Neuronetics, Inc.NASDAQ: STIM

Neuronetics Reports Third Quarter 2026 Financial and Operating Results

· Issued by Neuronetics, Inc. via GlobeNewswire

Summary by 6ix AI

Neuronetics, which makes the NeuroStar transcranial magnetic stimulation (TMS) system and runs the Greenbrook network of psychiatry clinics, reported total revenue of $42.0 million for the third quarter ended September 30, 2026, up from $37.3 million a year earlier. Net loss was $1.6 million, compared with $9.4 million.

Key details

  • Greenbrook revenue rose 20.1% to $26.2 million from $21.8 million. Gross margin rose to 52.2% from 45.9%, which the company attributes mainly to its new go-to-market strategy and improved revenue cycle management in the Greenbrook clinics.
  • Income from operations was $0.5 million, compared with a loss of $7.3 million. Adjusted EBITDA, an earnings measure that excludes items such as interest, depreciation and stock-based compensation, was $1.9 million versus a loss of $4.7 million. Net loss attributable to stockholders was $1.7 million, or $0.02 per share.
  • Total cash was $27.9 million as of September 30, 2026, including $5.8 million of restricted cash, down from $34.1 million as of December 31, 2025.
  • For full-year 2026 the company expects revenue of $160 million to $164 million (unchanged), gross margin of 49% to 50% (previously 48% to 50%) and operating expenses of $92.5 million to $95.5 million (previously $95 million to $100 million).
  • Neuronetics signed a distribution agreement with Wave Neuroscience, Inc. (Wave Neuro), whose software algorithm, according to the company, uses EEG (brain-wave) data to enable TMS to treat post-traumatic stress disorder (PTSD).

What’s still pending

  • Neuronetics submitted a 510(k), an application for US Food and Drug Administration (FDA) clearance, for an accelerated TMS protocol in August; it is under FDA review.
  • Neuronetics plans to seek FDA clearance to add NeuroStar as a TMS system compatible with Wave Neuro's PTSD indication.
  • The integration of the company's TrakStar platform with AdvancedMD's electronic health record platform is expected to become available to existing NeuroStar providers using AdvancedMD in the fourth quarter of 2026.
  • The full-year 2026 figures are company expectations.

6ix AI wrote this summary from the release below and checked it against the release.

MALVERN, Pa., Nov. 04, 2026 (GLOBE NEWSWIRE) -- Neuronetics, Inc. (NASDAQ: STIM) (the “Company” or “Neuronetics”), a leader in interventional mental health and provider of NeuroStar® TMS technology and direct patient care through the Greenbrook network of interventional psychiatry clinics, today announced its financial and operating results for the third quarter of 2026.

Third Quarter 2026 Highlights

  • Total revenue increased 12.5% year-over-year to $42.0 million
  • Greenbrook revenue increased 20.1% year-over-year to $26.2 million
  • Adjusted EBITDA of $1.9 million compared to $(4.7) million in the third quarter of 2025
  • Net loss of $1.6 million compared to a loss of $9.4 million in the third quarter of 2025
  • Cash provided by operating and investing of $0.8 million compared to $(0.9) million in the third quarter of 2025

Recent Operational Highlights

  • Submitted 510(k) application for accelerated TMS
  • Entered agreement with Wave Neuro to pursue treatment of PTSD pending 510(k) submission
  • NeuroStar Launched First-Ever TMS Integration with EHR/EMR Platform

“This quarter showed our strategy taking hold across our business. We delivered a record third quarter within Greenbrook as well as NeuroStar system sales. This reflects both our revenue cycle management advances as well as the positive reception of our expanded NeuroStar go-to-market options. We also continued to demonstrate our prioritization on profitability and cashflow generation,” said Dan Reuvers, President and Chief Executive Officer of Neuronetics. “We’re continuing to focus on new and expanded partnerships for NeuroStar, serving more patients in our Greenbrook clinics and preparing for the introduction of an even more comprehensive offering with the introduction of psychedelics.”

