Spruce Biosciences, Inc.

SPRB

Healthcare Biotechnology

Spruce Biosciences, Inc.’s revenue for fiscal 2024 (year ended December 2024) was $4.9 million, down 51.3% from fiscal 2023.

Revenue
−75.9%
EPS
−90.9%
Free cash flow
−152.1%
Total debt
+427.2%

Quarter to June 2026, against a year earlier

46.55 3.84 +8.99%
Market cap
$133.8M
P/E
n/m
Fwd P/E
n/m
Dividend yield
—
F-score
n/a
ROIC
0.00%
Net debt / EBITDA
1.3×
Dividend safety
n/a

Insider Decisions last twelve months

Net bought
—
Trades
0 sells · 0 buys
Ownership
0.00%

Capital & Financial Ratios $m

Size
Market Cap 134
Revenue ttm 5
Net income ttm (51)
Free cash flow ttm (43)
Net debt Q (89)
Valuation
P/E n/m
Forward P/E n/m
Price / sales 23.0 (above 10: high)
Forward P/S Powerpack
Price / FCF n/m
Price / book 1.4
Financial health
Current ratio Q 9.2 (at or above 1.5: strong)
Debt / equity Q 0.1 (at or below 0.5: strong)
Interest coverage Q (15.1)
Growth
Revenue growth Q −75.9% (below 0%: shrinking)
Operating income growth Q −513.4% (below 0%: shrinking)
EPS, this year +49.4% (at or above 15%: strong)
EPS, next year A +103.5% (at or above 15%: strong)
Revenue, next year A +59.9% (at or above 10%: strong)
EPS, past 5 yrs —
EPS, next 5 yrs A +41.3% (at or above 15%: strong)

Green and red mark values outside typical ranges; (Q) is the latest quarter, (A) analysts’ estimates; n/m is not meaningful, as a P/E on a loss. How we judge →

Valuation vs history

P/B against its own 10 years 73.81%
10-year low 10-year high

Dividends

Yield
—
Annual rate
—
Payout ratio
—

Assets vs Liabilities $m

2023 2024 2025 Q'26
Cash 96 39 49 96
Receivables — — — —
Inventory — — — —
Other 2 2 3 0
102 44 52 101
2023 2024 2025 Q'26
Payables 3 1 1 1
ST’ Debt 2 2 — 3
Other — — — —
24 15 10 11

Compound Annual Growth %

10y 5y 3y
Sales — — —
Cash Flow — 0.00% 0.00%
Earnings — 0.00% 0.00%
Book Value — (22.23%) (14.69%)

Earnings Trends EPS, adjusted, against the consensus

EPS $

Mar Jun Sep Dec Year
’26 (8.94) (6.68) — — —
’25 (24.06) (3.50) (14.58) (11.04) (50.83)
’24 (21.05) (16.54) (15.79) (42.86) (96.99)
’23 (30.07) (24.06) (22.56) (18.30) (93.23)
’22 (37.59) (38.35) (36.09) (35.34) (147.37)
’21 (31.58) (37.59) (36.84) (29.32) (136.09)
’20 (508.60) (634.37) (928.57) (29.32) (370.68)
Fiscal quarters ending in the months shown.

Revenue $m

Mar Jun Sep Dec Year
’26 — — — — —
’24 2 2 1 1 5
Fiscal quarters ending in the months shown.

Operating Cash Flow $m

Mar Jun Sep Dec Year
’26 (9) (22) — — —
’25 (13) (9) (5) (6) (33)
’24 (15) (11) (9) (21) (56)
’23 (12) 2 (12) (11) (33)
’22 (12) (10) (9) (12) (42)
’21 (9) (10) (8) (10) (36)
’20 (6) (5) (8) (9) (28)
Fiscal quarters ending in the months shown.

Free Cash Flow $m

Mar Jun Sep Dec Year
’26 (9) (22) — — —
’25 (13) (9) (5) (6) (33)
’24 (15) (11) (9) (21) (56)
’23 (12) 2 (12) (11) (33)
’22 (12) (10) (9) (12) (42)
’21 (9) (10) (8) (10) (36)
’20 (6) (5) (8) (9) (28)
Fiscal quarters ending in the months shown.

