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Neuronetics Inc (STIM)
NASDAQ:STIM
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Neuronetics (STIM) AI Stock Analysis

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STIM

Neuronetics

(NASDAQ:STIM)

Rating:58Neutral
Price Target:
$4.50
▲(1.35%Upside)
Neuronetics' overall stock score is influenced by ongoing financial challenges and negative valuation metrics. However, positive technical indicators and strategic initiatives, including successful acquisitions and leadership changes, provide some optimism for future performance.
Positive Factors
Earnings
STIM reported a solid Q1 operationally, with revenue of $32.0M, well above consensus estimates.
Growth Strategy
The combination with Greenbrook is off to a good start, leading to a reaffirmation of the BUY recommendation with a target price increase to $8 from $5.
Negative Factors
Financial Performance
The stock traded off on the higher-than-expected cash burn for Q1.
Profitability
Gross margin decreased to 66.2% from 77.6% due to the inclusion of the lower margin Greenbrook operations.

Neuronetics (STIM) vs. SPDR S&P 500 ETF (SPY)

Neuronetics Business Overview & Revenue Model

Company DescriptionNeuronetics, Inc. (STIM) is a medical technology company focused on developing and commercializing products that improve the quality of life for patients suffering from psychiatric and neurological disorders. The company is best known for its NeuroStar Advanced Therapy System, a non-invasive, non-systemic, FDA-cleared transcranial magnetic stimulation (TMS) device designed to treat major depressive disorder (MDD) in adults who have not seen satisfactory improvement from prior antidepressant medication. Neuronetics operates within the healthcare sector, specifically targeting the medical device and mental health treatment markets.
How the Company Makes MoneyNeuronetics generates revenue primarily through the sale and lease of its NeuroStar Advanced Therapy Systems to healthcare providers. In addition to the initial sale or leasing of the device, the company earns recurring revenue by selling treatment sessions and consumables required for the operation of the NeuroStar system. This model ensures a steady stream of income as providers purchase additional treatment sessions for patients. Furthermore, Neuronetics may engage in partnerships with clinics and health organizations to expand its market presence and adoption of its therapy systems. The company's earnings are influenced by factors such as insurance reimbursements, healthcare regulations, and the overall demand for non-drug treatment options for depression.

