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Spruce Biosciences, Inc. (SPRB)

Healthcare | Biotechnology | South San Francisco, United States | NasdaqCM
40.35 USD -2.52 (-5.878%) ⇩ (Oct. 13, 2026, 4 p.m. EDT)

Short-term:★☆☆☆☆Long-term:⯪☆☆☆☆Dividends:☆☆☆☆☆
Hot Take ↕ | Oct. 10, 2026, 10:47 a.m. EDT

The immediate outlook is severely clouded by a relentless downward trend and deteriorating financial health. Over the last five years, the stock has lost nearly 99.8% of its value, with the most recent annual performance showing a catastrophic -92.94% decline. This is compounded by four out of five years of negative growth, signaling a business model that is failing to generate traction or revenue. Fundamentally, the company is bleeding cash, with free cash flow and operating cash flow both deeply negative, while returning negative equity to shareholders. Although analysts project a turnaround and offer a high target price, these figures are disconnected from the reality of a company with no earnings, massive losses, and a balance sheet that cannot sustain operations without further capital raises. There is no dividend to provide income, and the recent price action shows continued weakness, trading well below moving averages. The combination of structural decline, cash burn, and lack of profitability makes this a dangerous hold for any timeframe.

Model Selection — Backtest MAE (log-scale, lower is better)
ModelMAE
MSTL ✓0.145803
AutoARIMA0.152359
AutoETS0.152360
AutoTheta0.173581

Forecast horizon: 45 days | Selected: MSTL

Forecast Reliability
Score 37%
H-stat 9.07
Ljung-Box p 0.000
Jarque-Bera p 0.406
Excess Kurtosis -0.90
Attribute Value
Sector Healthcare
Debt to Equity Ratio 9.163
Market Cap 115,966,424
Forward P/E 8.11
Beta 3.30
Website https://sprucebio.com

