Neuronetics Reports Fourth Quarter and Full Year 2025 Financial and Operating Results
Total revenue of
Greenbrook clinic revenue of
Continued cash management improvement, with cash provided by operations of
Expect full year 2026 revenue of between
Fourth Quarter 2025 Highlights
- Fourth quarter 2025 revenue of
$41.8 million , up 86% as reported and 23% on an adjusted pro forma basis as compared to the fourth quarter 2024 - Greenbrook clinic revenue of
$23.5 million , up 428% as reported and 37% on an adjusted pro forma basis as compared to the fourth quarter 2024 U.S. NeuroStar Advanced Therapy System revenue of$4.4 million , shipping 49 systems
Full Year 2025 Highlights
- Full year revenue of
$149.2 million , up 99% as reported and 15% on an adjusted pro forma basis as compared to the full year 2024 - Greenbrook clinic revenue of
$87.0 million , up 1,857% as reported and 28% on an adjusted pro forma basis as compared to the full year 2024 U.S. NeuroStar Advanced Therapy System revenue of$14.3 million , shipping 161 systems
Recent Operational Highlights
- Appointed
Dan Reuvers as President and Chief Executive Officer, effectiveMarch 23, 2026 - Advanced collaboration with
Compass Pathways on COMP360 psilocybin for Treatment Resistant Depression - Expanded TRICARE West coverage now includes adolescents aged 15+ struggling with depression
- Achieved milestone of over 237,000 global patients treated with over 8 million treatment sessions
"A year ago, we set out to build a vertically integrated mental health company, and I am proud of what this team delivered. Our Greenbrook clinics drove significant revenue growth as operational and commercial initiatives took hold across the network, and our NeuroStar business finished the year with solid momentum in both system sales and treatment utilization," said
Fourth Quarter 2025 Financial and Operating Results for the Three Months Ended
| Revenues by Geography |
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| Three Months Ended |
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| 2025 |
2024 |
||||||||||
| Amount |
Amount |
% Change |
|||||||||
| (in thousands, except percentages) |
|||||||||||
| $ | 40,661 | $ | 21,642 | 88 | % | ||||||
| International | 1,116 | 851 | 31 | % | |||||||
| Total revenues | $ | 41,777 | $ | 22,493 | 86 | % | |||||
Total revenue for the three months ended
| Three Months Ended |
|||||||||||
| 2025 |
2024 |
||||||||||
| Amount |
Amount |
% Change | |||||||||
| (in thousands, except percentages) | |||||||||||
| NeuroStar Advanced Therapy System | $ | 4,421 | $ | 3,849 | 15 | % | |||||
| Treatment sessions | 12,391 | 12,858 | (4 | )% | |||||||
| Clinic revenue | 23,486 | 4,445 | 428 | % | |||||||
| Other | 363 | 490 | (26 | )% | |||||||
| Total |
$ | 40,661 | $ | 21,642 | 88 | % | |||||
Clinic revenue, which represents revenue generated by treatment centers from the Greenbrook acquisition, was
Gross margin for the fourth quarter of 2025 was 52.0% compared to the fourth quarter of 2024 gross margin of 66.2%. The decrease in gross margin was primarily a result of the inclusion of Greenbrook’s clinic business.
Operating expenses during the fourth quarter of 2025 were
Net loss for the fourth quarter of 2025 was
Full Year Financial and Operating Results
| Revenues by Geography |
|||||||||||
| Year ended |
|||||||||||
| 2025 |
2024 |
||||||||||
| Amount |
Amount |
% Change |
|||||||||
| (in thousands, except percentages) |
|||||||||||
| $ | 146,048 | $ | 72,488 | 101 | % | ||||||
| International | 3,109 | 2,402 | 29 | % | |||||||
| Total revenues | $ | 149,157 | $ | 74,890 | 99 | % | |||||
Total revenues increased by
| Year ended |
|||||||||||
| 2025 |
2024 |
||||||||||
| Amount |
Amount |
% Change | |||||||||
| (in thousands, except percentages) | |||||||||||
| NeuroStar Advanced Therapy System | $ | 14,259 | $ | 15,267 | (7 | )% | |||||
| Treatment sessions | 43,319 | 50,832 | (15 | )% | |||||||
| Clinic revenue | 86,977 | 4,445 | 1,857 | % | |||||||
| Other | 1,493 | 1,944 | (23 | )% | |||||||
| Total |
$ | 146,048 | $ | 72,488 | 101 | % | |||||
Clinic revenue, which represents revenue generated by treatment centers from the Greenbrook acquisition, was
Gross margin for the full year 2025 was 48.5% compared to 72.3% in 2024. The decrease in gross margin was primarily a result of the inclusion of Greenbrook’s clinic business.
