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Esperion Therapeutics (ESPR)
:ESPR

Esperion (ESPR) AI Stock Analysis

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Esperion

(NASDAQ:ESPR)

Rating:52Neutral
Price Target:
$1.00
▼(-14.53%Downside)
Esperion's overall stock score is driven primarily by its robust revenue growth and positive shareholder sentiment. However, the score is significantly constrained by ongoing financial challenges, including negative profitability and high leverage. Technical indicators suggest some positive momentum, but valuation remains a concern due to the lack of earnings and dividends.
Positive Factors
Global Expansion
Esperion announced a license and distribution agreement with HLS Therapeutics for the commercialization of NEXLETOL and NEXLIZET in Canada, highlighting global expansion efforts.
Patent Protection
Esperion has reached settlements with two ANDA filers, preventing generic marketing of NEXLETOL until April 19, 2040.
Revenue Growth
Revenue continues to grow, with a 41% increase in NEXLETOL/NEXLIZET U.S. product revenue driven by retail prescription growth.
Negative Factors
Financial Performance
ESPR reported a top-line of $65.0MM (-6%Q/Q and -53%Y/Y) vs. the Street's $54.3MM.
Market Conditions
Revenue growth reflects a flat lipid-lowering market due to changes in Medicare Part D and higher out-of-pocket costs.
Sales Estimates
Analyst maintains a Buy rating, but adjusts the price target to $4 (from $5) to reflect lower sales estimates and higher operating expenses.

Esperion (ESPR) vs. SPDR S&P 500 ETF (SPY)

Esperion Business Overview & Revenue Model

Company DescriptionEsperion Therapeutics, Inc., a pharmaceutical company, develops and commercializes medicines for the treatment of patients with elevated low density lipoprotein cholesterol. Its lead product candidates are NEXLETOL (bempedoic acid) and NEXLIZET (bempedoic acid and ezetimibe) tablets for the treatment of patients with atherosclerotic cardiovascular disease or heterozygous familial hypercholesterolemia. The company has a license and collaboration agreement with Daiichi Sankyo Europe GmbH; and Serometrix to in-license its oral, small molecule PCSK9 inhibitor program. Esperion Therapeutics, Inc. was incorporated in 2008 and is headquartered in Ann Arbor, Michigan.
How the Company Makes MoneyEsperion makes money primarily through the sale and distribution of its cholesterol-lowering medications, bempedoic acid and the bempedoic acid/ezetimibe combination tablet. Revenue is generated through direct sales to healthcare providers, pharmacies, and distributors. Additionally, the company enters into licensing and partnership agreements with other pharmaceutical companies to expand the reach and distribution of its products, thereby contributing to its earnings. These partnerships may include milestone payments, royalties, and revenue-sharing arrangements, which provide additional streams of income.

