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NeuroPace (NPCE)
NASDAQ:NPCE
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NeuroPace (NPCE) AI Stock Analysis

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NPCE

NeuroPace

(NASDAQ:NPCE)

Rating:47Neutral
Price Target:
$8.50
▼(-1.39% Downside)
NeuroPace's overall score is primarily impacted by its financial performance challenges, including high leverage and negative cash flow. While technical indicators suggest a bearish trend, the company has shown positive developments in earnings calls and corporate events, such as successful debt refinancing and promising clinical trial results.
Positive Factors
Earnings
NPCE reported 2Q25 sales of $23.5 million, which is 2% higher than consensus and shows a year-over-year growth of 22%.
Financial Performance
NPCE's gross margin guidance has been raised to 75-76%, which is higher than previous expectations and consensus.
Growth Strategy
Management is focused on key growth pillars and driving utilization expansion within core markets, including expanding adoption of its RNS platform for focal epilepsy.
Negative Factors
Clinical Trial Results
The study did not reach statistical significance for the primary effectiveness endpoint, which was to show a longer time to a second generalized tonic-clonic seizure in the active stimulation group compared to the sham stimulation group.
Price Target
Analyst decreases the price target for NPCE from $18 to $16.
Regulatory Risk
The NAUTILUS announcement creates additional near-term regulatory risk for the company.

NeuroPace (NPCE) vs. SPDR S&P 500 ETF (SPY)

NeuroPace Business Overview & Revenue Model

Company DescriptionNeuroPace, Inc. (NPCE) is a medical technology company that specializes in developing and manufacturing devices for the treatment of neurological disorders. The company's flagship product is the RNS® System, a responsive neurostimulation device designed to monitor and treat epileptic seizures. NeuroPace operates within the healthcare sector, focusing on neurology and neurotechnology, and is committed to improving the quality of life for patients suffering from epilepsy.
How the Company Makes MoneyNeuroPace generates revenue primarily through the sale of its RNS® System to hospitals and medical institutions. The company makes money by charging for the initial implantation of the device as well as through ongoing monitoring and management services associated with the device's use. Revenue is also derived from follow-up procedures and replacement parts or upgrades. NeuroPace works closely with healthcare providers and insurance companies to ensure its devices are accessible to patients, which can also influence its revenue streams. Additionally, strategic partnerships and collaborations within the medical technology industry may contribute to its financial performance.

NeuroPace Earnings Call Summary

Earnings Call Date:Aug 12, 2025
(Q2-2025)
|
% Change Since: -5.59%|
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Positive
The earnings call presented a strong performance with record revenue and improved gross margins, alongside successful debt refinancing and positive clinical trial data. However, challenges included increased operating expenses, a higher net loss, and the NAUTILUS trial not meeting its primary effectiveness endpoint.
Q2-2025 Updates
Positive Updates
Record Revenue Growth
NeuroPace reported a record revenue of $23.5 million for Q2 2025, representing a 22% growth compared to $19.3 million in the previous year.
Strong Gross Margin Performance
The company achieved a total gross margin above 77% and an RNS gross margin above 80%. The gross margin guidance for the full year was raised to a range of 75% to 76%.
Successful Debt Refinancing
NeuroPace completed a refinancing of its existing debt, securing more favorable terms and enhancing financial flexibility.
Positive Clinical Trial Results
The Post-Approval Study showed a 100% median percent seizure reduction at 24 and 36 months post-implant for patients with generalized tonic-clonic seizures.
Encouraging NAUTILUS Trial Data
NAUTILUS trial data showed highly statistically significant and clinically meaningful reductions in seizure frequency, with a median seizure reduction better than 80% at 18 and 24 months.
Negative Updates
Increased Operating Expenses
Operating expenses grew to $25 million in Q2 2025 compared to $20.4 million in Q2 2024, impacted by one-time expenses related to executive transition.
Net Loss Increased
NeuroPace reported a net loss of $8.7 million for Q2 2025, compared to a net loss of $7.5 million in Q2 2024.
NAUTILUS Trial Primary Endpoint Not Met
The NAUTILUS trial did not meet its primary effectiveness endpoint due to the prespecified analysis method's inability to account for a small subset of patients with highly variable seizure frequencies.
Company Guidance
During NeuroPace, Inc.'s Second Quarter 2025 earnings call, the company provided updated financial guidance, reflecting a strong performance. NeuroPace reported record revenue of $23.5 million for the quarter, marking a 22% increase from the previous year. The company adjusted its full-year revenue guidance to a range of $94 million to $98 million, up from the prior range of $93 million to $97 million, and raised its gross margin guidance to between 75% and 76%. Operating expenses, excluding one-time items, grew by 13%, staying below the revenue growth rate. The RNS System revenue grew 16% during the quarter, contributing to this performance. NeuroPace also highlighted successful refinancing of its debt, providing financial flexibility, and discussed ongoing clinical development programs, including its NAUTILUS trial and Project CARE. The company expressed confidence in its growth trajectory, bolstered by clinical data, strategic partnerships, and planned innovations.