Target Price Range

Analyst price targets

Recommendation Rating

1
1Buy 2 3Hold 4 5Sell

Ten years at a glance Fiscal years to December

Ten-year view Analyst estimates Powerpack
Group Line 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 TTM Jun ’26 Trend 10 yrs 2026e 2027e 2028e Next 3/yr
Income, $m
Income, $m Revenue — — — — — — — 10 5 — 5 (51.3%) — 79 34 (57.2%)
Gross margin, % — — 0.00 0.00 0.00 0.00 0.00 100.00 100.00 — 100.00 +100.0 pt
EBT — — (10) (13) (30) (42) (46) (48) (53) (39) (51) +21.7%
EBT margin, % — — 0.00 0.00 0.00 0.00 0.00 (474.96) (1,079.94) 0.00 0.00 0.0 pt
Net income — 0 (10) (13) (30) (42) (46) (48) (53) (39) (51) n/m
Per share, $
Per share, $ Revenue — — 0.00 0.00 0.00 0.00 0.00 19.70 8.93 0.00 0.00 n/m
Earnings — — (0.44) (1,288.04) (370.68) (136.09) (147.37) (93.23) (96.99) (50.83) (41.24) +97.1%
Cash flow — — (0.38) (1,236.96) (345.28) (115.47) (133.22) (64.96) (101.75) (43.45) (17.53) +96.4%
Capex — — 0.00 (0.39) (0.93) (0.30) (0.03) (0.01) 0.00 0.00 (0.06) n/m
Free cash flow — — (0.38) (1,237.35) (346.21) (115.77) (133.24) (64.98) (101.75) (43.45) (17.60) +96.4%
Book value — — 0.09 (276.86) 1,874.87 358.45 218.88 149.37 52.40 55.43 34.44 +149.2%
Shares, m — — 22 0 0 0 0 1 1 1 1 (38.2%)
Valuation, ×
Valuation, × P/E — — — — — — — 0.00 0.00 — 0.00 0.0
P/S — — — — — — — 11.27 3.53 — 23.04 7.4
P/B — — — — — — — 1.49 0.60 — 1.35 1.0
EV/Sales — — — — — — — 2.06 (4.01) — 4.88 (1.0)
EV/FCF — — — — — — — (0.62) 0.35 — (0.56) (0.1)
Cash, $m
Cash, $m Operating cash flow — — (9) (13) (28) (36) (42) (33) (56) (33) (43) +21.4%
Capex — — — 0 0 0 0 0 — — 0 +15.0%
Free cash flow — — (9) (13) (28) (36) (42) (33) (56) (33) (43) +21.4%
Balance, $m
Balance, $m Working capital — — 2 0 151 83 71 78 29 42 90 +53.8%
Net debt — — (4) 1 (153) (84) (74) (93) (37) (49) (89) +42.4%
Shareholders’ equity — — 2 (3) 149 111 68 77 29 43 84 +54.0%
Returns, %
Returns, % ROA — — (412.90) (276.50) (35.25) (29.23) (43.54) (50.55) (71.12) (79.34) (82.38) +333.6 pt
ROIC — — 0.00 0.00 0.00 (95.12) 0.00 0.00 0.00 0.00 0.00 0.0 pt
ROE — — 40.70 54.04 (49.73) (32.43) (51.35) (66.10) (100.70) (109.24) (105.98) (149.9) pt
People
People Employees — — — — 17 15 27 29 21 8 — (14.0%)
Revenue/emp, $m — — — — 0.00 0.00 0.00 0.35 0.23 0.00 — n/m
Negative figures in brackets.
estimates

All 10 years →

Fiscal years to Dec 2024 · latest quarter Dec 2024 · fundamentals updated 26 Oct 2026

Spruce Biosciences, Inc. vs peers in Biotechnology (Q) = latest quarter vs a year earlier

Company Market cap P/E Fwd P/E Revenue growth (Q) EPS growth (Q) FCF growth (Q) Gross margin (Q) EBIT margin (Q) Compare
YARW Yarrow Bioscience, Inc $147.2M — (loss-making) — (loss-making) +40.58% (above 0%: growing) n/m +81.56% (above 0%: growing) 100.00% (3,197.94%) Compare
CMPX Compass Therapeutics, Inc. $136.7M — (loss-making) — (loss-making) — n/m −26.05% (below 0%: shrinking) 100.00% 0.00% Compare
CUE Cue Biopharma, Inc. $136.1M — (loss-making) — (loss-making) +166.66% (above 0%: growing) n/m −742.65% (below 0%: shrinking) 100.00% (1,113.30%) Compare
TARA Protara Therapeutics, Inc. $135.9M — (loss-making) — — n/m −28.10% (below 0%: shrinking) 0.00% 0.00% Compare
SPRB Spruce Biosciences, Inc. $133.8M — (loss-making) — (loss-making) −75.86% (below 0%: shrinking) n/m −152.10% (below 0%: shrinking) 100.00% 0.00%
MENS Jyong Biotech Ltd. $133.6M — — — — — — — Compare
PDSB PDS Biotechnology Corporation $129.2M — (loss-making) — — n/m +69.32% (above 0%: growing) 0.00% 0.00% Compare
MOLN Molecular Partners AG Sponsored ADR $119.2M — (loss-making) — (loss-making) −98.86% (below 0%: shrinking) n/m +11.07% (above 0%: growing) 0.00% 0.00% Compare
CHRS Coherus Oncology, Inc. $119.0M — (loss-making) — (loss-making) +39.53% (above 0%: growing) n/m −33.15% (below 0%: shrinking) 70.35% (225.98%) Compare
Median of peers $134.8M — — +40.05% — −26.05% 70.35% 0.00%

All 621 Biotechnology stocks →

Pay and ownership Proxy statement filed 9 April 2026

Chief executive’s pay

Year Total pay Actually paid $100 invested
2025 2.91m 4.23m 39.64
2024 1.53m (993.22k) 14.33

Ownership

Directors and executive officers, together 4.30%
Entities affiliated with Ikarian Capital, LLC 8.80%
Entities affiliated with Millennium Management LLC 7.50%
Entities affiliated with Citadel Advisors LLC 5.10%
Entities affiliated with Squadron Capital Management LLC 5.10%
Total pay is as the Summary Compensation Table states it; actually paid revalues the year’s share awards at its end, as the SEC’s pay-versus-performance rule asks. $100 invested is what $100 in the company’s shares at the start of the earliest year shown was worth at each year’s end. Ownership is the proxy’s own table: the directors and officers as a group, and every holder of 5% or more. Read the proxy statement

Spruce Biosciences, Inc. (SPRB) Latest News

24 Dec

Impact 4 · · TipRanksSimply Wall St.South Florida Sun SentinelSimply Wall St.MT NewswiresSourcing JournalMT NewswiresMT Newswires

15 Oct

Impact 4 · · ZacksZacksZacksZacksZacksZacksZacksZacks

6 Oct

Impact 4 · · Investor's Business Daily
stockrow.com/SPRB · Data as of Oct 26, 2026 · For information only; not investment advice. · © 2026 stockrow.com