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NeuroPace

NPCE
35
Medical - Devices · Healthcare
Exchange
NASDAQ
Winston Score
35
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Mar 31, 2026
How the score breaks down
Quality
Mixed
Growth
Good
Cash Flow
Weak
Stability
Weak
Valuation
Data not available

Winston Score History

The full picture

NeuroPace makes a small medical device that sits inside a person's skull and helps control epilepsy — a brain condition that causes seizures. The device is called the RNS System (Responsive Neurostimulation System). It monitors brain activity and automatically sends tiny electrical pulses to stop a seizure before it gets bad. It is sold to hospitals and specialized epilepsy centers, and the patients who use it typically have severe epilepsy that cannot be controlled with medication alone.

The company makes money by selling the implantable device hardware and replacement components to hospitals, with some recurring revenue from replacement units as devices age out. NeuroPace operates almost entirely in the United States and generates roughly $80–90 million in annual revenue. Its moat comes from being the only FDA-approved closed-loop brain stimulation device for epilepsy, which creates a strong regulatory barrier to competition. The key risk is its continued operating losses, meaning it must grow revenue significantly to reach profitability before needing additional outside funding.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-2.0% YoY

YoY Growth Rate

Revenue declining

EPS Growth

+4.8% YoY

YoY Growth Rate

Slow EPS growth

Insider Activity

31.7%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~2 years

$54M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

$54M cash & investments at current burn rate

Revenue declining

NeuroPace's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
81.8%
Premium pricing power — 81.8% gross margin
Profit after running costs
Operating Margin
-25.2%
Losing money on operations — -25.2%
Return on the money invested
ROCE
-22.2%
Weak — -22.2% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
+18.1%
Fast-growing sales (+18.1% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
7/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-9.9%
Burning cash (-9.9%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
4.23
Heavy debt load (4.23)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
no trend
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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