Neuronetics Reports Record Third Quarter 2024 Financial and Operating Results
Neuronetics (NASDAQ: STIM) reported Q3 2024 revenue of $18.5 million, up 4% year-over-year. U.S. NeuroStar system revenue reached $4.1 million with 48 systems shipped. Treatment session revenue grew 2% compared to Q3 2023. The company reported a net loss of $(13.3) million or $(0.44) per share. Stockholders approved the acquisition of Greenbrook TMS on November 8, 2024. The company expects Q4 2024 revenue between $19.0-20.0 million and full-year 2024 revenue between $71.0-72.0 million. Gross margin improved to 75.6%, up 980 basis points from Q3 2023.
Neuronetics (NASDAQ: STIM) ha riportato un fatturato di 18,5 milioni di dollari per il terzo trimestre del 2024, in crescita del 4% rispetto all'anno precedente. Il fatturato del sistema NeuroStar negli Stati Uniti ha raggiunto i 4,1 milioni di dollari con 48 sistemi spediti. Il fatturato delle sessioni di trattamento è aumentato del 2% rispetto al terzo trimestre del 2023. L'azienda ha riportato una perdita netta di (13,3) milioni di dollari, equivalenti a (0,44) dollari per azione. Gli azionisti hanno approvato l'acquisizione di Greenbrook TMS l'8 novembre 2024. L'azienda prevede un fatturato tra i 19,0 e i 20,0 milioni di dollari per il quarto trimestre del 2024 e un fatturato totale per l'anno 2024 tra i 71,0 e i 72,0 milioni di dollari. Il margine lordo è migliorato al 75,6%, con un incremento di 980 punti base rispetto al terzo trimestre del 2023.
Neuronetics (NASDAQ: STIM) reportó ingresos de 18,5 millones de dólares en el tercer trimestre de 2024, un aumento del 4% en comparación con el año anterior. Los ingresos del sistema NeuroStar en EE. UU. alcanzaron los 4,1 millones de dólares con 48 sistemas enviados. Los ingresos por sesiones de tratamiento crecieron un 2% en comparación con el tercer trimestre de 2023. La empresa reportó una pérdida neta de (13,3) millones de dólares o (0,44) dólares por acción. Los accionistas aprobaron la adquisición de Greenbrook TMS el 8 de noviembre de 2024. La compañía espera ingresos para el cuarto trimestre de 2024 entre 19,0 y 20,0 millones de dólares y unos ingresos anuales totales de 2024 entre 71,0 y 72,0 millones de dólares. El margen bruto mejoró al 75,6%, un incremento de 980 puntos base desde el tercer trimestre de 2023.
뉴로네틱스(나스닥: STIM)는 2024년 3분기 매출이 1,850만 달러에 달하고 작년 대비 4% 증가했다고 보고했습니다. 미국의 NeuroStar 시스템 매출은 410만 달러로 48대가 출하되었습니다. 치료 세션 매출은 2023년 3분기와 비교해 2% 증가했습니다. 회사는 순손실이 (1,330만 달러) 또는 주당 (0.44) 달러라고 보고했습니다. 주주들은 2024년 11월 8일 그린브룩 TMS의 인수를 승인했습니다. 회사는 2024년 4분기 매출이 1,900만에서 2,000만 달러 사이가 될 것으로 기대하고 있으며 2024년 전체 연간 매출은 7,100만에서 7,200만 달러 사이가 될 것으로 예상하고 있습니다. 총 마진은 75.6%로 개선되었으며, 2023년 3분기대비 980 베이시스 포인트 상승했습니다.
