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Q1 2024 Medtech Public Comp Sheet and Valuation Guide Preview
Q1 2024 Medtech Public Comp Sheet and Valuation Guide Preview
Medtech Public
Comp Sheet and
Valuation Guide
Q1
2024
PitchBook Data, Inc.
John Gabbert Founder, CEO
Key takeaways
Nizar Tarhuni Vice President, Institutional Research
and Editorial
Institutional Research Group 2023 saw strong double-digit revenue growth from disruptive companies, including Intuitive Surgical, Exact Sciences, and Natera,
Analysis and over the past six months, shares of these firms have risen about 33%, 12%, and 109%, respectively. Surgical robotics remains
Mean 1.9% 2.3% 10.7% 30.4% -5.5% 10.8% 14.3% 4.0% 27.4% D iagn o stic s
Median 1.9% 2.8% 10.6% 18.4% -12.8% 10.0% 10.1% -5.9% 18.2% Market Market
C omp any T i c k er 1 week 30 days 90 days bottom peak YTD 1 year 3 years 5 years
Co n su mer h ealth Quest DGX 2.9% 5.9% -3.5% 7.0% -19.0% -5.5% -4.4% 4.0% 48.0%
Mar k et Mar k et LabCorp LH 2.4% 1.7% -3.9% 24.3% -14.6% -6.1% 13.3% 1.2% 66.4%
C omp any T i c k er 1 w eek 30 d ays 9 0 d ay s bottom p eak YTD 1 y ear 3 y ear s 5 y ear s Roche SWX:ROG 1.1% -3.5% -12.5% -21.4% -38.9% -12.5% -10.6% -21.7% -7.6%
Insulet PODD 4.3% 4.8% -21.0% -26.3% -37.8% -18.0% -45.9% -34.0% 80.3% Exact Sciences EXAS 11.2% 22.6% -6.7% 118.4% -15.3% -6.4% 4.2% -42.4% -20.3%
Dexcom DXCM 4.1% 21.4% 11.8% 41.1% 6.5% 12.7% 21.2% 58.8% 365.8% Biomerieux PAR:BIM 1.2% -0.4% -0.7% 42.3% -22.6% -0.5% 7.2% -14.1% 33.6%
Bausch and Lomb BLCO 5.5% 1.5% 0.6% 11.8% N/A 1.5% 1.1% N/A N/A DiaSorin MIL:DIA 1.0% -5.6% -6.2% -11.2% -47.9% -5.9% -9.3% -40.2% -3.9%
Alcon SWX:ALC -1.1% -2.8% 6.1% 44.8% -5.5% 6.1% 16.7% 19.2% N/A Eurofins PAR:ERF 5.1% 8.5% -2.1% 9.8% -47.4% -3.1% -5.7% -32.4% 54.2%
Hoya TKS:7741 -4.5% -1.9% -0.5% 28.3% -16.7% -0.1% 16.2% 4.3% 87.7% Natera NTRA -0.9% 19.5% 46.0% 116.7% 0.1% 47.7% 68.6% 0.0% 343.5%
Cooper Companies COO 1.0% 7.4% 7.2% 60.5% -3.7% 8.8% 10.4% 5.5% 37.0%
Haleon LON:HLN 1.0% 5.6% 2.6% 40.1% N/A 1.9% 6.3% N/A N/A Mean 3.0% 6.1% 1.3% 35.7% -25.7% 1.0% 7.9% -18.2% 64.2%