Esperion Earnings Call Summary

Earnings Call Date:May 06, 2025
(Q1-2025)
|
% Change Since: 11.43%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Positive
The earnings call presented a strong overall performance with significant revenue growth, expanded market access, and key pipeline advancements. However, challenges such as seasonal sales impacts and confusion due to policy changes were acknowledged. The highlights, particularly the revenue growth and guideline inclusion, outweigh the lowlights.
Q1-2025 Updates
Positive Updates
Significant Revenue Growth
Total revenue for Q1 2025 grew 63% year-over-year to $65 million, after adjusting for a one-time milestone received in Q1 2024. US net product revenue grew 41% year-over-year to $34.9 million.
Expanded Market Access
Field reimbursement support team expanded threefold to 15 payer access specialists, leading to over 30 plans removing prior authorizations and implementing electronic step edits.
Inclusion in ACC-AHA Guidelines
NEXLETOL and NEXLIZET added to the 2025 ACC-AHA Multi Society Guidelines with level 1A and 2A recommendations for patients with acute coronary syndrome.
International Market Growth
Royalty revenue from Daiichi Sankyo Europe increased 8% from Q4 2024 to $10.5 million in Q1 2025. Esperion also entered partnerships with CSL Seqirus in Australia and New Zealand.
Pipeline Advancements
Declaration of lead indication in primary sclerosing cholangitis, targeting a $1 billion market opportunity, reflecting expansion into high-need, high-value indications.
Negative Updates
Seasonal Sales Impact
Q1 product revenue growth in the US was impacted by changes to Medicare Part D and patient deductible requirements, causing lower product revenue as patients fulfill their insurance deductibles.
Collaboration Revenue Decline
Collaboration revenue was $30.1 million, a decrease of approximately 73% compared to Q1 2024, driven by the absence of a one-time settlement agreement milestone with DSE.
Confusion Due to Inflation Reduction Act
Confusion around the Inflation Reduction Act and related adjustments caused added difficulty in the market, impacting prescription growth and consumer understanding.
Company Guidance
During Esperion Therapeutics' first-quarter 2025 earnings call, significant metrics highlighted included a 63% year-over-year total revenue growth to $65 million, excluding a one-time milestone from the previous year. U.S. net product revenue grew 41% year-over-year to $34.9 million, despite a flat lipid market impacted by seasonal Medicare Part D changes and higher patient out-of-pocket costs. The company expanded its field reimbursement support team threefold to enhance physician education on favorable reimbursement landscapes. Esperion's bempedoic acid products, NEXLETOL and NEXLIZET, received notable inclusion in the 2025 ACC-AHA Multi Society Guidelines, providing strong guidance for statin-intolerant patients. Early Q2 2025 trends show prescription growth tracking approximately 8% higher than Q1. The company is also advancing a triple combination therapy anticipated for commercialization in 2027, aiming to lower LDL cholesterol by over 60%. Internationally, royalty revenue from Daiichi Sankyo Europe increased 8% to $10.5 million, showcasing strong global growth. Financially, Esperion ended the quarter with $114.6 million in cash and reiterated its full-year operating expense guidance of $215 million to $235 million.

Esperion Financial Statement Overview

Summary
Esperion demonstrates strong revenue growth, but faces significant profitability challenges with ongoing negative net income and high debt levels. The reliance on debt and negative equity position pose financial risks, and while cash flows are improving, they remain negative.
Income Statement
45
Neutral
Esperion's revenue increased significantly from 2023 to 2024, demonstrating a strong growth trajectory in the income statement. However, the company continues to face challenges with profitability, as evidenced by negative net income, resulting in a negative net profit margin. The gross profit margin remains high, indicating efficient cost management relative to revenue, but negative EBIT and EBITDA margins highlight operational inefficiencies.
Balance Sheet
30
Negative
The balance sheet shows significant financial leverage with a negative stockholders' equity, indicating potential financial instability. The debt-to-equity ratio cannot be calculated due to negative equity, which is a red flag. Total debt is substantial, and the equity ratio is negative, suggesting the company is heavily reliant on debt financing. The negative return on equity further highlights profitability challenges.
Cash Flow
40
Negative
Esperion's cash flow statement reveals improving free cash flow, although it remains negative. Operating cash flow is also negative, which raises concerns about the sustainability of operations without external financing. The free cash flow to net income ratio is not favorable due to persistent losses, though the operating cash flow to net income ratio suggests some efficiency in cash management relative to net losses.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
259.57M332.31M116.33M75.47M78.45M227.55M
Gross Profit
169.51M263.71M73.07M48.51M64.23M225.16M
EBIT
-39.96M54.40M-155.56M-179.50M-226.73M-121.40M
EBITDA
-88.47M7.57M-150.11M-176.35M-222.14M-120.33M
Net Income Common Stockholders
-153.22M-51.74M-209.25M-287.82M-318.82M-166.19M
Balance SheetCash, Cash Equivalents and Short-Term Investments
114.63M144.76M82.25M124.78M208.89M304.96M
Total Assets
324.03M343.82M205.80M247.94M381.59M353.26M
Total Debt
297.78M297.60M540.95M260.95M260.20M185.41M
Net Debt
183.15M152.84M458.70M136.17M51.30M-119.55M
Total Liabilities
750.24M732.54M660.79M571.72M578.53M449.39M
Stockholders Equity
-426.21M-388.72M-454.99M-1.34B-1.11B-838.82M
Cash FlowFree Cash Flow
-100.35M-23.97M-135.49M-174.83M-263.81M-98.55M
Operating Cash Flow
-100.11M-23.65M-135.49M-174.83M-263.81M-85.18M
Investing Cash Flow
-244.00K-317.00K42.50M8.10M-50.48M21.36M
Financing Cash Flow
-11.62M86.48M50.46M32.61M268.22M201.72M