Neuronetics (NASDAQ: STIM) a déclaré un chiffre d'affaires de 18,5 millions de dollars pour le troisième trimestre de 2024, en hausse de 4 % par rapport à l'année précédente. Le chiffre d'affaires du système NeuroStar aux États-Unis a atteint 4,1 millions de dollars avec 48 systèmes expédiés. Les revenus des séances de traitement ont augmenté de 2 % par rapport au troisième trimestre 2023. La société a rapporté une perte nette de (13,3) millions de dollars ou (0,44) dollar par action. Les actionnaires ont approuvé l'acquisition de Greenbrook TMS le 8 novembre 2024. La société prévoit un chiffre d'affaires compris entre 19,0 et 20,0 millions de dollars pour le quatrième trimestre 2024 et un chiffre d'affaires annuel total pour 2024 compris entre 71,0 et 72,0 millions de dollars. La marge brute s'est améliorée à 75,6 %, en hausse de 980 points de base par rapport au troisième trimestre 2023.
Neuronetics (NASDAQ: STIM) berichtete für das dritte Quartal 2024 einen Umsatz von 18,5 Millionen US-Dollar, was einem Anstieg von 4% im Vergleich zum Vorjahr entspricht. Der Umsatz des NeuroStar-Systems in den USA erreichte 4,1 Millionen US-Dollar bei 48 gelieferten Systemen. Die Einnahmen aus Behandlungssitzungen stiegen um 2% im Vergleich zum 3. Quartal 2023. Das Unternehmen meldete einen Nettoverlust von (13,3) Millionen US-Dollar oder (0,44) US-Dollar pro Aktie. Die Aktionäre genehmigten am 8. November 2024 die Übernahme von Greenbrook TMS. Das Unternehmen erwartet für das vierte Quartal 2024 einen Umsatz zwischen 19,0 und 20,0 Millionen US-Dollar sowie einen Gesamtumsatz für das Jahr 2024 zwischen 71,0 und 72,0 Millionen US-Dollar. Die Bruttomarge verbesserte sich auf 75,6%, was einem Anstieg von 980 Basispunkten im Vergleich zum 3. Quartal 2023 entspricht.
- Revenue increased 4% year-over-year to $18.5 million
- U.S. NeuroStar system revenue grew 14% to $4.1 million
- Gross margin improved significantly to 75.6%, up 980 basis points
- Treatment session revenue increased 2% year-over-year
- Company projects Q4 2024 revenue growth to $19.0-20.0 million
- Net loss widened to $(13.3) million from $(9.4) million year-over-year
- Operating expenses increased 5% to $21.7 million
- Cash position decreased to $20.9 million from $59.7 million at year-end 2023
- International revenue declined 10%
- Treatment session revenue per active site decreased to $11,390 from $11,917
Insights
The Q3 2024 results show mixed performance with some concerning metrics. While total revenue grew
The pending Greenbrook TMS acquisition could be transformative but carries execution risks. The projected cash flow breakeven by Q2 2025 seems ambitious given the current burn rate and
The adolescent treatment study results presented at AACAP are particularly noteworthy, showing
The milestone of 188,000 global patients treated with 6.9 million sessions demonstrates growing clinical adoption, though the
MALVERN, Pa., Nov. 12, 2024 (GLOBE NEWSWIRE) -- Neuronetics, Inc. (NASDAQ: STIM) (the “Company” or “Neuronetics”) a commercial stage medical technology company with a strategic vision of transforming the lives of patients whenever and wherever they need help, with the best neurohealth therapies in the world, today announced its financial and operating results for the third quarter of 2024.