Kenvue KVUE 4.2% 12.1% -0.3% N/A N/A -0.5% N/A N/A N/A Median 1.8% 3.8% -3.7% 17.0% -20.8% -5.7% -0.1% -17.9% 40.8%
Mean 1.8% 6.0% 0.8% 28.6% -11.5% 1.5% 3.7% 10.8% 142.7%
Median 2.6% 5.2% 1.6% 40.1% -5.5% 1.7% 10.4% 5.5% 84.0%
In d ex es
Market Market
1 week 30 days 90 days bottom peak YTD 1 year 3 years 5 years
S&P 500 0.2% 3.5% 10.2% 46.9% 9.5% 10.8% 30.5% 32.3% 85.4%
NASDAQ -0.1% 2.1% 9.1% 57.2% 3.5% 10.9% 37.3% 25.4% 111.9%
Russell 2000 1.2% 3.3% 4.8% 25.9% -6.5% 5.6% 19.9% -1.6% 38.0%
Mean 0.4% 3.0% 8.0% 43.3% 2.2% 9.1% 29.2% 18.7% 78.4%
Median 0.2% 3.3% 9.1% 46.9% 3.5% 10.8% 30.5% 25.4% 85.4%
Sources: PitchBook and Morningstar • Geography: Global • *As of March 31, 2024
Sources: PitchBook and Morningstar • Geography: Global • *As of March 31, 2024 Sources: PitchBook and Morningstar • Geography: Global • *As of March 31, 2024
Consumer health
Enterprise Actual revenue ($B) YoY revenue growth EV/historical TTM revenue
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Insulet PODD $12.7 $0.5 $0.6 $0.7 $0.9 $1.1 $1.3 $1.7 21% 19% 30% 6.9x 10.1x N/A 16.8x 13.4x 10.4x 6.5x
Dexcom DXCM $53.3 $0.7 $1.0 $1.5 $1.9 $2.4 $2.9 $3.6 27% 19% 24% 7.1x 8.8x N/A 16.8x 12.3x 11.3x 12.3x
Bausch and Lomb BLCO $10.4 N/A $3.7 $3.8 $3.4 $3.8 $3.8 $4.1 10% 0% 10% N/A N/A N/A 0.0x 1.3x 2.0x 2.2x
Alcon SWX:ALC $44.9 $6.8 $7.2 $7.5 $6.8 $8.3 $8.7 $9.5 21% 5% 8% 0.0x 3.4x 4.3x 4.8x 4.3x 4.3x 4.6x
Hoya TKS:7741 $40.3 $4.5 $4.9 $5.2 $5.4 $5.3 $6.0 $5.4 -2% 13% -9% 3.7x 5.1x N/A 9.1x 6.8x 6.8x 7.5x
Cooper Companies COO $22.8 $2.1 $2.5 $2.7 $2.4 $2.9 $3.3 $3.6 20% 13% 9% 4.8x 5.8x N/A 6.4x 4.9x 4.8x 5.8x
Haleon LON:HLN $49.3 N/A N/A $10.8 $12.7 $13.1 $0.6 $14.0 4% -95% 2079% N/A N/A N/A 0.0x 1.0x 2.6x 3.4x
Kenvue KVUE $48.1 N/A N/A $14.3 $14.5 $15.1 $15.0 $15.4 4% -1% 3% N/A N/A N/A N/A N/A 2.8x 3.1x
Sum $281.9 $14.6 $19.8 $46.5 $48.0 $52.0 $41.6 $57.4 8% -20% 38% 4.5x 6.6x 4.3x 7.7x 6.3x 6.0x 5.7x
4.8x 5.8x 4.3x 6.4x 4.9x 4.8x 5.2x
Life sciences
Enterprise Actual revenue ($B) YoY revenue growth EV/historical TTM revenue
