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Is It the Right Time to Invest in ESTA After the Latest FDA Approval?

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Written by Timothy Sykes
Reviewed by Jack Kellogg Fact-checked by Ellis Hobbs

This week, Establishment Labs Holdings Inc. is in the spotlight with significant developments likely affecting its stock price. Proactive market speculations and an optimistic outlook surrounding the company’s innovative product pipeline have been leading narratives. On Friday, Establishment Labs Holdings Inc.’s stocks have been trading up by 14.07 percent.

  • U.S. FDA granted approval for Motiva breast implants, demonstrating low complication rates in clinical trials and marking a significant stride in breast aesthetics.
  • Approval received for Motiva SmoothSilk Ergonomix and Motiva SmoothSilk Round breast implants for primary and revision breast augmentation.
  • The first new breast implant pre-market approval by the U.S. FDA since 2013 led to nearly 24% surge in after-hours trading of the company’s shares.

Candlestick Chart

Live Update at 16:55:54 EST: On Friday, September 27, 2024 Establishment Labs Holdings Inc. stock [NASDAQ: ESTA] is trending up by 14.07%! Discover the key drivers behind this movement as well as our expert analysis in the detailed breakdown below.

Quick Overview of Establishment Labs Holdings Inc.’s Recent Earnings Report and Key Financial Metrics

Establishment Labs Holdings Inc. has had an interesting financial journey in recent times. The company received a significant bump with the recent FDA approval for its Motiva breast implants. This event has been monumental for the stock, pushing it higher in after-hours trading. But let’s dive deeper into the numbers.

From their recent earnings report, it’s clear that ESTA has seen a revenue of $165.15M, which equates to a revenue per share of approximately $5.91. However, the company has been grappling with negative margins, highlighted by an EBIT margin of -44%, an EBITDA margin of -37%, and a pretax profit margin of -41.9%.

Their gross margin stands at 66%, which is a soft cushion but still far from offsetting the other negative margins. Despite these challenges, their revenue growth over the past three and five years stands at 10.54% and 15.03%, respectively, showing consistent upward trends in sales.

Analyzing their balance sheet, the total assets are valued at around $285M, with cash and equivalents making up $54.6M of that figure. Liabilities, on the other hand, total $240.07M, with long-term debt accounting for $196.72M, indicating a highly leveraged position. This is further underscored by their debt-to-equity ratio of 4.37 and a leverage ratio of 6.3.

Moreover, their income statements reveal that the company has faced substantial net losses, with a net income of -$17.18M from continuing operations. Cash flow reports also highlight struggles, with negative changes in cash amounting to -$18.16M and free cash flow registering at -$18.55M. This negative cash flow trend showcases the operational and financial challenges the company faces.

Understanding these financial hurdles, it’s critical to juxtapose them with the recent FDA approval news. The approval acts as a critical endorsement of the company’s product quality and safety, potentially broadening the market for their offerings and opening new revenue streams.

In terms of stock performance, if we look at the recent stock prices data:
– On Sep 27, 2024, the stock opened at $49.61, peaked at $50, and closed at $47.04.
– A day prior, on Sep 26, 2024, it closed at $41.195, up from an open of $40.73, displaying significant day-to-day volatility.

This recent spike aligns with the announcement dates of the FDA approval, reflecting positive market sentiment and investor confidence in ESTA’s future prospects.

FDA’s Green Light: A Game Changer?

The U.S. FDA’s recent approval for Establishment Labs’ Motiva breast implants cannot be overstated. This endorsement signifies more than just a regulatory nod; it’s a massive milestone indicating safety and efficacy, which is crucial for consumers and investors alike. This approval, the first of its kind since 2013, marks a monumental shift in the breast aesthetics market.

Low complication rates highlighted in clinical trials bolster confidence in the product. Imagine driving a car that has consistently shown reliability and performance over miles of rigorous testing – that’s the kind of assurance this news brings to potential customers and investors. The approval doesn’t just open doors to the U.S. market; it shoves them wide open with a promising future for revenue and market share growth.

