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Harrow Health Inc (HROW)
NASDAQ:HROW
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Harrow Health (HROW) AI Stock Analysis

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HROW

Harrow Health

(NASDAQ:HROW)

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Neutral 53 (OpenAI - 4o)
Rating:53Neutral
Price Target:
$43.00
▼(-5.24% Downside)
Harrow Health's overall stock score is driven by strong earnings call results and positive technical indicators, indicating growth potential. However, significant financial performance challenges and valuation concerns weigh heavily on the score. Addressing cash flow issues and improving profitability are crucial for enhancing financial stability.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Harrow Health's products, highlighting the company's ability to expand its market presence and increase sales, which is crucial for long-term sustainability.
Strategic Alliances
Strategic alliances and acquisitions enhance Harrow Health's product offerings and market reach, supporting long-term growth and competitive positioning in the ophthalmology sector.
Product Volume Growth
Significant growth in prescription volumes for VEVYE demonstrates successful product adoption and market penetration, which can drive sustained revenue increases.
Negative Factors
High Leverage
High leverage indicates reliance on debt financing, which can increase financial risk and limit flexibility, potentially impacting long-term financial health.
Profitability Challenges
Challenges in achieving profitability suggest potential difficulties in sustaining operations and investing in growth opportunities, affecting future financial stability.
Cash Flow Issues
Negative cash flow growth and low cash generation from operations indicate potential liquidity issues, which can hinder the company's ability to fund operations and strategic initiatives.

Harrow Health (HROW) vs. SPDR S&P 500 ETF (SPY)

Harrow Health Business Overview & Revenue Model

Company DescriptionHarrow Health, Inc. operates as an ophthalmic-focused healthcare company. The company owns ImprimisRx, an ophthalmology outsourcing and pharmaceutical compounding business; and DEXYCU for the treatment of post-operative inflammation. The company also holds equity interests in Surface Ophthalmics, Inc., a clinical-stage pharmaceutical company that focuses on development and commercialization of therapeutics for ocular surface diseases; Melt Pharmaceuticals, Inc., a clinical-stage pharmaceutical company that focused on the development and commercialization of proprietary non-intravenous, sedation, and anesthesia therapeutics for human medical procedures in hospital, outpatient, and in-office settings; and Eton Pharmaceuticals, Inc., a commercial-stage pharmaceutical company that engages in developing and commercializing drug products. Harrow Health, Inc. owns royalty rights in four clinical stage drug candidates being developed by Surface Ophthalmics, Inc. and Melt Pharmaceuticals, Inc. The company was formerly known as Imprimis Pharmaceuticals, Inc. and changed its name to Harrow Health, Inc. in December 2018. Harrow Health, Inc. was incorporated in 2006 and is headquartered in San Diego, California.
How the Company Makes MoneyHarrow Health generates revenue primarily through the sale of its compounded pharmaceuticals, which are sold directly to healthcare providers, hospitals, and pharmacies. The company's revenue model is anchored in the demand for specialty medications that are tailored to individual patient needs, which allows it to command higher margins compared to standard pharmaceuticals. Additionally, Harrow Health benefits from strategic partnerships and collaborations with healthcare institutions and other pharmaceutical companies, which can enhance its product offerings and expand its market reach. The company also engages in licensing agreements and may receive royalties from its proprietary formulations, contributing further to its revenue streams.