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Illumina ILMN $23.0 $2.8 $3.3 $3.5 $3.2 $4.5 $4.6 $4.5 40% 1% -2% 12.2x 13.1x 13.4x 13.8x 9.2x 6.7x 5.1x
Waters WAT $22.4 $2.3 $2.4 $2.4 $2.4 $2.8 $3.0 $3.0 18% 7% -1% 5.6x 6.6x 6.1x 7.7x 6.9x 6.3x 7.5x
Agilent A $43.4 $4.5 $4.9 $5.2 $5.3 $6.3 $6.8 $6.8 18% 8% 0% 4.1x 4.5x 5.3x 7.0x 6.1x 5.9x 6.3x
Revvity RVTY $15.4 $2.3 $2.8 $2.9 $2.7 $3.8 $3.3 $2.8 44% -13% -17% 3.6x 4.1x 3.4x 4.4x 6.2x 6.5x 5.5x
Thermo Fisher TMO $248.6 $20.9 $24.4 $25.5 $32.2 $39.2 $44.9 $42.9 22% 15% -5% 4.2x 5.0x 4.9x 5.9x 5.8x 5.5x 5.8x
Danaher DHR $198.6 $15.5 $17.0 $17.9 $22.3 $24.8 $26.6 $23.9 11% 7% -10% 4.6x 5.4x 6.0x 7.3x 7.3x 7.5x 8.3x
Sartorius ETR:SRT $30.0 $1.6 $1.8 $2.0 $2.7 $4.1 $4.4 $3.7 53% 8% -16% 4.7x 6.3x 7.6x 10.4x 6.7x 7.2x 7.7x
Mettler-Toledo MTD $30.5 $2.7 $2.9 $3.0 $3.1 $3.7 $3.9 $3.8 21% 5% -3% 5.0x 6.4x 6.9x 8.9x 8.1x 8.2x 8.0x
Sum $612.0 $52.5 $59.6 $62.5 $73.9 $89.3 $97.6 $91.3 21% 9% -6% 5.5x 6.4x 6.7x 8.2x 7.0x 6.7x 6.8x
4.7x 5.8x 6.0x 7.5x 6.8x 6.6x 6.9x
Diagnostics
Enterprise Actual revenue ($B) YoY revenue growth EV/historical TTM revenue
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Quest DGX $19.7 $7.4 $7.5 $7.7 $9.4 $10.8 $9.9 $9.3 14% -8% -6% 1.9x 2.2x 1.9x 2.1x 2.2x 2.2x 2.1x
LabCorp LH $23.8 $10.3 $11.3 $11.6 $14.0 $13.1 $11.9 $12.2 -6% -10% 3% 1.6x 1.9x 1.7x 2.0x 1.9x 2.0x 1.9x
Roche SWX:ROG $233.5 $54.1 $58.1 $61.9 $62.1 $68.7 $68.9 $67.2 11% 0% -2% N/A 4.4x 4.6x 4.8x 4.5x 3.7x 3.6x
Exact Sciences EXAS $14.3 $0.3 $0.5 $0.9 $1.5 $1.8 $2.1 $2.5 18% 18% 20% 8.3x 11.6x 9.3x 11.1x 5.0x 5.8x 5.1x
Biomerieux PAR:BIM $13.2 $2.6 $2.9 $3.0 $3.6 $4.0 $3.8 $4.0 12% -5% 5% 2.8x 3.1x 4.3x 4.1x 3.0x 2.9x 3.1x
DiaSorin MIL:DIA $5.1 $0.7 $0.8 $0.8 $1.0 $1.5 $1.4 N/A 46% -2% N/A 5.5x 6.7x 8.4x 8.0x 5.6x 4.6x 4.0x
Eurofins PAR:ERF $15.3 $3.4 $4.5 $5.1 $6.2 $7.9 $7.1 $7.0 28% -11% 0% 1.7x 2.0x 2.3x 3.3x 2.6x 2.1x 2.0x
Natera NTRA $10.6 $0.2 $0.3 $0.3 $0.4 $0.6 $0.8 $1.1 60% 31% 32% 2.8x 5.8x 9.3x 13.9x 4.8x 4.8x 7.9x
Sum $79.0 $85.8 $91.2 $98.2 $108.4 $105.8 $103.3 10% -2% -2% 3.5x 4.7x 5.2x 6.2x 3.7x 3.5x 3.7x
