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Neuronetics Reports Second Quarter 2026 Financial and Operating Results

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Neuronetics (NASDAQ: STIM) reported second quarter 2026 revenue of $41.6 million, up 9.1% year over year, driven by Greenbrook revenue of $26.9 million, up 16.8%, while NeuroStar revenue declined 2.7% to $14.7 million. Gross margin improved to 51.1% from 46.6%.

Operating expenses fell 12% to $22.7 million, reducing loss from operations to $1.5 million from $8.1 million. Adjusted EBITDA turned slightly positive at $0.3 million versus a $5.6 million loss, and net loss narrowed to $3.4 million ($0.05 per share). Total cash was $25.0 million at June 30, 2026.

For full year 2026, Neuronetics expects revenue of $160–$164 million, gross margin of 48–50%, and operating expenses of $95–$100 million (or $91–$96 million excluding ~$4 million stock-based compensation). Projected cash flow from operations and investing is negative $10.5–$14.5 million. The company also announced senior leadership changes, including a new CFO and sales head.

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Positive

  • Total Q2 2026 revenue up 9.1% year over year to $41.6 million
  • Greenbrook Q2 revenue grew 16.8% year over year to $26.9 million
  • Gross margin increased to 51.1% from 46.6% year over year
  • Q2 operating expenses declined 12% to $22.7 million
  • Adjusted EBITDA improved to $0.3 million from a $5.6 million loss
  • FY 2026 gross margin guidance raised to 48–50%
  • FY 2026 operating expense guidance reduced to $95–$100 million

Negative

  • NeuroStar Q2 revenue declined 2.7% year over year to $14.7 million
  • Company reported a Q2 2026 net loss of $3.4 million
  • Total cash declined to $25.0 million from $34.1 million at year-end 2025
  • Q2 cash flow from operations and investing was negative $1.4 million
  • FY 2026 cash flow from operations and investing projected at negative $10.5–$14.5 million
  • Q2 2026 interest expense was $2.1 million

Market reaction after 2Q26 earnings report: STIM +18.88%

+18.88% $2.58 73.8x vol
15m delay
+18.88% Vs previous close
+23.0% Peak in 57 min
$2.58 Last Price
$2.01 $2.59 Day Range
$196.90M Market Cap
73.8x Rel. Volume

Following this news, STIM has gained 18.88%, reflecting a significant positive market reaction. Argus tracked a peak move of +23.0% during the session. Our momentum scanner has triggered 37 alerts so far, indicating elevated trading interest and price volatility. The stock is currently trading at $2.58. Trading volume is exceptionally heavy at 73.8x the average, suggesting very strong buying interest.

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Market Context

Recent insider records showed Net Buying, totaling 135,000 shares bought and zero sold. That platfor...
Analysis

Recent insider records showed Net Buying, totaling 135,000 shares bought and zero sold. That platform signal adds context to improved results, while the effective resale registration and lower cash balance remain risks to monitor.

Key Figures

Total revenue: $41.6 million Greenbrook revenue: $26.9 million Gross margin: 51.1% +5 more
8 metrics
Total revenue $41.6 million Q2 2026, up 9.1% year over year
Greenbrook revenue $26.9 million Q2 2026, up 16.8% year over year
Gross margin 51.1% Q2 2026, versus 46.6% in Q2 2025
Adjusted EBITDA $0.3 million Q2 2026, versus a $5.6 million loss in Q2 2025
Net loss $3.4 million Q2 2026, or $0.05 per share, versus $10.1 million in Q2 2025
Total cash $25 million June 30, 2026, versus $34.1 million at December 31, 2025
FY2026 revenue guidance $160 million-$164 million Full-year 2026, versus prior guidance of $160 million-$166 million
FY2026 operating cash flow and investing guidance Negative $10.5 million to negative $14.5 million Full-year 2026

Previous Earnings Reports

5 past events · Latest: May 05 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 05 1Q26 earnings report Positive +7.4% Revenue grew, losses narrowed, and 2026 guidance was reiterated.
Mar 17 FY25 earnings report Positive -9.9% Revenue growth and 2026 guidance accompanied a $39.1M net loss.
Feb 10 FY25 preliminary earnings Positive +23.3% Preliminary revenue growth and positive fourth-quarter operating cash flow were reported.
Nov 04 3Q25 earnings report Positive +3.6% Revenue increased while cash use improved and financing was expanded.
Aug 05 2Q25 earnings report Positive -2.5% Revenue and clinic growth were reported alongside continuing losses.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings reactions were positive in three of the five prior events, while two positive earnings announcements were followed by declines.