This FDA nod has already reflected positively in ESTA’s trading activity. The stock saw nearly a 24% surge in after-hours trading following the announcement, showcasing the market’s immediate reaction to the positive news.

Insights From Recent Financial Performance

While the recent FDA approval has undoubtedly caught headlines, it’s essential to take a closer look at Establishment Labs’ financials to understand the full picture. Establishment Labs, despite facing financial headwinds, has shown resilience and potential in its product offerings.

Revenue and Profit Margins

The company recorded a revenue of $165.15M with a revenue per share of $5.91. Over the past five years, the revenue growth rate stood at 15.03%, indicating a steady upward trajectory. However, the profitability margins tell a different story. An EBIT margin of -44% and an EBITDA margin of -37% reveal the company’s struggles with maintaining profitability. These figures suggest high operational costs that significantly dent the bottom-line profit.

Debt and Liabilities

Diving into the balance sheet reveals a highly leveraged company. With total liabilities of $240.07M (where long-term debt constitutes $196.72M), the debt-to-equity ratio is a concerning 4.37. This heavy reliance on debt financing implies substantial interest obligations, potentially straining the company’s financial health over the long term.

More Breaking News

Cash Flow Analysis

The cash flow statement delivers additional insights into the company’s day-to-day financial operations. The change in cash is negative $18.16M, and free cash flow is also negative, at -$18.55M. These figures underscore the cash constraints facing the company, and they affirm the necessity of strategic financial management.

Market Response

Looking at stock performance closely:
– The stock price on Sep 27, 2024, opened at $49.61 and closed at $47.04, after peaking at $50. This translates into a significant spike from the previous day.
– On Sep 26, 2024, the closing price was $41.195, highlighting the stock’s volatility amid the positive FDA news.

These movements suggest that investor sentiment is heavily swayed by the regulatory approval, overshadowing the underlying financial challenges, at least in the short term.

Valuation Metrics and Ratios

Examining the company’s current valuation, the price-to-sales ratio stands at 7.61, which appears high, indicating that the company’s stock is priced aggressively relative to its sales. This might be a reflection of the high growth expectations investors have, possibly fueled by the recent FDA nod.

Moreover, the price to book value ratio is 25.57, signifying the stock’s high valuation compared to its net asset value. Investors are essentially betting on future growth prospects and the potential market expansion driven by the FDA approval, which might justify these high multiples.

Aftermath of Positive News: What Lies Ahead?

The FDA approval of Motiva breast implants is a transformative development for Establishment Labs. Here’s how the news might shape the company’s future and its market dynamics.

Expanding Market Potential

The approval not only validates the safety and effectiveness of the Motiva implants but also opens up substantial market opportunities. The U.S. represents one of the largest markets for cosmetic surgery products. With this approval, Establishment Labs can now tap into the vast American market, potentially boosting sales significantly.

Enhancing Product Reputation

Regulatory approvals often serve as a vote of confidence. For Establishment Labs, this assurance extends beyond the U.S. borders. International markets may perceive the FDA’s endorsement as a testament to the product’s high standards, likely enhancing global sales. Imagine a gold star sticker on a school project that signifies excellence recognized universally – that’s the kind of impact this approval could have.

Investor Confidence

The immediate surge in after-hours trading demonstrates the positive investor sentiment. The market’s reaction is driven by expectations of future profitability and growth, focusing on what the FDA approval could mean for Establishment Labs’ market position and revenue streams.

However, it’s crucial for investors to remain cautious. While the news is overwhelmingly positive, the company’s financials still reveal significant challenges. The high leverage and negative cash flow indicate that the company has substantial financial hurdles to clear. This dual narrative of promising market potential and existing financial struggles creates a complex scenario for making investment decisions.