Third Quarter 2026 Financial and Operating Results for the Three Months Ended September 30, 2026

 Revenues by Segments   
 Three Months Ended September 30,    
 2026 2025   
 Amount Amount % Change 
 (Unaudited; in thousands, except percentages) 
NeuroStar revenue$15,770 $15,489 1.8%
Greenbrook revenue 26,192  21,808 20.1%
Total revenues$41,962 $37,297 12.5%
         

Total revenue for the three months ended September 30, 2026, was $42.0 million, an increase of $4.7 million, or 12.5%, compared to the three months ended September 30, 2025, of $37.3 million. The increase was primarily driven by higher Greenbrook revenue, which increased to $26.2 million in the third quarter of 2026 from $21.8 million in the third quarter of 2025, reflecting continued growth of the Greenbrook business.

Gross margin increased from 45.9% for the three months ended September 30, 2025, to 52.2% for the three months ended September 30, 2026. The increase in gross margin was primarily driven by the positive impact of our new go-to-market strategy, as well as improved revenue cycle management within the Greenbrook clinics.

Operating expenses during the third quarter of 2026 were $21.3 million, a decrease of $3.1 million, or 13%, compared to $24.4 million in the third quarter of 2025, primarily attributable to lower sales and marketing expenses, partially offset by higher general and administrative expenses.

Income from operations during the third quarter of 2026 was $0.5 million, an increase of $7.9 million, as compared to a loss of $7.3 million in the third quarter of 2025. Adjusted EBITDA during the third quarter of 2026 was $1.9 million, an increase of $6.6 million compared to a loss of $4.7 million in the third quarter of 2025.

Net loss attributable to Neuronetics stockholders for the third quarter of 2026 was $1.7 million, or $0.02 per share, as compared to $9.0 million, or $0.13 per share, for the third quarter of 2025. Net loss per share was based on 77,003,536 and 67,308,607 weighted average common shares outstanding for the third quarters of 2026 and 2025, respectively.

As of September 30, 2026, the Company held $27.9 million in total cash, consisting of cash and cash equivalents of $22.1 million and $5.8 million of restricted cash, compared to total cash of $34.1 million as of December 31, 2025.

Submitted 510(k) application for Accelerated TMS

The Company submitted a 510(k) to the FDA for an accelerated TMS protocol in August, which is currently under review. Pending approval, this has the potential to expand access to TMS for more patients, as condensed protocols can be more advantageous for some patients.

Entered agreement with Wave Neuro to pursue treatment of PTSD pending 510(k) submission

Wave Neuroscience, Inc. (“Wave Neuro”) has a proprietary software algorithm that leverages electroencephalogram (“EEG”) data to enable TMS to treat post-traumatic stress disorder (“PTSD”). The Company has signed a distribution agreement with Wave Neuro and plans to seek FDA clearance to add NeuroStar as a TMS system compatible with Wave Neuro's PTSD indication. This clearance would allow NeuroStar customers to treat PTSD on their existing systems using Wave Neuro’s software algorithm.

NeuroStar Launched First-Ever TMS Integration with EHR/EMR Platform

The Company announced the integration of its TrakStar® practice management platform with AdvancedMD’s electronic health/medical record (“EHR/EMR”), practice management, and revenue cycle platform. The first-of-its-kind integration connects TMS treatment data with clinical documentation, scheduling, and billing workflows, helping reduce duplicate work and administrative burden for providers. The integration is expected to become available to existing NeuroStar providers using AdvancedMD in the fourth quarter of 2026, with broader availability for providers adopting the platform going forward.

Business Outlook

For the full year 2026, Neuronetics now expects:

  • Total revenue between $160 million and $164 million, unchanged compared to prior guidance
  • Gross margin between 49% and 50%, compared to prior guidance of 48% and 50%
  • Operating expenses, excluding stock-based compensation, between $89 million and $92 million, with estimated stock-based compensation of $3.5 million, compared to prior guidance of $91 million to $96 million, and stock-based compensation of $4.0 million. Operating expenses between $92.5 million and $95.5 million, compared to prior guidance of $95 million to $100 million.
  • Cash flow from operating and investing in the range of $(10.0) million to $(12.0) million, compared to prior guidance of $(10.5) million to $(14.5) million.

Operating Expense Guidance: FY 2026

The following table presents the Company’s reconciliation between Operating Expenses and Operating Expenses less Non-cash Stock-Based Compensation. This adjusted guidance is based on assumptions that management believes are reasonable under the circumstances. However, they are not necessarily indicative of the Company’s future performance. Operating Expenses less Stock Based Compensation are projected Operating Expenses for the fiscal year 2026, less non-cash stock-based compensation.

