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Puma Biotechnology

PBYI
66
Biotechnology · Healthcare
Price
$9.24
+0.13 (+1.43%)
Market Cap
$470.3M
Exchange
NASDAQ
Winston Score
66
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
Strong
Growth
Mixed
Cash Flow
Exceptional
Stability
Exceptional
Valuation
Mixed

Share count rising — dilution

+24.6% over 4y

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

Diluted shares outstanding: 40.6M (2021) → 50.7M (2025)

Winston Score History

The full picture

Puma Biotechnology is a small pharmaceutical company that develops and sells cancer drugs. Its main product is Nerlynx (neratinib), a pill used to treat a type of breast cancer called HER2-positive breast cancer. The drug is sold to patients who have already been treated with another cancer medicine, and it is prescribed by oncologists at hospitals and cancer clinics.

Puma makes money by selling Nerlynx directly in the United States and through licensing deals with partners who sell it in other countries, including parts of Europe and Asia. The company is small, with a market cap around $500 million, but its 74% gross margin shows the drug carries strong pricing power once development costs are covered. The biggest risk Puma faces is its heavy dependence on a single product — if Nerlynx loses market share to competing therapies or faces generic competition, revenue could fall sharply.

Score breakdown

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Quality

Profit per sale
Gross Margin
77.9%
Premium pricing power — 77.9% gross margin
Profit after running costs
Operating Margin
13.4%
Healthy — 13.4% operating margin
Return on the money invested
ROCE
21.2%
Exceptional — 21.2% return on capital

ROIC between 15% and 25%. Every dollar invested in the business earns 15 to 25 cents back per year.

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Growth

Sales growth
Sales YoY
-2.9%
Shrinking sales (-2.9% YoY)
Profit growth
EPS YoY
-45.3%
Earnings shrinking (-45.3% YoY)

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

How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
212%
Turns 212% of profit into real cash
Spare cash per sale
FCF Margin
24.4%
Converts sales into free cash efficiently (24.4%)

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
0.03
Conservative — low debt load (0.03)
Covers its interest
Interest Cover
8.65x
Comfortably covers interest (8.6x)

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

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Valuation

Price vs profit
P/E Ratio (TTM)
17.2x
Fair value — P/E 17.2

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
-60.1
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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