Third Quarter 2024 Highlights
- Third quarter 2024 revenue of
$18.5 million , a4% increase as compared to the third quarter 2023 - U.S. NeuroStar Advanced Therapy system revenue of
$4.1 million in the quarter, representing 48 systems - U.S. treatment session revenue increased by
2% versus the third quarter of 2023
Recent Operational and Marketing Highlights
- Neuronetics stockholders approved the acquisition of Greenbrook TMS on November 8, 2024
- NeuroStar Oral Presentation at AACAP 2024 Highlights Largest Study Evaluating TMS Efficacy in Adolescents with Depression
- Achieved milestone of over 188,000 global patients treated with 6.9 million treatment sessions
“We are very excited about the approval of the acquisition of Greenbrook TMS, which positions Neuronetics to be one of the largest, and most innovative provider of mental health care in the United States,” said Keith J. Sullivan, President and Chief Executive Officer of Neuronetics. “This strategic combination will significantly enhance our ability to expand access to mental health solutions through a unified commercial organization, while also creating opportunities to accelerate the rollout of additional services like SPRAVATO® across our network. By leveraging our complementary strengths - including Greenbrook’s extensive presence in the U.S. and Neuronetics’ industry-leading technology and training programs – we’re building an organization with the unique ability to increase patient access, improve outcomes, and ultimately, drive value for stockholders.”
Keith J. Sullivan continued, “Beyond the Greenbrook acquisition, we saw continued progress across our strategic initiatives in the third quarter, highlighted by strong momentum in our adolescent treatment program and encouraging early results from our targeted marketing efforts. We're more confident than ever in our ability to create meaningful value for patients, providers, and stockholders while advancing mental health treatment.”
Third Quarter 2024 Financial and Operating Results for the Three Months Ended September 30, 2024
Revenues by Geography | ||||||||||
Three Months Ended September 30, | ||||||||||
2024 | 2023 | |||||||||
Amount | Amount | % Change | ||||||||
(Unaudited; in thousands, except percentages) | ||||||||||
U.S. | $ | 17,922 | $ | 17,211 | 4 | % | ||||
International | 608 | 673 | (10 | ) | % | |||||
Total revenues | $ | 18,530 | $ | 17,884 | 4 | % | ||||
Total revenue for the three months ended September 30, 2024 was
U.S. Revenues by Product Category | ||||||||||
Three Months Ended September 30, | ||||||||||
2024 | 2023 | |||||||||
Amount | Amount | % Change | ||||||||
(Unaudited; in thousands, except percentages) | ||||||||||
NeuroStar Advanced Therapy System | $ | 4,108 | $ | 3,597 | 14 | % | ||||
Treatment sessions | 13,326 | $ | 13,060 | 2 | % | |||||
Other | 488 | $ | 554 | (12 | ) | % | ||||
Total U.S. revenues | $ | 17,922 | $ | 17,211 | 4 | % | ||||
U.S. NeuroStar Advanced Therapy System revenue for the three months ended September 30, 2024 was
U.S. treatment session revenue for the three months ended September 30, 2024 was
In the third quarter of 2024, U.S. treatment session revenue per active site was
Gross margin for the third quarter of 2024 was
Operating expenses during the third quarter of 2024 were
Net loss for the third quarter of 2024 was
EBITDA for the third quarter of 2024 was
Cash and cash equivalents were
Stockholders Approve Acquisition of Greenbrook TMS
On November 8, 2024, Neuronetics’ stockholders approved the previously announced acquisition of Greenbrook TMS Inc. (“Greenbrook”), in which Neuronetics will acquire all of the outstanding common shares of Greenbrook in an all-stock transaction. The next step in finalizing the transaction is a hearing in respect of the Final Order pursuant to the Ontario Business Corporations Act scheduled for November 15, 2024. The transaction will create a vertically integrated organization capable of providing access to mental health treatment with significant scale in the U.S. The transaction offers multiple strategic benefits for Neuronetics and its customers, including increased brand awareness for NeuroStar, more consistent delivery of best practices, and the ability to offer a variety of positive benefits for all NeuroStar customers. Beyond the strategic benefits, the transaction is expected to create compelling financial benefits, including increased revenue scale and a strong growth trajectory, material cost synergies, an accelerated path to profitability, and a bolstered balance sheet.