Key Terms

tms, adjusted ebitda, non-gaap financial measures, rems-certified
4 terms
tms medical
"combines its NeuroStar® TMS technology with direct patient care"
Transcranial magnetic stimulation is a noninvasive medical treatment that uses brief magnetic pulses to stimulate specific areas of the brain, similar to tapping a circuit to reset its activity. Investors watch TMS because approvals, clinical trial results, or wider insurance coverage can open large markets for devices and services, affecting revenue and growth prospects for companies developing or delivering the therapy.
adjusted ebitda financial
"Adjusted EBITDA of $0.3 million compared to a loss of $5.6 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
non-gaap financial measures financial
"Non-GAAP Financial Measures (Unaudited)"
Non-GAAP financial measures are numbers companies use to show their financial performance that exclude certain expenses or income. They help investors see how the company might perform without one-time costs or other unusual items, giving a different perspective from official reports. However, since they can be adjusted, they don’t always tell the full story and should be looked at alongside standard financial figures.
rems-certified regulatory
"The Rockville site supports high-volume NeuroStar TMS and SPRAVATO operations, is REMS-certified"
REMS-certified means a healthcare provider, pharmacy, or patient has completed the training, registration, and procedural requirements set by a regulator’s Risk Evaluation and Mitigation Strategy (REMS) to handle a specific medicine safely. It matters to investors because REMS certification controls who can prescribe, dispense, or receive the drug, affecting how widely the product can be sold, the speed of patient access, and regulatory compliance risks—like a special license that limits distribution.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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MALVERN, Pa., Aug. 11, 2026 (GLOBE NEWSWIRE) -- Neuronetics, Inc. (NASDAQ: STIM) (the “Company” or “Neuronetics”), a leader in interventional mental health that combines its NeuroStar® TMS technology with direct patient care through the Greenbrook network of interventional psychiatry clinics, today announced its financial and operating results for the second quarter of 2026.

Second Quarter 2026 Financial Highlights

  • Total revenue of $41.6 million, up 9.1% compared to the second quarter of 2025
  • Greenbrook revenue of $26.9 million, up 16.8% compared to the second quarter of 2025
  • Adjusted EBITDA of $0.3 million compared to a loss of $5.6 million in the second quarter of 2025
  • Net loss of $3.4 million compared to a loss of $10.1 million in the second quarter of 2025
  • Net cash used in operations and investing of $1.4 million, a reduction of $2.3 million compared to $3.8 million in the second quarter of 2025

Recent Operational Highlights

  • Nir Naor appointed as Executive Vice President, Chief Financial Officer, Corporate Secretary, and Treasurer
  • Cory Anderson promoted to Executive Vice President/General Manager of Greenbrook clinics
  • Rob Greene appointed as Senior Vice President, Sales

"This was a quarter of real operational progress, and meaningful steps toward our goal of sustained profitability and positive net cash flow from operations and investing," said Dan Reuvers, President and Chief Executive Officer of Neuronetics. "For some time, NeuroStar has not competed to its full potential, and we are changing that by broadening how customers can access our technology while we continue to drive operational gains across the Greenbrook clinics. We also strengthened our leadership team, adding proven talent in key roles. The combination of a leading TMS platform and a national care network is what sets Neuronetics apart, and it positions us to lead as new interventional therapies come to market. There is more work ahead, but I am encouraged by the traction we are beginning to demonstrate."