 Range
 (in millions)
Operating expenses$92.5$95.5
Non-cash stock-based compensation expense (“SBC”)1$3.5$3.5
Operating expenses, less SBC$89.0$92.0
   

(1) Stock-based compensation consists of expenses related to restricted stock units and performance based restricted stock units. We exclude these expenses from our non-GAAP financial measures because they are non-cash charges that we do not consider reflective of our core ongoing operational performance. While share-based compensation is a recurring expense and a key part of our employee retention strategy, excluding it allows management and investors to compare our operational profitability more consistently against prior periods and industry peers.

Webcast and Conference Call Information

The conference call will be broadcast live in listen-only mode via webcast at https://edge.media-server.com/mmc/p/7ri4xna9. 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.

About Neuronetics

Neuronetics, Inc. is a leader in interventional mental health, combining innovative treatment technologies with direct patient care. Through its NeuroStar Advanced Therapy system, the Company is a leading provider of transcranial magnetic stimulation (“TMS”) treatment and, through Greenbrook TMS Inc. (“Greenbrook”), operates one of the largest interventional psychiatry clinic networks in the United States, offering both TMS and SPRAVATO® therapies. NeuroStar Advanced 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. NeuroStar Advanced Therapy is the leading TMS treatment for major depressive disorder (“MDD”) in adults and is backed by what we believe is the largest clinical data set of any TMS treatment system for depression. Greenbrook treatment centers also offer SPRAVATO (esketamine) nasal spray, a prescription medicine indicated for the treatment of treatment-resistant depression (“TRD”) in adults as monotherapy or in conjunction with an oral antidepressant. It is also indicated for depressive symptoms in adults with MDD with acute suicidal ideation or behavior in conjunction with an oral antidepressant.1

The NeuroStar Advanced Therapy System is cleared by the U.S. Food and Drug Administration for adults with MDD, as an adjunct for adults with obsessive-compulsive disorder, to decrease anxiety symptoms in adult patients with MDD that may exhibit comorbid anxiety symptoms (anxious depression), and as a first line adjunct for the treatment of MDD in adolescent patients aged 15-21. For safety information and indications for use, visit NeuroStar.com.

“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 include those relating to the Company’s business outlook and current expectations for upcoming quarters and fiscal year 2026, including with respect to revenue, expenses, growth, and any statements of assumptions underlying any of the foregoing items. 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 and services; developments in respect of competing technologies and therapies for the indications that our products and services treat; product defects; 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; potential effects of evolving and/or extensive government regulation; the terms of our credit facility; our self-sustainability; existing cash balance; our ability to achieve positive cash flows; and our ability to continue as a going concern. For a discussion of these and other related risks, please refer to the Company’s recent filings with the U.S. Securities and Exchange Commission (the “SEC”), which are available on the SEC’s website at www.sec.gov, including, without limitation, the factors described under the heading “Risk Factors” in Neuronetics’ Annual Report on Form 10-K for the fiscal year ended December 31, 2025 and the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2026, as may be updated or supplemented by subsequent reports that Neuronetics has filed or files with the SEC. 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.

Investor Contact:

Aman Patel or Mark Klausner
ICR Healthcare
443-213-0499
ir@neuronetics.com

Media Contact:

EvolveMKD
646-517-4220
NeuroStar@evolvemkd.com

 
NEURONETICS, INC.
Consolidated Statements of Operations
(Unaudited; In thousands, except per share data)
 
 Three Months Ended  Nine Months Ended
 September 30,  September 30, 
 2026
 2025
 2026
 2025
Revenues           
NeuroStar$15,770  $15,489  $43,372  $43,889 
Greenbrook 26,192   21,808   74,612   63,491 
Total revenues 41,962   37,297   117,984   107,380 
Cost of revenues           
NeuroStar 3,610   4,607   9,780   12,068 
Greenbrook 16,462   15,582   48,937   44,708 
Total cost of revenues 20,072   20,189   58,717   56,776 
Gross profit 21,890   17,108   59,267   50,604 
Operating expenses:           
Sales and marketing 8,484   11,848   29,205   35,715 
General and administrative 11,675   11,077   36,127   36,364 
Research and development 1,190   1,504   3,890   4,918 
Total operating expenses 21,349   24,429   69,222   76,997 
Income (Loss) from operations 541   (7,321)  (9,955)  (26,393)
Other (income) expense:           
Interest expense 2,144   2,206   6,535   6,097 
Loss on extinguishment of debt —   —   539   — 
Other income, net (47)  (126)  (1,229)  (561)
Net loss$(1,556) $(9,401) $(15,800) $(31,929)
Less: Net gain (loss) attributable to non-controlling interest 136   (356)  121   (89)
Net loss attributable to Neuronetics stockholders$(1,692) $(9,045)  (15,921)  (31,840)
Net loss per share of common stock outstanding, basic and diluted attributable to Neuronetics stockholders$(0.02) $(0.13) $(0.22) $(0.49)
Weighted average common shares outstanding, basic and diluted 77,004   67,309   73,268   65,006 
                
