Owner Scorecard


← All companies ← NPB Manual NPK → ← NNOX Medical Devices & Equipment NSPR →

NPCE, Neuropace Inc.

Medical Devices & Equipment consumer brand UnprofitableDistress / turnaround

We are a medical device company focused on transforming the lives of people living with epilepsy by reducing or eliminating the occurrence of debilitating seizures.

Our novel and differentiated RNS System is the first and only commercially available, brain-responsive neuromodulation system that delivers personalized, real-time treatment at the seizure source.

Our RNS System is also the only commercially available device that records continuous brain activity data and allows clinicians to monitor patients not only in person, but also remotely, providing them the data they need to make more informed treatment decisions, thus optimizing patient care.

Latest annual: FY2025 10-K
NPCE · Neuropace Inc.
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$100M
+25.1% YoY · 19% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $107M 5-yr avg $67M
Gross margin 77% 5-yr avg 74%
Operating margin −11.3% 5-yr avg −45.4%
ROIC −16% 5-yr avg −30%
Owner-earnings margin −11% 5-yr avg −40%
Free cash flow margin −11% 5-yr avg −40%

Next report By 11/13 · the 10-Q for the quarter ended late September · due within 45 days of period end · has filed ~43 days after · the wire records it on arrival

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

Situation
Unprofitable. No sustained operating profit across the record; an earnings multiple has nothing to rest on. What the record does show is revenue, the gross-margin trajectory, and the burn against the cash on hand. Distress / turnaround. Thin interest coverage, or operating cash burned against real debt, across the record. The balance sheet carries this situation; the debt schedule sets the clock.
What moves the needle
Operating margin has run around −37% through the cycle on a 74% gross margin, the operating line in the red even at its best — so the lever is whether the spending below the gross line can come down enough to clear a profit: revenue growth against the cost curve, and the cash runway until it does. Inventory runs near 17% of sales, so how fast it turns back into cash — and the risk of writing it down when demand softens — sits alongside the margin. Read this kind of business on the installed base and what follows it. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
Is it a good business?
Return on capital has rarely cleared the cost of capital (median −32%, above 15% in 0 of 5 years). Owner earnings, the cash-based check, have been thin too. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.

Every line is arithmetic on the company's filings, shown in full in the sections below.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2020–2025

realized figures from each filing · older years to the left
2020’202021’212022’222023’232024’242025’25TTMTTMJun 2026
Income statement
$41M$45M$46M$65M$80M$100M$107MRevenueRevenue
$30M$33M$32M$48M$59M$77M$83MGross profitGross prof.
74%74%71%74%74%77%77%Gross marginGross mgn
67%86%113%83%71%66%53%SG&A / revenueSG&A/rev
38%40%48%32%30%28%26%R&D / revenueR&D/rev
($13M)($24M)($41M)($27M)($22M)($16M)($12M)Operating incomeOp. inc.
−31.7%−52.5%−89.6%−41.5%−27.1%−16.3%−11.3%Operating marginOp. mgn
($24M)($36M)($47M)($33M)($27M)($21M)($19M)Net incomeNet inc.
Cash flow & returns
($22M)($25M)($37M)($20M)($18M)($11M)($11M)Operating cash flowOp. cash
$312K$296K$267K$172K$207K$238K$260KDepreciationDeprec.
$978K$7M$2M$4M($1M)($868K)($2M)Working capital & otherWC & other
$62K$384K$603K$173K$306K$332K$369KCapexCapex
0.2%0.8%1.3%0.3%0.4%0.3%0.3%Capex / revenueCapex/rev
($22M)($25M)($37M)($20M)($18M)($11M)($12M)Owner earningsOwner earn.
−52.7%−55.0%−81.6%−30.4%−22.7%−11.2%−10.7%Owner earnings marginOE mgn
($22M)($25M)($37M)($20M)($18M)($11M)($12M)Free cash flowFCF
−52.7%−55.2%−82.3%−30.4%−22.8%−11.3%−10.9%Free cash flow marginFCF mgn
($11M)($85M)$24M$23M$9M($332K)Investing cash flowInv. cash
$55M$103M$490K$8M$4M$20MFinancing cash flowFin. cash
$23M($7M)($13M)$11M($5M)$8MChange in cashΔ cash
-18%-40%-36%-32%-23%-16%ROICROIC
-49%-135%-160%-339%-113%-161%Return on equityROE
−49%−135%−160%−339%−113%−161%Retained to equityRetained/eq
Balance sheet
$38M$116M$77M$66M$53M$61M$52MCash & investmentsCash+inv
$8M$7M$7M$12M$13M$15M$15MReceivablesReceiv.
$7M$8M$10M$11M$13M$17M$18MInventoryInvent.
$949K$1M$2M$2M$3M$2M$4MAccounts payablePayables
$14M$14M$15M$21M$23M$29M$29MOperating working capitalOper. WC
$55M$133M$98M$93M$81M$94M$86MCurrent assetsCur. assets
$10M$9M$11M$16M$15M$18M$17MCurrent liabilitiesCur. liab.
5.7×14.3×8.9×5.7×5.4×5.3×4.9×Current ratioCurr. ratio
$515K$603K$1M$1M$1M$1MNet PP&ENet PP&E
$56M$134M$114M$108M$95M$106M$97MTotal assetsAssets
$53M$50M$53M$57M$60M$59M$59MTotal debtDebt
$15M($66M)($24M)($10M)$7M($2M)$7MNet debt / (cash)Net debt
-1.1×-3.2×-5.4×-3.2×-2.5×-2.2×-1.9×Interest coverageInt. cov.
$62M$60M$79M$87M$87M$87MTotal liabilitiesTotal liab.
($148M)$74M$35M$21M$8M$19M$12MShareholders’ equityEquity
3.4%9.5%18.3%14.6%12.9%11.1%9.2%Stock comp / revenueSBC/rev
Per share
204K16.6M24.6M25.9M29.1M32.7M33.9MShares out (diluted)Shares
$201.59$2.72$1.85$2.53$2.74$3.06$3.16Revenue / shareRev/sh
$-118.97$-2.17$-1.91$-1.27$-0.93$-0.66$-0.56EPS (diluted)EPS
$-106.19$-1.50$-1.51$-0.77$-0.62$-0.34$-0.34Owner earnings / shareOE/sh
$-106.19$-1.50$-1.52$-0.77$-0.63$-0.35$-0.34Free cash flow / shareFCF/sh
$0.30$0.02$0.02$0.01$0.01$0.01$0.01Cap. spending / shareCapex/sh
$-724.43$4.43$1.41$0.80$0.28$0.58$0.35Book value / shareBVPS