The Road Ahead for ESTA

With this FDA approval, Establishment Labs finds itself at a crossroads. The company has the opportunity to capitalize on this positive news by expanding its market reach and driving revenue growth. However, effectively managing its financial health will be pivotal.

For investors, this represents a potential high-reward scenario but brings with it a fair share of risks. It’s analogous to buying a ticket for a high-stakes game where the victory could be monumental, but the risks, equally so.

 

Conclusion

Establishment Labs’ recent FDA approval marks a significant milestone with undeniable positive implications for the company. The news has already led to an immediate increase in stock price and investor interest. However, a closer look at the financials reveals a company grappling with profitability pressures, a high leverage ratio, and a significant dependency on debt financing.

While the market potential seems promising, the dual challenges of operational costs and improving cash flow remain critical hurdles. For potential investors, ESTA presents a compelling story of growth and potential profitability intertwined with its fair share of risks. As always, thorough due diligence and a balanced risk-reward approach will be key to navigating this investment opportunity.

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Timothy Sykes

Tim Sykes is a penny stock trader and teacher who became a self-made millionaire by the age of 22 by trading $12,415 of bar mitzvah money. After becoming disenchanted with the hedge fund world, he established the Tim Sykes Trading Challenge to teach aspiring traders how to follow his trading strategies. He’s been featured in a variety of media outlets including CNN, Larry King, Steve Harvey, Forbes, Men’s Journal, and more. He’s also an active philanthropist and environmental activist, a co-founder of Karmagawa, and has donated millions of dollars to charity. Read More

* Results are not typical and will vary from person to person. Making money trading stocks takes time, dedication, and hard work. There are inherent risks involved with investing in the stock market, including the loss of your investment. Past performance in the market is not indicative of future results. Any investment is at your own risk. See Terms of Service here

The available research on day trading suggests that most active traders lose money. Fees and overtrading are major contributors to these losses.

A 2000 study called “Trading is Hazardous to Your Wealth: The Common Stock Investment Performance of Individual Investors” evaluated 66,465 U.S. households that held stocks from 1991 to 1996. The households that traded most averaged an 11.4% annual return during a period where the overall market gained 17.9%. These lower returns were attributed to overconfidence.

A 2014 paper (revised 2019) titled “Learning Fast or Slow?” analyzed the complete transaction history of the Taiwan Stock Exchange between 1992 and 2006. It looked at the ongoing performance of day traders in this sample, and found that 97% of day traders can expect to lose money from trading, and more than 90% of all day trading volume can be traced to investors who predictably lose money. Additionally, it tied the behavior of gamblers and drivers who get more speeding tickets to overtrading, and cited studies showing that legalized gambling has an inverse effect on trading volume.

A 2019 research study (revised 2020) called “Day Trading for a Living?” observed 19,646 Brazilian futures contract traders who started day trading from 2013 to 2015, and recorded two years of their trading activity. The study authors found that 97% of traders with more than 300 days actively trading lost money, and only 1.1% earned more than the Brazilian minimum wage ($16 USD per day). They hypothesized that the greater returns shown in previous studies did not differentiate between frequent day traders and those who traded rarely, and that more frequent trading activity decreases the chance of profitability.

These studies show the wide variance of the available data on day trading profitability. One thing that seems clear from the research is that most day traders lose money .

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Citations for Disclaimer

Barber, Brad M. and Odean, Terrance, Trading is Hazardous to Your Wealth: The Common Stock Investment Performance of Individual Investors. Available at SSRN: “Day Trading for a Living?”

Barber, Brad M. and Lee, Yi-Tsung and Liu, Yu-Jane and Odean, Terrance and Zhang, Ke, Learning Fast or Slow? (May 28, 2019). Forthcoming: Review of Asset Pricing Studies, Available at SSRN: “https://ssrn.com/abstract=2535636”

Chague, Fernando and De-Losso, Rodrigo and Giovannetti, Bruno, Day Trading for a Living? (June 11, 2020). Available at SSRN: “https://ssrn.com/abstract=3423101”