Operating expenses during the full year 2025 were
Net loss for the year of 2025 was
As of
In
Appointment of New Chief Executive Officer
The Company announced the appointment of
Compass Pathways Collaboration
The Company continues to advance its collaboration with
"With approximately 4 million treatment resistant depression patients in the
TRICARE West Expands Coverage for TMS Therapy, Including NeuroStar Advanced Therapy, to Treat Adolescents with Depression
TRICARE West has expanded coverage for transcranial magnetic stimulation (“TMS”) therapy to include adolescents aged 15 and older diagnosed with depression, marking a significant step forward in access to non-drug mental health treatment for military families. Effective immediately across 26 states, the policy update enables eligible TRICARE beneficiaries to receive FDA-cleared, evidence-based TMS therapy as a treatment option during a critical stage of emotional development. The decision underscores growing recognition of the need for innovative, safe, and effective alternatives to medication for adolescents facing major depressive disorder.
Business Outlook
For the first quarter of 2026, the Company expects total worldwide revenue between
For the full year 2026,
- Total Revenue:
$160 million to$166 million - Gross Margin: 47% to 49%
- Operating Expenses:
$100 million to$105 million , inclusive of approximately$8.5 million of non-cash stock-based compensation - Operating Cash Flow:
$(13) million to$(17) million
The Company anticipates a reduction in operating expense in the second half of 2026 as a result of on-going efficiency initiatives and associated investments. By the fourth quarter of 2026, operating expenses are projected to be less than
Operating cash flow is expected to improve significantly throughout the year, driven by revenue growth, cost reduction, and continued working capital improvements.
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/t8xxgfnr. 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
The NeuroStar Advanced Therapy System is cleared by the
“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 2025, 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; developments in respect of competing technologies and therapies for the indications that our products 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
Investor Contact:
443-213-0499
ir@neuronetics.com
Media Contact:
EvolveMKD
646-517-4220
NeuroStar@evolvemkd.com
| NEURONETICS, INC. Consolidated Statements of Operations (In thousands, except per share data) |
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| Three Months ended | Year ended | |||||||||||||||||||||||||||
| 2025 |
2024 |
2025 |
2024 |
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| Revenues | ||||||||||||||||||||||||||||
| Products and other | $ | 18,291 | $ | 18,048 | $ | 62,180 | $ | 70,445 | ||||||||||||||||||||
| Services | 23,486 | 4,445 | 86,977 | 4,445 | ||||||||||||||||||||||||
| Total Revenue | 41,777 | 22,493 | 149,157 | 74,890 | ||||||||||||||||||||||||
| Cost of revenues | ||||||||||||||||||||||||||||
| Products and other | 4,396 | 4,387 | 16,464 | 17,516 | ||||||||||||||||||||||||
| Services | 15,677 | 3,213 | 60,385 | 3,213 | ||||||||||||||||||||||||
| Total Cost of revenues | 20,073 | 7,600 | 76,849 | 20,729 | ||||||||||||||||||||||||
| Gross profit | 21,704 | 14,893 | 72,308 | 54,161 | ||||||||||||||||||||||||
| Operating expenses: | ||||||||||||||||||||||||||||
| Sales and marketing | 11,743 | 9,811 | 47,458 | 45,631 | ||||||||||||||||||||||||
| General and administrative | 13,338 | 10,782 | 49,702 | 30,322 | ||||||||||||||||||||||||
| Research and development | 1,666 | 5,772 | 6,584 | 12,771 | ||||||||||||||||||||||||
| Total operating expenses | 26,747 | 26,365 | 103,744 | 88,724 | ||||||||||||||||||||||||
| Loss from operations | (5,043 | ) | (11,472 | ) | (31,436 | ) | (34,563 | ) | ||||||||||||||||||||
| Other (income) expense: | ||||||||||||||||||||||||||||
| Interest expense | 2,318 | 1,757 | 8,415 | 7,286 | ||||||||||||||||||||||||