Harrow Health Earnings Call Summary

Earnings Call Date:Aug 11, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 17, 2025
Earnings Call Sentiment Positive
The earnings call conveyed strong growth and strategic developments with significant revenue increases and strategic alliances. However, there were challenges with the VEVYE revenue decline and underperformance in the specialty branded portfolio.
Q2-2025 Updates
Positive Updates
Strong Revenue Growth
Total revenue for Q2 2025 was $63.7 million, a 30% increase over Q2 2024 and a sequential increase of 33% from Q1 2025.
VEVYE Prescription Growth
VEVYE saw a 66% growth in prescription volumes quarter-over-quarter, driven by the VEVYE Access for All initiative.
Strategic Alliances and Acquisitions
Announced a strategic alliance with Apollo Care and secured U.S. rights to BYQLOVI and Samsung's ophthalmic biosimilars portfolio.
IHEEZO and TRIESENCE Growth
IHEEZO's revenue increased by 251% from Q1 2025 and TRIESENCE achieved 32% quarter-over-quarter growth.
Adjusted EBITDA
Adjusted EBITDA for Q2 2025 was $17 million with $5 million of net income, highlighting operating leverage.
Negative Updates
VEVYE Revenue Decline
VEVYE generated $18.6 million in revenue, a 13% decrease from Q1 2025 due to normalization in average selling price.
Challenges in Specialty Branded Portfolio
The specialty branded products, excluding TRIESENCE, underperformed expectations with a need for a revenue increase by year-end.
Company Guidance
During Harrow's second quarter 2025 earnings call, the company provided guidance on various financial metrics and strategic goals. Harrow aims to achieve a $250 million revenue quarter by the end of 2027, leveraging its expansive portfolio of over 59 ophthalmic products. The company reported a total revenue of $63.7 million for the second quarter, marking a 30% increase over the same period in 2024 and a 33% rise from the first quarter of 2025. To meet its 2025 guidance of over $280 million, Harrow needs to generate approximately $169 million in revenue in the latter half of the year. The company also highlighted the growth of specific products, with VEVYE seeing a 66% rise in prescription volumes and IHEEZO experiencing a 25% increase in unit volume. Harrow anticipates VEVYE to generate over $100 million in annual revenue, while IHEEZO is projected to surpass $50 million. Adjusted EBITDA for the second quarter was reported at $17 million, with net income at $5 million. Harrow's strategy includes expanding its commercial infrastructure and entering new markets, supported by strategic acquisitions such as the U.S. rights to BYQLOVI and Samsung's ophthalmic biosimilars portfolio.

Harrow Health Financial Statement Overview

Summary
Harrow Health shows revenue growth but faces significant profitability and cash flow challenges. High leverage and negative returns on equity indicate financial risk, while strong gross margins suggest operational efficiency. The company needs to address its cash flow issues and improve profitability to enhance financial stability.
Income Statement
45
Neutral
Harrow Health shows a positive revenue growth trend with a 6.95% increase in the TTM period. However, the company struggles with profitability, as indicated by a negative net profit margin of -4.49% and a low EBIT margin of 1.20%. The gross profit margin remains strong at 74.56%, suggesting efficient cost management at the production level.
Balance Sheet
30
Negative
The balance sheet reveals high leverage with a debt-to-equity ratio of 4.66, indicating significant reliance on debt financing. The return on equity is negative at -17.50%, reflecting challenges in generating returns for shareholders. The equity ratio stands at 14.39%, suggesting limited equity financing relative to total assets.
Cash Flow
25
Negative
Cash flow analysis highlights negative free cash flow growth and a concerning free cash flow to net income ratio of -8.52, indicating cash flow challenges. The operating cash flow to net income ratio is low at 1.62%, suggesting limited cash generation from operations relative to net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue227.66M199.61M130.19M88.59M72.48M48.87M
Gross Profit169.75M150.37M90.55M63.21M54.26M34.41M
EBITDA32.10M19.28M9.72M-3.10M4.26M3.49M
Net Income-10.23M-17.48M-24.41M-14.09M-18.01M-3.36M
Balance Sheet
Total Assets345.03M388.97M312.16M157.02M98.33M57.47M
Cash, Cash Equivalents and Short-Term Investments52.96M47.25M82.77M101.86M50.67M32.56M
Total Debt231.25M228.83M190.50M112.23M77.96M23.53M
Total Liabilities295.73M319.67M241.75M130.14M87.40M30.65M
Stockholders Equity49.65M69.65M70.77M27.59M11.29M27.18M
Cash Flow
Free Cash Flow-34.38M-60.88M-148.71M-6.07M-23.43M-2.09M
Operating Cash Flow4.04M-22.20M3.84M1.71M5.08M-1.10M
Investing Cash Flow-38.66M-33.16M-152.55M-1.74M-18.69M-981.00K
Financing Cash Flow16.62M28.53M126.53M54.14M51.47M1.43M

Harrow Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price45.38
Price Trends
50DMA
36.94
Positive
100DMA
32.68
Positive
200DMA
31.50
Positive
Market Momentum
MACD
1.88
Negative
RSI
74.82
Negative
STOCH
91.12
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HROW, the sentiment is Positive. The current price of 45.38 is above the 20-day moving average (MA) of 39.46, above the 50-day MA of 36.94, and above the 200-day MA of 31.50, indicating a bullish trend. The MACD of 1.88 indicates Negative momentum. The RSI at 74.82 is Negative, neither overbought nor oversold. The STOCH value of 91.12 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for HROW.

