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Harrow Health

HROW
33
Drug Manufacturers - Specialty & Generic · Healthcare
Price
$40.95
-1.11 (-2.64%)
Market Cap
$1.53B
Exchange
NASDAQ
Winston Score
33
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Mixed
Cash Flow
Weak
Stability
Weak
Valuation
Data not available

Share count rising — dilution

+37.4% over 4y

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

Diluted shares outstanding: 26.8M (2021) → 36.8M (2025)

Winston Score History

The full picture

Harrow Health is a specialty pharmaceutical company focused almost entirely on eye care medicines. It makes and sells prescription drugs used by eye doctors to treat conditions like dry eye, glaucoma, and infections. Its main products include IHEEZO, VEVYE, and TRIESENCE, which are sold to ophthalmologists and surgery centers across the United States.

Harrow earns money by selling branded prescription eye drops and injectable drugs directly to eye care professionals and through pharmacy channels. The company also operates ImprimisRx, one of the largest ophthalmology-focused compounding pharmacies in the country, which gives it a broad distribution network and direct relationships with eye doctors. Nearly all of its revenue comes from the U.S. market. Its high gross margin reflects the pricing power of branded specialty drugs, but the company carries meaningful debt from acquiring its key products, and competition from generic alternatives or slower-than-expected drug adoption remains a real risk to growth.

Growth Profile

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

Revenue Growth

+10.9% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

-428.6% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$13M/ year

Rising (+5% vs prior year)

4.7% of revenue

Below sector average (18%)

R&D investment increasing — building for the future

Insider Activity

23.0%ownership

Declining

Insider ownership declining — could be dilution or selling

Cash Position

Cash flow positive

$84M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

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

Growth + cash flow

Harrow Health is a rare growth stock that's already generating positive cash flow while growing at 11%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

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

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Quality

Profit per sale
Gross Margin
71.3%
Premium pricing power — 71.3% gross margin
Profit after running costs
Operating Margin
-15.6%
Losing money on operations — -15.6%
Return on the money invested
ROCE
1.8%
Weak — 1.8% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales growth
Sales YoY
+21.1%
Fast-growing sales (+21.1% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
8.7%
Modest free cash flow (8.7%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
20.26
Heavy debt load (20.26)
Covers its interest
Interest Cover
0.34x
Dangerous — barely covers interest (0.3x)

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

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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