The Company has outlined several key strategic initiatives, including merging Neuronetics’ sales team with Greenbrook's regional area managers to optimize commercial operations, implementing the Better Me Provider Program best practices across all Greenbrook sites, and accelerating the rollout of SPRAVATO® treatment across the combined network. Through these initiatives and additional identified opportunities to optimize the combined company's cost structure in connection with the transaction, the Company now expects to achieve cash flow breakeven by the second quarter of 2025.
NeuroStar TMS Data Presented at Leading Child & Adolescent Psychiatry Conference Shows Strong Efficacy in Treating Teen Depression
At the 2024 American Academy of Child and Adolescent Psychiatry (“AACAP”) annual meeting, Neuronetics presented data from the largest study to date evaluating transcranial magnetic stimulation (“TMS”) in adolescents with major depressive disorder. In an oral presentation, Paul E. Croarkin, DO, MS of Mayo Clinic shared compelling results showing NeuroStar's strong efficacy in treating Major Depressive Disorder (“MDD”) in adolescent patients, with impressive response and remission rates of
Business Outlook
For the fourth quarter of 2024, on a stand alone basis, the Company expects total worldwide revenue between
For the full year 2024, on a stand alone basis the Company now expects total worldwide revenue to be between
For the full year 2024, on a stand alone basis, the Company now expects total operating expenses to be between
Webcast and Conference Call Information
Neuronetics’ management team will host a conference call on November 12, 2024, beginning at 8:30 a.m. Eastern Time.
The conference call will be broadcast live in listen-only mode via webcast at https://edge.media-server.com/mmc/p/yk5bidgv. To listen to the conference call on your telephone, you 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. believes that mental health is as important as physical health. As a global leader in neuroscience, Neuronetics is redefining patient and physician expectations with its NeuroStar Advanced Therapy for Mental Health. NeuroStar is a non-drug, noninvasive treatment that can improve the quality of life for people suffering from neurohealth conditions when traditional medication hasn’t helped. The NeuroStar Advanced Therapy System is cleared by the U.S. Food and Drug Administration (the “FDA”) for adults with MDD, as an adjunct for adults with obsessive-compulsive disorder, and 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. NeuroStar Advanced Therapy is the leading TMS treatment for MDD in adults with more than 6.9 million treatments delivered. NeuroStar is backed by the largest clinical data set of any TMS treatment system for depression, including the world’s largest depression outcomes registry. Neuronetics is committed to transforming lives by offering an exceptional treatment that produces extraordinary results. For safety information and indications for use, visit NeuroStar.com.
“Safe harbor” statement under the Private Securities Litigation Reform Act of 1995:
Statements in the press release regarding the Company 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 “outlook,” “potential,” “believe,” “expect,” “plan,” “anticipate,” “predict,” “may,” “will,” “could,” “would” and “should” 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 2024, 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 release. These risks and uncertainties include, without limitation, risks and uncertainties related to: the effect of the Arrangement with Greenbrook, initially announced on August 11, 2024 and approved by Greenbrook’s shareholders and Neuronetics stockholders on November 8, 2024, on our business relationships, operating results and business generally; the Company’s ability to execute its business strategy; the