| Loss on extinguishment of debt | — | — | — | 4,427 | ||||||||||||||||||||||||
| Other income, net | (155 | ) | (548 | ) | (716 | ) | (2,549 | ) | ||||||||||||||||||||
| Net loss | $ | (7,206 | ) | $ | (12,681 | ) | $ | (39,135 | ) | $ | (43,727 | ) | ||||||||||||||||
| Less: Net loss attributable to non-controlling interest | (48 | ) | 19 | (137 | ) | (19 | ) | |||||||||||||||||||||
| Net loss attributable to |
(7,158 | ) | (12,662 | ) | (38,998 | ) | (43,708 | ) | ||||||||||||||||||||
| Net loss per share of common stock outstanding, basic and diluted attributable to |
$ | (0.10 | ) | $ | (0.34 | ) | $ | (0.59 | ) | $ | (1.38 | ) | ||||||||||||||||
| Weighted average common shares outstanding, basic and diluted | 68,756 | 36,855 | 65,951 | 31,734 | ||||||||||||||||||||||||
| NEURONETICS, INC. Consolidated Balance Sheets (In thousands, except per share data) |
||||||||
| 2025 |
2024 |
|||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 28,134 | $ | 18,459 | ||||
| Restricted cash | 6,000 | 1,000 | ||||||
| Accounts receivable, net of allowance of credit losses for |
16,469 | 23,355 | ||||||
| Inventory | 4,327 | 4,248 | ||||||
| Current portion of net investments in sales-type leases | 225 | 206 | ||||||
| Current portion of prepaid commission expense | 3,050 | 3,078 | ||||||
| Current portion of note receivables | 424 | 930 | ||||||
| Prepaid expenses and other current assets | 2,922 | 6,846 | ||||||
| Total current assets | 61,551 | 58,122 | ||||||
| Property and equipment, net | 4,466 | 6,242 | ||||||
| 23,622 | 18,634 | |||||||
| Intangible assets, net | 18,149 | 19,606 | ||||||
| Operating lease right-of-use assets | 23,560 | 27,093 | ||||||
| Net investments in sales-type leases | 98 | 86 | ||||||
| Prepaid commission expense | 7,972 | 8,902 | ||||||
| Long-term notes receivable | 151 | 295 | ||||||
| Other assets | 1,982 | 1,923 | ||||||
| Total assets | $ | 141,551 | $ | 140,903 | ||||
| Liabilities and Equity | — | |||||||
| Current liabilities: | — | |||||||
| Accounts payable | $ | 10,739 | $ | 11,077 | ||||
| Accrued expenses | 12,316 | 12,818 | ||||||
| Current portion of deferred revenue | 753 | 974 | ||||||
| Deferred and contingent consideration | 500 | 1,000 | ||||||
| Other payables | 652 | 605 | ||||||
| Current portion of operating lease liabilities | 5,561 | 4,791 | ||||||
| Total current liabilities | 30,521 | 31,265 | ||||||
| Long-term debt, net | 65,807 | 55,151 | ||||||
| Deferred revenue | 48 | 2 | ||||||
| Operating lease liabilities | 18,935 | 22,686 | ||||||
| Total liabilities | 115,311 | 109,104 | ||||||
| Commitments and contingencies | ||||||||
| Equity: | ||||||||
| Preferred stock, |
— | — | ||||||
| Common stock, |
690 | 557 | ||||||
| Additional paid-in capital | 480,475 | 446,938 | ||||||
| Accumulated deficit | (458,787 | ) | (419,789 | ) | ||||
| Total Stockholders' equity | 22,378 | 27,706 | ||||||
| Non-controlling interest | 3,862 | 4,093 | ||||||
| Total equity | 26,240 | 31,799 | ||||||
| Total liabilities and equity | $ | 141,551 | $ | 140,903 | ||||
| NEURONETICS, INC. Consolidated Statements of Cash Flows (In thousands) |
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| Year ended |
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| 2025 | 2024 | |||||||
| Cash flows from Operating activities: | ||||||||
| Net loss | $ | (39,135 | ) | $ | (43,727 | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | — | |||||||
| Depreciation and amortization | 3,465 | 2,073 | ||||||
| — | 3,956 | |||||||
| Allowance for credit losses | 587 | 2,055 | ||||||
| Inventory impairment | 388 | 626 | ||||||
| Share-based compensation | 6,848 | 5,602 | ||||||
| Non-cash interest expense | 824 | 771 | ||||||
| Cost of rental units purchased by customers | — | — | ||||||
| Loss on extinguishment of debt | — | 4,427 | ||||||
| Loss on disposal of property and equipment | 72 | 28 | ||||||
| Changes in certain assets and liabilities: | — | |||||||
| Accounts receivable, net | 3,541 | (3,727 | ) | |||||