Second Quarter 2026 Financial and Operating Results for the Three Months Ended June 30, 2026

          
  Revenues by Segments   
  Three Months Ended June 30,   
  2026 2025   
  Amount Amount % Change 
  (Unaudited; in thousands, except percentages) 
NeuroStar revenue $14,677 $15,084 (2.7)%
Greenbrook revenue  26,891  23,024 16.8%
Total revenues $41,568 $38,108 9.1%
           

Total revenue for the three months ended June 30, 2026 was $41.6 million, an increase of $3.5 million, or 9.1%, compared to the three months ended June 30, 2025 of $38.1 million. The increase was primarily driven by higher Greenbrook revenue, which increased to $26.9 million in the second quarter of 2026 from $23.0 million in the second quarter of 2025, reflecting continued growth of the Greenbrook business.

Gross margin increased from 46.6% for the three months ended June 30, 2025 to 51.1% for the three months ended June 30, 2026. The increase in gross margin was 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 second quarter of 2026 were $22.7 million, a decrease of $3.1 million, or 12%, compared to $25.8 million in the second quarter of 2025, primarily attributable to lower general and administrative expenses and lower sales and marketing expenses.

Loss from operations during the second quarter of 2026 was $1.5 million, a decrease of $6.6 million, as compared to a loss of $8.1 million in the second quarter of 2025. Adjusted EBITDA during the second quarter of 2026 was $0.3 million, an increase of $5.9 million compared to a loss of $5.6 million in the second quarter of 2025.

Net loss for the second quarter of 2026 was $3.4 million, or $0.05 per share, as compared to $10.1 million, or $0.15 per share, in the second quarter of 2025. Net loss per share was based on 73,129,107 and 66,180,069 weighted average common shares outstanding for the second quarters of 2026 and 2025, respectively.

As of June 30, 2026, the Company held $25 million in total cash, consisting of cash and cash equivalents of $19.2 million and $5.8 million of restricted cash, compared to total cash of $34.1 million as of December 31, 2025.

Strengthened Leadership Team

The Company made a series of changes to strengthen its senior leadership team and align its structure with the Company's priorities. Nir Naor was appointed Executive Vice President, Chief Financial Officer, Corporate Secretary, and Treasurer, bringing more than 20 years of finance leadership across medical device and care-delivery businesses, including experience guiding a company to profitability and positive cash flow. Cory Anderson, a five-year veteran of the Company, was promoted to Executive Vice President and General Manager of Greenbrook, reflecting the growing importance of the clinic business. Rob Greene joined as Senior Vice President, Sales, bringing extensive commercial leadership across healthcare and medical technology, including capital equipment and service, to support the Company's expanded NeuroStar go-to-market models.

Business Outlook

For the full year 2026, Neuronetics expects:

  • Total revenue between $160 million and $164 million, as compared to prior guidance of $160 million and $166 million;
  • Gross margin between 48% and 50%, as compared to prior guidance of 47% and 49%;
  • Operating expenses between $95 million to $100 million, compared to prior guidance of $100 million to $105 million. Going forward, operating expense guidance will exclude stock-based compensation. On this basis, operating expenses are expected to be $91 million to $96 million, with estimated stock-based compensation of $4 million.
  • Cash flow from operations and investing in the range of negative $10.5 million to negative $14.5 million. This is compared to our prior guidance of cash flow from operations only in the range of negative $13 million to negative $17 million.

Non-GAAP Financial Measures (Unaudited)

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 thousands) 
Operating expenses $95 $100 
Non-cash stock-based compensation expense (“SBC”)1

 $4 $4 
Operating expenses, less SBC $91 $96 


(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; 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 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 ending June 30, 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:

