Strong Pro Forma Revenue Growth
Total revenue for Q4 was $41.8M (reported +86% YoY driven by acquisition); adjusted pro forma Q4 revenue grew 23% versus prior year, reflecting combined NeuroStar + Greenbrook momentum.
Clinic and Treatment Volume Expansion
Clinic revenue was $23.5M in Q4, an adjusted pro forma increase of 37%; full-year clinic revenue grew 28% pro forma. Total treatment volume was up 18% YoY in Q4 and treatment utilization increased ~11%.
NeuroStar Capital Momentum
Shipped 49 NeuroStar systems in Q4 (vs. 46 in prior-year quarter); U.S. system revenue $4.4M, +15% pro forma; system average selling price was above target for the fourth consecutive quarter.
Referral and Provider Network Growth
Referring provider network added 430 new providers in Q4 (+25% YoY) and over 1,300 new referrers in 2025; field teams completed >47,000 physician outreach activities and Q4 referrals exceeded 2,300 (+46% YoY).
Greenbrook Rollouts and SPRAVATO Adoption
SPRAVATO rollout nearly complete with 84 clinics providing treatment; SPRAVATO increased as a share of treatments (~30% early 2025 to ~35% by year-end), contributing materially to clinic growth and recurring maintenance revenue.
Commercial Programs and Partnerships Showing Traction
Better Me Provider program had 420+ active sites (plus ~100 in qualification), connecting >66,000 patients since inception; Provider Connection launched with 400+ educational meetings and 210+ new referral sites.
Improved Cash Flow and Balance Sheet Progress
Positive operating cash flow in Q4: cash provided by operations +$0.9M; operating cash burn improved every quarter in 2025 (from -$17.0M in Q1 to +$0.9M in Q4). Cash balance as of 12/31/2025 was $34.1M (including $6.0M restricted).
Profitability Trajectory and Expense Discipline
Q4 net loss narrowed to $7.2M ($0.10/sh) vs. $12.7M prior year; Q4 EBITDA improved to -$4.3M vs -$11.0M prior year. Management expects operating expense run-rate to fall below $100M by Q4 2026 and operating cash flow to be positive in H2 2026.
Strategic Pipeline Opportunity (COMP360 / Psilocybin)
Collaboration with COMPASS on COMP360 psilocybin positions Greenbrook to potentially commercialize an NDA-stage REMS therapy; COMPASS Phase 3 results reported durable benefits through 26 weeks with potential FDA decision by year-end, and Greenbrook expects limited incremental infrastructure lift due to SPRAVATO experience.