Neuronetics, Inc.
Business
Neuronetics, Inc. develops, manufactures and commercializes non-invasive transcranial magnetic stimulation (TMS) systems for neurohealth disorders. Its principal products and services include the NeuroStar Advanced Therapy System, recurring TMS treatment sessions, practice development and cloud-based practice management solutions, and access to SPRAVATO® at company-operated clinics. The company operates through two primary business components: product sales and support for psychiatrist customers and a network of Greenbrook treatment centers that provide clinic-based TMS and SPRAVATO therapies. Neuronetics sells primarily in the United States and distributes in select international markets through independent distributors, with focused efforts in Japan and the European Union.
Summary from filing dated 2025-03-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Total Revenues | 149 | 75 | 71 | 65 | 55 | |
| Total Cost of revenues | 77 | 21 | 20 | 15 | 12 | |
| Gross profit | 72 | 54 | 52 | 50 | 44 | |
| Sales and marketing | 47 | 46 | 47 | 50 | 38 | |
| General and administrative | 50 | 30 | 25 | 26 | 26 | |
| Research and development | 7 | 13 | 10 | 9 | 8 | |
| Total operating expenses | 104 | 89 | 82 | 85 | 71 | |
| Loss from operations | −31 | −35 | −31 | −35 | −28 | |
| Interest expense | 8 | 7 | 5 | — | — | |
| Loss on extinguishment of debt | — | 4 | — | — | — | |
| Other income, net | −716,000 | −3 | −6 | −2 | −390,000 | |
| Net loss | −39 | −44 | −30 | −37 | — | |
| Less: Net loss attributable to non-controlling interest | −137,000 | −19,000 | — | — | — | |
| Net loss attributable to Neuronetics stockholders' | −39 | −44 | −30 | −37 | −31 | |
| Net loss per share of common stock outstanding, basic attributable to Neuronetics stockholders' | −0.59 | −1.38 | −1.05 | −1.38 | −1.22 | |
| Net loss per share of common stock outstanding, diluted attributable to Neuronetics stockholders' | −0.59 | −1.38 | −1.05 | −1.38 | −1.22 | |
| Weighted average common shares outstanding, basic (in shares) | 66 | 32 | 29 | 27 | 25 | |
| Weighted average common shares outstanding, diluted (in shares) | 66 | 32 | 29 | 27 | 25 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 28 | 18 | 60 | 70 | 94 | |
| Restricted cash and cash equivalents | 6 | 1 | — | — | — | |
| Accounts receivable, net of allowance of credit losses for $1,043 and $1,930 as of December 31, 2025 and December 31, 2024, respectively | 16 | 23 | 16 | 14 | 8 | |
| Inventory | 4 | 4 | 8 | 9 | 7 | |
| Current portion of net investments in sales-type leases | 225,000 | 206,000 | 905,000 | 2 | 2 | |
| Current portion of prepaid commission expense | 3 | 3 | 3 | 2 | 2 | |
| Current portion of notes receivable | 424,000 | 930,000 | 2 | 230,000 | 74,000 | |
| Prepaid expenses and other current assets | 3 | 7 | 5 | 2 | 3 | |
| Total current assets | 62 | 58 | 94 | 99 | 115 | |
| Property and equipment, net | 4 | 6 | 2 | 2 | 1 | |
| Goodwill | 24 | 19 | — | — | — | |
| Intangible assets, net | 18 | 20 | — | — | — | |
| Operating lease right-of-use assets | 24 | 27 | 3 | 3 | 4 | |
| Net investments in sales-type leases | 98,000 | 86,000 | 661,000 | 1 | 2 | |
| Prepaid commission expense | 8 | 9 | 8 | 8 | 7 | |
| Long-term notes receivable | 151,000 | 295,000 | 4 | 362,000 | 10 | |
| Other assets | 2 | 2 | 4 | 4 | 2 | |
| Total assets | 142 | 141 | 116 | 117 | 141 | |
| Accounts payable | 11 | 11 | 5 | 2 | 4 | |
| Accrued expenses | 12 | 13 | 13 | 15 | 8 | |
| Current portion of deferred revenue | 753,000 | 974,000 | 2 | 2 | 3 | |
| Deferred and contingent consideration | 500,000 | 1 | — | — | — | |
| Other payables | 652,000 | 605,000 | — | — | — | |
