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Ascendis Pharma A/S

ASND
55
Biotechnology · Healthcare
Price
$253.29
-1.52 (-0.60%)
Market Cap
$15.73B
Exchange
NASDAQ
Winston Score
55
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Good
Growth
Strong
Cash Flow
Good
Stability
Mixed
Valuation
Strong

Share count rising — dilution

+10.7% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 54.8M (2021) → 60.6M (2025)

Winston Score History

The full picture

Ascendis Pharma is a Danish biotechnology company that develops medicines for rare diseases and hormone-related conditions. Its main product is SKYTROFA, a once-weekly growth hormone injection for children who don't produce enough growth hormone naturally. The company's core technology, called TransCon, works by attaching a drug to a carrier molecule that slowly releases the medicine in the body, allowing less frequent dosing than older treatments.

Ascendis makes money by selling its approved drugs directly to patients and healthcare providers, primarily in the United States and Europe. With a gross margin above 88%, the underlying drug economics are strong, but the company is still near breakeven as it spends heavily on expanding its pipeline. Beyond growth hormone, Ascendis is developing TransCon-based treatments for conditions like hypoparathyroidism and certain cancers, and the success of those pipeline programs is the key factor that will determine whether the company can grow into a profitable, multi-product business.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+118.2% YoY

YoY Growth Rate

Strong revenue growth

EPS Growth

+610.9% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

€284M/ year

Declining (-8% vs prior year)

41.0% of revenue

2.3x the sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

0.9%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

€869M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Strong grower

Ascendis Pharma A/S is growing revenue at 118% year-over-year. The Winston Score penalises unprofitable companies, but revenue at this pace tells a different story — this is a company still in "build mode."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
90.6%
Premium pricing power — 90.6% gross margin
Profit after running costs
Operating Margin
18.4%
Healthy — 18.4% operating margin
Return on the money invested
ROCE
5.8%
Weak — 5.8% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+114.8%
Fast-growing sales (+114.8% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
46%
Weak — only 46% of profit becomes cash
Spare cash per sale
FCF Margin
32.0%
Converts sales into free cash efficiently (32.0%)

Free cash flow margin above 20%. Out of every $100 in sales, more than $20 is real cash they keep.

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Stability

What it owes vs what it owns
Debt / Equity
0.31
Conservative — low debt load (0.31)
Covers its interest
Interest Cover
0.67x
Dangerous — barely covers interest (0.7x)

Interest coverage below 1. Their profits don't cover the interest bill.

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Valuation

Price vs profit
P/E Ratio (TTM)
20.9x
Growth-priced — P/E 20.9

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
+7.0
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (20.9 → 13.9)

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Dividends

Not applicable for this business.
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