Neuronetics Reports Third Quarter 2026 Financial and Operating Results
Higher gross margin and lower operating expenses accompanied a return to quarterly operating profitability.
Sentiment and the balance of points
Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.
Rhea-AI Summary
Neuronetics (STIM) reported third-quarter 2026 revenue of $42.0 million, up year over year, and returned to operating profitability. Revenue rose 12.5%, with Greenbrook up 20.1% and NeuroStar up 1.8%. Gross margin increased to 52.2% from 45.9%. Operating income was $541,000 versus a $7.3 million loss; net loss attributable to stockholders narrowed to $1.7 million, or $0.02 per share, from $9.0 million, or $0.13.
Neuronetics maintained its 2026 revenue outlook at $160 million–$164 million, raised the gross-margin guidance floor and lowered expense and cash-outflow forecasts. Total cash, including restricted cash, fell to $27.9 million from $34.1 million at year-end. An accelerated transcranial magnetic stimulation application remains under FDA review. A signed Wave Neuro distribution agreement supports plans to seek FDA clearance for NeuroStar compatibility with its post-traumatic stress disorder indication.
How this balance works
Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.
It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.
Rhea-AI Sentiment measures something else, the tone of the wording.
Hollow bars mark forward-looking points. How the balance works
Positive
- Moderate pointThird-quarter revenue increased 12.5% year over year to $42.0 million.
- Moderate pointThird-quarter gross margin increased to 52.2% from 45.9% a year earlier.
- Moderate pointThird-quarter operating income reached $541,000, versus a $7.321 million loss a year earlier.
- Moderate pointThird-quarter adjusted EBITDA reached $1.9 million, versus a $4.7 million loss a year earlier.
- Moderate pointThird-quarter stockholder net loss narrowed to $1.7 million, or $0.02 per share, from $9.0 million, or $0.13.
- Moderate point. Forward-looking: it has not happened yet and may not happen.2026 gross-margin guidance increased to 49%–50% from 48%–50%.
- Moderate point. Forward-looking: it has not happened yet and may not happen.2026 operating-expense guidance decreased to $92.5 million–$95.5 million from $95 million–$100 million.
- Moderate point. Forward-looking: it has not happened yet and may not happen.2026 operating and investing cash-outflow guidance improved to $10.0 million–$12.0 million from $10.5 million–$14.5 million.
8 minor points
- Minor pointGreenbrook third-quarter revenue rose 20.1% year over year to $26.2 million.
- Minor pointNeuroStar third-quarter revenue increased 1.8% year over year to $15.770 million.
- Minor pointThird-quarter operating expenses declined to $21.349 million from $24.429 million a year earlier.
- Minor pointThird-quarter operating and investing cash flow turned positive at $0.8 million, versus negative $0.9 million a year earlier.
- Minor pointNine-month revenue increased to $117.984 million from $107.380 million a year earlier.
- Minor pointNine-month stockholder net loss narrowed to $15.921 million from $31.840 million a year earlier.
- Minor pointAccelerated transcranial magnetic stimulation application was submitted to the FDA in August.
- Minor point. Forward-looking: it has not happened yet and may not happen.Wave Neuro distribution agreement signed; Neuronetics plans FDA clearance for NeuroStar compatibility with its PTSD indication.
Negative
- Moderate pointTotal cash, including restricted cash, declined to $27.9 million at September 30, 2026, from $34.1 million at year-end.
- Minor pointNine-month NeuroStar revenue declined to $43.372 million from $43.889 million a year earlier.
- Minor pointAccelerated transcranial magnetic stimulation application remains under FDA review.
- Minor pointNeuroStar compatibility with Wave Neuro’s PTSD indication requires FDA clearance that has not yet been obtained.
News Explained
Neuronetics reported
Details
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Key Figures
- Q3 total revenue
- $42.0 million
- Third quarter 2026; up 12.5% year over year
- Q3 gross margin
- 52.2%
- Third quarter 2026; compared with 45.9% in Q3 2025
- Adjusted EBITDA
- $1.9 million
- Third quarter 2026; compared with a loss of $4.7 million in Q3 2025
- Total cash
- $27.9 million
- As of September 30, 2026; compared with $34.1 million as of December 31, 2025
- FY 2026 revenue guidance
- $160 million–$164 million
- Unchanged from prior guidance
- FY 2026 gross margin guidance
- 49%–50%
- Prior guidance was 48%–50%
- FY 2026 operating expense guidance
- $92.5 million–$95.5 million
- Prior guidance was $95 million–$100 million
- FY 2026 cash flow from operating and investing guidance
- $(10.0) million to $(12.0) million
- Prior guidance was $(10.5) million to $(14.5) million
Previous Earnings Reports
-
Revenue grew, gross margin improved, adjusted EBITDA turned positive, and 2026 guidance was reiterated.
-
Revenue increased year over year, net loss narrowed, and 2026 guidance was reiterated.
-
Revenue grew, while gross margin fell and net loss remained substantial.
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Key Terms
510(k) regulatory
transcranial magnetic stimulation medical
electroencephalogram medical
EHR/EMR technical
post-traumatic stress disorder medical
AI-generated analysis. How Rhea-AI works. Not financial advice.
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
Gross margin increased from
Operating expenses during the third quarter of 2026 were
Income from operations during the third quarter of 2026 was
Net loss attributable to Neuronetics stockholders for the third quarter of 2026 was
As of September 30, 2026, the Company held
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% and50% , compared to prior guidance of48% and50% - 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 | ||||
| Non-cash stock-based compensation expense (“SBC”)1 | ||||
| Operating expenses, less SBC | ||||
(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 | 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, | — | — | |||||
| Common stock, | 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
- 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.
- 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. - 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.
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
What were Neuronetics’ third-quarter 2026 revenue and earnings results?
Neuronetics reported $42.0 million in revenue, up 12.5% year over year, and a stockholder net loss of $1.7 million, or $0.02 per share. The comparable stockholder loss was $9.0 million, or $0.13 per share. Operating income was $541,000, compared with an operating loss of $7.321 million.
What is Neuronetics’ updated financial outlook for 2026?
Neuronetics expects $160 million–$164 million in revenue, unchanged from prior guidance, with gross margin of 49%–50%. Operating expenses are expected to be $92.5 million–$95.5 million. Expected cash outflow from operating and investing is $10.0 million–$12.0 million.
How would Neuronetics’ Wave Neuro agreement support PTSD treatment?
If FDA clearance is obtained, NeuroStar customers would be able to treat post-traumatic stress disorder using their existing systems with Wave Neuro’s software algorithm. The algorithm uses electroencephalogram data, which records electrical activity in the brain. Neuronetics plans to seek clearance to add NeuroStar as a compatible system.
When does Neuronetics expect its AdvancedMD integration to become available?
Neuronetics expects the integration to become available to existing NeuroStar providers using AdvancedMD in the fourth quarter of 2026, with broader availability for providers adopting the platform afterward. It connects TrakStar treatment data with clinical documentation, scheduling and billing workflows.