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NASDAQ · Health care

Spruce Biosciences, Inc. (SPRB)

It posted a net loss of $67.1M. At September 30, 2026 it held $87.7M in cash against $19.5M of debt. Its latest periodic report to the SEC is the quarterly report (10-Q) filed on November 9, 2026.

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Price
$47.02
-4.70% on the day · November 10, 2026
52-week range $38.06 to $127.90
Market cap
$135.1M

Key facts about Spruce Biosciences, Inc.

Net worth
Spruce Biosciences, Inc. has a market value (market cap) of $135.1M at the latest share price, and shareholders' equity of $66.3M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.
Revenue and profit
In fiscal 2025 revenue was $0 (-100.0% year on year), with a net loss of $39M.
Cash flow
In fiscal 2025 operations used $33.3M of cash.
Latest report
The latest periodic report (quarterly report, 10-Q) was filed with the SEC on November 9, 2026 and covers the period to September 30, 2026. Open on SEC EDGAR
Next earnings report
Spruce Biosciences, Inc.'s next report is expected around January 7, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

What Spruce Biosciences, Inc. does

Spruce Biosciences, Inc. is registered with the SEC under industry code SIC 2834 (Pharmaceutical Preparations). Its shares trade on NASDAQ under the ticker SPRB.

Revenue and profit by year

Revenue
FY22: $0 $0 FY22FY23: $10.1M $10.1M FY23FY24: $4.9M $4.9M FY24FY25: $0 $0 FY25
Net income
FY20: -$13.1M -$13.1M FY20FY20: -$29.5M -$29.5M FY20FY21: -$42.3M -$42.3M FY21FY22: -$46.2M -$46.2M FY22FY23: -$47.9M -$47.9M FY23FY24: -$53M -$53M FY24FY25: -$39M -$39M FY25

Fiscal years as reported in annual reports. Amounts in USD.

Key figures

Fiscal yearRevenueOperating incomeNet incomeDiluted EPSFree cash flow
2025$0-$36.5M-$39M-$50.83n/a
2024$4.9M-$56.2M-$53M-$96.40-$56M
2023$10.1M-$52M-$47.9M-$92.66-$33.3M
2022$0-$47.3M-$46.2M-$146.47-$41.7M
2021n/a-$42.1M-$42.3M-$135.26-$36M
2020n/a-$29.4M-$29.5M-$368.41-$27.6M

Earnings: every quarter and the next report date

Full financial statements: income, balance sheet and cash flow

Next report expected around January 7, 2027.

Estimated from its filing rhythm: 52 weeks after its report of January 8, 2026. Not a date the company has announced. See the report calendar · Earnings, quarter by quarter

Latest SEC filings

What Spruce Biosciences, Inc. has filed recently, newest first. Each links to the original document on SEC EDGAR.

  1. November 9, 2026
    Quarterly report 10-Q · period to September 30, 2026Diluted EPS -$8.51 versus -$14.58.
  2. November 9, 2026
  3. August 14, 2026
  4. August 14, 2026
  5. August 14, 2026
  6. August 14, 2026
  7. August 12, 2026
    Quarterly report 10-Q · period to June 30, 2026Diluted EPS -$6.68 versus -$3.50.
  8. August 12, 2026
  9. August 4, 2026
  10. July 30, 2026

Recent insider filings (Forms 3, 4 and 144): 10, the latest on July 29, 2026. Insider transactions on SEC

Insider trades

What the people running Spruce Biosciences, Inc. did with its shares, from the Form 4 filings they must send the SEC within two business days.

No insider trades were reported in the last 90 days.

Bought (open market)
$0
last 90 days
Sold
$0
last 90 days
DateInsiderWhatSharesPriceValueFiling
June 30, 2026 Szwarcberg Javier B.CHIEF EXECUTIVE OFFICER, Director Received as pay 266 $4.53 $1.2K Form 4
December 31, 2025 Szwarcberg Javier B.CHIEF EXECUTIVE OFFICER, Director Received as pay 4,690 $4.53 $21.2K Form 4
December 15, 2025 Gharib Samir M.PRESIDENT AND CFO Exercised options 496 - - Form 4
December 15, 2025 Gharib Samir M.PRESIDENT AND CFO Shares withheld for tax 178 $80.67 $14.4K Form 4
December 15, 2025 Gharib Samir M.PRESIDENT AND CFO Exercised options 513 - - Form 4
December 15, 2025 Gharib Samir M.PRESIDENT AND CFO Shares withheld for tax 184 $80.67 $14.8K Form 4
December 15, 2025 Szwarcberg Javier B.CHIEF EXECUTIVE OFFICER, Director Exercised options 1,480 - - Form 4
December 15, 2025 Szwarcberg Javier B.CHIEF EXECUTIVE OFFICER, Director Shares withheld for tax 752 $80.67 $60.7K Form 4

All insider filings on SEC.gov · Where insiders are buying across the market

Who owns SPRB

Three views from three kinds of SEC filings, each with its own date. They overlap and are not added up.

