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Kooth logo

Kooth

KOO.L
58
Medical - Care Facilities · Healthcare
Price
150.50 GBp
+0.00 (+0.00%)
Market Cap
54.6M GBp
Exchange
London Stock Exchange
Winston Score
58
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 9, 2026 · filings through Dec 31, 2025

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)

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.

Winston Score History

Score breakdown

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Quality

Gross Margin
73.7%
Premium pricing power — 73.7% gross margin
Operating Margin
16.3%
Healthy — 16.3% operating margin
ROCE
16.1%
Strong — 16.1% 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 YoY
-5.2%
Shrinking sales (-5.2% YoY)
EPS YoY
-64.1%
Earnings shrinking (-64.1% YoY)

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

EPS Consistency
3/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
240%
Turns 240% of profit into real cash
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

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

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

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Valuation

P/E Ratio (TTM)
20.0x
Fair value — P/E 20.0

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

P/E vs Forward
+3.0
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (20.0 → 16.9)

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Dividends

Not applicable for this business.
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