Neuronetics, Inc. (STIM) FY2025 10-K Annual Report

Filed: Mar 17, 2026
Health Care
Surgical & Medical Instruments & ApparatusSEC EDGAR

Neuronetics, Inc. (STIM) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Mar 17, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

Neuronetics, Inc. FY2025 10-K Analysis

Business Overview

  • Core business model: Development and commercialization of NeuroStar Advanced Therapy System, a non-invasive TMS treatment for MDD and OCD, plus operation of Greenbrook mental health treatment centers
  • New emphasis on fully integrated care via Greenbrook acquisition, adding 93 clinics and SPRAVATO treatment for treatment-resistant depression
  • Strategic shift to vertically integrated provider of mental health solutions combining product and service, aiming for market consolidation and expanded patient access
  • Revenue $149.2M in 2025, up 99% YoY; increased U.S. clinic revenues to 59% from 6% prior year due to Greenbrook acquisition; 658 employees as of December 2025
  • Noteworthy Greenbrook restructuring closing dozens of underperforming clinics and focus on Regional Account Managers to build referral pathways

Management Discussion & Analysis

  • Revenue $149.2M in 2025, up 99% YoY from $74.9M in 2024; U.S. revenue $146.0M up 101% YoY; international $3.1M up 29% YoY
  • Gross margin 48.5% in 2025 vs 72.3% in 2024, decline due to Greenbrook clinic business inclusion and reduced treatment session revenue
  • Best performing segment: Clinic revenue $87.0M (59% of US revenues) in 2025 vs $4.4M (6%) in 2024; Worst: NeuroStar System revenue $14.3M (10%) in 2025 vs $15.3M (21%) in 2024
  • Operating loss improved to $(31.4)M from $(34.6)M; net loss $(39.1)M vs $(43.7)M; cash $28.1M with operating cash flow negative $20.4M; $70M debt outstanding; raised $26.8M net via equity offerings and ATM
  • Management expects clinic revenue growth in 2026; anticipates decreased sales/marketing expense but increased general/administrative expense; key risks include financing availability and regulatory challenges

Risk Factors

  • Cybersecurity risk oversight by board Audit Committee with quarterly enterprise risk profile reports from Head of IT
  • Head of IT with 20+ years experience leads cybersecurity program and partners with third-party experts for risk identification
  • Regular assessment using industry-standard KPIs for prevention, detection, mitigation, and remediation of cybersecurity incidents

Neuronetics, Inc. FY2025 Key Financial Metrics
XBRL

Revenue

$149M

+99.2% YoY

Net Income

-$39M

+10.8% YoY

Gross Margin

48.5%

-2384bp YoY

Operating Margin

-21.1%

+2508bp YoY

Net Margin

-26.1%

+3222bp YoY

ROE

-174.3%

-1651bp YoY

Total Assets

$142M

+0.5% YoY

EPS (Diluted)

$-0.59

+57.2% YoY

Operating Cash Flow

-$20M

+34.3% YoY

Source: XBRL data from Neuronetics, Inc. FY2025 10-K filing on SEC EDGAR. All figures in USD.

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