The diluted share count moved ×81.39 into 2021 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

The diluted share count moved ×1.48 into 2022 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

Per-share growththe realized rate an owner's share compounded
5-yr5-yr
Revenue / share−56.7%/yr−56.7%/yr
Capital spending / share−49.3%/yr−49.3%/yr

The year, in the company's words

the filing →

Verbatim from the 10-K's management discussion. Each sentence is shown only because its subject, direction, and stated figures check out against the filed numbers on this page. The words are the company's; the arithmetic is the record's.

  • Revenue+25.1%
    “Revenue Revenue increased by $20.1 million, or 25%, to $100.0 million during the year ended December 31, 2025, compared to $79.9 million during the year ended December 31, 2024, due to an increase in the number of RNS System units sold, an increase in sales of DIXI Medical products, and an increase in service revenue.”
    ✓ figure matches the filed record

Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.

In fiscal 2025 the business earned ($11M) of owner earnings, the operating cash left after the $238K it takes just to hold its position. It put $94K more into growth; free cash flow, after that spending, was ($11M).

FY2025FY2024FY2023FY2022FY2021
Reported net income($21M)($27M)($33M)($47M)($36M)
Depreciationnon-cash charge added back+$238K+$207K+$172K+$267K+$296K
Stock-based compensationreal costnon-cash, but a real cost+$11M+$10M+$10M+$8M+$4M
Working capital & othertiming of cash in and out, other non-cash items−$868K−$1M+$4M+$2M+$7M
Cash from operations($11M)($18M)($20M)($37M)($25M)
Maintenance capital expenditurethe spending needed just to hold position and volume−$238K−$207K−$173K−$267K−$296K
Owner earnings($11M)($18M)($20M)($37M)($25M)
Growth capital expenditurediscretionary; spent to get bigger, not to stand still−$94K−$99K−$336K−$88K
Free cash flow($11M)($18M)($20M)($37M)($25M)
Owner-earnings marginowner earnings ÷ revenue-11%-23%-30%-82%-55%

Owner earnings is the cash an owner could pull out without starving the business: operating cash less the maintenance capital it must spend to hold its position (here about $238K, roughly its depreciation, the rate its assets wear out). The other $94K of its capital spending is growth it chose, not upkeep it owed; charged only with the maintenance it must do, the business earns well more than the year's free cash flow shows. The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $11M), owner earnings is nearer ($22M).

Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.

III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Will it survive?

  • Does not cover its interest
    Operating income ($16M) ÷ interest expense $7M
    What this means

    A full year of operating profit didn't cover the interest bill. This is the zombie zone: the business depends on refinancing, asset sales, or forbearance to service its debt.

  • Net cash
    Cash $22M + ST investments $39M − debt $59M
    What this means

    Cash and short-term investments exceed every dollar of debt by $2M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.

  • Long (60+ days)
    DSO 54 + DIO 271 − DPO 36 days
    What this means

    Days cash is tied up between paying suppliers and collecting from customers. Lower is better; a long cycle means growth itself eats cash.

Is it a good business?

  • Below average through the cycle
    5-yr median, range -40%–-18%; -23% latest = NOPAT ($13M) ÷ invested capital $56M
    Industry peers: median -22%
    What this means

    The rate the business earns on the money tied up in it, Buffett's north star, because over time a stock tracks the ROIC beneath it. Above ~15% sustained hints at a moat; a return below the cost of capital (~8%) erodes value as a business grows rather than building it — the test Buffett weighs most. The headline is the median of the last 5 years (it ran -23% most recently), so one peak or trough year doesn't set the verdict. Asset-light businesses (R&D expensed, little capital) read artificially high, pair this with Owner Earnings.

  • Consumes cash through the cycle
    6-yr median margin, range -82%–-11%; latest ($11M) = operating cash ($11M) − maintenance capex $238K
    Industry peers: median -58%
    What this means

    What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's -11% of revenue this year, a -42% median across 6 years. Treating stock comp as the real expense it is (less $11M of SBC) leaves ($22M).

  • Loss, and burning cash
    Net income ($21M) · cash from operations ($11M)
    What this means

    The company reported a net loss, so a conversion ratio isn't meaningful. What matters then is whether operations still threw off cash, here, they did not.

How is the cash used?

  • No surplus to allocate
    What this means

    The business didn't generate positive Owner Earnings this year, so any distributions came from the balance sheet or borrowing, not from operations.

  • Investing or harvesting? 1.39×
    Expanding
    Capex $332K ÷ property depreciation $238K
    What this means

    Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.

The promise and the pay packet

  • Growth is being bought
    Selling and marketing $47M ÷ revenue $100M
    What this means

    Sales and marketing as a share of revenue, kept apart from administrative overhead because it answers a different question: how much a business must spend to win the next customer. A company whose product pulls customers in spends little here and keeps the difference; one that must buy its growth is running to stand still, and the spending has to keep rising for revenue to keep rising. Read it beside the growth rate, not alone.

  • Is the buyback buying ownership, or mopping up? 11.1%
    Stock pay, share count unread
    Stock compensation $11M (fiscal 2025), 11.1% of revenue · repurchases $50M · the share count is not comparable across these years (a split or a first listing sits in the record), so the drift is withheld
    What this means

    Stock handed to employees is a real cost paid in the owner's own currency: it is charged against profit, but the shares it creates are permanent. Many companies repurchase stock at the same time, which looks like a return of capital and often is not — if the count barely moves, the cash merely cancelled the pay packet and bought the owner nothing. The three states worth telling apart are a count genuinely shrinking, a count standing still despite large repurchases, and a count rising because the issuance was never offset at all.

Graham’s defensive tests · 2 of 4 met

Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.

  • Adequate size Miss
    Revenue ≥ $2B · $100M
    What this means

    Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.

  • Strong liquidity Pass
    Current ratio ≥ 2× · 5.28×
    What this means

    Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.

  • Conservative debt Pass
    Debt ≤ working capital · $59M vs $76M WC
    What this means

    Graham's rule that borrowings not exceed net current assets. Capital-heavy and buyback-heavy firms routinely fail it, read it next to interest coverage, not alone.

  • Earnings stability Miss
    A profit every year (6-yr record) · 6 loss years
    What this means

    Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.

  • Dividend record
    Uninterrupted dividends · no dividend line tagged in the data
    What this means

    An unbroken dividend was Graham's mark of durability. This record carries no dividends-paid line in any year — common for partnerships, whose distributions file under tags the chain doesn't read — so the criterion is withheld rather than judged on silence.

  • Earnings growth
    Earnings +33% over the record ·
    What this means

    Earnings were negative early in the record, a growth rate isn't meaningful.

  • Moderate price
    P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
    What this means

    Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $-0.79/share (latest year $-0.63), the averaged base the calculator's gate runs on, and book value is $0.55/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.

