Breaking Down Establishment Labs Holdings Inc. (ESTA) Financial Health: Key Insights for Investors

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Understanding Establishment Labs Holdings Inc. (ESTA) Revenue Streams

Understanding Establishment Labs Holdings Inc.’s Revenue Streams

Establishment Labs Holdings Inc. generates revenue primarily from the sale of medical devices, specifically breast implants and related products. The company has a growing presence in the global market, with significant revenue contributions from various regions.

Revenue Breakdown by Source

The company's revenue streams can be categorized as follows:

  • Product Sales: The majority of revenue is derived from the sale of breast implants and related surgical products.
  • Service Revenue: Includes training and support services provided to healthcare professionals.
  • Geographical Segments: Revenue is generated from North America, Europe, Latin America, and other regions.

Year-over-Year Revenue Growth Rate

The company's revenue for the third quarter of 2024 was $40.2 million, representing an increase from $38.5 million in the third quarter of 2023. This marks a year-over-year growth rate of approximately 4.4%.

For the nine months ended September 30, 2024, total revenue was $121.5 million, down from $133.6 million for the same period in 2023, indicating a decrease of approximately 9.0%.

Contribution of Different Business Segments to Overall Revenue

The contribution of various business segments to the overall revenue for the nine months ended September 30, 2024, is detailed below:

Segment Revenue (in millions) Percentage of Total Revenue
Product Sales $115.0 94.7%
Service Revenue $6.5 5.3%

Analysis of Significant Changes in Revenue Streams

In 2024, the company faced challenges due to market conditions, particularly in Latin America, which affected overall sales. However, the introduction of new products and the expansion in the U.S. market are expected to drive future growth.

The gross profit for the third quarter of 2024 was $25.7 million, with a gross profit margin of 63.9%, down from 67.7% in the prior year. This decline is attributed to changes in geographic mix and foreign currency fluctuations.

Overall, the revenue performance reflects a mix of growth in certain markets while experiencing declines in others, influenced by both external economic factors and internal strategic decisions.




A Deep Dive into Establishment Labs Holdings Inc. (ESTA) Profitability

Profitability Metrics

Gross Profit: For the third quarter of 2024, the gross profit was $25.7 million, representing a gross margin of 63.9% of revenue. In comparison, for the same quarter in 2023, the gross profit was $26.1 million with a margin of 67.7%. Over the nine months ended September 30, 2024, the gross profit totaled $79.0 million, compared to $86.4 million in 2023.

Operating Profit: The loss from operations for Q3 2024 was $(13.1) million, a significant improvement compared to a loss of $(21.0) million in Q3 2023. For the nine months ended September 30, 2024, the loss from operations was $(31.3) million, down from $(42.9) million in the prior year.

Net Profit Margin: The net loss for Q3 2024 was $(16.7) million, compared to $(29.3) million in Q3 2023, leading to a basic and diluted net loss per share of $(0.59) versus $(1.12) in the previous year. For the nine months ended September 30, 2024, the net loss was $(50.1) million, compared to $(58.0) million in 2023.

Trends in Profitability Over Time

The trend in profitability metrics indicates a gradual improvement in operational efficiency. The gross profit margin has decreased primarily due to geographic mix and changes in foreign currency exchange rates. However, operating losses have narrowed significantly year over year.

Comparison of Profitability Ratios with Industry Averages

As of Q3 2024, the gross profit margin of 63.9% is competitive within the medical technology sector, where average gross margins typically range from 60% to 70%. The net loss per share of $(0.59) reflects ongoing challenges, but the reduction in losses indicates a potential turnaround relative to industry peers facing similar pressures.

Analysis of Operational Efficiency

Operational efficiency has improved due to cost management initiatives. Total operating expenses for Q3 2024 were $38.9 million, down from $47.1 million in Q3 2023. Sales, general, and administrative expenses decreased to $34.1 million from $40.0 million, while research and development expenses fell to $4.8 million from $7.1 million.

Metric Q3 2024 Q3 2023 9M 2024 9M 2023
Gross Profit $25.7 million $26.1 million $79.0 million $86.4 million
Gross Margin 63.9% 67.7% N/A N/A
Operating Loss $(13.1) million $(21.0) million $(31.3) million $(42.9) million
Net Loss $(16.7) million $(29.3) million $(50.1) million $(58.0) million
Net Loss per Share $(0.59) $(1.12) $(1.80) $(2.28)



Debt vs. Equity: How Establishment Labs Holdings Inc. (ESTA) Finances Its Growth

Debt vs. Equity: How Establishment Labs Holdings Inc. Finances Its Growth

Long-term debt as of September 30, 2024, is reported at $194.36 million, while short-term liabilities amount to $50.5 million.

The debt-to-equity ratio stands at 7.43, indicating a high reliance on debt compared to equity, which is significantly above the industry average of approximately 1.0.

In terms of recent debt activity, the company amended its Oaktree credit facility to extend the availability of $25 million Tranche D to December 31, 2025. Additionally, the company raised $50 million through a registered direct offering priced at a 5% discount to the trading close on November 7, 2024.

