Earnings before Interest, Tax, Depreciation and Amortization (EBITDA)
Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).
The financial performance from 2018 to 2022 is characterized by significant volatility in earnings and a notable divergence between operating results and net income in specific periods. While there was a substantial peak in operational profitability in 2021, the overall trajectory shows fluctuations rather than a linear growth pattern.
- EBITDA Trend Analysis
- Earnings before interest, tax, depreciation and amortization exhibited an inconsistent growth trajectory. After an initial increase from 512,685 thousand US$ in 2018 to 634,113 thousand US$ in 2019, a contraction occurred in 2020, with values dropping to 472,487 thousand US$. This was followed by a sharp surge in 2021, where EBITDA reached a period peak of 1,121,152 thousand US$, before declining to 724,850 thousand US$ in 2022.
- Depreciation and Amortization Growth
- A steady upward trend is observed in the difference between EBITDA and EBIT, which represents depreciation and amortization expenses. This gap expanded consistently every year: from 54,727 thousand US$ in 2018 to 125,793 thousand US$ by 2022. This indicates a continuous increase in non-cash charges, likely reflecting ongoing capital expenditures or asset acquisitions over the five-year period.
- Operating Profitability and Interest Impact
- Earnings before interest and tax (EBIT) and Earnings before tax (EBT) remained identical across all reported years. This parity suggests that interest income and interest expenses had a negligible or neutral net impact on the company's pre-tax earnings during this timeframe.
- Net Income Divergence
- A significant anomaly is observed in 2020, where net income reached 1,775,888 thousand US$, vastly exceeding the EBT of 378,949 thousand US$. This discrepancy indicates the presence of substantial non-operating gains or one-time tax benefits. Conversely, in 2021 and 2022, net income fell below EBT, reflecting the impact of taxes and other expenses on the final bottom line.
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Enterprise Value to EBITDA Ratio, Current
| Selected Financial Data (US$ in thousands) | |
| Enterprise value (EV) | 14,122,171) |
| Earnings before interest, tax, depreciation and amortization (EBITDA) | 724,850) |
| Valuation Ratio | |
| EV/EBITDA | 19.48 |
| Benchmarks | |
| EV/EBITDA, Competitors1 | |
| Abbott Laboratories | 16.66 |
| Elevance Health Inc. | 9.26 |
| Intuitive Surgical Inc. | 39.26 |
| Medtronic PLC | 15.64 |
| UnitedHealth Group Inc. | 17.82 |
| EV/EBITDA, Sector | |
| Health Care Equipment & Services | 15.02 |
| EV/EBITDA, Industry | |
| Health Care | 20.66 |
Based on: 10-K (reporting date: 2022-12-31).
1 Click competitor name to see calculations.
If the company EV/EBITDA is lower then the EV/EBITDA of benchmark then company is relatively undervalued.
Otherwise, if the company EV/EBITDA is higher then the EV/EBITDA of benchmark then company is relatively overvalued.
Enterprise Value to EBITDA Ratio, Historical
| Dec 31, 2022 | Dec 31, 2021 | Dec 31, 2020 | Dec 31, 2019 | Dec 31, 2018 | ||
|---|---|---|---|---|---|---|
| Selected Financial Data (US$ in thousands) | ||||||
| Enterprise value (EV)1 | 22,338,984) | 39,216,076) | 43,916,116) | 16,327,126) | 19,979,482) | |
| Earnings before interest, tax, depreciation and amortization (EBITDA)2 | 724,850) | 1,121,152) | 472,487) | 634,113) | 512,685) | |
| Valuation Ratio | ||||||
| EV/EBITDA3 | 30.82 | 34.98 | 92.95 | 25.75 | 38.97 | |
| Benchmarks | ||||||
| EV/EBITDA, Competitors4 | ||||||
| Abbott Laboratories | 15.85 | 17.42 | — | — | — | |
| Elevance Health Inc. | 10.26 | 10.05 | — | — | — | |
| Intuitive Surgical Inc. | 40.96 | 44.10 | — | — | — | |
| Medtronic PLC | 14.99 | 24.41 | — | — | — | |
| UnitedHealth Group Inc. | 15.11 | 17.39 | — | — | — | |
| EV/EBITDA, Sector | ||||||
| Health Care Equipment & Services | 15.26 | 18.05 | — | — | — | |
| EV/EBITDA, Industry | ||||||
| Health Care | 14.00 | 14.33 | — | — | — | |
Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).
3 2022 Calculation
EV/EBITDA = EV ÷ EBITDA
= 22,338,984 ÷ 724,850 = 30.82
4 Click competitor name to see calculations.
The Enterprise Value to EBITDA (EV/EBITDA) ratio exhibited significant volatility between 2018 and 2022, characterized by an extreme peak in 2020 followed by a period of correction and stabilization. The ratio shifted from 38.97 in 2018 to a high of 92.95 in 2020, before returning to a range of approximately 30x to 35x in the final two years of the period.
- Enterprise Value (EV) Fluctuations
- A substantial increase in Enterprise Value was observed starting in 2020, where the value surged to US$ 43.9 billion from a 2019 low of US$ 16.3 billion. This peak was followed by a gradual decline through 2021 and a more pronounced contraction in 2022, ending the period at US$ 22.3 billion.
- EBITDA Performance Trends
- Operational earnings demonstrated an inconsistent growth trajectory. After an initial increase in 2019, EBITDA declined to US$ 472.5 million in 2020. A significant recovery occurred in 2021, with EBITDA reaching a peak of US$ 1.12 billion, before receding to US$ 724.9 million in 2022.
- Analysis of the EV/EBITDA Ratio
- The dramatic spike in the EV/EBITDA ratio to 92.95 in 2020 was driven by the divergence of a sharply increasing market valuation and a simultaneous dip in operational earnings. The subsequent normalization to 34.98 in 2021 and 30.82 in 2022 indicates a realignment of the enterprise valuation with the company's actual earnings capacity.
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