2.8x 3.7x 4.4x 4.5x 3.8x 3.3x 3.3x
Sources: PitchBook and Morningstar • Geography: Global • *As of March 31, 2024
Consumer health
Actual EBITDA ($B) YoY EBITDA growth EBITDA margin EV/TTM EBITDA
Enterprise
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Insulet PODD $12.7 $0.0 $0.0 $0.1 $0.1 $0.2 $0.2 $0.3 69% 3% 51% 17% 14% 17% 73.2x 105.4x N/A 91.1x 93.7x 60.9x 45.2x
Dexcom DXCM $53.3 $0.0 $0.1 $0.3 $0.5 $0.4 $0.6 $0.9 -14% 62% 37% 16% 22% 24% 33.7x 43.2x N/A 67.8x 48.9x 40.9x 60.6x
Bausch and Lomb BLCO $10.4 N/A N/A N/A N/A $1.1 $0.7 $0.7 N/A -38% 7% 28% 18% 17% N/A N/A N/A N/A 10.6x 10.3x 14.7x
Alcon SWX:ALC $44.9 N/A $1.7 $1.5 $1.5 $2.2 $2.2 $2.5 50% -1% 16% 26% 25% 26% N/A 26.8x 22.2x 21.2x 18.6x 17.1x 17.9x
Hoya TKS:7741 $40.3 N/A N/A $1.6 $1.7 $1.8 $2.2 $2.0 10% 19% -10% 35% 37% 37% 7.2x 13.7x N/A 22.8x 17.7x 21.3x 20.3x
Cooper Companies COO $22.8 $0.7 $0.8 $0.9 $0.7 $0.9 $0.9 $1.0 28% 0% 10% 32% 28% 28% 14.7x 18.3x N/A 19.9x 16.6x 16.0x 21.5x
Haleon LON:HLN $49.3 N/A N/A N/A N/A $3.2 $3.4 $3.6 N/A 5% 7% 25% 528% 26% N/A N/A N/A N/A 8.8x 10.3x 13.6x
Kenvue KVUE $48.1 N/A N/A N/A N/A N/A $4.2 $4.0 N/A N/A -3% N/A 28% 26% N/A N/A N/A N/A N/A 11.5x 12.0x
Sum $281.9 $0.7 $2.7 $4.3 $4.4 $9.8 $14.3 $15.0 122% 46% 5% Mean 26% 87% 25% 32.2x 41.5x 22.2x 44.6x 30.7x 23.5x 25.7x
Median 26% 87% 25% 24.2x 26.8x 22.2x 22.8x 17.7x 16.5x 19.1x
Life sciences
Actual EBITDA ($B) YoY EBITDA growth EBITDA margin EV/TTM EBITDA
Enterprise
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Illumina ILMN $23.0 $0.8 $1.1 $1.3 $1.0 $1.3 $0.7 $0.7 37% -45% -6% 29% 16% 15% 34.5x 42.3x 49.6x 72.7x 102.0x 74.7x 33.5x
Waters WAT $22.4 $0.8 $0.9 $0.8 $0.8 $1.0 $1.0 $1.0 19% 6% 2% 35% 34% 35% 15.9x 19.0x 18.4x 22.7x 20.2x 18.1x 21.4x
Agilent A $43.4 $1.1 $1.3 $1.3 $1.4 $1.8 $2.0 $2.0 26% 15% 1% 28% 30% 30% 16.2x 18.0x 20.3x 25.1x 20.8x 20.2x 21.8x
Revvity RVTY $15.4 $0.5 $0.6 $0.6 $1.1 $1.5 $0.9 $0.4 30% -39% -53% 38% 27% 15% 16.2x 18.5x 9.9x 14.2x 20.9x 21.3x 36.5x