Mike Vallie 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 Six months ended
  June 30, June 30,
    2026   2025    2026  2025 
Revenues            
NeuroStar $14,677  $15,084  $27,602  $28,400 
Greenbrook  26,891   23,024   48,420   41,683 
Total Revenue  41,568   38,108   76,022   70,083 
Cost of revenues            
NeuroStar  3,312   4,311   6,170   7,461 
Greenbrook  17,033   16,039   32,475   29,126 
Total Cost of revenues  20,345   20,350   38,645   36,587 
Gross profit  21,223   17,758   37,377   33,496 
Operating expenses:            
Sales and marketing  9,984   11,868   20,721   23,867 
General and administrative  11,404   12,150   24,452   25,287 
Research and development  1,336   1,798   2,700   3,414 
Total operating expenses  22,724   25,816   47,873   52,568 
Loss from operations  (1,501)  (8,058)  (10,496)  (19,072)
Other (income) expense:            
Interest expense  2,125   1,969   4,391   3,891 
Loss on extinguishment of debt        539    
Other income, net  (162)  (188)  (1,182)  (435)
Net loss $(3,464) $(9,839) $(14,244) $(22,528)
Less: Net gain (loss) attributable to non-controlling interest  (25)  281   (15)  267 
Net loss attributable to Neuronetics stockholders  (3,439)  (10,120)  (14,229)  (22,795)
Net loss per share of common stock outstanding, basic and diluted attributable to Neuronetics stockholders $(0.05) $(0.15) $(0.20) $(0.36)
Weighted average common shares outstanding, basic and diluted  73,129   66,180   71,369   63,835 
                 


NEURONETICS, INC.
Consolidated Balance Sheets
(Unaudited; In thousands, except per share data)
       
       
  June 30, December 31,
  2026  2025 
Assets      
Current assets:      
Cash and cash equivalents $19,197  $28,134 
Restricted cash  5,750   6,000 
Accounts receivable, net of allowance for credit losses of $553 and $1,043 as of June 30, 2026 and December 31, 2025, respectively  15,955   16,469 
Inventory  5,502   4,327 
Current portion of net investments in sales-type leases  233   225 
Current portion of prepaid commission expense  2,773   3,050 
Current portion of note receivables  315   424 
Prepaid expenses and other current assets  3,505   2,922 
Total current assets  53,230   61,551 
Property and equipment, net  3,464   4,466 
Goodwill  23,622   23,622 
Intangible assets, net  17,420   18,149 
Operating lease right-of-use assets  23,913   23,560 
Net investments in sales-type leases  65   98 
Prepaid commission expense  6,980   7,972 
Long-term notes receivable  43   151 
Other assets  2,792   1,982 
Total assets $131,529  $141,551 
Liabilities and Equity      
Current liabilities:      
Accounts payable $12,419  $10,739 
Accrued expenses  8,929   12,316 
Current portion of deferred revenue  1,143   753 
Deferred and contingent consideration  250   500 
Other payables  425   652 
Current portion of operating lease liabilities  5,143   5,561 
Total current liabilities  28,309   30,521 
Long-term debt, net  61,519   65,807 
Other long term liabilities  142    
Deferred revenue  58   48 
Operating lease liabilities  19,861   18,935 
Total liabilities  109,889   115,311 
Commitments and contingencies      
Equity:      
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on June 30, 2026 and December 31, 2025      
Common stock, $0.01 par value: 250,000 shares authorized; 76,193 and 68,994 shares issued and outstanding on June 30, 2026 and December 31, 2025, respectively  762   690 
Additional paid-in capital  490,239   480,475 
Accumulated deficit  (473,151)  (458,787)
Total Stockholders' equity  17,850   22,378 
Non-controlling interest  3,790   3,862 
Total equity  21,640   26,240 
Total liabilities and equity $131,529  $141,551 
         


NEURONETICS, INC.
Consolidated Statements of Cash Flows
(Unaudited; In thousands)
   
  Six months ended June 30,
  2026  2025 
Cash flows from operating activities:      
Net loss $(14,244) $(22,528)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization  1,474   1,812 
Allowance for credit losses  (160)  83 
Inventory impairment     177 
Share-based compensation  2,365   3,258 
Non-cash interest expense  478   388 
Loss on extinguishment of debt  539    
Loss on disposal of property and equipment  369   43 
Changes in certain assets and liabilities:      
Accounts receivable, net  893   (2,479)
Inventory  (1,289)  (791)
Net investments in sales-type leases  24   12 
Prepaid commission expense  1,268   613 
Prepaid expenses and other assets  (647)  3,356 
Accounts payable  1,572   (1,803)
Accrued expenses  (3,386)  (2,236)
Other liabilities  (85)  (320)
Deferred revenue  400   (82)
Net cash used in operating activities  (10,429)  (20,497)
       
