Full Press Release Details
Neuronetics Reports Second Quarter 2025 Financial and Operating Results
Delivered $38.1 million total revenue in the quarter, representing 18% adjusted pro forma revenue growth
Generated record Greenbrook clinic revenue of $23.0 million in the quarter
Reduced cash used in operations to $3.5 million, beating guidance of under $5 million
In August 2025, received an additional $10 million in funding under the existing debt agreement with Perceptive Advisors LLC
MALVERN, PA., August 5 2025 Neuronetics, Inc., (NASDAQ: STIM) (the Company or Neuronetics ) a vertically integrated,
commercial stage, medical technology and healthcare company with a strategic vision of transforming the lives of patients whenever and wherever they need help, with the leading neurohealth therapies in the world, today announced its financial and
operating results for the second quarter of 2025.
Second Quarter 2025 Highlights
Recent Operational Highlights
We re extremely pleased with our second quarter performance, which demonstrated solid revenue growth. Our Greenbrook
integration continues to progress well, with record clinic revenue. We also reduced cash used in operations to just $3.5 million, better than our target, said Keith Sullivan, President and Chief Executive Officer of Neuronetics Our
strong quarterly results are expected to help us achieve positive cash flow from operations in 2025 and I m confident we re well-positioned to continue executing on our strategic priorities and drive sustainable growth for the remainder of
2025. We re also excited to welcome our new Chief Financial Officer, Steve Pfanstiel, who brings over two decades of experience driving growth and profitability at healthcare companies to the team.
Second Quarter 2025 Financial and Operating Results for the Three Months Ended June 30, 2025
| Revenues by Geography Three Months Ended June 30, | ||||||||||||
| 2025 | 2024 | |||||||||||
| Amount | Amount | % Change | ||||||||||
| (Unaudited; in thousands, except percentages) | ||||||||||||
| U.S. | $ | 37,656 | $ | 16,130 | 133 | % | ||||||
| International | 452 | 320 | 41 | % | ||||||||
| Total revenues | $ | 38,108 | $ | 16,450 | 132 | % |
Total revenues for the three months ended June 30, 2025 was $38.1 million, an increase of 132% compared to revenues
of $16.5 million in the second quarter of 2024, primarily driven by the acquisition of Greenbrook TMS Inc. ( Greenbrook ). During the quarter, total U.S. revenue increased by 133% and international revenue increased marginally over
the second quarter of 2024. The increase in U.S. revenue was primarily attributable to U.S. clinic revenue of $23.0 million, added as a result of the acquisition of Greenbrook, partially offset by the absence of prior year quarter sales to
Greenbrook of $2.3 million and an increase of sales of $0.9 million relating to NeuroStar Advanced Therapy Systems and treatment session revenue.
| U.S. Revenues by Product Category Three Months Ended June 30, | ||||||||||||
| 2025 | 2024 | |||||||||||
| Amount | Amount | % Change | ||||||||||
| (Unaudited; in thousands, except percentages) | ||||||||||||
| NeuroStar Advanced Therapy System | $ | 3,484 | $ | 4,000 | (13 | )% | ||||||
| Treatment sessions | 10,773 | 11,660 | (8 | )% | ||||||||
| Clinic revenue | 23,024 | % | ||||||||||
| Other | 375 | 470 | (20 | )% | ||||||||
| Total U.S. revenues | $ | 37,656 | $ | 16,130 | 133 | % |
U.S. NeuroStar Advanced Therapy System revenue for the three months ended June 30, 2025 was $3.5 million a decrease
of 13% compared to $4.0 million in the second quarter of 2024. For the three months ended June 30, 2025, the Company shipped 41 systems. Following our previously announced realignment of our capital team, the number of units shipped in the
second quarter of 2025 was below the prior year quarter, but in line with our focus on strategic higher volume accounts. The average selling price per system ( ASP ) was over $85,000 which was the highest ASP in the past 5 years.
U.S. treatment session revenue for the three months ended June 30, 2025 was $10.8 million, a decrease of 8% compared to $11.7 million in the
second quarter of 2024. The decline was primarily attributable to the absence of $2.1 million in treatment session revenue from Greenbrook which was partially offset by an increase in treatment session volume over the prior year quarter. On a
pro forma basis U.S treatment session revenue increased 13% compared to $9.6 million in the second quarter of 2024, representing a record quarterly performance.