Thermo Fisher TMO $248.6 $5.3 $6.2 $6.6 $10.3 $13.0 $12.1 $10.8 27% -7% -10% 33% 27% 25% 16.5x 19.6x 15.2x 19.6x 22.2x 21.7x 23.0x
Danaher DHR $198.6 $3.8 $4.3 $4.6 $6.7 $9.1 $9.7 $7.6 37% 6% -21% 37% 36% 32% 18.0x 21.3x 20.1x 21.6x 22.8x 24.1x 26.0x
Sartorius ETR:SRT $30.0 N/A $0.5 $0.5 $0.7 $1.0 $1.5 $0.9 36% 51% -38% 25% 35% 26% 17.4x 22.1x 23.3x 28.7x 20.6x 25.9x 31.9x
Mettler-Toledo MTD $30.5 $0.7 $0.8 $0.8 $0.9 $1.1 $1.2 $1.2 24% 12% -4% 30% 32% 32% 18.4x 23.0x 23.8x 29.8x 25.5x 28.8x 25.3x
Sum $612.0 $12.9 $15.5 $16.6 $22.9 $29.8 $29.2 $24.8 30% -2% -15% Mean 32% 30% 26% 19.1x 23.0x 22.6x 29.3x 31.9x 29.4x 27.4x
Median 32% 31% 28% 17.0x 20.5x 20.2x 23.9x 21.5x 22.9x 25.6x
Diagnostics
Actual EBITDA ($B) YoY EBITDA growth EBITDA margin EV/TTM EBITDA
Enterprise
Company Ticker value ($B) 17A 18A 19A 20A 21A 22A 23A 21A 22A 23A 21A 22A 23A 2018 2019 2020 2021 2022 2023 3/28
Quest DGX $19.7 $1.6 $1.5 $1.6 $2.5 $2.9 $2.0 $1.8 19% -32% -10% 27% 20% 20% 9.3x 12.0x 7.1x 8.6x 10.7x 10.7x 10.9x
LabCorp LH $23.8 $2.0 $2.0 $2.1 $3.7 $3.9 $2.5 $2.1 5% -35% -16% 29% 21% 17% 9.0x 11.8x 6.4x 9.0x 10.5x 11.6x 11.2x
Roche SWX:ROG $233.5 N/A $23.4 $26.1 $25.5 $27.8 $25.8 $25.2 9% -7% -2% 41% 37% 37% 8.2x 9.0x 11.0x 12.2x 11.6x 9.8x 9.3x
Exact Sciences EXAS $14.3 -$0.1 -$0.1 -$0.3 $0.0 -$0.4 -$0.4 N/A -4804% 4% N/A -22% -20% N/A N/A N/A N/A N/A N/A N/A N/A
Biomerieux PAR:BIM $13.2 N/A $0.6 $0.7 $0.9 $1.2 $0.9 $0.9 30% -28% 4% 31% 24% 23% 13.0x 13.4x 15.5x 14.5x 12.7x 13.3x 14.3x
DiaSorin MIL:DIA $5.1 N/A $0.3 $0.3 $0.5 $0.6 $0.6 N/A 38% -3% N/A 43% 43% N/A 14.4x 16.4x 19.3x 19.5x 15.5x 13.9x 14.1x
Eurofins PAR:ERF $15.3 N/A $0.7 $1.0 $1.5 $2.2 $1.5 $1.4 40% -31% -4% 27% 21% 20% 8.1x 8.6x 8.5x 12.6x 11.7x 10.4x 10.7x
Natera NTRA $10.6 N/A -$0.1 -$0.1 -$0.2 -$0.5 -$0.5 -$0.4 120% 15% -19% -73% -64% -39% N/A N/A N/A N/A N/A N/A N/A
Sum $335.6 $34.4 $37.8 $32.3 $31.1 10% -14% -4% Mean 13% 10% 13% 10.3x 11.9x 11.3x 12.7x 12.1x 11.6x 11.7x
Median 28% 21% 20% 9.1x 11.9x 9.7x 12.4x 11.6x 11.2x 11.1x
Sources: PitchBook and Morningstar • Geography: Global • *As of March 31, 2024