant 3/6/20231,733 5,200 $74.47 3/6/2033
Grant 3/6/20247,691 $49.25 3/6/2034
Unvested RSUs (12/31/2024)Units (#)Market Value ($)
2023 grant2,145 $98,820
2024 grant5,406 $249,054
  • Stock ownership guidelines: CEO 6x salary; other executive officers 1x salary. Unvested time‑based RSUs count toward compliance; options do not. Deadline: later of Jan 1, 2027 or five years from appointment; executives must retain 25% of gross shares from equity awards until in compliance .
  • Anti‑pledging/hedging: Insiders may not pledge company stock, hold in margin accounts, or engage in hedging/derivative transactions; trading pre‑clearance and blackout windows apply .
  • Section 16(a) delinquency note: Three Form 4s (including annual performance grants for Mansbach, Chacón Quirós, Denhoy) filed late on March 19, 2024 .

Employment Terms

Scenario (as of 12/31/2024)Cash Severance ($)COBRA ($)Equity Acceleration ($)
Change in Control (no termination)$347,875
Termination without Cause or for Good Reason (non‑CIC)$394,050 $27,295
Termination without Cause or for Good Reason in connection with CIC (double‑trigger)$532,500 $36,394 $347,875
  • At‑will employment; no fixed term .
  • CIC treatment: 100% acceleration of outstanding equity upon termination within 12 months post‑CIC; performance awards deemed at 100% of target .
  • Severance structure: Non‑CIC severance equals 9 months of base salary and pro‑rated annual bonus; CIC severance equals 12 months of base salary and 100% of target bonus; equity fully accelerates on CIC termination .
  • Non‑compete: 12 months post‑termination; Non‑solicit: 2 years post‑termination .
  • Clawback policy: Applies to incentive compensation on financial restatements per SEC/Nasdaq rules .
  • No 280G/4999 tax gross‑ups; benefits may be cut back to avoid excise tax if optimal post‑tax outcome .

Investment Implications

  • Pay‑for‑performance alignment: Annual incentive tied to revenue, OPEX, year‑end cash, and strategic goals (65% corporate factor achieved in 2024), and long‑term mix of ~50% options and ~50% RSUs vesting over four years; this design ties compensation to operating discipline and shareholder value creation .
  • Retention and selling pressure: Significant unvested RSUs (7,551 units total) and substantial unexercisable options create ongoing retention incentives; no option exercises in 2024 and modest RSU vesting suggest limited near‑term selling pressure, reinforced by anti‑pledging policy and ownership guidelines .
  • Ownership alignment: Beneficial ownership is <1% (24,588 shares); compliance with 1x salary ownership guideline required by 2027/five years, with mandatory 25% retention of award shares until compliant—improving alignment over time .
  • Downside protections: Double‑trigger severance and full equity acceleration upon CIC termination increase retention and could signal elevated costs in a transaction; no tax gross‑ups reduces shareholder‑unfriendly optics .
  • Governance signals: High 2024 say‑on‑pay support (>91%) and independent compensation committee advised by Semler Brossy indicate program credibility; late Form 4s in March 2024 are a minor procedural flag without material risk .

Company Performance Context (Pay vs Performance)

Metric20202021202220232024
Total Shareholder Return – $100 initial investment$136 $244 $237 $94 $167
Peer Group TSR – $100 initial investment$130 $125 $100 $106 $105
Revenue ($000s)$84,676 $126,682 $161,700 $165,151 $166,025
Net Loss ($000s)$(38,121) $(41,139) $(75,209) $(78,502) $(84,596)

Note: NEO annual equity awards vest 25% per year over 4 years; options have 10‑year terms; annual incentive plan weights: 35% revenue, 25% OPEX, 25% year‑end cash, 15% strategic .

Compensation Committee Analysis

  • Committee members: Chair Edward Schutter; Members Ann Custin and Leslie Gillin; all independent .
  • Consultant: Semler Brossy engaged in late 2023 to evaluate executive and director programs; no conflicts noted .
  • Peer group used in 2024 includes Axonics, Silk Road Medical, STAAR Surgical, Inspire Medical Systems, among others; targeted total direct compensation around the 35th percentile of peers .

Say‑on‑Pay & Shareholder Feedback

  • 2024 say‑on‑pay approval: over 91% support, indicating shareholder endorsement of compensation design .

Employment Start and Tenure

  • Appointed General Counsel & Chief Compliance Officer effective August 29, 2022; prior biographical detail as above .

Investment Implications

  • Near‑term retention risk appears contained by multi‑year vesting and meaningful unexercisable options; anti‑pledging reduces misalignment risk .
  • Transaction scenario risk: Double‑trigger severance and full acceleration upon CIC termination add cost but align with market practice; no gross‑ups mitigate governance risk .
  • Performance orientation: 2024 payout below target and 65% corporate factor show incentive sensitivity to operating outcomes; TSR recovery in 2024 versus peers indicates improved equity value trajectory post‑2023, supportive of option‑heavy LTI structure .