NEURONETICS, INC.
Consolidated Balance Sheets
(Unaudited; In thousands, except per share data)
 
 September 30,  December 31, 
 2026
    2025
Assets     
Current assets:     
Cash and cash equivalents$22,106  $28,134 
Restricted cash and cash equivalents 5,750   6,000 
Accounts receivable, net of allowance for credit losses of $563 and $1,043 as of September 30, 2026 and December 31, 2025, respectively 14,435   16,469 
Inventory 4,943   4,327 
Current portion of net investments in sales-type leases 250   225 
Current portion of prepaid commission expense 2,652   3,050 
Current portion of notes receivable 258   424 
Prepaid expenses and other current assets 3,494   2,922 
Total current assets 53,888   61,551 
Property and equipment, net 3,182   4,466 
Goodwill 23,622   23,622 
Intangible assets, net 17,056   18,149 
Operating lease right-of-use assets 24,694   23,560 
Net investments in sales-type leases 87   98 
Prepaid commission expense 6,376   7,972 
Long-term notes receivable 24   151 
Other assets 3,029   1,982 
Total assets$131,958  $141,551 
Liabilities and Equity     
Current liabilities:     
Accounts payable$9,963  $10,739 
Accrued expenses 10,354   12,316 
Current portion of deferred revenue 997   753 
Deferred and contingent consideration 250   500 
Other payables 254   652 
Current portion of operating lease liabilities 5,038   5,561 
Total current liabilities 26,856   30,521 
Long-term debt, net 61,752   65,807 
Deferred revenue 10   48 
Operating lease liabilities 20,937   18,935 
Total liabilities 109,555   115,311 
Commitments and contingencies (Note 18)     
Equity:     
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2026, and December 31, 2025 —   — 
Common stock, $0.01 par value: 250,000 shares authorized; 77,728 and 68,994 shares issued and outstanding on September 30, 2026 and December 31, 2025, respectively 777   690 
Additional paid-in capital 492,774   480,475 
Accumulated deficit (474,843)  (458,787)
Total Stockholders' equity 18,708   22,378 
Non-controlling interest 3,695   3,862 
Total equity 22,403   26,240 
Total liabilities and equity$131,958  $141,551 
        
NEURONETICS, INC.
Consolidated Statements of Cash Flows
(Unaudited; In thousands)
 
 Nine Months Ended September 30, 
 2026
 2025
Cash flows from operating activities:     
Net loss$(15,800) $(31,929)
Adjustments to reconcile net loss to net cash used in operating activities:     
Depreciation and amortization 2,216   2,698 
Allowance for credit losses (138)  382 
Inventory impairment 7   267 
Share-based compensation 2,543   4,667 
Non-cash interest expense 711   600 
Loss on extinguishment of debt 539   — 
Loss on disposal of property and equipment 375   45 
Changes in certain assets and liabilities:     
Accounts receivable, net 2,465   1,384 
Inventory (772)  (240)
Net investments in sales-type leases (15)  22 
Prepaid commission expense 1,995   840 
Prepaid expenses and other assets (339)  3,813 
Accounts payable (823)  (77)
Accrued expenses (2,001)  (3,302)
Other liabilities (398)  (223)
Deferred revenue 244   (229)
Net cash used in operating activities (9,191)  (21,282)
      
Cash flows from investing activities:     
Purchases of property and equipment and capitalized software (1,084)  (585)
Proceeds from the sale of property and equipment 25   — 
Net cash used in investing activities (1,059)  (585)
      
