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Spruce Biosciences, Inc. (SPRB)
NASDAQ:SPRB
US Market
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Spruce Biosciences (SPRB) AI Stock Analysis

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SPRB

Spruce Biosciences

(NASDAQ:SPRB)

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Neutral 48 (OpenAI - 5.2)
Rating:48Neutral
Price Target:
$52.00
▲(20.71% Upside)
Action:Reiterated
Date:08/17/26
The score is primarily constrained by weak financial performance (no TTM revenue, large losses, and substantial cash burn), despite a low-debt balance sheet. Technicals provide a moderate offset with improving short-term trend and positive momentum, but overbought-leaning signals and weaker longer-term averages temper the benefit. Valuation remains unattractive/unclear due to negative earnings and no dividend yield support.
Positive Factors
Low Financial Leverage
Very modest debt reduces financing pressure and preserves flexibility while Spruce funds clinical development. This is a meaningful structural advantage for a company that has not yet established commercial revenue.
Negative Factors
No Sustained Commercial Revenue
The absence of recurring revenue confirms that Spruce remains dependent on pipeline progression rather than an operating commercial franchise. This leaves future growth, funding capacity, and business value tied to successful product development.
Read all positive and negative factors
Positive Factors
Negative Factors
Low Financial Leverage
Very modest debt reduces financing pressure and preserves flexibility while Spruce funds clinical development. This is a meaningful structural advantage for a company that has not yet established commercial revenue.
Read all positive factors

Spruce Biosciences (SPRB) vs. SPDR S&P 500 ETF (SPY)

Spruce Biosciences Business Overview & Revenue Model

Company Description
Spruce Biosciences, Inc., founded in 2014 and situated in Daly City, California, operates as a biopharmaceutical enterprise. Its primary objective is to advance and bring to market innovative treatments, particularly for uncommon endocrine conditi...
How the Company Makes Money
null...

Spruce Biosciences Financial Statement Overview

Summary
Overall financial quality is weak due to no TTM revenue, large ongoing net losses (TTM net loss ~$51.4M), and significant operating/free cash flow burn (TTM OCF/FCF about -$42.6M/-$42.8M). The main offsetting strength is very low leverage (TTM debt ~$2.7M vs. equity ~$83.7M), but the cash-burn and lack of sustained revenue traction dominate.
Income Statement
18
Very Negative
Balance Sheet
54
Neutral
Cash Flow
30
Negative
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue0.000.004.91M10.09M0.000.00
Gross Profit0.000.004.91M10.09M0.000.00
EBITDA-48.67M-38.85M-52.68M-47.37M-45.69M-41.88M
Net Income-51.35M-38.97M-53.04M-47.92M-46.18M-42.29M
Balance Sheet
Total Assets102.85M53.02M45.21M103.95M85.65M126.49M
Cash, Cash Equivalents and Short-Term Investments96.30M48.91M38.75M96.34M79.08M88.97M
Total Debt7.67M736.00K2.77M4.61M6.32M6.53M
Total Liabilities19.12M10.51M16.39M27.44M17.16M15.12M
Stockholders Equity83.73M42.52M28.82M76.51M68.49M111.37M
Cash Flow
Free Cash Flow-42.77M-33.33M-55.96M-33.28M-41.69M-35.97M
Operating Cash Flow-42.62M-33.33M-55.96M-33.27M-41.68M-35.88M
Investing Cash Flow-145.00K0.000.0055.78M23.69M-79.17M
Financing Cash Flow122.68M43.48M-1.62M49.14M-241.00K643.00K

Spruce Biosciences Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price43.08
Price Trends
50DMA
48.61
Positive
100DMA
52.87
Negative
200DMA
66.30
Negative
Market Momentum
MACD
1.45
Negative
RSI
61.54
Neutral
STOCH
70.81
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SPRB, the sentiment is Neutral. The current price of 43.08 is below the 20-day moving average (MA) of 47.25, below the 50-day MA of 48.61, and below the 200-day MA of 66.30, indicating a neutral trend. The MACD of 1.45 indicates Negative momentum. The RSI at 61.54 is Neutral, neither overbought nor oversold. The STOCH value of 70.81 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for SPRB.

Spruce Biosciences Risk Analysis

Spruce Biosciences disclosed 74 risk factors in its most recent earnings report. Spruce Biosciences 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

Spruce Biosciences Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
63
Neutral
$95.72M0.88103.52%15.46%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$225.13M-3.44-157.89%50.66%
48
Neutral
$148.24M-1.26-123.53%-100.00%52.43%
47
Neutral
$244.27M-3.17-91.60%3472.96%67.74%
45
Neutral
$62.55M-1.06-35.20%31.98%
44
Neutral
$55.51M-1.22214.97%-31.12%-35.10%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SPRB
Spruce Biosciences
51.58
43.63
548.81%
IMUX
Immunic
16.50
7.73
88.18%
FBIO
Fortress Biotech
2.87
0.58
25.33%
CLNN
Clene
4.32
-1.01
-18.95%
DTIL
Precision BioSciences
8.85
3.72
72.51%
IMA
ImageneBio
5.51
-8.64
-61.06%

Spruce Biosciences Corporate Events

Business Operations and StrategyExecutive/Board Changes
Spruce Biosciences Names Adrian Quartel Chief Medical Officer
Positive
Jul 27, 2026
On July 27, 2026, Spruce Biosciences, Inc. appointed Adrian Quartel, M.D., FFPM, as Chief Medical Officer, succeeding Interim Chief Medical Officer Dr. Kirk Ways, who will remain on the board. Quartel brings more than 25 years of global pharmaceut...
Executive/Board ChangesShareholder Meetings
Spruce Biosciences Stockholders Approve Directors and Annual Say-on-Pay
Neutral
May 26, 2026
Spruce Biosciences, Inc. held its 2026 Annual Meeting of Stockholders on May 21, 2026, in a virtual format, with approximately 65.86% of the 1,372,278 eligible shares represented, constituting a quorum for conducting business. Stockholders elected...
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 17, 2026