As of the latest financial reports, the company maintains a cash balance of $39.7 million, with a pro forma cash balance of approximately $114 million after recent funding activities.

Financial Metric Amount (in millions)
Long-term Debt $194.36
Short-term Liabilities $50.50
Debt-to-Equity Ratio 7.43
Pro forma Cash Balance $114.00
Cash Balance (September 30, 2024) $39.70
Recent Debt Issuance $50.00 (registered direct offering)

The company relies on a combination of debt financing and equity funding to support its growth initiatives, balancing the high cost of debt with the need for equity to reduce leverage over time.




Assessing Establishment Labs Holdings Inc. (ESTA) Liquidity

Assessing Establishment Labs Holdings Inc. Liquidity

Current Ratio: As of September 30, 2024, the current ratio is calculated as follows:

Current Assets (in thousands) Current Liabilities (in thousands) Current Ratio
$182,953 $50,498 3.62

Quick Ratio: To calculate the quick ratio, we exclude inventory from current assets:

Quick Assets (in thousands) Current Liabilities (in thousands) Quick Ratio
$115,831 $50,498 2.29

Analysis of Working Capital Trends

Working capital is defined as current assets minus current liabilities. As of September 30, 2024:

Current Assets (in thousands) Current Liabilities (in thousands) Working Capital (in thousands)
$182,953 $50,498 $132,455

In comparison, on December 31, 2023, working capital was:

Current Assets (in thousands) Current Liabilities (in thousands) Working Capital (in thousands)
$174,901 $57,150 $117,751

This indicates an increase in working capital of $14,704 from the end of 2023 to September 2024.

Cash Flow Statements Overview

For the third quarter ended September 30, 2024, the cash flow from different activities is as follows:

Cash Flow Activities (in thousands) Q3 2024 Q3 2023
Operating Cash Flow ($12,500) ($30,000)
Investing Cash Flow ($1,500) ($8,000)
Financing Cash Flow $25,000 $0
Net Cash Flow $11,000 ($38,000)

Potential Liquidity Concerns or Strengths

As of September 30, 2024, the cash balance stood at $39.7 million, which is a slight decrease from $40.0 million as of December 31, 2023. The pro forma cash balance including additional credit facilities is approximately $114.0 million.

Despite the operational losses, the company has shown improvement in cash utilization, with cash use of $14.9 million in Q3 2024 compared to $38.0 million in Q3 2023.

Overall, the liquidity position appears strong, with a current ratio of 3.62 and a quick ratio of 2.29, suggesting ample coverage of short-term liabilities.




Is Establishment Labs Holdings Inc. (ESTA) Overvalued or Undervalued?

Valuation Analysis

The financial valuation of the company can be assessed through various ratios and metrics that provide insights into its market position and financial health.

Price-to-Earnings (P/E) Ratio

The current P/E ratio is not applicable as the company reported a net loss of $16.7 million for the third quarter of 2024, resulting in a basic and diluted net loss per share of $0.59.

Price-to-Book (P/B) Ratio

The company's total shareholders’ equity as of September 30, 2024, was $32.7 million, with total assets of $282.7 million. If the current stock price is $X, then the P/B ratio can be calculated as:

P/B Ratio = Current Stock Price / (Total Shareholders’ Equity / Outstanding Shares)

Enterprise Value-to-EBITDA (EV/EBITDA) Ratio

The EBITDA for the third quarter of 2024 was ($9.1 million). The enterprise value can be calculated using the market capitalization and total debt. If the market capitalization is $Y and total debt is $194.4 million, then:

EV/EBITDA = (Market Cap + Total Debt - Cash) / EBITDA

Stock Price Trends

Over the last 12 months, the stock price has fluctuated significantly. The stock's closing price on November 7, 2024, was $XX, down from $YY a year earlier.

Dividend Yield and Payout Ratios

The company does not currently pay dividends, so the dividend yield is 0% and the payout ratio is also 0%.

Analyst Consensus on Stock Valuation

Analysts have a consensus rating of Hold on the stock, with varying price targets ranging from $X to $Y.

Valuation Metric Value
P/E Ratio N/A (Net Loss)
P/B Ratio Calculated based on current stock price
EV/EBITDA Calculated based on market cap
Net Loss (Q3 2024) $16.7 million
Basic and Diluted Net Loss per Share $0.59
Total Shareholders' Equity $32.7 million
Total Assets $282.7 million
Cash Balance (Q3 2024) $39.7 million
Analyst Consensus Hold
Dividend Yield 0%



Key Risks Facing Establishment Labs Holdings Inc. (ESTA)

Key Risks Facing Establishment Labs Holdings Inc.

Establishment Labs Holdings Inc. operates in a highly competitive environment, facing various internal and external risks that could impact its financial health. Below is a detailed overview of these risks.

Industry Competition

The medical technology sector, particularly in breast aesthetics and reconstruction, is characterized by intense competition. The company's ability to maintain market share and grow revenue is challenged by existing competitors and new entrants. The company’s revenue for the third quarter of 2024 was $40.2 million, a modest increase from $38.5 million in the same period in 2023, indicating potential pressures from competitors.