Harrow Health Risk Analysis

Harrow Health disclosed 58 risk factors in its most recent earnings report. Harrow Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Harrow Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
82
Outperform
620.11M7.7227.44%3.86%-2.60%
69
Neutral
1.25B10.2717.78%1.37%-18.10%
66
Neutral
2.07B-126.81-2.53%38.68%-160.14%
65
Neutral
1.12B34.9115.62%22.61%-63.00%
61
Neutral
1.17B-9.57-16.82%2.25%-301.59%
53
Neutral
$1.60B-18.99%47.69%69.57%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HROW
Harrow Health
45.38
0.36
0.80%
AVDL
Avadel Pharmaceuticals
16.23
2.83
21.12%
PCRX
Pacira Pharmaceuticals
26.65
12.12
83.41%
ANIP
ANI Pharmaceuticals
97.48
37.82
63.39%
AMPH
Amphastar Pharmaceuticals
27.44
-21.74
-44.20%
EVO
Evotec AG
3.73
0.34
10.03%

Harrow Health Corporate Events

Delistings and Listing ChangesPrivate Placements and Financing
Harrow Health Completes $250M Senior Notes Sale
Neutral
Sep 12, 2025

On September 8, 2025, Harrow, Inc. entered into a purchase agreement with BTIG, LLC for the sale of $250 million in senior notes due 2030, with a 8.625% interest rate. The company completed the sale of these notes on September 12, 2025, receiving approximately $244 million in net proceeds. Harrow intends to use these funds to prepay existing borrowings, pay exit costs, and for general corporate purposes, including potential strategic business development opportunities. Additionally, Harrow announced the redemption of its 8.625% Senior Notes due 2026, scheduled for October 13, 2025, which will result in their delisting from Nasdaq.

The most recent analyst rating on (HROW) stock is a Hold with a $41.00 price target. To see the full list of analyst forecasts on Harrow Health stock, see the HROW Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Harrow Health Announces $250 Million Notes Offering
Positive
Sep 9, 2025

On September 8, 2025, Harrow, Inc. announced the pricing of its $250 million offering of 8.625% senior unsecured notes due 2030. The proceeds from this offering are intended to repay existing debts, including a $107.5 million facility with Oaktree Fund Administration and outstanding senior notes, with any remaining funds to be used for general corporate purposes. This strategic financial move is expected to impact Harrow’s operations by reducing existing debt and potentially funding future business development opportunities.

The most recent analyst rating on (HROW) stock is a Buy with a $42.00 price target. To see the full list of analyst forecasts on Harrow Health stock, see the HROW Stock Forecast page.

M&A TransactionsPrivate Placements and Financing
Harrow Health Launches $250 Million Senior Notes Offering
Neutral
Sep 8, 2025

On September 5, 2025, Harrow, Inc. entered into a commitment letter with Fifth Third Bank for a new $40 million revolving credit facility. Subsequently, on September 8, 2025, Harrow announced the launch of a private offering to sell $250 million in senior unsecured notes due 2030, with proceeds intended to redeem existing notes, prepay loans, and fund corporate purposes. Additionally, Harrow issued a conditional notice to redeem its 2027 notes, contingent on the offering’s completion, and plans to redeem its 2026 notes. The company also expressed interest in acquiring the remaining equity of Melt Pharmaceuticals, Inc., subject to certain conditions.

The most recent analyst rating on (HROW) stock is a Hold with a $39.00 price target. To see the full list of analyst forecasts on Harrow Health stock, see the HROW Stock Forecast page.

Executive/Board Changes
Harrow Health Appoints New President and CFO
Neutral
Aug 25, 2025

On August 21, 2025, Harrow, Inc. announced the appointment of Andrew R. Boll as President, who will continue his roles as Chief Financial Officer and Secretary. Randall E. Pollard was appointed as Chief Accounting Officer, effective September 1, 2025, bringing over 20 years of experience in financial reporting and corporate accounting leadership. The Board also approved amended bylaws, designating the CEO as the principal executive officer and updating officer roles to align with current governance practices.

The most recent analyst rating on (HROW) stock is a Hold with a $39.00 price target. To see the full list of analyst forecasts on Harrow Health stock, see the HROW Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Sep 16, 2025