U.S. clinic revenue, which represents revenue generated by treatment centers from the Greenbrook acquisition, was $23.0 million for the three months
ended June 30, 2025.
Gross margin for the second quarter of 2025 was 46.6% compared to the second quarter of 2024 gross margin of 74.0%. The
decrease in gross margin was primarily a result of the inclusion of Greenbrook s clinic business.
Operating expenses during the second quarter of
2025 were $25.8 million, an increase of $5.1 million, or 25%, compared to $20.7 million in the second quarter of 2024, mainly attributable to inclusion of Greenbrook s general and administrative expenses of $6.1 million,
partially offset by savings in sales and marketing expenses.
Net loss for the second quarter of 2025 was $(9.8) million, or $(0.15) per share, as compared to $(9.8)
million, or $(0.33) per share, in the second quarter of 2024. Net loss per share was based on 66,180,069 and 30,051,751 weighted average common shares outstanding for the second quarters of 2025 and 2024, respectively.
As of June 30, 2025, the Company held $17.5 million in total cash, consisting of cash and cash equivalents of $11.0 million and
$6.5 million of restricted cash, which is compared to $19.5 million as of December 31, 2024. Cash used in operations for the second quarter was $3.5 million.
Company Secures $10 Million in Additional Funding from Perceptive Advisors
In August 2025, Neuronetics received $10.0 million of additional funding under the existing debt agreement with Perceptive Advisors LLC. The Company
became eligible for the funds as a result of achieving required revenue conditions under the Tranche 2 funds. Neuronetics also remains eligible for an additional $5 million of Tranche 2 funding, subject to certain customary conditions described
in the agreement. The current $2 million minimum liquidity requirement was extended from September 2025 through September 2026 , after which the requirement becomes $5 million.
NeuroStar TMS Shows Strong Real-World Efficacy in Treating Depression in Adolescents and Young Adults
Neuronetics announced the publication of real-world clinical data in Journal of the American Academy of Child & Adolescent Psychiatry Open (JAACAP
Open) demonstrating the effectiveness of NeuroStar transcranial magnetic stimulation (TMS) in adolescents and young adults with major depressive disorder. Drawing from the NeuroStar TrakStar Clinical Database the world s largest depression
outcomes dataset the study included over 1,200 patients aged 12 21 and revealed that nearly 70% experienced clinically meaningful improvement, with less than 1% reporting worsening symptoms. These results closely mirror outcomes in adults
and further validate the FDA-cleared use of NeuroStar as an adjunct therapy in younger populations. With depression affecting one in five adolescents and limited safe treatment options available, NeuroStar TMS
offers a much-needed, evidence-based alternative.
Neuronetics Appoints New Chief Financial Officer
The Company appointed Steven Pfanstiel as its new Chief Financial Officer, effective July 15, 2025, succeeding Stephen Furlong. Mr. Pfanstiel brings
over 20 years of experience in the healthcare sector, including leadership roles at Marinus Pharmaceuticals, Lifescan, and Johnson & Johnson. Subsequent to Mr. Pfanstiel s appointment, Mr. Furlong s separation of service
date was accelerated to August 1, 2025.
For the third quarter of 2025, the Company expects total worldwide revenue between $37.0 million and $39.0 million.
For the full year 2025, the Company maintains its total worldwide revenue to be between $149.0 million and $155.0 million.
For the full year 2025, the Company now expects gross margin to be between 48% and 50%. This update reflects an adjustment in the product mix, with Greenbrook
clinical revenues representing a higher percentage of the total revenue vs. prior estimates, as well as the mix of Spravato business between bill and buy and administer and observe. The Company anticipates gross profit margin improvement in the
second half as it optimizes the Spravato business mix and as it leverages its fixed infrastructure through continued growth.
For the full year 2025, the Company now expects total operating expenses to be between $100.0 million
and $105.0 million vs. the prior guidance of $90 million to $98 million. The updated guidance reflects approximately $20 million in realized annual cost savings from our efforts in 2024 and associated with the Greenbrook
integration. The change in guidance for 2025 reflects the need to augment some critical areas, including our claims collections team which is crucial to our cash management, and additional time needed to fully assess and implement other synergies.
The Company expects third quarter cash flow from operations to be in the range of negative $3 million to break-even and turn positive in the fourth
quarter of 2025. This compares to our prior guidance of positive cash flow from operations beginning in the third quarter of 2025. The Company now expects year-end 2025 total cash, inclusive of cash, cash
equivalents, and restricted cash, to be on the range of $25 million and $28 million, inclusive of the $10 million from the August 2025 Perceptive tranche.
