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Kooth

KOO.L
55
Medical - Care Facilities · Healthcare
Price
147.50 GBp
+0.00 (+0.00%)
Market Cap
53.5M GBp
Exchange
London Stock Exchange
Winston Score
55
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Dec 31, 2025
How the score breaks down
Quality
Strong
Growth
Weak
Cash Flow
Strong
Stability
Good
Valuation
Good

Share count rising — dilution

+16.6% over 4y

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

Diluted shares outstanding: 33.1M (2021) → 38.6M (2025)

Winston Score History

The full picture

Kooth plc is a UK-based digital mental health company that provides online counseling and emotional support services, mainly to children, teenagers, and young adults. Its platform, also called Kooth, lets users chat with trained counselors, access self-help tools, and join peer support communities — all without needing a referral or appointment. The company primarily sells its services to NHS commissioners and local government bodies in the United Kingdom, making public health authorities its main customers.

Kooth earns revenue through contracts with these public bodies, who pay to give residents free access to the platform — so users never pay directly. The business has been expanding into the United States, targeting state Medicaid programs and school districts, which represents its biggest growth opportunity. However, winning large government contracts takes time and carries uncertainty, and the company remains small with a market cap around $100 million. Its main competitive advantage is its established track record with the NHS and a fully digital, scalable model that keeps costs relatively low.

Score breakdown

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Quality

Profit per sale
Gross Margin
73.7%
Premium pricing power — 73.7% gross margin
Profit after running costs
Operating Margin
16.3%
Healthy — 16.3% operating margin
Return on the money invested
ROCE
12.8%
Good — 12.8% 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
-5.2%
Shrinking sales (-5.2% YoY)
Profit growth
EPS YoY
-64.1%
Earnings shrinking (-64.1% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

How steady the profit is
EPS Consistency
3/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Profit that turns into cash
Cash Conversion
240%
Turns 240% of profit into real cash
Spare cash per sale
FCF Margin
9.8%
Modest free cash flow (9.8%)

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
N/A
Data not available
Covers its interest
Interest Cover
100.00x
Comfortably covers interest (100.0x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
19.6x
Fair value — P/E 19.6

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

Cheaper or dearer next year
P/E vs Forward
+2.6
GROWING
Earnings expected to grow — slightly cheaper on forward P/E

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Dividends

Not applicable for this business.
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