Cash flows from investing activities:      
Purchases of property and equipment and capitalized software  (614)  (471)
Proceeds from the sale of property and equipment  25    
Net cash used in investing activities  (589)  (471)
       
Cash flows from financing activities:      
Payments of debt issuance costs  (55)   
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  7,954    
Payments of common stock offering issuance costs under ATM Program  (376)   
Distribution to non-controlling interest  (192)   
Proceeds from exercises of stock options     9 
Net cash provided by financing activities  1,831   18,978 
Net decrease in Cash, Cash equivalents and Restricted cash  (9,187)  (1,990)
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 $24,947  $17,469 
       
Reconciliation of cash, cash equivalents and restricted cash to the consolidated balance sheet:      
Cash and cash equivalents  19,197   10,969 
Restricted cash and cash equivalents  5,750   6,500 
Total cash, cash equivalents and restricted cash $24,947  $17,469 
         

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 Six months ended
  June 30, June 30,
  2026  2025  2026  2025 
  (in thousands) (in thousands)
Net loss attributable to Neuronetics stockholders’ $(3,439) $(10,120) $(14,229) $(22,795)
Interest expense, net  1,963   1,781   3,209   3,456 
Income taxes            
Depreciation and amortization  729   901   1,474   1,812 
EBITDA $(747) $(7,438) $(9,546) $(17,527)
             
Stock based compensation (Note. 1)  688   1,814   2,365   3,258 
Loss on extinguishment of debt (Note.2)        539    
Restructuring (Note.3)  313      313    
Adjusted EBITDA $254  $(5,624) $(6,329) $(14,269)
                 

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 net costs incurred in connection with leadership 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.


FAQ

How did Neuronetics (STIM) perform financially in Q2 2026?

Neuronetics reported Q2 2026 revenue of $41.6 million, up 9.1% year over year, with net loss of $3.4 million. According to Neuronetics, gross margin rose to 51.1% and adjusted EBITDA turned positive at $0.3 million, reflecting lower operating expenses.

What drove Neuronetics’ revenue growth in Q2 2026 for STIM?

Revenue growth was primarily driven by the Greenbrook segment, which reached $26.9 million, up 16.8% year over year. According to Neuronetics, total revenue increased to $41.6 million, while NeuroStar revenue declined 2.7% to $14.7 million in the quarter.

What is Neuronetics’ 2026 revenue guidance for STIM after Q2 results?

Neuronetics expects full year 2026 revenue between $160 million and $164 million. According to Neuronetics, this compares to prior guidance of $160 million to $166 million and reflects updated expectations across its NeuroStar and Greenbrook operations following Q2 performance.

How did Neuronetics’ margins and operating expenses change in Q2 2026?

Gross margin improved to 51.1% from 46.6%, and operating expenses fell 12% to $22.7 million. According to Neuronetics, these changes reduced loss from operations to $1.5 million, down from $8.1 million in the prior-year quarter.

What is Neuronetics’ 2026 operating expense outlook for STIM?

Neuronetics projects 2026 operating expenses of $95–$100 million, down from prior guidance of $100–$105 million. According to Neuronetics, expenses excluding about $4 million of stock-based compensation are expected at $91–$96 million to better reflect core operating performance.

What cash flow outlook did Neuronetics provide for 2026 for STIM?

Neuronetics expects 2026 cash flow from operations and investing between negative $10.5 million and negative $14.5 million. According to Neuronetics, this compares to prior guidance on cash flow from operations of negative $13 million to negative $17 million, indicating a narrowed range.

What leadership changes did Neuronetics announce with its Q2 2026 results for STIM?

Neuronetics appointed Nir Naor as Executive Vice President, Chief Financial Officer, Corporate Secretary, and Treasurer. According to Neuronetics, Cory Anderson was promoted to EVP/General Manager of Greenbrook, and Rob Greene joined as Senior Vice President, Sales, strengthening commercial and financial leadership.