Orin
STENYSE·Medical - Devices

STERIS plc STE

Market cap $20.5BP/E 25.6× trailingGross margin 44.4%Reports Wed 4 Nov, after the close
$210.05
+0.07 (+0.03%)live 09:30 ET
52-wk $195.14 – $269.44
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Orin's take
0.62conviction · moderate
Refreshed 12 Aug · take v7. A new filing or a print queues the next refresh.

STERIS has crossed back above its 200-day moving average ($234.35) with bullish MACD momentum and an RSI of 66.8 that has room before overbought, reflecting improving sentiment after Q1 FY2027 revenue grew 7% to $1.5B with an EPS beat of $2.59 vs. $2.54 consensus. The fundamental trajectory is compelling—FY2026 revenue reached $5.94B with 28% EPS growth to $7.93, free cash flow of $972M, and total debt reduced from $2.20B to $2.09B—while valuation remains reasonable at 29.1x earnings (5.6% below peer median) and 13.6x EV/EBITDA (28.8% below peer median).

The newly announced $600M North Carolina manufacturing investment signals confidence in long-term demand, and with ~$970M annual FCF the company can fund it without straining the balance sheet.

What could go wrong

  • Revenue miss pattern. Q1 FY2027 revenue missed Wall Street estimates despite 7% growth, and if top-line shortfalls persist the market may re-rate the stock's 21.9% price-to-sales premium vs. peer median.
  • Elevated capex cycle. The $600M North Carolina complex adds to existing ~$369M annual capex, potentially compressing free cash flow conversion over the next several years.
  • Smart money outflows. Smart money score is slightly negative at -0.049 as of March 2026, with the data marked stale, suggesting institutional positioning has not yet turned constructive.
  • Insider selling. Recent insider activity is dominated by dispositions including CEO Carestio selling 1,374 shares at $212 and other executives selling, though 24-month net insider buying remains positive at +293,975 shares.

What would change my mind

Organic growth reacceleration. Constant-currency organic revenue growth exceeds 7% for two consecutive quartersbullish
Margin compression from capex. Operating margin declines below 18% as $600M North Carolina investment rampsbearish
Debt trajectory reversal. Total debt increases above $2.2B to fund capex without corresponding FCF growthbearish
Smart money inflection. Smart money score turns positive above 0.05 in next 13F filingbullish

Where this comes from: FMP fundamentals FY2026 · GlobeNewsWire Q1 FY2027 release / Zacks earnings article · peer_relative composite · technicals as of 2026-08-11. Orin's read on STE; not advice.

Twelve months actual closes to 2026-09-23 · actual filings

Sept 25Nov 25Jan 26Mar 26May 26Jul 26

50-day average 200-day average · volume below

Largest holders · 13F Q2 2026

Money flow
FilerPositionOf fund
Vanguard Capital Management$1.3B0.0% of fund
State Street$1.1B0.0% of fund
Vanguard Portfolio Management$1.1B0.0% of fund
Massachusetts Financial Services /Ma/$850.4M0.3% of fund
Morgan Stanley$831.8M0.0% of fund
Wellington Management Group Llp$737.6M0.1% of fund

89 filers · quarter ended Q2 2026 · positions, not flows

Insiders, last 24 months: 191 Form 4 filings, net $51.7M. Of the 50 on hand, 0 were open-market purchases and 5 sales— the rest are grants, option exercises and tax withholding.

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Where it trades

vs its own 5y · Healthcare
MetricNowOwn medianSector
P/E25.6×57.7×26.4×
EV/EBITDA12.2×17.9×
P/S3.39×4.20×
P/B2.8×3.4×

Its P/E sits below all 5 of the last 5 years (−0.98σ from its own mean).

What the price assumes

8.4%

free-cash-flow growth every year for 10 years, discounted at 10%, is what today’s price implies — starting from $1.0B of trailing free cash flow. It is an assumption the market is making, not a forecast Orin is making.

What Wall Street published

14 firms · 2026-09-23
Consensus target

$271

$269$275 · +29% against today's price

How they rate it
  • 12 buy or overweight
  • 2 hold
  • 0 underweight or sell

The analysts’ consensus and their own ratings, not Orin’s. A target is a twelve-month opinion published by the firm that wrote it.

Against the companies it is compared to

median P/E 29.7× of 8 peers
CompanyMarket capP/EEV/EBITDAGrossNetROE
STESTERIS plc$20B25.6×12.2×44.4%13.3%11%
BIIBBiogen Inc.$34B40.1×24.4×67.7%8.4%5%
DGXQuest Diagnostics Incorporated$26B24.4×15.7×33.1%9.2%14%
DXCMDexCom, Inc.$33B33.9×21.4×62.5%20.1%36%
LHLabcorp Holdings Inc.$25B25.0×14.7×27.8%7.0%12%
PODDInsulet Corporation$9B25.5×15.5×71.1%12.3%27%
WATWaters Corporation$41B104.6×51.4×50.8%3.6%2%
WSTWest Pharmaceutical Services, Inc.$26B47.8×32.0×36.8%17.0%19%
ZBHZimmer Biomet Holdings, Inc.$18B22.0×12.6×69.9%9.5%6%

The median is of the 8 peers listed above and nothing else — check it against the column. This company trades 13.7% below it. The peer set is the vendor’s, so a company can appear here that a person would not have chosen.

What it has traded at

P/E by fiscal year
FY15 31.0×FY26 27.9×

What its sector has traded at

Healthcare
FY14 6.5×FY26 28.6×

Two scales, drawn separately on purpose: a sector median and one company’s multiple are not the same number and putting them on one axis invites a comparison neither series supports.

Every estimate on one scale

price $210.05
52-week range$195 – $269
Analyst targets$269 – $275
At own 5y-median P/E (58×)$473
At 5y P/E range (28–178×)$227 – $1461
At sector P/E (26×)$217

The vertical rule is the current price. Ranges and point estimates are the backend’s, published as they were calculated; an arrow means the estimate sits beyond this scale, and its number is on the right.