Durability & moat, 2020–2025

Whether the record’s returns held, and what the capital reinvested earned.

  • Profitable years 0 of 6
    What this means

    Lost money in 6 year(s), look at what happened there before trusting the average.

  • Return on capital ≥ 15% 0 of 5 yrs
    What this means

    A moat shows up as a high return on invested capital that holds year after year, not one good vintage.

  • Operating margin −58% → −28% (3-yr avg ends)
    What this means

    Through the cycle the operating margin widened — about −58% early to −28% lately, median −42% — pricing power intact or improving.

  • Reinvestment, incremental ROIC returns capital
    What this means

    The capital base barely grew: this business returns cash through dividends and buybacks rather than reinvesting. Judge it on the cash returned, not on compounding.

  • Worst year 2022 · −89.6% op. margin
    What this means

    Operations went underwater in 2022, understand why before trusting the good years.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Jun 30, 2026

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$86M
  • Cash & short-term investments$52M
  • Receivables$15M
  • Inventory$18M
  • Other current assets$1M
Current liabilities$17M
  • Accounts payable$4M
  • Other current liabilities$13M
Current ratio4.94×all current assets ÷ what's due · Graham looked for 2×
Quick ratio3.91×stricter: inventory excluded
Cash ratio2.97×strictest: cash alone against what's due
Working capital$69Mthe cushion left after near-term bills
Cash runway4.5 yrsthe business is consuming cash; this is how long the cash on hand lasts at that rate
Revenue, latest quarter vs. a year ago+17.1%the freshest read on whether the business is still growing
Current ratio, recent quarters5.6× → 4.9×
Deeper floors
Tangible book value$12Mequity stripped of goodwill & intangibles
Net current asset value$1MGraham's net-net: current assets less all liabilities
Debt incl. operating leases$70M$11M of it operating leases
Deferred revenue$123Kcustomer cash collected before delivery; operating float

From the company's latest filing.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid.

  • Insider ownership19.2%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • Stock-based compensation$11M

    The slice of the business handed to employees in shares in fiscal 2025, 11.1% of revenue. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

Peers, Medical Devices & Equipment

The same industry, side by side on owner economics. Each column names the period it is read over, and a median resting on fewer than three years carries that count beside it; the group median at the foot is the line to read each figure against.

CompanyRevenuelatest FY, USDGross marginmedian over the recordOp. marginmedian over the recordROICmedian over the recordOwner earn. marginmedian over the record
SIBNSI-BONE Inc.$201M88%-36.2%-21%-38%
HTFLHeartflow Inc.$176M75%-48.7%-20%1y-58%
BBNXBeta Bionics Inc.$100M55%-71.5%-22%1y-76%
NPCENeuropace Inc.$100M74%-36.6%-32%-42%
BFLYButterfly Network Inc.$98M37%-263.0%-134%-179%
KMTSKestra Medical Technologies Ltd.$95M40%-177.8%-498%2y-143%
DCTHDelcath Systems Inc.$85M81%-33.4%-127%-51%
IRMDiRadimed Corporation$84M77%26.4%51%25%
Group median74%-42.6%-27%-54%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Neuropace Inc. is profitable, but owner earnings are negative this year because capital spending currently outruns operating cash, a build-out, so the owner-earnings reverse-DCF has no positive base to grow. We read the price from both ends instead: type a price to see the steady-state profitability it demands, then set the mature margin you would believe and weigh the two against each other. Nothing leaves your browser unless you enter it in your notebook.

$
The assumptions

Revenue, delivered20%/yr’20→’25

Enter a price to run it.

Owner earnings it must reach
Margin the price demands
Owner-earnings margin today−11%

Two reads of one future. From your price: the owner earnings the company must reach, valued at a mature multiple and discounted back at your rate, expressed as the margin it implies on revenue grown at your rate. From your belief: the mature margin you would credit, set on the dial above. When the margin the price demands runs above the one you would believe, you are paying for a future taken on faith. For a deep cyclical at a trough, normalized through-cycle earnings are the better lens; this mode is for the genuinely unprofitable, and for the profitable business whose capital spending currently outruns its cash.

Cite: Owner Scorecard, "Neuropace Inc. (NPCE), the owner's record," https://ownerscorecard.com/c/NPCE, data as of 2026-08-17.

Manual order: ← NPB its page in the Manual NPK →

Industry order: ← NNOX the Medical Devices & Equipment chapter NSPR →