Establishment Labs Holdings Inc. (ESTA) vs Inspire Medical Systems, Inc. (INSP)

Establishment Labs Holdings Inc. and Inspire Medical Systems, Inc. are both Medical Devices companies. Establishment Labs Holdings Inc. and Inspire Medical Systems, Inc. are of similar size ($2.0B and $2.0B). Establishment Labs Holdings Inc. has negative trailing earnings, so its P/E is not meaningful; Inspire Medical Systems, Inc. trades at 15.1×. Establishment Labs Holdings Inc. grew revenue faster over the last twelve months: 38.6% against 4.35%. Inspire Medical Systems, Inc. has the higher net margin (15.0% vs −15.8%) and the higher return on invested capital (6.70% vs −5.53%). Across the 18 metrics below, Inspire Medical Systems, Inc. leads on 16 and Establishment Labs Holdings Inc. on 2.

Valuation

Metric ESTA INSP Medical Devices median
P/E n/m 15.13 22.18
P/S 8.08 2.26 2.70
P/B 91.97 2.46 2.46
Price to free cash flow n/m 17.36 22.53
EV/EBITDA n/m 24.81 11.78
EV/Sales 8.86 1.93 2.38
Earnings yield (1.99%) 6.61% (8.22%)
Free cash flow yield (2.09%) 5.76% (7.80%)

Profitability

Metric ESTA INSP Medical Devices median
Gross margin 70.49% 86.13% 56.01%
Operating margin (7.63%) 6.02% (15.03%)
Net margin (15.82%) 15.03% (20.40%)
Free cash flow margin (16.90%) 13.03% (7.24%)
Return on equity (175.30%) 17.96% (15.32%)
Return on assets (11.41%) 15.63% (19.72%)
Return on invested capital (5.53%) 6.70% (10.33%)

Growth

Metric ESTA INSP Medical Devices median
Revenue growth (TTM) 38.55% 4.35% 8.80%
EPS growth (last fiscal year) 42.67% 179.43% —
Revenue growth, 5-year CAGR 20.04% 51.21% 15.23%
Net income growth, 5-year CAGR 0.00% 0.00% 0.00%

Health

Metric ESTA INSP Medical Devices median
Debt to equity 12.11 0.00 0.07
Current ratio 3.84 8.55 2.50
Net debt to EBITDA (6.03) (4.97) 0.49

Dividend

Metric ESTA INSP Medical Devices median
Dividend yield — — 0.94%
Payout ratio 0.00 0.00 0.00

Size

Metric ESTA INSP Medical Devices median
Market cap 1.95b 1.96b 172.91m

Compare with another peer

Any metric, up to five companies and an Excel export Powerpack