NeuroPace Financial Statement Overview

Summary
NeuroPace shows positive revenue growth, but faces challenges with profitability and liquidity. High debt levels and negative cash flow indicate financial risk.
Income Statement
45
Neutral
NeuroPace shows a positive revenue growth trend with a 22% increase from the previous year. However, the company is facing challenges with profitability as reflected in negative EBIT and net income margins. The gross profit margin remains strong at 74%, but the net profit margin remains at 0%, indicating operational challenges.
Balance Sheet
35
Negative
The company's balance sheet shows a high debt-to-equity ratio due to substantial debt levels, indicating potential financial risk. Equity has significantly decreased, impacting financial stability. The equity ratio is low at about 8%, highlighting reliance on debt financing.
Cash Flow
40
Negative
NeuroPace's free cash flow remains negative, indicating cash constraints. The free cash flow growth shows a slight improvement but remains negative, and the operating cash flow to net income ratio is unfavorable, reflecting cash generation issues relative to reported earnings.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue88.57M79.91M65.42M45.52M45.18M41.14M
Gross Profit67.08M59.09M48.12M32.49M33.44M30.27M
EBITDA-16.22M-16.57M-22.83M-36.57M-28.37M-12.48M
Net Income-17.29M-27.14M-32.96M-47.08M-36.08M-24.28M
Balance Sheet
Total Assets106.11M94.65M107.65M114.11M133.56M55.95M
Cash, Cash Equivalents and Short-Term Investments62.14M52.76M66.45M77.41M115.58M38.08M
Total Debt71.52M73.34M72.39M69.77M49.85M52.86M
Total Liabilities86.68M86.63M87.00M79.33M60.06M203.78M
Stockholders Equity19.44M8.01M20.65M34.78M73.50M-6.41M
Cash Flow
Free Cash Flow-16.23M-18.25M-19.87M-37.47M-24.96M-21.67M
Operating Cash Flow-16.09M-17.95M-19.70M-36.87M-24.58M-21.61M
Investing Cash Flow3.16M8.99M23.03M23.80M-85.40M-10.77M
Financing Cash Flow22.95M4.33M8.13M490.00K102.53M55.01M

NeuroPace Technical Analysis

Technical Analysis Sentiment
Negative
Last Price8.62
Price Trends
50DMA
9.66
Negative
100DMA
11.29
Negative
200DMA
11.38
Negative
Market Momentum
MACD
-0.33
Negative
RSI
41.24
Neutral
STOCH
44.80
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NPCE, the sentiment is Negative. The current price of 8.62 is below the 20-day moving average (MA) of 8.80, below the 50-day MA of 9.66, and below the 200-day MA of 11.38, indicating a bearish trend. The MACD of -0.33 indicates Negative momentum. The RSI at 41.24 is Neutral, neither overbought nor oversold. The STOCH value of 44.80 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for NPCE.

NeuroPace Risk Analysis

NeuroPace disclosed 61 risk factors in its most recent earnings report. NeuroPace reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

NeuroPace Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
59
Neutral
$295.65M-85.68%19.68%-13.17%
58
Neutral
$52.61M48.68-1.62%3.30%-112.70%
52
Neutral
$189.60M-92.33%23.11%18.06%
51
Neutral
$7.77B-0.12-39.78%2.21%22.68%-1.42%
47
Neutral
$272.92M-176.94%23.32%23.29%
47
Neutral
$371.82M-102.61%5.94%25.16%
40
Underperform
$256.32M-32.87%17.36%9.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NPCE
NeuroPace
8.62
0.70
8.84%
CLPT
ClearPoint Neuro
10.24
-1.64
-13.80%
SRTS
Sensus Healthcare
3.27
-3.31
-50.30%
SENS
Senseonics Holdings
0.43
0.01
2.38%
NNOX
Nano-X Imaging
4.01
-3.03
-43.04%
CVRX
CVRx
7.57
-1.16
-13.29%

NeuroPace Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
NeuroPace Appoints New CFO Amid Strategic Shift
Neutral
Jun 24, 2025

On June 20, 2025, Rebecca Kuhn resigned as NeuroPace‘s Chief Financial Officer and transitioned to a Senior Strategic Advisor role, with a separation agreement outlining her consulting services and severance benefits. Concurrently, Patrick F. Williams was appointed as the new CFO, bringing over 25 years of experience in financial and operational management within public medical device companies, signaling a strategic shift for NeuroPace as it seeks to expand access to its RNS System and enhance its growth trajectory.

Executive/Board ChangesShareholder Meetings
NeuroPace Holds Virtual Annual Stockholders Meeting
Neutral
Jun 12, 2025

On June 6, 2025, NeuroPace, Inc. conducted its Annual Meeting of Stockholders virtually, where key proposals were voted on. Stockholders elected Class I director nominees Joel Becker and Frank Fischer to serve until the 2028 Annual Meeting. Additionally, the appointment of PricewaterhouseCoopers LLP as the independent registered public accounting firm for the fiscal year ending December 31, 2025, was ratified.

Private Placements and FinancingBusiness Operations and Strategy
NeuroPace Secures $75 Million Credit Facility with MidCap
Positive
Jun 4, 2025

On June 4, 2025, NeuroPace, Inc. entered into a $75 million credit facility with MidCap Financial, comprising a $60 million term loan and a $15 million revolving credit facility. This new financing arrangement allowed NeuroPace to repay its existing loan with CRG Partners IV, L.P., and the revolving credit will support working capital and corporate purposes. The favorable terms of the new credit facility are expected to reduce cash interest expenses and support NeuroPace’s growth initiatives, including expanding access to the RNS System and investing in new product developments.

Product-Related AnnouncementsBusiness Operations and Strategy
NeuroPace Announces Promising NAUTILUS Study Results
Positive
May 27, 2025

On May 27, 2025, NeuroPace announced the preliminary one-year results of its NAUTILUS study, which evaluates the safety and effectiveness of the RNS System for treating drug-resistant idiopathic generalized epilepsy. The study met its primary safety endpoint and showed significant seizure reduction in a key patient subgroup, suggesting potential benefits for a substantial portion of patients. NeuroPace plans to engage with the FDA regarding regulatory pathways and is confident in its long-term growth strategy, reaffirming its 2025 financial guidance.

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: Aug 19, 2025