Company’s ability to achieve or sustain profitable operations due to its history of losses; the Company’s reliance on the sale and use of its NeuroStar Advanced Therapy system to generate revenues; the scale and efficacy of the Company’s salesforce; the Company’s ability to retain talent; availability of coverage and reimbursement from third-party payors for treatments using the Company’s products; physician and patient demand for treatments using the Company’s products; developments in competing technologies and therapies for the indications that the Company’s products treat; product defects; our revenue has been concentrated among a small number of customers; the Company’s ability to obtain and maintain intellectual property protection for its technology; developments in clinical trials or regulatory review of NeuroStar Advanced Therapy system for additional indications; developments in regulation in the U.S. and other applicable jurisdictions; the terms of our credit facility; our ability to successfully roll-out our Better Me Provider program on the planned timeline; our self-sustainability and existing cash balances; and our ability to achieve cash flow break-even in the third quarter of 2025. 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. 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. Statements of Operations (Unaudited; In thousands, except per share data) | ||||||||||||||||
Three Months ended | Nine months ended | |||||||||||||||
September 30, | September 30, | |||||||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||||||
Revenues | $ | 18,530 | $ | 17,884 | $ | 52,397 | $ | 51,034 | ||||||||
Cost of revenues | 4,529 | 6,120 | 13,129 | 15,100 | ||||||||||||
Gross profit | 14,001 | 11,764 | 39,268 | 35,934 | ||||||||||||
Operating expenses: | ||||||||||||||||
Sales and marketing | 11,877 | 12,141 | 35,820 | 35,602 | ||||||||||||
General and administrative | 7,436 | 6,339 | 19,540 | 19,151 | ||||||||||||
Research and development | 2,416 | 2,155 | 6,999 | 7,308 | ||||||||||||
Total operating expenses | 21,729 | 20,635 | 62,359 | 62,061 | ||||||||||||
Loss from operations | (7,728 | ) | (8,871 | ) | (23,091 | ) | (26,127 | ) | ||||||||
Other (income) expense: | ||||||||||||||||
Interest expense | 1,725 | 1,184 | 5,529 | 3,580 | ||||||||||||
Loss on extinguishment of debt | 4,427 | — | 4,427 | — | ||||||||||||
Other income, net | (539 | ) | (664 | ) | (2,001 | ) | (4,895 | ) | ||||||||
Net loss | $ | (13,341 | ) | $ | (9,391 | ) | $ | (31,046 | ) | $ | (24,812 | ) | ||||
Net loss per share of common stock outstanding, basic and diluted | $ | (0.44 | ) | $ | (0.33 | ) | $ | (1.04 | ) | $ | (0.87 | ) | ||||
Weighted average common shares outstanding, basic and diluted | 30,267 | 28,876 | 29,931 | 28,505 | ||||||||||||
NEURONETICS, INC. Balance Sheets (Unaudited; In thousands, except per share data) | ||||||||
September 30, | December 31, | |||||||
2024 | 2023 | |||||||
Assets | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 20,867 | $ | 59,677 | ||||
Accounts receivable, net | 16,825 | 15,782 | ||||||
Inventory | 4,960 | 8,093 | ||||||
Current portion of net investments in sales-type leases | 572 | 905 | ||||||
Current portion of prepaid commission expense | 2,921 | 2,514 | ||||||
Current portion of note receivables | 2,477 | 2,056 | ||||||
Prepaid expenses and other current assets | 4,837 | 4,766 | ||||||
Total current assets | 53,459 | 93,793 | ||||||
Property and equipment, net | 1,639 | 2,009 | ||||||
Operating lease right-of-use assets | 2,328 | 2,773 | ||||||
Net investments in sales-type leases | 140 | 661 | ||||||
Prepaid commission expense | 8,733 | 8,370 | ||||||
Long-term notes receivable | 2,878 | 3,795 | ||||||
Other assets | 4,940 | 4,430 | ||||||
Total assets | $ | 74,117 | $ | 115,831 | ||||
Liabilities and Stockholders’ Equity | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 3,295 | $ | 4,752 | ||||