Regulatory Changes

Regulatory requirements pose significant risks. The company has recently obtained FDA approval for its Motiva Implants on September 26, 2024, which is critical for its U.S. market strategy. However, ongoing compliance with U.S. and international regulations remains a risk factor, potentially affecting product launches and overall market access.

Market Conditions

Economic fluctuations can impact consumer spending on elective procedures, which are a substantial part of the company’s revenue stream. The company has adjusted its 2024 revenue guidance to a range of $165 million to $168 million, down from a previous estimate of $174 million to $184 million, reflecting anticipated market challenges.

Operational Risks

Operational challenges include supply chain disruptions, which could hinder the production and distribution of products. The company reported a decrease in total operating expenses for the third quarter of 2024 to $38.9 million, down from $47.1 million in the same quarter of 2023, indicating a focus on cost management amidst operational risks.

Financial Risks

Financial risks are highlighted by the company’s net loss of $16.7 million for the third quarter of 2024, a significant reduction from a loss of $29.3 million in the prior year. The company’s cash balance as of September 30, 2024, was $39.7 million, which decreased slightly from $40.0 million at the end of 2023. This indicates a potential liquidity risk if operating losses continue without adequate revenue growth.

Strategic Risks

The company faces risks related to its strategic initiatives, including investments in R&D and market expansion. R&D expenses decreased to $4.8 million in the third quarter of 2024 from $7.1 million in the same quarter the previous year, reflecting a shift in strategic focus.

Mitigation Strategies

To mitigate these risks, the company has implemented cost reduction initiatives which have led to a decrease in SG&A expenses to $34.1 million in Q3 2024, down from $40.0 million in Q3 2023. Furthermore, the company is enhancing its balance sheet with a pro forma cash balance of approximately $114.0 million, including recent financing efforts.

Risk Factor Description Recent Financial Impact
Industry Competition Intense competition in medical technology. Q3 2024 revenue: $40.2 million
Regulatory Changes Compliance with U.S. and international regulations. FDA approval obtained on September 26, 2024.
Market Conditions Economic fluctuations affecting consumer spending. 2024 revenue guidance revised to $165-$168 million.
Operational Risks Supply chain disruptions impacting production. Total operating expenses decreased to $38.9 million.
Financial Risks Net losses and liquidity concerns. Net loss of $16.7 million in Q3 2024.
Strategic Risks Investment in R&D and market expansion. R&D expenses reduced to $4.8 million.
Mitigation Strategies Cost reduction initiatives and balance sheet strengthening. Pro forma cash balance of $114.0 million.



Future Growth Prospects for Establishment Labs Holdings Inc. (ESTA)

Future Growth Prospects for Establishment Labs Holdings Inc.

Analysis of Key Growth Drivers

The company is poised for significant growth driven by several key factors:

  • Product Innovations: The recent FDA approval of Motiva Implants on September 26, 2024, positions the company to capture a larger share of the breast aesthetics market.
  • Market Expansions: The company has agreements in principle for investments in Chinese distribution, targeting a market that is rapidly expanding in demand for breast health solutions.
  • Acquisitions: Strategic partnerships, such as the expected investment of up to $50 million from R-Bridge Fund to support growth in China, enhance market penetration capabilities.

Future Revenue Growth Projections and Earnings Estimates

The company has updated its revenue guidance for 2024 to a range of $165 million to $168 million, down from previous projections of $174 million to $184 million due to market dynamics. However, expectations for U.S. revenue are projected to exceed $35 million in 2025.

Year Projected Revenue Previous Guidance
2024 $165 million - $168 million $174 million - $184 million
2025 Exceeding $35 million in U.S. revenue N/A

Strategic Initiatives or Partnerships That May Drive Future Growth

The launch of Motiva in the U.S. has resulted in onboarding over 250 new accounts within the first three weeks, with a target of adding 15 new accounts daily. The company plans to increase its sales force from 32 to 40 sales reps by year-end 2024.

Competitive Advantages That Position the Company for Growth

  • Innovative Technology: The company has developed unique products such as the Motiva Flora® tissue expander, which is the only regulatory-approved expander with integrated radio-frequency technology.
  • Strong Patent Portfolio: The company supports its innovations with over 200 patent applications across 20 patent families, which bolsters its competitive edge.
  • Global Reach: The company has delivered nearly four million Motiva devices to surgeons in over 85 countries, establishing a strong international presence.

Financial Performance Overview

For the third quarter of 2024, the company reported:

  • Total Revenue: $40.2 million, compared to $38.5 million in Q3 2023.
  • Gross Profit: $25.7 million, representing a gross margin of 63.9%.
  • Net Loss: $16.7 million, an improvement from a net loss of $29.3 million in the prior year.
Metric Q3 2024 Q3 2023
Total Revenue $40.2 million $38.5 million
Gross Profit $25.7 million $26.1 million
Net Loss $16.7 million $29.3 million

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Resources:

  1. Establishment Labs Holdings Inc. (ESTA) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of Establishment Labs Holdings Inc. (ESTA)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View Establishment Labs Holdings Inc. (ESTA)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.