Info Dump

Attribute Value
52 Week Change -0.7576734
Address1 611 Gateway Boulevard
Address2 Suite 740
All Time High 200,250.0
All Time Low 7.0
Ask 51.86
Ask Size 2
Audit Risk 9
Average Analyst Rating 1.1 - Strong Buy
Average Daily Volume10 Day 73,850
Average Daily Volume3 Month 77,632
Average Volume 77,632
Average Volume10Days 73,850
Beta 3.302
Bid 30.6
Bid Size 2
Board Risk 9
Book Value 30.416
City South San Francisco
Compensation As Of Epoch Date 1,767,139,200
Compensation Risk 10
Country United States
Crypto Tradeable 0
Currency USD
Current Price 40.35
Current Ratio 9.227
Custom Price Alert Confidence HIGH
Date Short Interest 1,790,726,400
Day High 42.91
Day Low 40.19
Debt To Equity 9.163
Display Name Spruce Biosciences
Dividend Yield 0.0
Earnings Timestamp End 1,755,259,200
Earnings Timestamp Start 1,754,909,940
Ebitda -39,037,000
Ebitda Margins 0.0
Enterprise To Ebitda -0.7
Enterprise Value 27,343,424
Eps Current Year -25.3175
Eps Forward 4.975
Eps Trailing Twelve Months -39.12
Esg Populated 0
Exchange NCM
Exchange Data Delayed By 15
Exchange Timezone Name America/New_York
Exchange Timezone Short Name EDT
Fifty Day Average 51.5377
Fifty Day Average Change -11.187702
Fifty Day Average Change Percent -0.21707803
Fifty Two Week Change Percent -75.76734
Fifty Two Week High 188.25
Fifty Two Week High Change -147.9
Fifty Two Week High Change Percent -0.78565735
Fifty Two Week Low 40.19
Fifty Two Week Low Change 0.15999985
Fifty Two Week Low Change Percent 0.003981086
Fifty Two Week Range 40.19 - 188.25
Financial Currency USD
First Trade Date Milliseconds 1,602,250,200,000
Float Shares 2,016,925
Forward Eps 4.975
Forward P E 8.110553
Free Cashflow -20,647,500
Full Exchange Name NasdaqCM
Full Time Employees 22
Fullday Change -2.5200005
Fullday Change Percent -5.8782377
Fullday Price 40.35
Gmt Off Set Milliseconds -14,400,000
Governance Epoch Date 1,790,812,800
Gross Margins 0.0
Gross Profits -22,953,000
Has Pre Post Market Data 1
Held Percent Insiders 0.03374
Held Percent Institutions 0.76875997
Implied Shares Outstanding 2,874,013
Industry Biotechnology
Industry Disp Biotechnology
Industry Key biotechnology
Ipo Expected Date 2,025-09-15
Is Earnings Date Estimate 1
Language en-US
Last Fiscal Year End 1,767,139,200
Last Split Date 1,754,524,800
Last Split Factor 1:75
Long Business Summary Spruce Biosciences, Inc. is a biopharmaceutical company focused on developing and commercializing novel therapies for neurological disorders. The company develops TA-ERT, a fusion protein comprised of recombinant human alpha-N-acetylglucosaminidase, which is an enzyme replacement therapy for patients with Sanfilippo Syndrome Type B. It also develops Tildacerfont for treating a highly debilitating mental disorder characterized by depressed mood with cognitive-affective and somatic changes, including anhedonia, weight alterations, and altered sleeping patterns. In addition, the company develops SPR202 for the treatment of Congenital Adrenal Hyperplasia (CAH), a chronic and potentially life-threatening rare disease with no cure. The company has a license agreement with Eli Lilly and Company to research, develop, and commercialize various pharmaceutical compounds. It also has a collaboration and license agreement with Kaken Pharmaceutical Co. Ltd. to develop, manufacture, and commercialize Tildacerfont for the treatment of CAH in Japan. Spruce Biosciences, Inc. was incorporated in 2014 and is headquartered in South San Francisco, California.
Long Name Spruce Biosciences, Inc.
Market us_market
Market Cap 115,966,424
Market State PRE
Max Age 86,400
Message Board Id finmb_417731313
Most Recent Quarter 1,782,777,600
Net Income To Common -51,353,000
Next Fiscal Year End 1,798,675,200
Non Diluted Market Cap 141,990,612
Number Of Analyst Opinions 9
Open 42.8
Operating Cashflow -42,624,000
Operating Margins 0.0
Overall Risk 10
Phone 415 343 5986
Previous Close 42.87
Price Eps Current Year -1.5937593
Price Hint 2
Price To Book 1.3266044
Profit Margins 0.0
Quick Ratio 8.784
Quote Source Name Nasdaq Real Time Price
Quote Type EQUITY
Recommendation Key strong_buy
Recommendation Mean 1.11111
Region US
Regular Market Change -2.52
Regular Market Change Percent -5.87824
Regular Market Day High 42.91
Regular Market Day Low 40.19
Regular Market Day Range 40.19 - 42.91
Regular Market Open 42.8
Regular Market Previous Close 42.87
Regular Market Price 40.35
Regular Market Time 1,791,921,600
Regular Market Volume 110,571
Return On Assets -0.40033
Return On Equity -1.05981
Sand P52 Week Change 0.17502642
Sector Healthcare
Sector Disp Healthcare
Sector Key healthcare
Share Holder Rights Risk 8
Shares Outstanding 2,874,013
Shares Percent Shares Out 0.15020001
Shares Short 431,541
Shares Short Previous Month Date 1,788,134,400
Shares Short Prior Month 440,243
Short Name Spruce Biosciences, Inc.
Short Percent Of Float 0.1517
Short Ratio 4.02
Source Interval 15
State CA
Symbol SPRB
Target High Price 230.0
Target Low Price 104.0
Target Mean Price 148.0
Target Median Price 144.0
Total Cash 96,295,000
Total Cash Per Share 33.505
Total Debt 7,672,000
Tradeable 0
Trailing Annual Dividend Rate 0.0
Trailing Annual Dividend Yield 0.0
Trailing Eps -39.12
Trailing Peg Ratio None
Triggerable 1
Two Hundred Day Average 58.472527
Two Hundred Day Average Change -18.122528
Two Hundred Day Average Change Percent -0.30993235
Type Disp Equity
Volume 110,571
Website https://sprucebio.com
Zip 94,080