NeuroPace Inc
Business
NeuroPace Inc is a medical device company that develops and commercializes a brain‑responsive neuromodulation therapy to reduce or prevent debilitating seizures in people with drug‑resistant epilepsy. Its principal offering is the RNS System, comprising an implantable neurostimulator, cortical strip and depth leads, Patient Remote Monitor, Physician Tablet, PDMS and nSight analytics, plus training and support services for clinicians. The company operates commercial, clinical development and data‑analytics activities, with a direct U.S. commercial segment, a distribution relationship with DIXI Medical, and R&D/clinical study programs. NeuroPace markets and sells primarily in the United States through a direct sales organization and hospital accounts, while pursuing international regulatory approvals and third‑party distribution partnerships for broader geographic expansion.
Summary from filing dated 2025-03-04
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 100 | 80 | 65 | 46 | 45 | |
| Cost of goods sold | 23 | 21 | 17 | 13 | 12 | |
| Gross profit | 77 | 59 | 48 | 32 | 33 | |
| Sales and marketing | 47 | 40 | — | — | — | |
| Research and development | 28 | 24 | 21 | 22 | 18 | |
| General and administrative | 19 | 17 | — | — | — | |
| Total operating expenses | 94 | 81 | 75 | 73 | 57 | |
| Loss from operations | −16 | −22 | −27 | −41 | −24 | |
| Interest income | 3 | 3 | 3 | 2 | 448,000 | |
| Interest expense | −7 | −9 | −9 | — | — | |
| Other income (expense), net | −486,000 | 304,000 | −315,000 | −337,000 | −5 | |
| Net loss and comprehensive loss | −21 | −27 | −33 | −47 | −36 | |
| Net loss per share attributable to common stockholders, basic (in dollars per share) | −0.66 | −0.93 | −1.27 | −1.91 | −2.17 | |
| Net loss per share attributable to common stockholders, diluted (in dollars per share) | −0.66 | −0.93 | −1.27 | −1.91 | −2.17 | |
| Weighted-average shares used in computing net loss per share attributable to common stockholders, basic (in shares) | 33 | 29 | 26 | 25 | 17 | |
| Weighted-average shares used in computing net loss per share attributable to common stockholders, diluted (in shares) | 33 | 29 | 26 | 25 | 17 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2023 2023-11-30 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 22 | 13 | 18 | — | 7 | |
| Short-term investments | 39 | 39 | 48 | — | 71 | |
| Accounts receivable | 15 | 13 | 12 | — | 7 | |
| Inventory | 17 | 13 | 11 | — | 10 | |
| Prepaid expenses and other current assets | 1 | 2 | 3 | — | 3 | |
| Total current assets | 94 | 81 | 93 | — | 98 | |
| Property and equipment, net | 1 | 1 | 1 | — | 1 | |
| Operating lease right-of-use asset | 10 | 12 | 13 | — | 15 | |
| Restricted cash | 122,000 | 122,000 | 122,000 | — | 122,000 | |
| Deferred offering costs | 0 | 300,000 | 400,000 | 300,000 | 300,000 | |
| Other assets | 113,000 | 15,000 | 15,000 | — | 21,000 | |
| Total assets | 106 | 95 | 108 | — | 114 | |
| Accounts payable | 2 | 3 | 2 | — | 2 | |
| Accrued liabilities | 13 | 10 | 11 | — | 7 | |
| Operating lease liability | 2 | 2 | 2 | — | 1 | |
| Deferred revenue | 100,000 | 600,000 | 1 | — | 0 | |
| Total current liabilities | 18 | 15 | 16 | — | 11 | |
| Long-term debt | 59 | 60 | 57 | — | 53 | |
| Operating lease liability, net of current portion | 10 | 12 | 14 | — | 15 | |
| Total liabilities | 87 | 87 | 87 | — | 79 | |
| Commitments and contingencies (Note 5) | — | — | — | — | — | |
| Preferred stock, $0.001 par value, 10,000,000 shares authorized and no shares issued and outstanding as of December 31, 2025 and 2024 | 0 | 0 | 0 | — | 0 | |
| Common stock, $0.001 par value, 200,000,000 shares authorized as of December 31, 2025 and December 31, 2024; 33,574,759 and 30,145,039 shares issued and outstanding as of December 31, 2025 and 2024, respectively | 34,000 | 30,000 | 28,000 | — | 25,000 | |
| Additional paid-in-capital | 571 | 539 | 524 | — | 507 | |
| Accumulated deficit | −552 | −531 | −504 | — | −471 | |
| Total stockholders equity | 19 | 8 | 21 | — | 35 | |
| Total liabilities and stockholders equity | 106 | 95 | 108 | — | 114 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Stock-based compensation expense | 11 | 10 | 10 | 8 | 4 | |
| Depreciation | 200,000 | 200,000 | 200,000 | 300,000 | 300,000 | |
| Amortization of debt discount and issuance costs | 237,000 | 228,000 | 283,000 | 258,000 | 267,000 | |
| Non-cash interest expense | 538,000 | 954,000 | 1 | 874,000 | 806,000 | |
| PIK interest incurred but not paid on term loan | 0 | 1 | 3 | 2 | 0 | |
| Loss on debt extinguishment | 527,000 | 0 | — | — | 0 | |
| Amortization of right-of-use asset | 2 | 2 | 1 | 3 | 0 | |
| Gain on short-term investments | −41,000 | −229,000 | 315,000 | 356,000 | 0 | |
| Inventory write-downs | 200,000 | 300,000 | 200,000 | 200,000 | 242,000 | |
| Loss on disposal of property and equipment | 14,000 | 0 | — | — | — | |
| Accounts receivable | −2 | −536,000 | −5 | −391,000 | 1 | |
| Inventory | −4 | −2 | −2 | −2 | −1 | |
| Prepaid expenses and other assets | 943,000 | 384,000 | 381,000 | −792,000 | −1 | |
| Accounts payable | −730,000 | 671,000 | 240,000 | 647,000 | 479,000 | |
| Accrued liabilities | 4 | −1 | 4 | −15,000 | 2 | |
| Deferred revenue | −414,000 | −534,000 | 1 | 0 | — | |
| Operating lease liabilities | −2 | −2 | −1 | −2 | 0 | |
| Net cash used in operating activities | −11 | −18 | −20 | −37 | −25 | |
| Acquisition of property and equipment | −332,000 | −306,000 | −173,000 | −603,000 | −384,000 | |
| Proceeds from sale of short-term investments | 0 | 9 | 23 | 24 | 0 | |
| Net cash (used in) provided by investing activities | −332,000 | 9 | 23 | 24 | −85 | |
| Repurchase of common stock from KCK Ltd. | −50 | 0 | — | — | — | |
| Proceeds from issuance of common stock under employee plans | 2 | 2 | 803,000 | 896,000 | 919,000 | |
| Taxes withheld and paid related to net share settlement of equity awards | −543,000 | −881,000 | −259,000 | −59,000 | 0 | |
| Net cash provided by financing activities | 20 | 4 | 8 | 490,000 | 103 | |
| Net increase (decrease) in cash and cash equivalents | 8 | −5 | 11 | −13 | −7 | |
| Cash paid for interest | 6 | 6 | 4 | 4 | 6 | |
| Deferred offering costs offset against additional paid-in capital | 300,000 | 100,000 | 265,000 | 0 | — | |
| Purchase of property and equipment included in accounts payable | 13,000 | 19,000 | 69,000 | 124,000 | 0 | |
| Net change in accrued liabilities from early exercise of options | 0 | −1,000 | −1,000 | −4,000 | 2,000 |