NMS·Healthcare·$586M·#375 / 520 in Healthcare

ZVRA Zevra Therapeutics, Inc.

29HIGH RISK

CATEGORY BREAKDOWN

GROWTH0
QUALITY59
STABILITY6
VALUATION67
GOVERNANCE36

METRIC BREAKDOWN

Revenue Growth (YoY)

Year-over-year revenue growth rate

-14.0%
0

> 50% strong

Gross Margin

Revenue retained after direct costs

68.6%
98

> 50% strong

Cash Runway

Months of cash at current burn rate

6 months
10

> 24 months ideal

Debt / Equity

Total debt relative to shareholder equity

152.0%
0

< 25% strong

Price / Sales

Market cap relative to trailing revenue

5.5x
67

< 3x strong

Rule of 40

Growth rate plus operating margin

-382
0

> 40 excellent

Insider Ownership

Percentage of shares held by insiders

1.3%
10

> 20% strong

Share Dilution (12M)

Share count increase over last 12 months

+1.9%
89

< 5% ideal

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AI ANALYSIS REPORT

AI-GENERATED

BUSINESS SUMMARY

Zevra Therapeutics, Inc. (ZVRA) is a healthcare company trading on NMS with a market capitalization of $586M. The company currently carries a HIGH RISK rating of 29/100, flagging significant fundamental concerns. The fundamental profile shows declining revenue at -14.0% year-over-year, paired with strong gross margins well above industry average at 68.6%. The balance sheet shows high leverage that significantly increases financial risk, and the company has critically low cash runway, raising near-term dilution or solvency concerns.

VERDICT

ZVRA scores 29/100 — the fundamentals flag multiple areas of concern. Only suitable for investors with high risk tolerance and a specific catalyst thesis. This report is based on the latest available financial data and is intended as a starting point for research, not a buy or sell recommendation.

MARKET OPPORTUNITY

In the healthcare sector, cash runway and pipeline progress are critical metrics. Revenue quality depends on whether income comes from product sales, partnerships, or milestones. Zevra Therapeutics, Inc. operates with low insider ownership of 1.3%, which may indicate limited management alignment, which provides a signal about management's confidence in the company's direction. At a market cap of $586M, the company is moderately valued on a price-to-sales basis at 5.5x P/S. The combination of these factors positions ZVRA as a higher-risk position that requires careful due diligence before considering an investment.

REVENUE QUALITY

Revenue growth stands at -14.0% year-over-year, which is below the typical small-cap growth rate. Gross margins of 68.6% are strong and suggest pricing power or an asset-light business model. The Rule of 40 score of -382 is well below the benchmark, indicating challenges in both growth and profitability. Cash runway of 6 months is a concern and may require the company to raise capital in the near term.

COMPETITIVE ADVANTAGE

Evaluating Zevra Therapeutics, Inc.'s competitive position requires looking beyond the numbers. Insider ownership at 1.3% is relatively low, which may indicate that management's interests are less aligned with shareholders. The high gross margins suggest some form of competitive moat — whether through proprietary technology, brand value, regulatory barriers, or network effects. Share count management has been reasonable. Investors should research the specific sources of competitive advantage — patents, customer switching costs, scale economies, or brand — that could protect margins over time.

GROWTH THESIS

ZVRA presents a speculative fundamental profile that requires a specific thesis to justify investment. Key catalysts to watch include: revenue growth trajectory over the next 2-3 quarters, margin expansion or contraction, and any changes in insider buying or selling activity.

KEY RISKS

Execution risk is significant — many small-cap companies in this sector fail to transition from growth to profitability. The elevated debt-to-equity ratio of 152x increases financial risk and limits the company's flexibility to weather downturns or invest in growth. Limited cash runway of 6 months means the company may need to raise capital, potentially diluting existing shareholders. Declining revenue (-14.0% YoY) is a fundamental concern that could signal loss of market share or structural headwinds. Small-cap stocks carry inherently higher risk than large-caps, including limited analyst coverage, lower institutional ownership, and higher sensitivity to market downturns. Always conduct thorough due diligence beyond quantitative metrics.

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Report generated: Mar 26, 2026

SCORE HISTORY

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DATA INFO

Last updated: Mar 11, 2026

Sources: SEC EDGAR, Financial Modeling Prep, Yahoo Finance. Not financial advice.