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AxoGen, Inc. (AXGN) vs Establishment Labs Holdings Inc. (ESTA)

AxoGen, Inc. and Establishment Labs Holdings Inc. are both Medical Devices companies. AxoGen, Inc. is the larger, with a market value of $2.9B against $1.9B — 1.5× the size. Establishment Labs Holdings Inc. grew revenue faster over the last twelve months: 38.6% against 24.3%. AxoGen, Inc. has the higher net margin (−12.0% vs −15.8%) and the higher return on invested capital (−5.27% vs −5.53%). Across the 18 metrics below, AxoGen, Inc. leads on 12 and Establishment Labs Holdings Inc. on 6.

Valuation

Metric AXGN ESTA Medical Devices median
P/E n/m n/m 25.58
P/S 10.08 7.87 2.54
P/B 5.43 89.57 2.48
Price to free cash flow 134.44 n/m 28.81
EV/EBITDA n/m n/m 11.51
EV/Sales 8.85 8.73 2.72
Earnings yield (1.33%) (2.04%) (12.82%)
Free cash flow yield 0.74% (2.15%) (8.18%)

Profitability

Metric AXGN ESTA Medical Devices median
Gross margin 74.18% 70.49% 57.76%
Operating margin (5.17%) (7.63%) (15.07%)
Net margin (11.96%) (15.82%) (14.45%)
Free cash flow margin 7.50% (16.90%) (3.88%)
Return on equity (10.35%) (175.30%) (10.35%)
Return on assets (8.33%) (11.41%) (17.26%)
Return on invested capital (5.27%) (5.53%) (5.27%)

Growth

Metric AXGN ESTA Medical Devices median
Revenue growth (TTM) 24.32% 38.55% 10.41%
EPS growth (last fiscal year) (47.83%) 42.67% 28.17%
Revenue growth, 5-year CAGR 14.93% 20.04% 15.74%
Net income growth, 5-year CAGR 0.00% 0.00% 0.00%

Health

Metric AXGN ESTA Medical Devices median
Debt to equity 0.04 12.11 0.04
Current ratio 12.02 3.84 2.74
Net debt to EBITDA 14.26 (6.03) 0.54

Dividend

Metric AXGN ESTA Medical Devices median
Dividend yield — — 1.02%
Payout ratio — — 0.37

Size

Metric AXGN ESTA Medical Devices median
Market cap 2.91b 1.92b 239.53m

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