Neuronetics Earnings Call Summary

Earnings Call Date:May 06, 2025
(Q1-2025)
|
% Change Since: -1.33%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted robust revenue growth driven by the Greenbrook acquisition and successful execution of strategic initiatives such as the BMP program and SPRAVATO rollout. However, challenges were noted in terms of decreased gross margin, increased operating expenses, and a widened net loss. Despite these challenges, the company remains on track to achieve cash flow positivity by the third quarter.
Q1-2025 Updates
Positive Updates
Significant Revenue Growth
Total revenue was $32 million, an increase of 84% over the first quarter of 2024. On a pro forma basis, total revenue increased 7% over pro forma revenue of $29.8 million for the first quarter of 2024.
Successful Greenbrook Integration
The integration of Greenbrook has been effective, with 95% of identified synergies realized by the end of 2024, and expectations to exceed $23 million in total realized synergies.
SPRAVATO Rollout Progress
SPRAVATO is now offered in 75 of the 95 Greenbrook clinics, up from 35 clinics at the beginning of the quarter, with Buy & Bill treatments generating approximately 3x the revenue compared to the administer and observe model.
Expansion of BMP Program
The BMP program includes over 385 active sites, with sites in the program treating three times more patients per site per quarter than non-participating practices.
Adolescent Treatment Growth
The number of adolescent patients receiving treatment grew by 38% in the first quarter of 2025 compared to the first quarter of 2024.
Negative Updates
Decreased Gross Margin
Gross margin was 49% compared to 75% in the prior year quarter, primarily due to the inclusion of Greenbrook's clinic business which operates at a lower margin.
Increased Operating Expenses
Operating expenses were $26.8 million, an increase of 35% compared to $19.9 million in the first quarter of 2024, mainly due to the inclusion of Greenbrook's operating expenses.
Net Loss Increase
Net loss for the quarter was negative $12.7 million, a significant increase from a net loss of negative $7.9 million in the prior year quarter.
Cash Burn and Vendor Payments
Cash used in operations was $17 million, driven by proactive vendor payment settlements, which increased cash burn to levels above typical for the first quarter.
Company Guidance
During the Neuronetics First Quarter 2025 Financial and Operating Results Conference Call, significant guidance was provided with several key metrics highlighted. The company reported a total revenue of $32 million, marking an 84% increase over the first quarter of 2024. Pro forma revenue increased by 7% to $29.8 million compared to the same period last year. Key performance metrics included NeuroStar system revenue at $2.8 million with 31 systems shipped, U.S. treatment session revenue at $9.6 million, and U.S. Clinic revenue, attributed to the Greenbrook acquisition, at $18.7 million. The gross margin was reported at 49%, a decrease from 75% in the prior year, primarily due to the inclusion of the Greenbrook clinic business. Operating expenses increased by 35% to $26.8 million, largely due to the addition of Greenbrook's operating costs. The company also reported a net loss of $12.7 million, or $0.21 per share. Strategic initiatives such as the Greenbrook integration, SPRAVATO rollout, and the expansion of the Better Me Provider program were emphasized as core growth drivers. Neuronetics aims to achieve cash flow positivity by the third quarter of 2025, supported by their enhanced capital position following a public offering that raised $18.9 million. The company maintained its full-year revenue guidance at $149 million to $155 million, with expectations of a 55% gross margin for the year.

Neuronetics Financial Statement Overview

Summary
Neuronetics faces ongoing financial challenges with consistent losses and negative cash flow. Despite modest revenue growth, the company struggles with profitability and relies heavily on external financing.
Income Statement
40
Negative
Neuronetics shows a modest revenue growth over the years, with a 4.96% increase from 2023 to 2024. However, the company has consistently reported negative EBIT and net income margins, indicating ongoing profitability challenges. The gross profit margin remains relatively healthy, but the persistent negative EBITDA margin points to operational inefficiencies.
Balance Sheet
45
Neutral
The balance sheet reflects significant leverage with a high debt-to-equity ratio, although it has improved slightly from the previous year. The equity ratio is relatively low, suggesting limited financial flexibility. The company has maintained a positive cash position, yet declining stockholders' equity is a concern.
Cash Flow
35
Negative
Neuronetics has experienced negative free cash flow growth, with cash flows consistently in the red. The operating cash flow to net income ratio is negative, highlighting cash generation issues. The company relies heavily on financing activities to manage cash needs, which may not be sustainable long-term.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue74.89M71.35M65.21M55.31M49.24M
Gross Profit54.16M51.70M49.72M43.66M37.69M
EBITDA-34.56M-22.76M-31.26M-26.55M-21.07M
Net Income-43.71M-30.19M-39.21M-35.60M-32.28M
Balance Sheet
Total Assets140.90M115.83M116.88M141.22M78.66M
Cash, Cash Equivalents and Short-Term Investments18.66M60.58M71.88M96.34M50.84M
Total Debt82.63M62.47M39.74M39.54M38.34M
Total Liabilities109.10M81.64M59.82M56.05M53.16M
Stockholders Equity27.71M34.19M57.06M85.17M25.49M
Cash Flow
Free Cash Flow-32.46M-34.41M-34.01M-30.34M-29.12M
Operating Cash Flow-31.00M-32.04M-30.74M-27.98M-28.39M
Investing Cash Flow-2.41M-1.32M6.73M-9.84M-730.00K
Financing Cash Flow-6.81M22.70M207.00K83.01M2.37M

