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Otsuka Holdings Co (OTSKY) AI Stock Analysis

OTSKY

Otsuka Holdings Co

(Other OTC:OTSKY)

Select Model
Rating:81Outperform
Price Target:$44.00â–²(17.96% Upside)
Action:reiterated
Date:10/31/26

The score is led by strong earnings growth and an exceptionally conservative balance sheet. Positive technical positioning supports the rating, while weaker recent free-cash-flow conversion and only moderate valuation support limit further upside.

Positive Factors
Revenue Growth and MarginsSteady revenue expansion alongside consistently high gross margins indicates strong economics across Otsuka’s pharmaceutical and consumer businesses. The sharp improvement in operating and net margins since 2023 also suggests greater earnings capacity and supports continued investment in products and growth.
Negative Factors
Declining EPS GrowthNegative EPS growth indicates that per-share earnings have recently weakened despite overall revenue expansion. If this pressure persists, it could limit internal funding for research and commercialization while signaling that improved margins have not translated consistently into stronger earnings for shareholders.

Otsuka Holdings Co (OTSKY) vs. SPDR S&P 500 ETF (SPY)

-10%0%10%20%30%40%50%OTSKY+37.87%SPY+12.58%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
$40.90B
Dividend Yield
1.15%
Average Volume (3M)
30.96K
Price to Earnings (P/E)
16.0
Beta (1Y)
0.15
Revenue Growth
5.41%
EPS Growth
-17.30%
Country
US
Employees
37,758
Sector
Healthcare
Sector Strength
51
Industry
Drug Manufacturers - General

Otsuka Holdings Co Business Overview & Revenue Model

Company Description

Otsuka Holdings Co., Ltd. engages in the management of its group companies which are in the pharmaceuticals business. It operates through the following segments: Pharmaceuticals, Nutraceuticals, Consumer Products, and Others. The Pharmaceuticals segm...

How the Company Makes Money

Otsuka Holdings makes money primarily by selling products through its operating subsidiaries across two main segments: 1) Pharmaceuticals (prescription medicines) - Revenue model: The company generates revenue from the sale of prescription drugs to h...

Otsuka Holdings Co Earnings Call Summary

Earnings Call Date:Jul 31, 2024(Q2-2024)|% Change Since:47.71%|Next Earnings Date:Feb 11, 2027
Earnings Call SentimentPositive

The earnings call presented a strong overall performance in both pharmaceutical and nutraceutical segments with significant revenue and profit growth, and positive strategic expansions such as the acquisition for drug discovery. However, there were challenges such as impairment losses and increased SG&A expenses.

Positive Updates

Significant Revenue and Profit Growth
Revenue increased by 17.0% to JPY 1,108.9 billion, and business profit grew by 37.8% to JPY 213.6 billion year-on-year, highlighting strong performance in pharmaceutical and nutraceutical segments.

Negative Updates

Impairment Loss Impact
Operating profit was impacted by an impairment loss on AVP-786, which led to strategic discontinuation of its development.

Company Guidance

During the Q2 2024 earnings call for 4578.T, significant financial growth was highlighted, with revenue increasing by 17.0% to JPY 1,108.9 billion and business profit rising by 37.8% to JPY 213.6 billion year-on-year, driven by strong performance in pharmaceutical and nutraceutical segments. Despite an impairment loss on AVP-786 affecting operating profit, net profit climbed by 5.1% due to finance income. The pharmaceutical business saw revenue increase by 17.9% to JPY 766.7 billion, bolstered by products like ABILIFY MAINTENA and JYNARQUE, while LONSURF achieved significant gains through colorectal cancer treatment guidelines endorsements. Nutraceuticals experienced over 20% growth, with revenue reaching JPY 271.8 billion, fueled by a 56.9% rise in the For Women's Health category. The company revised its full-year forecast, raising revenue expectations by JPY 175 billion to JPY 2,315 billion and business profit projections by JPY 60 billion to JPY 390 billion, aiming to maintain momentum through strategic investments and addressing social issues.

Otsuka Holdings Co Financial Statement Overview

Summary

Strong financial performance, combining excellent balance-sheet strength and improving earnings with positive but somewhat weaker free-cash-flow conversion.

Income Statement

91Very Positive

Balance Sheet

94Very Positive

Cash Flow

75Positive
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue2.73T2.59T2.33T2.02T1.74T1.50T
Gross Profit1.96T1.86T1.67T1.41T1.17T1.00T
EBITDA611.24B554.23B452.62B246.96B279.83B231.43B
Net Income392.13B380.76B343.12B121.62B133.91B125.46B
Balance Sheet
Total Assets4.32T4.20T3.74T3.36T3.10T2.82T
Cash, Cash Equivalents and Short-Term Investments505.43B569.00B458.08B529.40B489.12B430.76B
Total Debt191.49B227.97B189.38B214.19B194.16B212.45B
Total Liabilities1.04T1.10T961.09B924.93B840.17B775.73B
Stockholders Equity3.22T3.04T2.73T2.39T2.23T2.01T
Cash Flow
Free Cash Flow319.24B331.04B225.28B168.56B104.06B115.71B
Operating Cash Flow424.53B423.14B354.64B283.23B211.85B228.86B
Investing Cash Flow-261.24B-169.42B-265.79B-190.54B-81.58B-95.29B
Financing Cash Flow-198.82B-144.00B-189.37B-60.26B-95.47B-95.84B

Otsuka Holdings Co Technical Analysis

Technical Analysis SentimentPositive
Last Price37.30

Price Trends

50DMA37.39Positive
100DMA36.22Positive
200DMA34.77Positive

Market Momentum

MACD0.59Positive
RSI51.64Neutral
STOCH13.52Positive

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OTSKY, the sentiment is Positive. The current price of 37.30 is below the 20-day moving average (MA) of 38.00, below the 50-day MA of 37.39, and above the 200-day MA of 34.77, indicating a bullish trend. The MACD of 0.59 indicates Positive momentum. The RSI at 51.64 is Neutral, neither overbought nor oversold. The STOCH value of 13.52 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for OTSKY.

Otsuka Holdings Co Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

OTSKY against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
SNYSNY83Outperform$106.98B24.665.52%5.31%23.68%-30.90%
OTSKYOTSKY81Outperform$39.95B15.9812.31%1.15%5.41%-17.30%
PFEPFE74Outperform$173.95B40.524.89%5.61%-0.21%-59.71%
NVSNVS72Outperform$298.74B30.8724.24%2.93%1.64%-28.72%
JNJJNJ70Outperform$657.68B41.0219.55%1.95%7.81%-35.95%
GSKGSK67Neutral$99.66B16.8924.64%3.70%6.93%-18.14%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%

* Healthcare Sector Average

Performance Comparison

0%20%40%OTSKYGSKJNJNVSPFESNYDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
OTSKY and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
OTSKYOtsuka Holdings Co., Ltd. (OTSKY)37.289.5634.50%
GSKGlaxoSmithKline49.133.898.60%
JNJJohnson & Johnson270.5687.8248.06%
NVSNovartis AG161.5238.9131.74%
PFEPfizer Inc30.677.9635.07%
SNYSanofi SA45.55-1.68-3.55%
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: Oct 31, 2026