| Inventory | (395 | ) | 3,150 | |||||
| Net investments in sales-type leases | (31 | ) | 997 | |||||
| Prepaid commission expense | 958 | (1,096 | ) | |||||
| Prepaid expenses and other assets | 4,674 | (1,155 | ) | |||||
| Accounts payable | (1,750 | ) | (1,985 | ) | ||||
| Accrued expenses | (502 | ) | (2,083 | ) | ||||
| Other liabilities | 257 | (66 | ) | |||||
| Deferred revenue | (175 | ) | (843 | ) | ||||
| (20,374 | ) | (30,997 | ) | |||||
| Cash flows from Investing activities: | — | |||||||
| Purchases of property and equipment and capitalized software | (801 | ) | (1,466 | ) | ||||
| Cash paid for acquisition, net of cash and restricted cash acquired | — | (2,553 | ) | |||||
| Repayment of notes receivable | — | 1,606 | ||||||
| (801 | ) | (2,413 | ) | |||||
| Cash flows from Financing activities: | ||||||||
| Payments of debt issuance costs | (168 | ) | (2,624 | ) | ||||
| Proceeds from issuance of long-term debt | 10,000 | 57,479 | ||||||
| Repayment of promissory note | (211 | ) | — | |||||
| Repayment of deferred and contingent consideration | (500 | ) | — | |||||
| Proceeds from issuance of warrants | — | 2,521 | ||||||
| Repayment of long-term debt | — | (60,000 | ) | |||||
| Payment for debt extinguishment cost | — | (4,185 | ) | |||||
| 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 | 8,313 | — | ||||||
| Payments of common stock offering issuance costs under ATM Program | (472 | ) | — | |||||
| Distribution to non-controlling interest | (94 | ) | — | |||||
| Proceeds from exercises of stock options | 13 | 1 | ||||||
| 35,850 | (6,808 | ) | ||||||
| Net increase (decrease) in Cash, Cash equivalents and Restricted cash | 14,675 | (40,218 | ) | |||||
| Cash, Cash equivalents and Restricted cash, Beginning of Period | 19,459 | 59,677 | ||||||
| Cash, Cash equivalents and Restricted cash, End of Period | $ | 34,134 | $ | 19,459 | ||||
| Reconciliation of cash, cash equivalents and restricted cash to the consolidated balance sheet: | ||||||||
| Cash and cash equivalents | 28,134 | 18,459 | ||||||
| Restricted cash and cash equivalents | 6,000 | 1,000 | ||||||
| Total cash, cash equivalents and restricted cash | $ | 34,134 | $ | 19,459 | ||||
Non-GAAP Financial Measures (Unaudited)
EBITDA is not a measure of financial performance under generally accepted accounting principles in the
The following table reconciles reported net loss to EBITDA:
| Three Months ended |
Year ended |
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| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||||
| (in thousands) | (in thousands) | ||||||||||||||||||||||||
| Net loss | $ | (7,206 | ) | $ | (12,681 | ) | $ | (39,135 | ) | $ | (43,727 | ) | |||||||||||||
| Interest expense, net | 2,163 | 1,209 | 7,699 | 4,737 | |||||||||||||||||||||
| Income taxes | — | — | — | — | |||||||||||||||||||||
| Depreciation and amortization | 767 | 442 | 3,465 | 2,152 | |||||||||||||||||||||
| EBITDA | $ | (4,276 | ) | $ | (11,030 | ) | $ | (27,971 | ) | $ | (36,838 | ) | |||||||||||||
Non-GAAP Pro forma and Adjusted Pro forma revenue information (Unaudited)
The following table presents the Company’s pro forma operating results, giving effect to the acquisition of Greenbrook as if the transaction had occurred on
| Three Months ended | Twelve Months ended | |||||||
| (in thousands) | (in thousands) | |||||||
| $ | 18,048 | $ | 70,445 | |||||
| Greenbrook | 18,004 | 75,496 | ||||||
| Intercompany revenue | (1,272 | ) | (8,831 | ) | ||||
| Total Pro forma | 34,780 | 137,110 | ||||||
| Adjusted for clinic closures | (839 | ) | (7,673 | ) | ||||
| Adjusted Pro forma Revenue | $ | 33,941 | $ | 129,437 | ||||
| Three Months ended | Twelve Months ended | |||||||
| (in thousands) | (in thousands) | |||||||
| Neuronetics Treatment sessions | $ | 12,858 | $ | 50,832 | ||||
| Intercompany Treatment sessions | (1,172 | ) | (8,248 | ) | ||||
| Total Pro forma Treatment sessions | 11,686 | 42,584 | ||||||
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.
Source: Neuronetics