Webcast and Conference Call Information
Neuronetics management team will host a conference call on August 5, 2025, beginning at 8:30 a.m. Eastern Time.
The conference call will be broadcast live in listen-only mode via webcast at https://edge.media-server.com/mmc/p/d6qidqaw. To listen to the conference
call on your telephone, participants may register for the call here. While it is not required, it is recommended you join 10 minutes prior to the event start.
Neuronetics, Inc. believes that mental
health is as important as physical health. As a global leader in neuroscience, Neuronetics is delivering more treatment options to patients and physicians by offering exceptional in-office treatments that
produce extraordinary results. NeuroStar Advanced Therapy ( NeuroStar Therapy ) is a non-drug, noninvasive treatment that can improve the quality of life for people suffering from neurohealth
conditions when traditional medication has not helped. In addition to selling the NeuroStar Advanced Therapy System (the NeuroStar System ) and associated treatment sessions to customers, Neuronetics operates Greenbrook treatment centers
across the United States, offering NeuroStar Therapy, SPRAVATO, and other treatment modalities for the treatment of MDD and other mental health disorders.
NeuroStar Therapy is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety
symptoms in adult patients suffering from MDD and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode. It is also cleared by the U.S. Food and Drug Administration as an adjunct for
adults with obsessive-compulsive disorder and for adolescent patients aged 15 to 21 with MDD. Neuronetics is committed to transforming lives by offering an exceptional treatment that produces extraordinary results.
Safe harbor statement under the Private Securities Litigation Reform Act of 1995:
Certain statements in this press release, including the documents incorporated by reference herein, include forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended (the Securities Act ), Section 21E of the Securities Exchange Act of 1934, as amended, which are intended to be covered by the safe harbors created by those laws
and other applicable laws and forward-looking information within the meaning of applicable Canadian securities laws. Statements in this press release that are not historical facts constitute forward-looking statements within
the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements may be identified by terms such as may, will, would, should, expect, plan,
design, anticipate, could, intend, target, project, contemplate, believe, estimate, predict, potential,
outlook or continue as well as the negative of these terms and similar expressions. These statements are subject to significant risks and uncertainties and actual results could differ materially from those projected. The
Company cautions investors not to place undue reliance on the forward-looking statements contained in this press release. These risks and uncertainties include, without limitation, risks and uncertainties related to: the effect of the transaction
with Greenbrook on our business relationships; operating results and business generally; our ability to execute our business strategy; our ability to achieve or sustain profitable operations due to our history of losses; our reliance on the sale and
usage of our NeuroStar Advanced Therapy System to generate revenues; the scale and efficacy of our salesforce; our ability to retain talent; availability of coverage and reimbursement from third-party payors for treatments using our products;
physician and patient demand for treatments using our products; developments in respect of competing technologies and therapies for the indications that our products treat; product defects; our revenue has been concentrated among a small number of
customers; our ability to obtain and maintain intellectual property protection for our technology; developments in clinical trials or regulatory review of the NeuroStar Advanced Therapy System for additional indications; developments in regulation
in the U.S. and other applicable jurisdictions; the terms of our credit facility; our ability to successfully roll-out our Better Me Provider Program on the planned timeline; our self-sustainability and
existing cash balances; and our ability to achieve cash flow breakeven in the third quarter of 2025 . For a discussion of these and other related risks, please refer to the Company s recent filings with the SEC, which are available on the
SEC s website at www.sec.gov. These forward-looking statements are based on the Company s expectations and assumptions as of the date of this press release. Except as required by law, the Company undertakes no duty or obligation to update
any forward-looking statements contained in this press release as a result of new information, future events, or changes in the Company s expectations.