Esperion Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price1.17
Price Trends
50DMA
0.97
Positive
100DMA
1.36
Negative
200DMA
1.76
Negative
Market Momentum
MACD
0.07
Negative
RSI
62.34
Neutral
STOCH
80.76
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ESPR, the sentiment is Neutral. The current price of 1.17 is above the 20-day moving average (MA) of 0.99, above the 50-day MA of 0.97, and below the 200-day MA of 1.76, indicating a neutral trend. The MACD of 0.07 indicates Negative momentum. The RSI at 62.34 is Neutral, neither overbought nor oversold. The STOCH value of 80.76 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for ESPR.

Esperion Risk Analysis

Esperion disclosed 60 risk factors in its most recent earnings report. Esperion 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

Esperion Peers Comparison

Overall Rating
UnderperformOutperform
Sector (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
62
Neutral
$157.95M-48.14%-29.69%-105.88%
54
Neutral
$5.38B3.27-45.10%3.30%16.81%0.02%
52
Neutral
$231.89M23.44%12.99%17.78%
EBEBS
52
Neutral
$339.24M-21.63%-18.56%76.88%
46
Neutral
$249.18M-83.58%6.88%-17.54%
45
Neutral
$100.33M85.74-8.02%-23.18%97.12%
44
Neutral
$339.70M77.48%5.29%-37.31%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ESPR
Esperion
1.17
-1.70
-59.23%
EBS
Emergent Biosolutions
6.25
0.24
3.99%
IRWD
Ironwood Pharma
0.62
-5.08
-89.12%
LFCR
Lifecore Biomedical
6.73
1.58
30.68%
AQST
Aquestive Therapeutics
3.42
0.69
25.27%
DERM
Journey Medical Corp
6.78
1.21
21.72%

Esperion Corporate Events

Shareholder MeetingsBusiness Operations and Strategy
Esperion Gains Strong Shareholder Support at Annual Meeting
Positive
Jun 2, 2025

On May 29, 2025, Esperion held its Annual Meeting where stockholders voted on several key proposals. These included the election of two Class III director nominees, approval of executive compensation, ratification of Ernst & Young LLP as the independent accounting firm for 2025, and an amendment to increase shares under the 2022 Plan. All proposals were approved, indicating strong shareholder support for the company’s strategic decisions.

The most recent analyst rating on (ESPR) stock is a Buy with a $16.00 price target. To see the full list of analyst forecasts on Esperion stock, see the ESPR Stock Forecast page.

Executive/Board Changes
Esperion Appoints Robert E. Hoffman as New Director
Neutral
Apr 1, 2025

On April 1, 2025, Esperion Therapeutics announced the appointment of Robert E. Hoffman as an independent director and Chairperson of the Audit Committee, effective May 29, 2025. This follows the resignation of board members Nicole Vitullo and Antonio M. Gotto, Jr., effective June 1, 2025. Hoffman’s extensive experience in the biopharmaceutical sector is expected to support Esperion’s growth and commercialization efforts, particularly in expanding its pipeline of ACLY inhibitors.

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.