| Current portion of operating lease liabilities | 6 | 5 | 845,000 | 824,000 | 670,000 | |
| Total current liabilities | 31 | 31 | 20 | 33 | 16 | |
| Long-term debt, net | 66 | 55 | 59 | 23 | 35 | |
| Deferred revenue | 48,000 | 2,000 | 200,000 | 829,000 | 1 | |
| Operating lease liabilities | 19 | 23 | 2 | 3 | 4 | |
| Total liabilities | 115 | 109 | 82 | 60 | 56 | |
| Commitments and contingencies (Note 20) | — | — | — | — | — | |
| Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on December 31, 2025 and 2024 | — | — | — | — | — | |
| Common stock, $0.01 par value: 250,000 shares authorized; 68,994 and 55,679 shares issued and outstanding on December 31, 2025 and 2024, respectively | 690,000 | 557,000 | 291,000 | 273,000 | 264,000 | |
| Additional paid-in capital | 480 | 447 | 410 | 403 | 394 | |
| Accumulated deficit | −459 | −420 | −376 | −346 | −309 | |
| Total Stockholders' equity | 22 | 28 | 34 | 57 | 85 | |
| Non-controlling interest | 4 | 4 | — | — | — | |
| Total equity | 26 | 32 | 34 | 57 | 85 | |
| Total liabilities and equity | 142 | 141 | 116 | 117 | 141 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 3 | 2 | 2 | 2 | 1 | |
| Capitalized software impairment | — | 4 | — | — | — | |
| Allowance for credit losses | 587,000 | 2 | 390,000 | 341,000 | 763,000 | |
| Inventory impairment | 388,000 | 626,000 | 2 | — | — | |
| Share-based compensation | 7 | 6 | 7 | 9 | 8 | |
| Non-cash interest expense | 824,000 | 771,000 | 634,000 | 709,000 | 715,000 | |
| Loss on disposal of property and equipment | 72,000 | 28,000 | — | — | — | |
| Accounts receivable, net | 4 | −4 | −9 | −7 | −4 | |
| Inventory | −395,000 | 3 | −1 | −3 | −3 | |
| Net investments in sales-type leases | −31,000 | 997,000 | 1 | 1 | 324,000 | |
| Prepaid commission expense | 958,000 | −1 | −1 | −1 | −2 | |
| Prepaid expenses and other assets | 5 | −1 | −3 | 786,000 | 62,000 | |
| Accounts payable | −2 | −2 | 2 | −2 | 276,000 | |
| Accrued expenses | −502,000 | −2 | −2 | 7 | 910,000 | |
| Other liabilities | 257,000 | −66,000 | — | — | — | |
| Deferred revenue | −175,000 | −843,000 | −989,000 | −1 | 215,000 | |
| Net Cash used in Operating activities | −20 | −31 | −32 | −31 | −28 | |
| Purchases of property and equipment and capitalized software | −801,000 | −1 | −2 | −3 | −2 | |
| Cash paid for acquisition, net of cash and restricted cash acquired | — | −3 | — | — | — | |
| Repayment of notes receivable | — | 2 | 1 | 10 | −7 | |
| Net Cash used in Investing activities | −801,000 | −2 | −1 | 7 | −10 | |
| Payments of debt issuance costs | −168,000 | −3 | −1 | −91,000 | — | |
| Proceeds from issuance of long-term debt | 10 | 57 | 25 | — | — | |
| Repayment of promissory note | −211,000 | — | — | — | — | |
| Repayment of deferred and contingent consideration | −500,000 | — | — | — | — | |
| Proceeds from issuance of warrants | — | 3 | — | — | — | |
| Repayment of long-term debt | — | −60 | −1 | — | — | |
| Payment for debt extinguishment cost | — | −4 | — | — | — | |
| Distribution to non-controlling interest | −94,000 | — | — | — | — | |
| Proceeds from exercises of stock options | 13,000 | 1,000 | 1,000 | 298,000 | 2 | |
| Net Cash provided by (used in) Financing activities | 36 | −7 | 23 | 207,000 | 83 | |
| Net increase (decrease) in Cash, Cash equivalents and Restricted cash | 15 | −40 | −11 | −24 | 45 | |
| Cash paid for interest | 8 | 7 | 5 | 4 | 3 | |
| Transfer of inventory to property and equipment | 106,000 | 92,000 | 210,000 | 250,000 | 601,000 | |
| Purchases of property and equipment and capitalized software in accounts payable and accrued expenses | 83,000 | 13,000 | 239,000 | 103,000 | 273,000 | |
| Reduction of accounts receivable in current and long-term notes receivable | — | 606,000 | 6 | 432,000 | 3 |