Accrued expenses | 11,429 | 12,595 | ||||||
Deferred revenue | 1,311 | 1,620 | ||||||
Current portion of operating lease liabilities | 862 | 845 | ||||||
Total current liabilities | 16,897 | 19,812 | ||||||
Long-term debt, net | 46,002 | 59,283 | ||||||
Deferred revenue | 4 | 200 | ||||||
Operating lease liabilities | 1,833 | 2,346 | ||||||
Total liabilities | 64,736 | 81,641 | ||||||
Commitments and contingencies (Note 18) | — | — | ||||||
Stockholders’ equity: | ||||||||
Preferred stock, | — | — | ||||||
Common stock, | 303 | 291 | ||||||
Additional paid-in capital | 416,205 | 409,980 | ||||||
Accumulated deficit | (407,127 | ) | (376,081 | ) | ||||
Total Stockholders’ equity | 9,381 | 34,190 | ||||||
Total liabilities and Stockholders’ equity | $ | 74,117 | $ | 115,831 | ||||
NEURONETICS, INC. Statements of Cash Flows (Unaudited; In thousands) | ||||||||
Nine months ended September 30, | ||||||||
2024 | 2023 | |||||||
Cash flows from Operating activities: | ||||||||
Net loss | $ | (31,046 | ) | $ | (24,812 | ) | ||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
Depreciation and amortization | 1,627 | 1,503 | ||||||
Allowance for credit losses | 1,947 | 369 | ||||||
Inventory impairment | 346 | 1,905 | ||||||
Share-based compensation | 4,320 | 5,693 | ||||||
Non-cash interest expense | 580 | 460 | ||||||
Loss on extinguishment of debt | 4,427 | — | ||||||
Changes in certain assets and liabilities: | ||||||||
Accounts receivable, net | (3,834 | ) | (7,933 | ) | ||||
Inventory | 2,718 | (2,742 | ) | |||||
Net investment in sales-type leases | 854 | 1,092 | ||||||
Prepaid commission expense | (770 | ) | (804 | ) | ||||
Prepaid expenses and other assets | (374 | ) | (3,338 | ) | ||||
Accounts payable | (1,524 | ) | 54 | |||||
Accrued expenses | (1,166 | ) | (4,801 | ) | ||||
Deferred revenue | (506 | ) | (817 | ) | ||||
Net Cash used in Operating activities | (22,401 | ) | (34,171 | ) | ||||
Cash flows from Investing activities: | ||||||||
Purchases of property and equipment and capitalized software | (1,377 | ) | (1,490 | ) | ||||
Repayment of notes receivable | 1,340 | 731 | ||||||
Net Cash used in Investing activities | (37 | ) | (759 | ) | ||||
Cash flows from Financing activities: | ||||||||
Payments of debt issuance costs | (2,188 | ) | (863 | ) | ||||
Proceeds from issuance of long-term debt | 48,084 | 2,500 | ||||||
Proceeds from issuance of warrants | 1,916 | — | ||||||
Repayment of long-term debt | (60,000 | ) | (1,200 | ) | ||||
Payment for debt extinguishment cost | (4,185 | ) | — | |||||
Proceeds from exercises of stock options | 1 | — | ||||||
Net Cash (used in) provided by Financing activities | (16,372 | ) | 437 | |||||
Net decrease in Cash and Cash equivalents | (38,810 | ) | (34,493 | ) | ||||
Cash and Cash equivalents, Beginning of Period | 59,677 | 70,340 | ||||||
Cash and Cash equivalents, End of Period | $ | 20,867 | $ | 35,847 | ||||
Non-GAAP Financial Measures (Unaudited)
EBITDA is not a measure 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 measure 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 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:
Three Months ended | Nine months ended | |||||||||||||||
September 30, | September 30, | |||||||||||||||
2024 | 2023 | 2024 | 2023 | |||||||||||||
(in thousands) | (in thousands) | |||||||||||||||
Net loss | $ | (13,341 | ) | $ | (9,391 | ) | $ | (31,046 | ) | $ | (24,812 | ) | ||||
Interest expense, net | 1,186 | 1,184 | 3,528 | 3,580 | ||||||||||||
Income taxes | — | — | — | — | ||||||||||||
Depreciation and amortization | 512 | 500 | 1,627 | 1,503 | ||||||||||||
EBITDA | $ | (11,643 | ) | $ | (7,707 | ) | $ | (25,891 | ) | $ | (19,729 | ) | ||||
FAQ
What was Neuronetics (STIM) Q3 2024 revenue?
When did stockholders approve the Greenbrook TMS acquisition for STIM?
What is STIM's revenue guidance for Q4 2024?