Mike Vallie or Mark Klausner
Consolidated Statements of Operations
(Unaudited; In thousands, except per share data)
| Three Months ended June 30, | Six months ended June 30, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Revenues | $ | 38,108 | $ | 16,450 | $ | 70,083 | $ | 33,867 | ||||||||
| Cost of revenues | 20,350 | 4,271 | 36,587 | 8,600 | ||||||||||||
| Gross profit | 17,758 | 12,179 | 33,496 | 25,267 | ||||||||||||
| Operating expenses: | ||||||||||||||||
| Sales and marketing | 11,868 | 12,303 | 23,867 | 23,943 | ||||||||||||
| General and administrative | 12,150 | 6,148 | 25,287 | 12,105 | ||||||||||||
| Research and development | 1,798 | 2,235 | 3,414 | 4,585 | ||||||||||||
| Total operating expenses | 25,816 | 20,686 | 52,568 | 40,633 | ||||||||||||
| Loss from operations | (8,058 | ) | (8,507 | ) | (19,072 | ) | (15,366 | ) | ||||||||
| Other (income) expense: | ||||||||||||||||
| Interest expense | 1,969 | 1,978 | 3,891 | 3,804 | ||||||||||||
| Other income, net | (188 | ) | (653 | ) | (435 | ) | (1,465 | ) | ||||||||
| Net loss | $ | (9,839 | ) | $ | (9,832 | ) | $ | (22,528 | ) | $ | (17,705 | ) | ||||
| Less: Net income attributable to non-controlling interest | 281 | 267 | ||||||||||||||
| Net loss attributable to Neuronetics stockholders | (10,120 | ) | (9,832 | ) | (22,795 | ) | (17,705 | ) | ||||||||
| Net loss per share of common stock outstanding, basic and diluted attributable to Neuronetics stockholders | $ | (0.15 | ) | $ | (0.33 | ) | $ | (0.36 | ) | $ | (0.59 | ) | ||||
| Weighted average common shares outstanding, basic and diluted | 66,180 | 30,052 | 63,835 | 29,762 |
Consolidated Balance Sheets
(Unaudited; In thousands, except per share data)
| June 30, 2025 | December 31, 2024 | |||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 10,969 | $ | 18,459 | ||||
| Restricted cash | 6,500 | 1,000 | ||||||
| Accounts receivable, net of allowance of credit losses of $920 and $1,930 as of June 30, 2025 and December 31, 2024, respectively | 26,116 | 23,355 | ||||||
| Inventory | 4,943 | 4,248 | ||||||
| Current portion of net investments in sales-type leases | 176 | 206 | ||||||
| Current portion of prepaid commission expense | 3,139 | 3,078 | ||||||
| Current portion of note receivables | 527 | 930 | ||||||
| Prepaid expenses and other current assets | 3,769 | 6,846 | ||||||
| Total current assets | 56,139 | 58,122 | ||||||
| Property and equipment, net | 5,324 | 6,242 | ||||||
| Goodwill | 19,079 | 18,634 | ||||||
| Intangible assets, net | 18,878 | 19,606 | ||||||
| Operating lease right-of-use assets | 24,480 | 27,093 | ||||||
| Net investments in sales-type leases | 103 | 86 | ||||||
| Prepaid commission expense | 8,226 | 8,902 | ||||||
| Long-term notes receivable | 334 | 295 | ||||||
| Other assets | 2,087 | 1,923 | ||||||
| Total assets | $ | 134,650 | $ | 140,903 | ||||
| Liabilities and Equity | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 9,725 | $ | 11,077 | ||||
| Accrued expenses | 10,582 | 12,818 | ||||||
| Current portion of deferred revenue | 894 | 974 | ||||||
| Deferred and contingent consideration | 1,000 | 1,000 | ||||||
| Other payables | 285 | 605 | ||||||
| Current portion of operating lease liabilities | 5,317 | 4,791 | ||||||
| Total current liabilities | 27,803 | 31,265 | ||||||
| Long-term debt, net | 55,539 | 55,151 | ||||||
| Deferred revenue | 2 | |||||||
| Operating lease liabilities | 19,801 | 22,686 | ||||||
| Total liabilities | 103,143 | 109,104 | ||||||
| Commitments and contingencies | ||||||||
| Equity: | ||||||||
| Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on June 30, 2025 and December 31, 2024 | ||||||||
| Common stock, $0.01 par value: 250,000 shares authorized; 66,113 and 55,679 shares issued and outstanding on June 30, 2025 and December 31, 2024, respectively | 661 | 557 | ||||||
| Additional paid-in capital | 469,070 | 446,938 | ||||||
| Accumulated deficit | (442,584 | ) | (419,789 | ) | ||||
| Total Stockholders equity | 27,147 | 27,706 | ||||||
| Non-controlling interest | 4,360 | 4,093 | ||||||
| Total equity | 31,507 | 31,799 | ||||||
| Total liabilities and equity | $ | 134,650 | $ | 140,903 |
Consolidated Statements of Cash Flows