5% holders

Anyone who owns more than 5% of a class of shares must say so on Schedule 13D (if they may seek to influence the company) or 13G (a passive holder). The latest filing of each holder is shown: 13G filings of the last 2 years, 13D of the last 3.

HolderOf classSharesFiled
Orin Hirschman13G, passive with 1 related filers 9.1% 250,000 July 27, 2026
Boone Peter David Mr13G, passive 6.4% 68,184 November 24, 2025
Integrated Core Strategies (US) LLC13G, passive with 3 related filers 5.8% 160,981 August 4, 2026
AWM Investment Company, Inc.13G, passive 5.1% 146,988 August 14, 2026

Latest filings below 5%: ADAR1 Capital Management, LLC 2.5% (August 14, 2026); Kenneth Griffin 1.9% (August 14, 2026); OrbiMed Advisors LLC 4.8% (August 14, 2026); Squadron Master Fund LP 0.9% (May 15, 2026); Alyeska Investment Group, L.P. 4.49% (May 15, 2026).

Largest institutional holders

Positions that investment managers reported on Form 13F for the quarter ended June 30, 2026, largest first, with the change on the quarter ended March 31, 2026. Managers file 13F up to 45 days after a quarter ends. 63 managers reported a position.

HolderSharesValueChange on quarter
AIGH Capital Management LLC250,000$13.5Mnew
Orbimed Advisors LLC200,000$10.8Mnew
BlackRock, Inc.187,836$10.1M+170,898
Millennium Management LLC160,981$8.7M+49,093
Ikarian Capital, LLC121,356$6.6M0
Vanguard Capital Management LLC119,331$6.4M+100,994
Alyeska Investment Group, L.P.81,671$4.4M+30,000
Geode Capital Management, LLC70,548$3.8M+57,659
ADAR1 Capital Management, LLC67,717$3.7M+9,117
Cable Car Capital, LP60,000$3.2Mnew
Citadel Advisors LLC51,905$2.8M-18,094
State Street Corp50,450$2.7M+45,050
Boothbay Fund Management, LLC42,080$2.3M0
Stempoint Capital LP41,388$2.2M+28,668
Eversept Partners, LP40,000$2.2Mnew
Carlyle Group Inc.38,620$2.1M0
Goldman Sachs Group Inc32,348$1.7M+26,842
Affinity Asset Advisors, LLC30,000$1.6Mnew
Diadema Partners LP30,000$1.6M+20,000
Stonepine Capital Management, LLC28,795$1.6Mnew

Insiders

Reported holdings of insiders who filed a Form 4 in the last 12 months: the shares each one held after their latest reported transaction. This is not the total held by all insiders.

3 insiders reported holding 28,783 shares in total, about $1.4M at the last price.

HolderSharesAs of
Szwarcberg Javier B.CHIEF EXECUTIVE OFFICER, Director 19,270 June 30, 2026
Gharib Samir M.PRESIDENT AND CFO 8,263 December 15, 2025
Ways Douglas KirkInterim Chief Medical Officer, Director 1,250 December 11, 2025

Schedule 13D/13G filings on SEC.gov

All filings on SEC EDGAR

Questions about SPRB

What does Spruce Biosciences, Inc. do?

Spruce Biosciences, Inc. is a company in the Health care sector, listed on NASDAQ as SPRB. Its shares trade on NASDAQ under the ticker SPRB.

What is Spruce Biosciences, Inc.'s net worth?

Spruce Biosciences, Inc. has a market value (market cap) of $135.1M at the latest share price, and shareholders' equity of $66.3M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.

Is Spruce Biosciences, Inc. profitable?

No. Over the twelve months to September 30, 2026 it reported a net loss of $67.1M.

When did Spruce Biosciences, Inc. last report?

Its most recent periodic report is the quarterly report (10-Q) filed on November 9, 2026. It covers the period to September 30, 2026.

When is Spruce Biosciences, Inc.'s next earnings report?

Spruce Biosciences, Inc.'s next report is expected around January 7, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

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Where the numbers come from

Financial figures are the values Spruce Biosciences, Inc. tagged in its own SEC filings (XBRL), taken from the latest filing for each period, so restatements replace older figures. Revenue, profit and cash flow are for full fiscal years unless marked as the last twelve months, which is the sum of the four most recent quarters. Where a company reports only the full year, the fourth quarter is the year minus the first three.

Prices are delayed end-of-day market data in the listing currency, and market cap moves with the price. P/E is shown only when earnings per share are positive. Nothing here is investment advice.