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Neuropace, Inc. (NPCE)
:NPCE
US Market
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NeuroPace (NPCE) AI Stock Analysis

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NPCE

NeuroPace

(NASDAQ:NPCE)

Rating:47Neutral
Price Target:
$8.50
▼(-12.10% 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
Revenue Growth
Strong revenue growth indicates increasing demand for NeuroPace's RNS System, suggesting robust market position and potential for future expansion.
Gross Margin Improvement
Improved gross margins reflect operational efficiencies and pricing power, enhancing long-term profitability potential.
Financial Flexibility
Successful debt refinancing reduces financial risk and provides the company with more resources to invest in growth and innovation.
Negative Factors
High Financial Leverage
High leverage can strain financial resources and limit the company's ability to invest in growth, posing long-term financial stability risks.
Negative Cash Flow
Negative cash flow suggests operational inefficiencies and may hinder the company's ability to fund new projects or manage debt effectively.
Increased Operating Expenses
Rising operating expenses can erode profitability, necessitating cost management to maintain financial health and support growth.

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

NeuroPace Business Overview & Revenue Model

Company DescriptionNeuroPace, Inc. operates as a medical device company in the United States. It develops and sells RNS system, a brain-responsive neuromodulation system for treating medically refractory focal epilepsy by delivering personalized real-time treatment at the seizure source. The company's RNS system also records continuous brain activity data; and enables clinicians to monitor patients in person and remotely. It sells its products to hospital facilities for initial RNS system implant procedures and for replacement procedures. The company was incorporated in 1997 and is headquartered in Mountain View, California.
How the Company Makes MoneyNeuroPace generates revenue primarily through the sale of its RNS System and its associated services. The company sells its devices to hospitals, clinics, and healthcare providers, who then implant them into eligible patients. Key revenue streams include the initial sale of the RNS System, which comprises the implantable device and the external components, as well as ongoing revenues from patient monitoring services and device maintenance. Partnerships with healthcare institutions and neurologists play a significant role in driving adoption of the RNS System, while reimbursement from insurance providers for the device and its implantation also contributes to the company’s earnings. Additionally, NeuroPace may benefit from research collaborations and clinical studies that validate the effectiveness of its technology, further enhancing its market position.

NeuroPace Earnings Call Summary

Earnings Call Date:Aug 12, 2025
(Q2-2025)
|
% Change Since: |
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
Neutral
Last Price9.67
Price Trends
50DMA
9.23
Positive
100DMA
10.97
Negative
200DMA
11.47
Negative
Market Momentum
MACD
0.18
Negative
RSI
62.41
Neutral
STOCH
79.79
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NPCE, the sentiment is Neutral. The current price of 9.67 is above the 20-day moving average (MA) of 9.12, above the 50-day MA of 9.23, and below the 200-day MA of 11.47, indicating a neutral trend. The MACD of 0.18 indicates Negative momentum. The RSI at 62.41 is Neutral, neither overbought nor oversold. The STOCH value of 79.79 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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
61
Neutral
$299.34M-85.68%19.68%-13.17%
58
Neutral
$52.61M48.68-1.62%3.30%-112.70%
52
Neutral
$207.91M-92.33%23.11%18.06%
51
Neutral
$7.90B-0.36-43.38%2.23%22.34%-2.15%
47
Neutral
$319.90M-176.94%23.32%23.29%
46
Neutral
$357.16M-102.61%5.94%25.16%
40
Underperform
$241.02M-32.87%17.36%9.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NPCE
NeuroPace
10.01
2.58
34.72%
CLPT
ClearPoint Neuro
10.53
-2.06
-16.36%
SRTS
Sensus Healthcare
3.24
-2.85
-46.80%
SENS
Senseonics Holdings
0.46
0.05
12.20%
NNOX
Nano-X Imaging
3.97
-2.35
-37.18%
CVRX
CVRx
8.24
0.39
4.97%

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.

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