Neuronetics Technical Analysis

Technical Analysis Sentiment
Positive
Last Price4.44
Price Trends
50DMA
3.81
Positive
100DMA
4.03
Positive
200DMA
3.03
Positive
Market Momentum
MACD
0.22
Negative
RSI
67.51
Neutral
STOCH
80.05
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For STIM, the sentiment is Positive. The current price of 4.44 is above the 20-day moving average (MA) of 3.89, above the 50-day MA of 3.81, and above the 200-day MA of 3.03, indicating a bullish trend. The MACD of 0.22 indicates Negative momentum. The RSI at 67.51 is Neutral, neither overbought nor oversold. The STOCH value of 80.05 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for STIM.

Neuronetics Risk Analysis

Neuronetics disclosed 70 risk factors in its most recent earnings report. Neuronetics reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Neuronetics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (46)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
58
Neutral
$295.53M-152.14%22.16%-37.60%
56
Neutral
$492.85M-51.25%15.57%31.82%
55
Neutral
$122.11M-1552.23%25.46%21.83%
52
Neutral
$109.25M-41.36%-44.17%12.77%
46
Neutral
C$202.78M-3.27-23.14%2.83%20.78%-1.17%
46
Neutral
$167.84M-91.03%-40.09%-18.67%
45
Neutral
$56.88M-1454.41%35.76%47.48%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
STIM
Neuronetics
4.39
2.61
146.63%
ACRS
Aclaris Therapeutics
1.53
0.21
15.91%
MDXH
MDxHealth
2.43
-0.34
-12.27%
PSNL
Personalis
5.48
1.91
53.50%
BDSX
Biodesix
0.35
-1.28
-78.53%
SERA
Sera Prognostics
2.78
-5.42
-66.10%

Neuronetics Corporate Events

Executive/Board ChangesBusiness Operations and StrategyFinancial Disclosures
Neuronetics Appoints New CFO Amid Strategic Expansion
Positive
Jul 15, 2025

On July 15, 2025, Neuronetics appointed Steven Pfanstiel as Executive Vice President, Chief Financial Officer, and Treasurer, succeeding Steve Furlong, who will retire in March 2026. Pfanstiel brings extensive experience from his previous roles in the healthcare industry, notably at Marinus Pharmaceuticals and LifeScan. His appointment is part of Neuronetics’ strategic vision to expand access to mental health treatments and achieve sustainable growth. The company also reaffirmed its financial guidance for the second quarter and full year 2025, highlighting its ongoing integration of Greenbrook operations and its path to achieving positive cash flow in the third quarter of 2025.

The most recent analyst rating on (STIM) stock is a Buy with a $5.50 price target. To see the full list of analyst forecasts on Neuronetics stock, see the STIM Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Neuronetics Holds Annual Meeting, Elects Directors
Neutral
May 28, 2025

On May 22, 2025, Neuronetics, Inc. held its Annual Meeting of Stockholders, where 81.38% of eligible shares were represented. During the meeting, all director nominees were elected for a one-year term, KPMG LLP’s appointment as the independent auditor for 2025 was ratified, and executive compensation for 2024 was approved. However, a proposal to eliminate supermajority voting requirements in the company’s governance documents was not approved.

The most recent analyst rating on (STIM) stock is a Buy with a $5.50 price target. To see the full list of analyst forecasts on Neuronetics stock, see the STIM Stock Forecast page.

Executive/Board ChangesFinancial Disclosures
Neuronetics Announces CFO Retirement Amidst Q1 Growth
Positive
May 6, 2025

On May 6, 2025, Neuronetics announced the upcoming retirement of CFO Stephen Furlong in March 2026, with a search for his successor underway. The company reported significant financial growth in the first quarter of 2025, with an 84% revenue increase driven by the Greenbrook acquisition. Neuronetics also highlighted major insurance coverage expansions for adolescent TMS treatment and projected achieving positive cash flow in the third quarter of 2025.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 23, 2025