Cash flows from financing activities:     
Payments of debt issuance costs (55)  (80)
Proceeds from issuance of long-term debt —   10,000 
Repayment of deferred and contingent consideration (250)  — 
Repayment of long-term debt (5,000)  — 
Payment for debt extinguishment costs (250)  — 
Proceeds from the issuance of common stock —   20,700 
Payments of common stock offering issuance costs —   (1,731)
Proceeds from issuance of common stock under ATM Program 8,577   8,313 
Payments of common stock offering issuance costs under ATM Program (409)  (336)
Distribution to non-controlling interest (423)  — 
Proceeds from exercises of stock options 2,202   13 
Payments to tax authorities for employee share withholding (420)  — 
Net cash provided by financing activities 3,972   36,879 
Net increase (decrease) in Cash, Cash equivalents and Restricted cash (6,278)  15,012 
Cash and cash equivalents and restricted cash and cash equivalents, beginning of period 34,134   19,459 
Cash and cash equivalents and restricted cash and cash equivalents, end of period$27,856  $34,471 
      
Reconciliation of cash and cash equivalents and restricted cash and cash equivalents to the consolidated balance sheet:     
Cash and cash equivalents 22,106   27,971 
Restricted cash and cash equivalents 5,750   6,500 
Total cash and cash equivalents and restricted cash and cash equivalents$27,856  $34,471 
      
Supplemental disclosure of cash flow information:     
Cash paid for interest$5,847  $5,474 
Transfer of inventory to property and equipment$155  $75 
Supplemental disclosure of non-cash investing and financing activities:     
Purchases of property and equipment and capitalized software in accounts payable and accrued expenses$48  $30 
 $—  $— 
        

Non-GAAP Financial Measures (Unaudited)

EBITDA and Adjusted EBITDA are not measures of financial performance under generally accepted accounting principles in the U.S. (“GAAP”), and should not be construed as a substitute for, or superior to, GAAP net loss. However, management uses both the GAAP and non-GAAP financial measures internally to evaluate and manage the Company’s operations and to better understand its business. Further, management believes that the addition of the non-GAAP financial measures provides meaningful supplementary information to, and facilitates analysis by, investors in evaluating the Company’s financial performance, results of operations and trends. The Company’s calculation of EBITDA and Adjusted EBITDA may not be comparable to similarly designated measures reported by other companies, because companies and investors may differ as to what type of events warrant adjustment.

The following table reconciles reported net loss to EBITDA and Adjusted EBITDA:

 Three Months ended Nine months ended
 September 30,  September 30, 
 2026
 2025
 2026
 2025
 (in thousands) (in thousands)
Net loss attributable to Neuronetics stockholders’$(1,692) $(9,045) $(15,921) $(31,840)
Interest expense, net 2,097   2,080   5,306   5,536 
Income taxes —   —   —   — 
Depreciation and amortization 742   886   2,216   2,698 
EBITDA$1,147  $(6,079) $(8,399) $(23,606)
            
Stock based compensation (Note 1) 178   1,409   2,543   4,667 
Loss on extinguishment of debt (Note 2) —   —   539   — 
Restructuring (Note 3) 562   —   875   — 
Adjusted EBITDA$1,887  $(4,670) $(4,442) $(18,939)
                

Footnotes

  1. Stock-based compensation consists of expenses related to restricted stock units and performance based restricted stock units. We exclude these expenses from our non-GAAP financial measures because they are non-cash charges that we do not consider reflective of our core ongoing operational performance. While share-based compensation is a recurring expense and a key part of our employee retention strategy, excluding it allows management and investors to compare our operational profitability more consistently against prior periods and industry peers.
  2. In connection with its $5 million repayment of debt in the first quarter of 2026 to Perceptive Advisors, LLC, the Company recorded a total loss on partial debt extinguishment of approximately $0.5 million. This infrequent and non-recurring expense is removed from EBITDA in order to provide a more accurate reflection of the Company’s core operational performance for the period presented.
  3. Restructuring expense represents costs incurred in connection with workforce reductions, role eliminations, or organizational restructuring activities that are not expected to recur in the ordinary course of business. These costs have been added back to EBITDA because they are considered non-recurring and not reflective of the Company’s ongoing operating performance. Management believes excluding these expenses provides a more meaningful measure of normalized earnings and period-to-period operating comparability.

References

1 The effectiveness of SPRAVATO in preventing suicide or in reducing suicidal ideation or behavior has not been demonstrated. Use of SPRAVATO does not preclude the need for hospitalization if clinically warranted, even if patients experience improvement after an initial dose of SPRAVATO. For more important safety information about SPRAVATO, please visit spravatohcp.com.


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