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Spero Therapeutics

SPRO
45
Biotechnology · Healthcare
Price
$1.22
+0.01 (+0.83%)
Market Cap
$70.6M
Exchange
NASDAQ
Winston Score
45
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Weak
Cash Flow
Exceptional
Stability
Good
Valuation
Exceptional

Share count rising — dilution

+91.1% over 4y

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

Diluted shares outstanding: 30.9M (2021) → 59.0M (2025)

Winston Score History

The full picture

Spero Therapeutics is a small biotechnology company focused on developing drugs to fight bacterial infections that are hard to treat with normal antibiotics. Its main product is tebipenem HBr, an oral antibiotic designed to treat complicated urinary tract infections caused by drug-resistant bacteria. The company sells to hospitals, clinics, and healthcare providers in the United States, targeting a serious medical problem known as antimicrobial resistance.

Spero makes money primarily through product sales and has also received government funding, including contracts with agencies like BARDA that support antibiotic development for national health security. The company operates mainly in the US and is quite small, with a market cap around $100 million. Its competitive position depends heavily on regulatory approvals and its ability to carve out a niche in the antibiotic market, where large pharmaceutical companies have largely pulled back. The key risk is that antibiotic commercialization is notoriously difficult, as hospitals are slow to adopt new drugs and reimbursement can be challenging to secure.

Score breakdown

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Quality

Profit per sale
Gross Margin
N/A
Data not available
Profit after running costs
Operating Margin
N/A
Data not available
Return on the money invested
ROCE
13.6%
Good — 13.6% 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
-7.0%
Shrinking sales (-7.0% 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
265%
Turns 265% of profit into real cash
Spare cash per sale
FCF Margin
45.6%
Converts sales into free cash efficiently (45.6%)

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
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)
8.7x
Attractive valuation — P/E 8.7

P/E under 10. The price tag is small relative to last year's profit.

Cheaper or dearer next year
P/E vs Forward
+6.8
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (8.7 → 1.9)

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Dividends

Not applicable for this business.
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